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Western Pacific · Country profile

Obesity in Cook Islands

72.4% of adults live with obesity (2024). That ranks 3rd highest of 199 countries.

72.4%

of adults live with obesity (2024)

Likely range 68.7%–76.0%

Source: WHO

7,000

adults with obesity (estimated number)

WHO rate × UN population

Source: WHO; UN WPP 2024

36.2%

of children & teens (5–19) live with obesity (2024)

Source: WHO

#3

highest adult obesity out of 199 countries

#1 = highest share

Source: WHO

The story of Cook Islands in numbers

In 2024, about 72.4% of adults in Cook Islands were living with obesity, according to World Health Organization estimates (the likely range is 68.7% to 76.0%). That is roughly 7,000 people aged 18 and over.

That is higher than the world average of 16.2%, and ranks 3rd highest out of 199 countries. It is above the average for WHO’s Western Pacific region (9.7%).

Back in 1980, the figure was 39.4%. Since then it has gone up by 33.0 percentage points. In people, that is a change from about 3,000 to 7,000 adults, partly because the population itself changed.

Women are more likely to live with obesity than men: 73.9% compared with 70.6%.

Among children and teenagers aged 5 to 19, 36.2% were living with obesity in 2024, compared with 6.9% in 1980 — around 1,000 young people.

For context, 27.9% of adults had diabetes in 2022 and 25.4% of adults did not get enough physical activity in 2022. These numbers don’t prove what causes obesity, but they help paint the picture.

Cook Islands has a national tax on sugar-sweetened drinks, first introduced in 2014, according to the World Bank’s Global SSB Tax Database.

How it changed

Adults with obesity in Cook Islands: men, women and the world

What this meansSince 1980, the share of men went from 35.0% to 70.6%, and women from 44.1% to 73.9%.

0%20%40%60%80%19801990200020102020Women 73.9%Men 70.6%World 16.2%
  • Men
  • Women
  • World
Show the numbers as a table
YearMenWomenWorld
198035.0%44.1%5.4%
198539.9%48.1%6.0%
199044.5%52.0%6.7%
199547.9%55.6%7.6%
200050.7%58.9%8.7%
200554.0%62.1%10.1%
201058.1%65.2%11.5%
201562.5%68.4%13.0%
202067.0%71.5%14.6%
202470.6%73.9%16.2%

Age-standardized WHO estimates. Shaded bands show the 95% uncertainty range.

Source: WHO Global Health Observatory.

Children & teens (5–19) with obesity in Cook Islands

What this meansSince 1980, the share of boys went from 6.8% to 40.3%, and girls from 6.9% to 31.7%.

0%10%20%30%40%50%60%19801990200020102020Boys 40.3%Girls 31.7%
  • Boys
  • Girls

BMI-for-age more than 2 standard deviations above the WHO growth reference median.

Source: WHO Global Health Observatory.

Cook Islands compared (2024)

What this meansHow Cook Islands’s adult obesity rate compares with its region, countries at a similar income level, and the world.

  1. Cook Islands72.4%
  2. World16.2%
  3. Western Pacific (WHO region)9.7%

Countries ranked nearby