• Overview
  • Obesity prevalence
  • Trends over time
  • Population breakdowns
  • Drivers
  • Comorbidities
  • Economic impact
  • Policies
  • Contextual factors
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Obesity prevalence

Adults, 2019

Survey type:Self-reported
Age:18+
Area covered:National
References:Eurostat 2019. Data available at https://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=hlth_ehis_bm1i&lang=en (last accessed 09.08.21)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2018

Survey type:Measured
Age:18+
Sample size:1152
Area covered:National
References:Belgium Health Examination Survey 2018. J. Van der Heyden, D. Nguyen, F. Renard, A. Scohy, S. Demarest, S. Drieskens, L. Gisle. Enquête de santé par examen belge. Bruxelles, Belgique : Sciensano ; Numéro de rapport : D/2019/14.440/90. Disponible en ligne : www.enquetesante.be
Notes:These results from smaller measured survey l (n=1152 measured) a larger self report survey also available n=9295
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2017

Survey type:Self-reported
Age:18+
Area covered:National
References:EUROSTAT Database http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=ilc_hch10&lang=en
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2014

Survey type:Self-reported
Age:18+
Area covered:National
References:Database:http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=hlth_ehis_bm1e&lang=en (last accessed 25.08.20)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2002-2004

Survey type:Measured
Age:18-75
Sample size:5170
Area covered:National
References:Duvigneaud N, Wijndaele K, Matton L, Deriemaeker P, Philippaerts R, Lefevre J, Thomis M, & Duquet W. Prevalence of overweight, obesity and abdominal obesity in Flemish adults. Archives of Public Health 2006; 64: 123-42.
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2000-2003

Survey type:Self-reported
Age:15+
Area covered:National
References:Eurostat Yearbook 2006/07. A goldmine of statistical information. Available at https://ec.europa.eu/eurostat/documents/2995521/5059290/1-20022007-BP-EN.PDF.pdf/edab8c31-b9f3-4c8e-b4db-4137bd045efa?t=1414683510000 (last accessed 04.11.21)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 1994-1997

Survey type:Measured
Age:35-59
Sample size:21356
References:Backer Guy de. De xwaarlijvige Belgen: met hoeveel zijn ze? De Eetrbrief. Feb. 2000 (No. 70):1-3
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 1979-1984

Survey type:Measured
Age:25-74
Sample size:11080
Area covered:National
References:Stam-Moraga MC, Kolanowski J, Dramaix M, De Backer G, Kornitzer MD Sociodemographic and nutritional determinants of obesity in Belgium. Int J Obes Relat Metab Disord. 1999 Feb;23 Suppl 1:1-9
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Children, 2018

Survey type:Self-reported
Age:2-17
References:S. Drieskens, R. Charafeddine, L. Gisle : Enquête de santé 2018 : Etat nutritionnel. Bruxelles, Belgique :Sciensano ; Numéro de rapport : D/2019/14.440/62. Disponible en ligne : www.enquetesante.be
Notes:NB. Combined child data estimated. These estimates were calculated by weighting male and female survey results. Weighting based on World Bank Population % total female 2019 (https://data.worldbank.org/indicator/SP.POP.TOTL.FE.ZS - accessed 21.10.20)'
Cutoffs:IOTF

Children, 2012

Survey type:Measured
Age:3-6
Sample size:1327
Area covered:Regional
References:Manios, Y. et al. (2018). Prevalence and sociodemographic correlates of overweight and obesity in a large Pan-European cohort of preschool children and their families: The ToyBox-study. Nutrition. 55-56, pp.1-7.
Notes:Subnational-Ghent
Cutoffs:IOTF

Children, 2010

Survey type:Measured
Age:10-12
Sample size:1003
Area covered:Regional
References:Brug J, van Stralen MM, te Velde SJ, Chinapaw MJM, De Bourdeaudhuij I, et al. (2012) Differences in Weight Status and Energy-Balance Related Behaviors among Schoolchildren across Europe: The ENERGY-Project. PLoS ONE 7(4): e34742. doi:10.1371/journal.pone.0034742
Cutoffs:IOTF

Children, 2008

Survey type:Measured
Age:6-9
Sample size:Not specified
References:Wijnhoven TMA, van Raaij JMA, Spinelli A et al WHO European Childhood Obesity Surveillance Inititiative 2008: weight, height and body mass index in 6-9 year old children. Pediatric Obesity 2012
Cutoffs:IOTF

Children, 2007-2013

Survey type:Measured
Age:6-9
Sample size:397,209
Area covered:National
References:Spinelli et al (2019). 'Childhood Severe Obesity in Europe', Obes Facts.12, pp. 244–258. (Data from COSI round 1-3)
Notes:NOTE - this data is from COSI round I-III (2007 - 2013)
Cutoffs:IOTF

Children, 1998-1999

Survey type:Measured
Age:7-8
Sample size:9487
Area covered:Regional
References:Massa G. Body mass index measurements and prevalence of overweight and obesity in school-children living in the province of Belgian Limburg. European Journal of Pediatrics 2002;161:343-346
Definitions:Please see paper for details on child cut-off points
Cutoffs:Other

Boys, 1969-1974

Survey type:Measured
Age:15
Sample size:21000
References:Hulens M, Beunen G, Claessens AL, Lefevre J, Thomis M, Philippaerts R, Borms J, Vrijens J, Lysens R, Vansant G. Trends in BMI among Belgian children, adolescents and adults from 1969 to 1996. International Journal of Obesity 2001;25:395-399.
Definitions:See paper for cut-off point details
Cutoffs:Other

Overweight/obesity by age and education

Adults, 2019

Survey type:Self-reported
Area covered:National
References:Eurostat 2019. Available at https://ec.europa.eu/eurostat/databrowser/view/HLTH_EHIS_BM1E/default/table?lang=en&category=hlth.hlth_det.hlth_bmi (last accessed 24.4.23)
Notes:Males age 18-24 insufficient data to display by educational status
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Women, 2019

Survey type:Self-reported
Area covered:National
References:Eurostat 2019. Available at https://ec.europa.eu/eurostat/databrowser/view/HLTH_EHIS_BM1E/default/table?lang=en&category=hlth.hlth_det.hlth_bmi (last accessed 24.4.23)
Notes:Males age 18-24 insufficient data to display by educational status
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Men, 2019

Survey type:Self-reported
Area covered:National
References:Eurostat 2019. Available at https://ec.europa.eu/eurostat/databrowser/view/HLTH_EHIS_BM1E/default/table?lang=en&category=hlth.hlth_det.hlth_bmi (last accessed 24.4.23)
Notes:Males age 18-24 insufficient data to display by educational status
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Men, 2017

Survey type:Self-reported
Area covered:National
References:EUROSTAT Database http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=ilc_hch10&lang=en (last accessed 25.08.20)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Women, 2017

Survey type:Self-reported
Area covered:National
References:EUROSTAT Database http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=ilc_hch10&lang=en (last accessed 25.08.20)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Men, 2014

Survey type:Self-reported
Area covered:National
References:Eurostat Database:http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=hlth_ehis_bm1e&lang=en (last accessed 25.08.20)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Women, 2014

Survey type:Self-reported
Area covered:National
References:Eurostat Database:http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=hlth_ehis_bm1e&lang=en (last accessed 25.08.20)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Overweight/obesity by education

Adults, 2018

Survey type:Measured
Age:18+
Sample size:1152
Area covered:National
References:Belgium Health Examination Survey 2018. J. Van der Heyden, D. Nguyen, F. Renard, A. Scohy, S. Demarest, S. Drieskens, L. Gisle. Enquête de santé par examen belge. Bruxelles, Belgique : Sciensano ; Numéro de rapport : D/2019/14.440/90. Disponible en ligne : www.enquetesante.be
Notes:Larger self report data also available
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Men, 2014

Survey type:Self-reported
Age:18+
Area covered:National
References:Eurostat Database:http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=hlth_ehis_bm1e&lang=en (last accessed 9 November 2016)
Notes:Total sample size in EU = 35100 (Age 18+) Less than primary, primary and lower secondary education (levels 0-2) Upper secondary and post-secondary non-tertiary education (levels 3 and 4) Tertiary education (levels 5-8)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Women, 2014

Survey type:Self-reported
Age:18+
Area covered:National
References:Eurostat Database:http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=hlth_ehis_bm1e&lang=en (last accessed 9 November 2016)
Notes:Total sample size in EU = 35100 (Age 18+) Less than primary, primary and lower secondary education (levels 0-2) Upper secondary and post-secondary non-tertiary education (levels 3 and 4) Tertiary education (levels 5-8)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Men, 2008

Survey type:Self-reported
Age:18+
Area covered:National
References:EUROSTAT Database http://ec.europa.eu/eurostat/web/health/health-status-determinants/data/database# (last accessed 17th July 2015)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Women, 2008

Survey type:Self-reported
Age:18+
Area covered:National
References:EUROSTAT Database http://ec.europa.eu/eurostat/web/health/health-status-determinants/data/database# (last accessed 17th July 2015)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Men, 1979-1984

Survey type:Measured
Age:25-74
Sample size:11081
Area covered:National
References:Stam-Morga MC. Sociodemographic and nutritional determinants of obesity in Belgium. International Journal of Obesity. 1999;23;Suppl 1:S1-S9
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Women, 1979-1984

Survey type:Measured
Age:25-74
Sample size:11081
Area covered:National
References:Stam-Morga MC. Sociodemographic and nutritional determinants of obesity in Belgium. International Journal of Obesity. 1999;23;Suppl 1:S1-S9
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Children, 2018

Survey type:Self-reported
Age:2-17
Sample size:1881
Area covered:National
References:S. Drieskens, R. Charafeddine, L. Gisle : Enquête de santé 2018 : Etat nutritionnel. Bruxelles, Belgique : Sciensano ; Numéro de rapport : D/2019/14.440/62. Disponible en ligne : www.enquetesante.be
Notes:IOTF International Cut Off
Cutoffs:IOTF

Children, 2012

Survey type:Measured
Age:3-6
Sample size:1327
Area covered:Regional
References:Manios, Y. et al. (2018). Prevalence and sociodemographic correlates of overweight and obesity in a large Pan-European cohort of preschool children and their families: The ToyBox-study.. Nutrition. 55-56 (p), pp.1-7.
Notes:Ghent. Low Maternal education classed as <14 y of education. Medium/high Maternal education classed as >14 y of education.
Cutoffs:IOTF

Children, 2010

Survey type:Measured
Age:10-12
Sample size:1003
Area covered:Regional
References:Brug J, van Stralen MM, te Velde SJ, Chinapaw MJM, De Bourdeaudhuij I, et al. (2012) Differences in Weight Status and Energy-Balance Related Behaviors among Schoolchildren across Europe: The ENERGY-Project. PLoS ONE 7(4): e34742. doi:10.1371/journal.pone.0034742
Notes:Flanders
Cutoffs:IOTF

Children, 2007-2008

Survey type:Measured
Age:2-9
Sample size:2452
Area covered:National
References:Ahrens W, Pigeot I, Pohlabeln H et al. Prevalence of overweight and obesity in European children below the age of 10. IJO 2014;38:S99-S107
Cutoffs:IOTF

Overweight/obesity by age

Adults, 2019

Survey type:Self-reported
Area covered:National
References:Eurostat 2019. Available at https://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=hlth_ehis_bm1i&lang=en (last accessed 09.08.21).
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2018

Survey type:Measured
Sample size:1152
Area covered:National
References:Belgium Health Examination Survey 2018. J. Van der Heyden, D. Nguyen, F. Renard, A. Scohy, S. Demarest, S. Drieskens, L. Gisle. Enquête de santé par examen belge. Bruxelles, Belgique : Sciensano ; Numéro de rapport : D/2019/14.440/90. Disponible en ligne : www.enquetesante.be
Notes:Larger self report data also available
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2017

Survey type:Self-reported
Area covered:National
References:Eurostat Database http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=ilc_hch10&lang=en (last accessed 25.08.20)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2014

Survey type:Self-reported
Sample size:Total sample number in EU: 35100 (Age 18+)
Area covered:National
References:EUROSTAT 2014 http://appsso.eurostat.ec.europa.eu/nui/submitViewTableAction.do (accessed 21.03.19)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2014-2015

Survey type:Measured
Sample size:3461
Area covered:National
References:De Ridder K, Bel S, Brocatus L, Lebacq T, Ost C & Teppers E. Resume des resultats. 2014-15. Dans: Tafforeau J (ed) Enquete de consommation alimentaire. WIV-ISP, Bruxelles, 2016
Notes:Sample size includes all aged 3-64 Years
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2002-2004

Survey type:Measured
Sample size:5170
Area covered:Regional
References:N DUVIGNEAUD, Katrien Wijndaele UGent, L MATTON, P DERIEMAEKER, Renaat Philippaerts UGent,Joffrey Lefevre, M THOMIS and W DUQUET. Prevalence of overweight, obesity and abdominal obesity in Flemish adults. ARCHIVES OF PUBLIC HEALTH (2006). 64. p.123-142
Notes:Although originally randomly drawn, consists of voluntary participants, which reduces its representativeness.
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Children, 2018

Survey type:Self-reported
Sample size:1881
Area covered:National
References:S. Drieskens, R. Charafeddine, L. Gisle : Enquête de santé 2018 : Etat nutritionnel. Bruxelles, Belgique : Sciensano ; Numéro de rapport : D/2019/14.440/62. Disponible en ligne : www.enquetesante.be
Notes:IOTF International Cut Off
Cutoffs:IOTF

Children, 2014-2015

Survey type:Measured
Sample size:3461
Area covered:National
References:De Ridder K, Bel S, Brocatus L, Lebacq T, Ost C & Teppers E. Resume des resultats. 2014-15. Dans: Tafforeau J (ed) Enquete de consommation alimentaire. WIV-ISP, Bruxelles, 2016
Notes:Sample size is for all included in the survey aged 3-64 years
Cutoffs:IOTF

Children, 2012-2013

Survey type:Measured
Sample size:6yrs - 56245 7yrs - 15208 8yrs - 48470 9yrs - 18395 Boys & Girls
Area covered:National
References:WORLD HEALTH ORGANIZATION. (2018). WHO European Childhood Obesity Surveillance Initiative: overweight and obesity among 6–9-year-old children. Available: http://www.euro.who.int/__data/assets/pdf_file/0010/378865/COSI-3.pdf?ua=1. Last accessed [Accessed 28th Aug 2018].
Notes:WHO cut-offs used.
Cutoffs:WHO

Children, 2008

Survey type:Measured
Sample size:126078
Area covered:National
References:Wijnhoven TMA, van Raaij JMA, Spinelli A et al WHO European Childhood Obesity Surveillance Inititiative 2008: weight, height and body mass index in 6-9 year old children. Pediatric Obesity 2012
Cutoffs:IOTF

Children, 1989-1990

Survey type:Measured
Sample size:9487
Area covered:Regional
References:Massa G. Body mass index measurements and prevalence of overweight and obesity in school-children living in the province of Belgian Limburg. European Journal of Pediatrics 2002;161:343-346
Cutoffs:Other

Overweight/obesity by region

Adults, 2018

Survey type:Measured
Age:18+
Sample size:1152
Area covered:National
References:Belgium Health Examination Survey 2018. J. Van der Heyden, D. Nguyen, F. Renard, A. Scohy, S. Demarest, S. Drieskens, L. Gisle. Enquête de santé par examen belge. Bruxelles, Belgique : Sciensano ; Numéro de rapport : D/2019/14.440/90. Disponible en ligne : www.enquetesante.be
Notes:Larger self report data also available
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Children, 2018

Survey type:Self-reported
Age:2-17
Sample size:1881
Area covered:National
References:S. Drieskens, R. Charafeddine, L. Gisle : Enquête de santé 2018 : Etat nutritionnel. Bruxelles, Belgique : Sciensano ; Numéro de rapport : D/2019/14.440/62. Disponible en ligne : www.enquetesante.be
Notes:IOTF International Cut Off
Cutoffs:IOTF

Overweight/obesity by age and region

Men, 2014

Survey type:Self-reported
Area covered:National
References:Eurostat Database http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=hlth_ehis_bm1u&lang=en (last accessed 25.08.20)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Women, 2014

Survey type:Self-reported
Area covered:National
References:Eurostat Database http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=hlth_ehis_bm1u&lang=en (last accessed 25.08.20)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Overweight/obesity by age and socio-economic group

Adults, 2019

Survey type:Self-reported
Area covered:National
References:Eurostat 2019. Available at https://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=hlth_ehis_bm1i&lang=en (last accessed 09.08.21).
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Men, 2019

Survey type:Self-reported
Area covered:National
References:Eurostat 2019. Available at https://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=hlth_ehis_bm1i&lang=en (last accessed 09.08.21).
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Women, 2019

Survey type:Self-reported
Area covered:National
References:Eurostat 2019. Available at https://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=hlth_ehis_bm1i&lang=en (last accessed 09.08.21).
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2014

Survey type:Self-reported
Area covered:National
References:Eurostat Database http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=hlth_ehis_bm1i&lang=en (last accessed 25.08.20)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Men, 2014

Survey type:Self-reported
Area covered:National
References:Eurostat Database http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=hlth_ehis_bm1i&lang=en (last accessed 25.08.20)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Women, 2014

Survey type:Self-reported
Area covered:National
References:Eurostat Database http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=hlth_ehis_bm1i&lang=en (last accessed 25.08.20)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Overweight/obesity by socio-economic group

Men, 2014

Survey type:Self-reported
Age:18+
Sample size:Total sample number in EU: 35100 (Age 18+)
Area covered:National
References:EUROSTAT Database: http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=hlth_ehis_bm1i&lang=en (last accessed 9 November 2016)
Notes:1st Quintile (lowest income), 5th Quintile (highest income) Please note where data = zero, there were insufficient data.
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Women, 2014

Survey type:Self-reported
Age:18+
Sample size:Total sample number in EU: 35100 (Age 18+)
Area covered:National
References:EUROSTAT Database: http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=hlth_ehis_bm1i&lang=en (last accessed 9 November 2016)
Notes:1st Quintile (lowest income), 5th Quintile (highest income) Please note where data = zero, there were insufficient data.
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Men, 2008

Survey type:Self-reported
Age:18+
Area covered:National
References:http://ec.europa.eu/eurostat/web/health/health-status-determinants/data/database# (last accessed 17th July 2015)
Notes:SES assessed using annual income
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Women, 2008

Survey type:Self-reported
Age:18+
Area covered:National
References:http://ec.europa.eu/eurostat/web/health/health-status-determinants/data/database# (last accessed 17th July 2015)
Notes:SES assessed using annual income
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Boys, 2017-2018

Survey type:Self-reported
Age:11-15
Sample size:4333
Area covered:National
References:World Health Organization (2020). Spotlight on adolescent health and well-being - Findings from the 2017/2018 Health Behaviour in School-aged Children (HBSC) survey in Europe and Canada. Available at: https://apps.who.int/iris/bitstream/handle/10665/332091/9789289055000-eng.pdf. Last accessed: 20.05.21.
Notes:BELGIUM (FLEMISH) ONLY HBSC Family Affluence Scale (FAS) - "HBSC uses an alternative measure, the Family Affluence Scale, which asks young people about material assets such as family cars, number of foreign holidays, computers, bathrooms and dishwashers in the household, holidays and having a bedroom to oneself. The scale, which enables users to add up how many of these assets a young person has in their home compared with other adolescents in their country/region, has been shown to provide a valid indicator of relative affluence."
Definitions:HBSC Family Affluence Scale (FAS)
Cutoffs:WHO

Girls, 2017-2018

Survey type:Self-reported
Age:11-15
Sample size:4333
Area covered:National
References:World Health Organization (2020). Spotlight on adolescent health and well-being - Findings from the 2017/2018 Health Behaviour in School-aged Children (HBSC) survey in Europe and Canada. Available at: https://apps.who.int/iris/bitstream/handle/10665/332091/9789289055000-eng.pdf. Last accessed: 20.05.21.
Notes:BELGIUM (FLEMISH) ONLY HBSC Family Affluence Scale (FAS) - "HBSC uses an alternative measure, the Family Affluence Scale, which asks young people about material assets such as family cars, number of foreign holidays, computers, bathrooms and dishwashers in the household, holidays and having a bedroom to oneself. The scale, which enables users to add up how many of these assets a young person has in their home compared with other adolescents in their country/region, has been shown to provide a valid indicator of relative affluence."
Definitions:HBSC Family Affluence Scale (FAS)
Cutoffs:WHO

Boys, 2017-2018

Survey type:Self-reported
Age:11-15
Sample size:3982
Area covered:National
References:World Health Organization (2020). Spotlight on adolescent health and well-being - Findings from the 2017/2018 Health Behaviour in School-aged Children (HBSC) survey in Europe and Canada. Available at: https://apps.who.int/iris/bitstream/handle/10665/332091/9789289055000-eng.pdf. Last accessed: 20.05.21.
Notes:BELGIUM (FRENCH) ONLY HBSC Family Affluence Scale (FAS) - "HBSC uses an alternative measure, the Family Affluence Scale, which asks young people about material assets such as family cars, number of foreign holidays, computers, bathrooms and dishwashers in the household, holidays and having a bedroom to oneself. The scale, which enables users to add up how many of these assets a young person has in their home compared with other adolescents in their country/region, has been shown to provide a valid indicator of relative affluence."
Definitions:HBSC Family Affluence Scale (FAS)
Cutoffs:WHO

Girls, 2017-2018

Survey type:Self-reported
Age:11-15
Sample size:3982
Area covered:National
References:World Health Organization (2020). Spotlight on adolescent health and well-being - Findings from the 2017/2018 Health Behaviour in School-aged Children (HBSC) survey in Europe and Canada. Available at: https://apps.who.int/iris/bitstream/handle/10665/332091/9789289055000-eng.pdf. Last accessed: 20.05.21.
Notes:BELGIUM (FRENCH) ONLY HBSC Family Affluence Scale (FAS) - "HBSC uses an alternative measure, the Family Affluence Scale, which asks young people about material assets such as family cars, number of foreign holidays, computers, bathrooms and dishwashers in the household, holidays and having a bedroom to oneself. The scale, which enables users to add up how many of these assets a young person has in their home compared with other adolescents in their country/region, has been shown to provide a valid indicator of relative affluence."
Definitions:HBSC Family Affluence Scale (FAS)
Cutoffs:WHO

Children, 2007-2008

Survey type:Measured
Age:2-9
Sample size:2452
Area covered:National
References:Ahrens W, Pigeot I, Pohlabeln H et al. Prevalence of overweight and obesity in European children below the age of 10. IJO 2014;38:S99-S107
Notes:Parental Income
Cutoffs:IOTF

Boys, 1976-1979

Survey type:Measured
Age:12
Sample size:2607
Area covered:Regional
References:De Spiegelaerelth M, Hennart P, Dramaix M. Social class and obesity in 12-year-old children in Brussels: Influence of gender and ethnic origin. Preventive Pediatrics And Epidemiology European Journal of Pediatrics May 1998, Volume 157, Issue 5, pp 432-435
Notes:Definitions: Class 1 - Upper Management and Professional Class 2 - White Collar Workers Class 3 - Active self-employed and technicians Class 4 - Active manual Class 5 - Unemployed and those dependent on state assistance Note: Overweight = 120% BMI Median for age & sex Obese = 140% BMI Median for age & sex
Cutoffs:Other

Girls, 1976-1979

Survey type:Measured
Age:12
Sample size:2607
Area covered:Regional
References:De Spiegelaerelth M, Hennart P, Dramaix M. Social class and obesity in 12-year-old children in Brussels: Influence of gender and ethnic origin. Preventive Pediatrics And Epidemiology European Journal of Pediatrics May 1998, Volume 157, Issue 5, pp 432-435
Notes:Definitions: Class 1 - Upper Management and Professional Class 2 - White Collar Workers Class 3 - Active self-employed and technicians Class 4 - Active manual Class 5 - Unemployed and those dependent on state assistance Note: Overweight = 120% BMI Median for age & sex Obese = 140% BMI Median for age & sex
Cutoffs:Other

Overweight/obesity by age and limited activity

Adults, 2014

Survey type:Self-reported
Area covered:National
References:Eurostat 2014 available at https://appsso.eurostat.ec.europa.eu/nui/submitViewTableAction.do (last accessed 06.10.21)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Men, 2014

Survey type:Self-reported
Area covered:National
References:Eurostat 2014 available at https://appsso.eurostat.ec.europa.eu/nui/submitViewTableAction.do (last accessed 06.10.21)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Women, 2014

Survey type:Self-reported
Area covered:National
References:Eurostat 2014 available at https://appsso.eurostat.ec.europa.eu/nui/submitViewTableAction.do (last accessed 06.10.21)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Insufficient physical activity

Adults, 2016

References:Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet 2018 http://dx.doi.org/10.1016/S2214-109X(18)30357-7

Men, 2016

References:Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet 2018 http://dx.doi.org/10.1016/S2214-109X(18)30357-7

Women, 2016

References:Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet 2018 http://dx.doi.org/10.1016/S2214-109X(18)30357-7

Children, 2016

Survey type:Self-reported
Age:11-17
References:Global Health Observatory data repository, World Health Organisation, https://apps.who.int/gho/data/node.main.A893ADO?lang=en (last accessed 16.03.21)
Notes:% of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily.
Definitions:% Adolescents insufficiently active (age standardised estimate)

Boys, 2016

Survey type:Self-reported
Age:11-17
References:Global Health Observatory data repository, World Health Organisation, https://apps.who.int/gho/data/node.main.A893ADO?lang=en (last accessed 16.03.21)
Notes:% of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily.
Definitions:% Adolescents insufficiently active (age standardised estimate)

Girls, 2016

Survey type:Self-reported
Age:11-17
References:Global Health Observatory data repository, World Health Organisation, https://apps.who.int/gho/data/node.main.A893ADO?lang=en (last accessed 16.03.21)
Notes:% of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily.
Definitions:% Adolescents insufficiently active (age standardised estimate)

Children, 2010

Age:11-17
References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A893?lang=en
Notes:% of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily.
Definitions:% Adolescents insufficiently active (age standardised estimate)

Boys, 2010

Age:11-17
References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A893?lang=en
Notes:% of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily.
Definitions:% Adolescents insufficiently active (age standardised estimate)

Girls, 2010

Age:11-17
References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A893?lang=en
Notes:% of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily.
Definitions:% Adolescents insufficiently active (age standardised estimate)

Sugar consumption

Adults, 2016

References:Source: Euromonitor International
Definitions:Sugar consumption (Number of 500g sugar portions/person/month)

Estimated per capita sugar sweetened beverages intake

Adults, 2016

References:Source: Euromonitor International

Prevalence of confectionery consumption

Adults, 2016

References:Source: Euromonitor International
Definitions:Prevalence of confectionery consumption (Number of 50g confectionery portions/person/month)

Prevalence of sweet/savoury snack consumption

Adults, 2016

References:Source: Euromonitor International
Definitions:Prevalence of sweet/savoury snack consumption (Number of 35g sweet/savoury snack portions/person/month)

Estimated per capita fruit intake

Adults, 2017

Survey type:Measured
Age:25+
References:Global Burden of Disease, the Institute for Health Metrics and Evaluation http://ghdx.healthdata.org/
Definitions:Estimated per-capita fruit intake (g/day)

Estimated per-capita processed meat intake

Adults, 2017

Survey type:Measured
Age:25+
References:Global Burden of Disease, the Institute for Health Metrics and Evaluation http://ghdx.healthdata.org/
Definitions:Estimated per-capita processed meat intake (g per day)

Estimated per capita whole grains intake

Adults, 2017

Survey type:Measured
Age:25+
References:Global Burden of Disease, the Institute for Health Metrics and Evaluation http://ghdx.healthdata.org/
Definitions:Estimated per-capita whole grains intake (g/day)

Mental health - depression disorders

Adults, 2015

References:Prevalence data from Global Burden of Disease study 2015 (http://ghdx.healthdata.org) published in: Depression and Other Common Mental Disorders: Global Health Estimates. Geneva:World Health Organization; 2017. Licence: CC BY-NC-SA 3.0 IGO.
Definitions:% of population with depression disorders

Mental health - anxiety disorders

Adults, 2015

References:Prevalence data from Global Burden of Disease study 2015 (http://ghdx.healthdata.org) published in: Depression and Other Common Mental Disorders: Global Health Estimates. Geneva:World Health Organization; 2017. Licence: CC BY-NC-SA 3.0 IGO.
Definitions:% of population with anxiety disorders

Oesophageal cancer

Men, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2051
Definitions:Age-standardized indicence rates per 100 000

Women, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2051
Definitions:Age-standardized indicence rates per 100 000

Breast cancer

Women, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2051
Definitions:Age-standardized indicence rates per 100 000

Colorectal cancer

Men, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2051
Definitions:Age-standardized indicence rates per 100 000

Women, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2051
Definitions:Age-standardized indicence rates per 100 000

Pancreatic cancer

Men, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2051
Definitions:Age-standardized indicence rates per 100 000

Women, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2051
Definitions:Age-standardized indicence rates per 100 000

Gallbladder cancer

Men, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2051
Definitions:Age-standardized indicence rates per 100 000

Women, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2051
Definitions:Age-standardized indicence rates per 100 000

Kidney cancer

Men, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2051
Definitions:Age-standardized indicence rates per 100 000

Women, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2051
Definitions:Age-standardized indicence rates per 100 000

Cancer of the uterus

Women, 2020

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2020). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed 10.01.2051
Definitions:Age-standardized indicence rates per 100 000

Raised blood pressure

Adults, 2015

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A875?lang=en
Definitions:Age Standardised estimated % Raised blood pressure 2015 (SBP>=140 OR DBP>=90).

Men, 2015

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A875?lang=en
Definitions:Age Standardised estimated % Raised blood pressure 2015 (SBP>=140 OR DBP>=90).

Women, 2015

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A875?lang=en
Definitions:Age Standardised estimated % Raised blood pressure 2015 (SBP>=140 OR DBP>=90).

Raised cholesterol

Adults, 2008

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A885
Definitions:% Raised total cholesterol (>= 5.0 mmol/L) (age-standardized estimate).

Men, 2008

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A885
Definitions:% Raised total cholesterol (>= 5.0 mmol/L) (age-standardized estimate).

Women, 2008

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A885
Definitions:% Raised total cholesterol (>= 5.0 mmol/L) (age-standardized estimate).

Raised fasting blood glucose

Men, 2014

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A869?lang=en
Definitions:Age Standardised % raised fasting blood glucose (>= 7.0 mmol/L or on medication).

Women, 2014

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A869?lang=en
Definitions:Age Standardised % raised fasting blood glucose (>= 7.0 mmol/L or on medication).

Diabetes prevalence

Adults, 2021

Age:20-79
Area covered:National
References:Reproduced with kind permission International Diabetes Federation.  IDF Diabetes Atlas, 10th edn. Brussels, Belgium:International Diabetes Federation, 2021. http://www.diabetesatlas.org
Definitions:Age-adjusted comparative prevalence of diabetes, %

Adults, 2019

Age:20-79
References:Reproduced with kind permission International Diabetes Federation. IDF Diabetes Atlas, 9th edn. Brussels,Belgium: 2019. Available at: https://www.diabetesatlas.org
Definitions:Diabetes age-adjusted comparative prevalence (%).

Adults, 2017

References:Reproduced with kind permission of IDF, International Diabetes Federation. IDF Diabetes Atlas, 8th edition. Brussels, Belgium: International Diabetes Federation, 2017. http://www.diabetesatlas.org
Definitions:Diabetes age-adjusted comparative prevalence (%).

Economic impact of overweight and obesity

Country comparisons

You can choose to compare this country’s data with the data for up to four other countries.

Policies, Interventions and Actions

Belgium Association for the Study of Obesity (BASO) treatment guidelines

In 2002, the The Belgium Association for the Study of Obesity (BASO) published its first consensus on assessment and treatment of overweight and obesity as a guideline for general practitioners and specialists. This was updated in 2020.

Categories:Evidence of Management/treatment guidelines
Year(s):2020 (ongoing)
Target age group:Adults and children
Organisation:The Belgium Association for the Study of Obesity (BASO
References:https://belgium.easo.org/publications/

Annex III to Regulation (EC) No 1925/2006 of the European Parliament and of the Council as regards trans fat, other than trans fat naturally occurring in fat of animal origin

Measures to limit or virtually eliminate industrially-produced trans fatty acids in food intended for the final consumer and/or for supply to retail. Adopted by The European Commission from April 2019. (Available in multiple languages)

Categories:Evidence of Marketing Guidelines/Policy
Year(s):2019 (ongoing)
Target age group:Adults and children
Organisation:The European Commission
Linked document:Download linked document
References:Information provided with kind permission of WHO Global database on the Implementation of Nutrition Action (GINA): https://extranet.who.int/nutrition/gina/en/node/36162 (last accessed 12.07.22)

Nutri-Score labelling

The Nutri-Score labelling system is a 5-point colour coded nutritional rating system. It was originally implemented in France and has since been adopted by multiple countries in the WHO European region. The Belgian government recommend the voluntary implementation of the Nutri-Score system, since the policy was adopted by the Minister of Public Health, Food Safety and Environment in Belgium in April 2019.

Categories:Labelling Regulation/Guidelines
Year(s):2019 (ongoing)
Target age group:Adults and children
Linked document:Download linked document
References:Information sourced from Global Food Research Programme

Snack & Chill

The principle of the project is simple: offering healthy, affordable snacks and drinks in a cozy setting . Think of: seasonal fruits and vegetables and water, with or without a taste. The framework? This can be a school shop, a nicely decorated school bar or a simply decorated table ... Schools decide for themselves how much time they spend. Pupils participate! Students are heard and involved in this project. Schools that want to know what their students think about this project can present them with our short online questionnaire . In this way, they immediately see whether the students are open to the project and whether they are willing to help, for example to make the school bar or to sell snacks. A school can also hold different classes responsible for making and / or operating the shop. Schools complete the project as they wish, depending on their own capacity.

Categories:Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Evidence of Community Interventions/Campaign
Year(s):2018 (ongoing)
Target age group:Children
Organisation:Flemish Institute of Health
Find out more:www.gezondleven.be
Linked document:Download linked document
References:Anon (n.d.) Wat is Snack & Chill? [Online]. Vlaams Instituut Gezond Leven. Available from: https://www.gezondleven.be/projecten/snack-chill/wat [Accessed: 8 July 2020al]. ‌

School Fruit, Vegetables and Milk Scheme

"Applicable since 1 August 2017, the EU school fruit, vegetables and milk scheme combines two previous schemes (the school fruit and vegetables scheme and the school milk scheme) under a single legal framework for more efficiency and an enhanced focus on health and educational. The scheme supports the distribution of products, educational measures and information measures. The scheme supports the distribution of fruit, vegetables, milk and certain milk products to schoolchildren, from nursery to secondary school. EU countries approve a list of products (in collaboration with their health and nutrition authorities) which will help achieve the schemes objective of helping children to follow a healthy diet. Priority is for fresh fruit and vegetables and for plain milk. In order to support a varied diet and/or specific nutritional needs, EU countries may also make processed fruit and vegetables such as juices and soups and certain milk products such as yoghurt and cheese, available. Additionally, under stricter conditions, milk-based drinks may be included." - EU Commission

Categories:Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Year(s):2017 (ongoing)
Organisation:European Commission
Find out more:ec.europa.eu
References:https://ec.europa.eu/info/food-farming-fisheries/key-policies/common-agricultural-policy/market-measures/school-fruit-vegetables-and-milk-scheme/school-scheme-explained_en

Feel4Diabetes

The overall aim of the Feel4Diabetes programme was "developing and implementing a community-based intervention to promote behavioural changes and creating a more supportive social and physical environment to prevent diabetes in vulnerable families across Europe". The programme was in place in Finland, Belgium, Spain, Hungary, Bulgaria, and Greece.

Categories:Evidence of Community Interventions/Campaign
Year(s):2016-2018
Target age group:Adults and children
Find out more:feel4diabetes-study.eu
Linked document:Download linked document
References:https://feel4diabetes-study.eu/

GNPR 2016-2017: Infant and young child nutrition - Breastfeeding promotion and/or counselling

This programme was reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to infant and young child nutrition. Information provided by WHO GINA Programme.

Categories:Evidence of Breastfeeding promotion or related activity
Year(s):2016 (ongoing)
Target age group:Children
Find out more:extranet.who.int
References:Information provided with kind permission of WHO Global database on the Implementation of Nutrition Action (GINA): https://extranet.who.int/nutrition/gina/en

The Federal Health Nutrition plan 2016

Five strategic objectives for implementation of the strategies of the WHO and the European Commission in the areas of nutrition and health in Belgium. These include engaging the public sector (product reformulation), targeting breastfeeding and under-nutrition, micronutrient deficiencies, carrying out food monitoring and surveys, and carrying out scientific research in nutrition.

Categories:Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Year(s):2016 (ongoing)
Target age group:Adults and children
Organisation:Service public federale
Find out more:www.health.belgium.be
Linked document:Download linked document
References:SPF Santé Publique - Health.Belgium. The Federal Health Nutrition Plan. Available from: https://www.health.belgium.be/fr/alimentation/politique-alimentaire/alimentation-et-sante/politique-nutritionnelle [Accessed 31 july 2019].

General Health Tax

A 'general health tax' applied to applied to all soft drinks, including non-alcoholic drinks and water containing added sugar or other sweeteners or flavours. The amount of tax has increase since its implementation in 2015. A tax is also applied to ingredients intended in the manufacture of soft drinks. In December 2015, the Belgian government increased the excise duty on soft drinks by 0.03 Euro per litre as part of a general “health tax” (Law on measures to strengthen job creation and purchasing power–26 December 2015). The now 0.068 Euro (around $0.07) per litre excise duty came into effect on 1 January 2016 and is applied to all soft drinks, including non-alcoholic drinks and water containing added sugar or other sweeteners or flavours. An excise duty is also applied to any substance intended for the use of manufacturing soft drinks (liquid: 0.41 Euro per litre, around $0.45; powder: 0.68 Euro per kg, around $0.70).

Categories:Taxation/Subsidies on Food or Beverages or law relating to public health
Year(s):2015 (ongoing)
Target age group:Adults and children
Organisation:Belgium Government
Find out more:www.wcrf.org
Linked document:Download linked document
References:Currently a web link to this intervention is unavailable. If you are aware of the location of this document/intervention, please contact us at obesity@worldobesity.org

European Union (EU) Action Plan on Childhood Obesity 2014-2020

EU Action plan. To contribute to halting the rise in overweight and obesity in children and young people (0-18 years) by 2020

Categories:Transnational Obesity Strategies/Policy or Action Plan
Year(s):2014-2020
Target age group:Children
Organisation:Ministry of Health
Find out more:ec.europa.eu
Linked document:Download linked document
References:EU Action Plan on Childhood Table of contents [Internet]. Available from: https://ec.europa.eu/health/sites/health/files/nutrition_physical_activity/docs/childhoodobesity_actionplan_2014_2020_en.pdf &zwnj;

Sport Na School

Teachers are awarded 30 mins exempt from lessons to work within the local community to raise physical activity levels in 12-18 year olds. For a fixed (low) amount, the SNS pass allows these young people to practise organized sports immediately after school, free of obligation, throughout the school year. This initiative was being rolled out across Flanders during 2015.

Categories:Evidence of Physical Activity Guidelines/Policy
Evidence of Community Interventions/Campaign
Year(s):2014 (ongoing)
Target age group:Children
Organisation:Sport Na School
Find out more:www.sportnaschool.be
Linked document:Download linked document
References:Factory | www.antwerpfactory.com, A. (n.d.) Home. [Online]. Sport na School. Available from: https://sportnaschool.be/.

Brisk Walking

Aims to improve moderate physical activity and improve fitness of elderly by motivating them to take up Brisk Walking in a group context.

Categories:Evidence of Physical Activity Guidelines/Policy
Year(s):2012 (ongoing)
Target age group:Adults
Organisation:LOGO, regional health organisation,Centre of Expertise for Fall Prevention in Flanders (EFF) and the Flemish Institute for Health promotion and Disease prevention (VIGeZ)
Find out more:www.gezondegemeente.be
References:Anon (n.d.) Projecten. [Online]. Vlaams Instituut Gezond Leven. Available from: https://www.gezondleven.be/projecten?themas=beweging-sedentair-gedrag [Accessed: 8 July 2020ag]. ‌

The Belgian Pledge

"Since 2012, the Belgian Pledge has been the food sector's answer to the justified demand for responsible advertising to children. With this self-regulatory initiative, participating food companies, traders, restaurant chains and caterers are making clear commitments regarding advertising to children under 12 years of age. Moreover, these commitments respond to the rapidly changing media use of children. In 2017, for example, the scope of responsible advertising expanded to include social media channels and, since 2020, online influencers have also been included in the scope."

Categories:Evidence of Marketing Guidelines/Policy
Year(s):2012 (ongoing)
Target age group:Children
Find out more:www.belgianpledge.be

EU Regulation 1169/2011

Passed in 2011, EU Regulation 1169/2011 on the Provision of Food Information to Consumers requires a list of the nutrient content of most pre-packaged food to be provided on the back of the pack from October 2011.

Categories:Labelling Regulation/Guidelines
Year(s):2011 (ongoing)
Target age group:Adults and children
Organisation:European Parliament and the Council of the European Union
Find out more:eur-lex.europa.eu
References:Information provided with kind permission of WHO Global database on the Implementation of Nutrition Action (GINA): https://extranet.who.int/nutrition/gina/en/node/22917 (last accessed 28.06.22)

Evaluation of the EU school milk and fruit scheme

European Court of Auditors (2011) Are the school milk and school fruit schemes effective? Special Report No 10. Publications Office of the European Union, Luxembourg.

Categories:Health Effectiveness Reviews (obesity related)
Year(s):2011 (ongoing)
Target age group:Children
Organisation:EUROPEAN COURT OF AUDITORS
Linked document:Download linked document
References:Information provided with kind permission of World Cancer Research Fund International from their NOURISHING framework www.wcrf.org/NOURISHING

Flemish working group on nutrition and exercise

A ministerial decree was passed on the 4th May 2010, which established the Flemish working group on nutrition and exercise.

Categories:Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Year(s):2010 (ongoing)
Target age group:Adults and children
References:https://www.zorg-en-gezondheid.be/ministerieel-besluit-van-4-mei-2010-tot-oprichting-van-de-vlaamse-werkgroep-voeding-en-beweging

Law on Advertising

This is a self-regulatory code to restrict the marketing of food and beverages to children.

Categories:Evidence of Marketing Guidelines/Policy
Year(s):2010 (ongoing)
Target age group:Children
Organisation:Belgian Advertising Ethics Jury (JEP)
Find out more:www.euro.who.int
Linked document:Download linked document
References:WHO Europe. http://www.euro.who.int/en/health-topics/noncommunicable-diseases/cancer/publications/2013/marketing-of-foods-high-in-fat,-salt-and-sugar-to-children-update-20122013 (last accessed 8 Sept 2015)

10,000 steps

Aims to promote PA in adults by stimulating them to take 10,000 steps a day (8,000 steps in older people).

Categories:Evidence of Physical Activity Guidelines/Policy
Evidence of Community Interventions/Campaign
Year(s):2009 (ongoing)
Target age group:Adults
Organisation:The University of Ghent (pilot study) and VIGeZ (Flemish Institute of Health promotion and Disease prevention)
Find out more:www.10000stappen.be
References:Anon (n.d.) 10.000 stappen. [Online]. 10000stappen.gezondleven.be. Available from: https://10000stappen.gezondleven.be/ [Accessed: 8 July 2020a]. ‌

Loi relative au régime d'accise des boissons non alcoolisées et du café

Mandatory volume or weight based specific excise tax on unhealthy food or drink products adopted by the House of Representatives from December 2009. (Available only in French language)

Categories:Taxation/Subsidies on Food or Beverages or law relating to public health
Year(s):2009 (ongoing)
Target age group:Adults and children
Organisation:House of Representatives
Linked document:Download linked document
References:Information provided with kind permission of WHO Global database on the Implementation of Nutrition Action (GINA): https://extranet.who.int/nutrition/gina/en/node/26240 (last accessed 11.07.22)

Flemish Draft Action Plan on Nutrition and Physical Activity 2008-2015

A plan to encourage the entire population of Flanders to be more physically active and to have a more balanced diet.

Categories (partial):Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Evidence of Physical Activity Guidelines/Policy
Evidence of Multidisciplinary Intervention
Year(s):2008-2015
Target age group:Adults and children
Organisation:Flemish Ministry of Welfare, Public Health and Family
Find out more:be.brussels
Linked document:Download linked document

Flemish media decree

Advertising aimed at children and young people shall not encourage or condone excessive consumption of foods and beverages containing substances the excessive consumption of which is not recommended, such as fats, trans fatty acids, salt or sodium and sugars. Adopted by The Minister-President of the Flemish Government from February 2008. Applies to Flanders only. (Available only in French language)

Categories:Evidence of Marketing Guidelines/Policy
Year(s):2008 (ongoing)
Target age group:Children
Organisation:The Minister-President of the Flemish Government
Linked document:Download linked document
References:Information provided with kind permission of WHO Global database on the Implementation of Nutrition Action (GINA): https://extranet.who.int/nutrition/gina/en/node/8330 (last accessed 18.07.22)

White Paper on Food and Non-Alcoholic Beverages Advertising to Children

Analysis of food and non-alcoholic beverages on children's dietary habits development and future policy options.

Categories:Evidence of Marketing Guidelines/Policy
Year(s):2007 (ongoing)
Target age group:Children
Organisation:Federal Public Service - National Food and Action Plan
Find out more:www.health.belgium.be
Linked document:Download linked document
References:MARAGKOUDAKIS, P. (2017) Food and non-alcoholic beverage marketing to children and adolescents. [Online]. 20 June 2017. EU Science Hub - European Commission. Available from: https://ec.europa.eu/jrc/en/health-knowledge-gateway/promotion-prevention/other-policies/marketing.

EU health and nutrient claims regulation

Regulation nº 1924/2006 establishes EU-wide rules on the use of specified health and nutrient claims. The European Commission approves claims provided they are based on scientific evidence and accessible consumers. The European Food Safety Authority is responsible for evaluating the scientific evidence supporting health claims. Nutrition claims may only be used on food defined as "healthy" by a nutrient profile.

Categories:Labelling Regulation/Guidelines
Year(s):2006 (ongoing)
Target age group:Adults and children
Organisation:European Commission
Linked document:Download linked document
References:https://eur-lex.europa.eu/legal-content/en/ALL/?uri=CELEX%3A32006R1924

IDEFICS - Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS

"A community-oriented intervention programme for primary prevention of obesity in a controlled study design. This intervention part of the IDEFICS study examined feasibility, effectiveness and sustainability of a coherent set of intervention modules addressing diet, physical activity and coping with stress."

Categories:Evidence of Community Interventions/Campaign
Year(s):2006-2012
Target age group:Children
Organisation:Bremen Institute for Prevention Research and Social Medicine
Find out more:www.ideficsstudy.eu
References:https://www.ideficsstudy.eu/index.php?id=1161&L=144%27%27A%3D0

Practical guidelines for healthy eating

Guidelines to improve dietary habits and increase physical activity of the general population.

Categories:Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Year(s):2005 (ongoing)
Target age group:Adults and children
Organisation:Minister of Social Affairs and Public Health
Find out more:www.fao.org
Linked document:Download linked document

NUBEL foundation

The non-profit organization Nubel (Nutriments Belgique) was created on March 9, 1990; Revised statutes published in the Belgian Official Gazette on July 13, 2009. The non-profit association manages scientific nutritional information relating to the foodstuffs which constitute "normal" food in Belgium. The further development of the Nubel database was made possible by the Federal Impulse program on "Health Risks" carried out on the initiative of the Belgian State - Prime Minister's Services, Programming of scientific policy.

Categories:Labelling Regulation/Guidelines
Categories (partial):Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Year(s):1990 (ongoing)
Target age group:Adults and children
Organisation:Nubel foundation
Find out more:www.health.belgium.be
Linked document:Download linked document
References:Anon (2016b) NUBEL. [Online]. 27 January 2016. SPF Santé Publique. Available from: https://www.health.belgium.be/fr/alimentation/politique-alimentaire/alimentation-et-sante/nubel.

Salt content regulations

Since 1985, mandatory regulations have set the maximum salt content of bread at 2%. Regulated by a Royal Decree.

Categories:Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Year(s):1985 (ongoing)
References:https://www.euro.who.int/__data/assets/pdf_file/0009/186462/Mapping-salt-reduction-initiatives-in-the-WHO-European-Region.pdf

An Eye for goodie

An eye for Lekkers is the brand new Flemish project on vegetables, fruit and / or milk at school. Together with the slurp and slice mascots, students discover different types of fruit and vegetables and taste milk. Eye for Lekkers will replace the well-known Tutti Frutti from the 2017-2018 school year.

Categories:Evidence of Marketing Guidelines/Policy
Evidence of Community Interventions/Campaign
Categories (partial):Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Target age group:Children
Organisation:Flemish Institute of Health
Find out more:www.gezondleven.be
Linked document:Download linked document
References:Anon (n.d.) Oog voor lekkers. [Online]. Vlaams Instituut Gezond Leven. Available from: https://www.gezondleven.be/projecten/oog-voor-lekkers [Accessed: 8 July 2020r]. ‌

CHIREC obesity clinic of DELTA Hospital Multidisciplinary approach for obesity managment

CHIREC Obesity Clinic of DELTA Hospital brings together specialists, particularly in nutrition, digestive and bariatric surgery, gastroenterology, but also in psychology, for comprehensive management of obesity

Categories:Evidence of Multidisciplinary Intervention
Target age group:Adults and children
Organisation:CHIREC Obesity Clinic - Hôpital DELTA
Find out more:chirec.be
Linked document:Download linked document
References:Available from: http://chirec.be/fr/centres/810000-centres-de-l-obesite/ (Accessed August 2019)

Colourful Healthy

Health promotion programme

Categories:Evidence of Community Interventions/Campaign
Target age group:Adults and children
Organisation:Flemish Institute of Health
Find out more:www.gezondleven.be
Linked document:Download linked document
References:Anon (n.d.) Kleurrijk Gezond. [Online]. Vlaams Instituut Gezond Leven. Available from: https://www.gezondleven.be/projecten/kleurrijk-gezond [Accessed: 8 July 2020p]. ‌

Dip? Dice. Do IT!

Dip? Dice. Do it! is a fun game form that encourages students to move more in the classroom by means of movement snacks. Each game box contains a manual, a die, 80 cards with movement snacks and 60 cards with health facts. Students also answer a question about healthy food via a card from the game. Why? Children sit too much in front of TV, behind the computer or tablet, but also in the classroom. For health and better concentration, it is important to interrupt sitting and to move once in a while. Practical Download game? Schools can Dip? Dice. Do it! download or print, just like all playing cards, and the drawings depicting the movement gussets via www . healthylife.be/projects/dip-dobbel-doe . You can find the materials at the bottom of the page. Attend training? Teachers who would like to follow the training on movement snacks and Dip? Dice. Do it! can request this from MOEV . The training costs 50 euros (half a day).

Categories:Evidence of Physical Activity Guidelines/Policy
Evidence of Community Interventions/Campaign
Target age group:Children
Organisation:Logodender
Find out more:logodender.be
Linked document:Download linked document
References:Anon (n.d.) Dip? Dobbel. Doe! [Online]. Logo Dender. Available from: https://logodender.be/content/dip-dobbel-doe-5.

GNPR 2016-17 (q7) Breastfeeeding promotion and/or counselling

WHO Global Nutrition Policy Review 2016-2017 reported the evidence of breastfeeding promotion and/or counselling (q7)

Categories:Evidence of Breastfeeding promotion or related activity
Target age group:Adults
Organisation:Ministry of Health (information provided by the GINA progam)
Find out more:extranet.who.int
References:Information provided with kind permission of WHO Global database on the Implementation of Nutrition Action (GINA): https://extranet.who.int/nutrition/gina/en

Gourmet Food

Lekkerbekjes' turns tasting and exercise into a game.

Categories:Evidence of Community Interventions/Campaign
Target age group:Children
Organisation:Flemish Institute of Health
Find out more:www.gezondleven.be
Linked document:Download linked document
References:Anon (n.d.) Lekkerbekjes. [Online]. Vlaams Instituut Gezond Leven. Available from: https://www.gezondleven.be/projecten/lekkerbekjes [Accessed: 8 July 2020q]. ‌

Healthy in the Workplace

What is Healthy in the workplace? A healthy lifestyle is all too often considered as an individual choice, but the environment exerts at least as much influence on people's choices. After all, health and work are closely linked and influence each other. Work has an impact on the health of the working population and the health of the population has an impact on work ability and on the employment rate. A Healthy in the workplace coach helps to ensure that health is given a permanent place in the company and that everyone is supported in the workplace.

Categories:Evidence of Community Interventions/Campaign
Target age group:Adults
Organisation:Flemish Institute for Healthy Living
Find out more:www.gezondleven.be
Linked document:Download linked document
References:Anon (n.d.) Gezond op de werkvloer. [Online]. Vlaams Instituut Gezond Leven. Available from: https://www.gezondleven.be/projecten/gezond-op-de-werkvloer [Accessed: 8 July 2020q]. ‌

Healthy Working

"Healthy Working is a collaboration between employees and supervisors to create a work environment that continuously protects and promotes the health, safety and well-being of all employees. For example, the working environment should encourage employees to make healthy choices."

Categories:Evidence of Community Interventions/Campaign
Target age group:Adults
Organisation:Flemish Institute of Healthy Living
Find out more:www.gezondleven.be
References:https://www.gezondleven.be/settings/gezond-werken

Move On

Move on is an exercise referal intervention

Categories:Evidence of Physical Activity Guidelines/Policy
Evidence of Community Interventions/Campaign
Target age group:Adults
Organisation:Flemish Institute for Health Living
Find out more:logodender.be
Linked document:Download linked document
References:Anon (n.d.) Bewegen Op Verwijzing. [Online]. Logo Dender. Available from: https://logodender.be/content/bewegen-op-verwijzing-0 [Accessed: 8 July 2020k]. ‌

Viasano

"Viasano is a community intervention programme set up by local authorities for citizens. The principle of the Viasano program methodology is to mobilize all the local actors who revolve around the family: schools, school restaurants, associations, sports clubs, playgrounds, homework schools, health professionals, traders...to help them change their way of life and their environment in depth and in the long term."

Categories (partial):Evidence of Community Interventions/Campaign
Target age group:Adults and children
Organisation:Viasano
Find out more:www.viasano.be

Woogie Boogie

Intervention aimed at reducing still time in toddlers

Categories:Evidence of Physical Activity Guidelines/Policy
Evidence of Community Interventions/Campaign
Target age group:Children
Organisation:Flemish Institute for Health Living
Find out more:www.gezondleven.be
Linked document:Download linked document
References:Anon (n.d.) Woogie Boogie. [Online]. Vlaams Instituut Gezond Leven. Available from: https://www.gezondleven.be/projecten/woogie-boogie [Accessed: 8 July 2020as]. ‌

No actions could be found for the above criteria.

Contextual factors

Disclaimer: These contextual factors should be interpreted with care. Results are updated as regularly as possible and use very specific criteria. The criteria used and full definitions are available for download at the bottom of this page.

Tap on a tick to find out more about policies influencing this factor.

Labelling

Is there mandatory nutrition labelling?Present
Front-of-package labelling?Present-(voluntary)
Back-of-pack nutrition declaration?Present
Color coding?Present-(voluntary)
Warning label?Absent

Regulation and marketing

Are there fiscal policies on unhealthy products?Present
Tax on unhealthy foods?Present
Tax on unhealthy drinks?Present
Are there fiscal policies on healthy products?Absent
Subsidy on fruits?Absent
Subsidy on vegetables?Absent
Subsidy on other healthy products?Absent
Mandatory limit or ban of trans fat (all settings)?Present
Mandatory limit of trans fats in place (all settings)? Present
Ban on trans-fats or phos in place (all settings)? Absent
Are there any mandatory policies/marketing restrictions on the promotion of unhealthy food/drinks to children?Present
Mandatory restriction on broadcast media?Present
Mandatory restriction on non-broadcast media?Present
Voluntary policies/marketing restrictions on the promotion of unhealthy food/drinks to children?Present
Are there mandatory standards for food in schools?Absent
Are there any mandatory nutrient limits in any manufactured food products?Present
Nutrition standards for public sector procurement?Absent

Political will and support

National obesity strategy or nutrition and physical activity national strategy?Present
National obesity strategy?Absent
National childhood obesity strategy?Absent
Comprehensive nutrition strategy?Present
Comprehensive physical activity strategy?Present
Evidence-based dietary guidelines and/or RDAs?Present
National target(s) on reducing obesity?Absent
Guidelines/policy on obesity treatment?Present
Promotion of breastfeeding?Present

Monitoring and surveillance

Monitoring of the prevalence and incidence for the main obesity-related NCDs and risk factors?Present
Within 5 years?Present

Governance and resource

Multi-sectoral national co-ordination mechanism for obesity or nutrition (including obesity)?Present

Key

Present
Present (voluntary)
Incoming
Absent
Unknown

Last updated June 26, 2023

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Download contextual factors as a PDF Contextual factors definitions

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