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Methodology

How we calculate every number

Our rule is simple: every number on this site comes from a named public source, or is calculated from one in a way we explain here.

1. World and country figures (WHO)

Country, regional and global rates come from the World Health Organization’s Global Health Observatory, which publishes estimates produced with the NCD Risk Factor Collaboration (NCD-RisC) for every year from 1980 to 2024. We use them exactly as published, rounded to one decimal.

2. Numbers of people

To say “about X million adults”, we multiply WHO’s crude rate by the UN World Population Prospects 2024 population for that country and year. The UN publishes population in 5-year age groups, so adults aged 18+ are the 20+ groups plus two-fifths of the 15–19 group (assuming ages within that group are evenly spread). Children 5–19 are the 5–9, 10–14 and 15–19 groups.

Check: for 2022 this method gives 875 million adults and 154 million children and teens with obesity. WHO’s own published figures for 2022 are 890 million and over 160 million (WHO fact sheet). The small difference comes from WHO’s newer data release and the age-group approximation. Our automated tests stop the site from building if the gap grows beyond 3% (adults) or 5% (children).

3. United States: our own survey calculations

For the US we went back to the raw public survey files from the CDC’s National Center for Health Statistics — every survey from NHES I (1959–62) to NHANES (Aug 2021–Aug 2023) — and calculated obesity ourselves using the survey weights and design, with adults age-adjusted to the 2000 US population. The 2017–2018 cycle is left out of trend lines because it overlaps the 2017–March 2020 file. Children are classified with the CDC 2000 growth charts (95th percentile).

To make sure we did it right, we check our results against the figures the CDC itself has published:

MeasureCDC publishedOur calculation
US adults 20+, obesity, 2017–Mar 2020 (age-adjusted) (NCHS National Health Statistics Report 158)41.9%41.9%
US adults 20+, obesity, Aug 2021–Aug 2023 (age-adjusted) (NCHS Data Brief 508)40.3%40.3%
US children 2–19, obesity, 2017–Mar 2020 (NCHS National Health Statistics Report 158)19.7%19.7%
US adults 20–74, obesity, NHES I 1959–62 (NCHS Health E-Stat, adults 1960–2018)13.4%13.4%
US adults 20–74, obesity, NHANES III 1988–94 (NCHS Health E-Stat, adults 1960–2018)23.2%23.2%
US high-school students, obesity, 2013 (YRBS) (MMWR Surveillance Summaries 63(SS-4))13.7%13.7%

Two technical notes: NHES I weights included about 2 lb of exam clothing (per its codebook), which we subtract; and for 1999–2010 we round BMI to one decimal as NCHS does. Our confidence intervals use a standard method (Taylor series, t-distribution) and may differ slightly from NCHS’s published intervals.

4. US states and teens (self-reported)

State figures come from the CDC’s Behavioral Risk Factor Surveillance System, published on data.cdc.gov. Teen figures are our calculation from the national Youth Risk Behavior Survey files (1999–2013). Both rely on people reporting their own height and weight.

5. School surveys worldwide

We calculated overweight and obesity from the Global School-based Student Health Survey files, using WHO’s growth reference and the survey weights. We only show samples where at least 60% of students reported both height and weight (24 samples); 17 samples fell below that line and 8 had no height and weight answers. National and city or region samples are never combined.

6. Other data

7. Writing the words

Sentences such as a country’s rank are generated automatically from the data, so they always match the charts. Quotations from health organisations are copied word for word, with a link and date.

Limitations

Found a problem? Please tell us. Every source is listed on the data sources page.

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