Nigeria
- Overview
- Obesity prevalence
- Trends over time
- Population breakdowns
- Drivers
- Comorbidities
- Health systems
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National obesity risk *7.5/10This is a composite ‘obesity risk’ score (out of 10, the highest risk) based on obesity prevalence, rate of increase, likelihood of meeting the 2025 target, treatment indicator and childhood stunting levels.Childhood obesity risk *3/11This is a ‘risk score’ for each country’s likelihood of having or acquiring a major childhood obesity problem during the 2020s, taking account of current prevalence levels and risk for future obesity (based on stunting among infants, maternal obesity, maternal smoking, and breastfeeding rates).
* Based on estimated data. For more information see Publications
Obesity prevalence
Trends over time
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The report card collates all the most-recent graphics for this country. If you would like to produce a custom report based on selected graphics, just tap the Add to custom PDF button below the graphics you would like to use.Population breakdowns
Drivers
Comorbidities
Health systems
Obesity prevalence
Women, 2018
| Survey type: | Measured |
| Age: | 15-49 |
| Sample size: | 12728 |
| Area covered: | National |
| References: | Demographic Health Survey Nigeria 2018 (https://www.dhsprogram.com/pubs/pdf/FR359/FR359.pdf last accessed 07.11.19) |
| Notes: | Demographic Health Survey data includes ever married women aged 15-49 years only and may include males aged 15-59. |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Women, 2013
| Survey type: | Measured |
| Age: | 15-49 |
| Sample size: | 32815 |
| Area covered: | National |
| References: | DHS Nigeria 2013 |
| Notes: | Demographic Health Survey data includes ever married women aged 15-49 years only and may include males aged 15-59. |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Adults, 2011-2012
| Survey type: | Measured |
| Age: | 18+ |
| Sample size: | 2983 |
| Area covered: | Regional |
| References: | Chukwuonye II, Chuku A, Onyeonoro U, Ukegbu A, Anyabolu E, et al. (2015) Body Mass Index, Prevalence and Predictors of Obesity in Urban and Rural Communities in Abia State South Eastern Nigeria. J Diabetes Metab 6: 570. doi:10.4172/2155-6156.1000570 Copyright: © 2015 Chukwuonye II, |
| Notes: | Abia Region Years of survey not displayed in Chukwuonye II et al (2015), information found in Okpechi IG, Chukwuonye II, Tiffin N, Madukwe OO, Onyeonoro UU, Umeizudike TI, et al. (2013) Blood Pressure Gradients and Cardiovascular Risk Factors in Urban and Rural Populations in Abia State South Eastern Nigeria Using the WHO STEPwise Approach. PLoS ONE 8(9): e73403. https://doi.org/10.1371/journal.pone.0073403 |
| 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: | Measured |
| Age: | 15-49 |
| Sample size: | 28,200 |
| Area covered: | National |
| References: | Nigeria Demographic and Health Survey 2008 |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Women, 2003
| Survey type: | Measured |
| Age: | 15-49 |
| Sample size: | 6362 |
| Area covered: | National |
| References: | Demographic Health Survey 2003 |
| Notes: | Other married women 15 - 49 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, 1991-1994
| Survey type: | Measured |
| Age: | 20+ |
| Sample size: | 1990 |
| References: | WHO Infobase. Richard Cooper. Department of Preventive Medicine, Loyola University medical School 2160 S. First Ave, Maywood, IL 60153 |
| Notes: | NB. Combined adult 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)' |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Children, 2012
| Survey type: | Measured |
| Age: | 10-17 |
| Sample size: | 885 |
| Area covered: | Regional |
| References: | Oduwole AO, Ladapo TA, Fajolu IB, Ekure EN, Adeniyi OF. Obesity and elevated blood pressure among adolescents in Lagos, Nigeria: a cross-sectional study. BMC Public Health 2012, 12:616 doi:10.1186/1471-2458-12-616 |
| Notes: | 85th/95th Centile |
| Cutoffs: | WHO |
% Adults living with obesity, 2003-2018
| Survey type: | Measured |
| References: | 2003: Demographic Health Survey 2003 2008: Nigeria Demographic and Health Survey 2008 2013: DHS Nigeria 2013 2018: Demographic Health Survey Nigeria 2018 (https://www.dhsprogram.com/pubs/pdf/FR359/FR359.pdf last accessed 07.11.19) |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
| Different methodologies may have been used to collect this data and so data from different surveys may not be strictly comparable. Please check with original data sources for methodologies used. | |
% Adults living with overweight or obesity, 2003-2018
| Survey type: | Measured |
| References: | 2003: Demographic Health Survey 2003 2008: Nigeria Demographic and Health Survey 2008 2013: DHS Nigeria 2013 2018: Demographic Health Survey Nigeria 2018 (https://www.dhsprogram.com/pubs/pdf/FR359/FR359.pdf last accessed 07.11.19) |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
| Different methodologies may have been used to collect this data and so data from different surveys may not be strictly comparable. Please check with original data sources for methodologies used. | |
Overweight/obesity by education
Women, 2018
| Survey type: | Measured |
| Age: | 15-49 |
| Sample size: | 12728 |
| Area covered: | National |
| References: | Demographic Health Survey Nigeria 2018 (https://www.dhsprogram.com/pubs/pdf/FR359/FR359.pdf last accessed 07.11.19) |
| Notes: | Demographic Health Survey data includes ever married women aged 15-49 years only and may include males aged 15-59. |
| 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
Women, 2018
| Survey type: | Measured |
| Sample size: | 12728 |
| Area covered: | National |
| References: | Demographic Health Survey Nigeria 2018 (https://www.dhsprogram.com/pubs/pdf/FR359/FR359.pdf last accessed 07.11.19) |
| Notes: | Demographic Health Survey data includes ever married women aged 15-49 years only and may include males aged 15-59. |
| 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 region
Women, 2018
| Survey type: | Measured |
| Age: | 15-49 |
| Sample size: | 12728 |
| Area covered: | National |
| References: | Demographic Health Survey Nigeria 2018 (https://www.dhsprogram.com/pubs/pdf/FR359/FR359.pdf last accessed 07.11.19) |
| Notes: | Demographic Health Survey data includes ever married women aged 15-49 years only and may include males aged 15-59. |
| 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
Women, 2018
| Survey type: | Measured |
| Age: | 15-49 |
| Sample size: | 12728 |
| Area covered: | National |
| References: | Demographic Health Survey Nigeria 2018 (https://www.dhsprogram.com/pubs/pdf/FR359/FR359.pdf last accessed 07.11.19) |
| Notes: | Demographic Health Survey data includes ever married women aged 15-49 years only and may include males aged 15-59. |
| 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 |
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, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, oesophagus, adults ages 20+. ASR (World) per 100,000 |
Women, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, oesophagus, adults ages 20+. ASR (World) per 100,000 |
Breast cancer
Women, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, breast, females, ages 20+. ASR (World) per 100,000 |
Colorectal cancer
Men, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, colorectum, adults, ages 20+. ASR (World) per 100,000 |
Women, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, colorectum, adults, ages 20+. ASR (World) per 100,000 |
Pancreatic cancer
Men, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, pancreas, adults, ages 20+. ASR (World) per 100,000 |
Women, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, pancreas, adults, ages 20+. ASR (World) per 100,000 |
Gallbladder cancer
Men, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, gallbladder, adults, ages 20+. ASR (World) per 100,000 |
Women, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, gallbladder, adults, ages 20+. ASR (World) per 100,000 |
Kidney cancer
Men, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, kidney, adults, ages 20+. ASR (World) per 100,000 |
Women, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, kidney, adults, ages 20+. ASR (World) per 100,000 |
Cancer of the uterus
Women, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, cervix uteri, females, ages 20+. ASR (World) 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, 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 (%). |
Health systems
Economic classification: Lower Middle Income
Health systems summary
Nigeria’s health care system is funded through a combination of tax revenue, out-of-pocket payment, donor funding and social health insurance. A National Health Insurance Scheme (NHIS) was launched in 2005 to help prevent catastrophic out-of-pocket expenditure, but the scheme has yet to be implemented widely and it is not mandatory. In 2016, it was estimated that more than 90% of the Nigerian population was still uninsured despite the NHIS scheme. As a result, financial risk protection remains poor, with out of pocket expenditure remaining the dominant health financing mechanism, making up approximately 77% of healthcare expenditure in 2017. The health system is generally considered to be a long way from universal health coverage, and highly fragmented.
Indicators
| Where is the country’s government in the journey towards defining ‘Obesity as a disease’? | No |
| Where is the country’s healthcare provider in the journey towards defining ‘Obesity as a disease’? | No |
| Is there specialist training available dedicated to the training of health professionals to prevent, diagnose, treat and manage obesity? | No |
| Have any taxes or subsidies been put in place to protect/assist/inform the population around obesity? | No |
| Are there adequate numbers of trained health professionals in specialties relevant to obesity in urban areas? | No |
| Are there adequate numbers of trained health professionals in specialties relevant to obesity in rural areas? | No |
| Are there any obesity-specific recommendations or guidelines published for adults? | No |
| Are there any obesity-specific recommendations or guidelines published for children? | No |
| In practice, how is obesity treatment largely funded? | Out of pocket |
Summary of stakeholder feedback
Stakeholders felt that neither the government nor healthcare providers are close to recognising and defining obesity as a disease. At best, it is considered only as a risk factor for other diseases. There is limited government-level action on addressing obesity in terms of prevention, and within the health system there is little commitment to obesity management and treatment.
With no specialist obesity clinics, opportunities for obesity treatment are limited. Eligibility for treatment is usually left up to the physician’s discretion but most people only enter the health system when they have comorbidities. Once in the system and obesity is addressed as a health issue, lack of insurance coverage means that treatment is mostly paid for out of pocket. Stakeholders reported however that most people leave the system due to the lack of an established clinical care pathway for obesity i.e. nowhere to refer individuals onto for care.
There is no specialist obesity training in Nigeria, and so there is a lack of specialists in both urban and rural areas. Stakeholders noted that any professionals with specialist obesity training were likely to have trained outside of Nigeria and self-funded the training. There are also no clinical guidelines for the treatment of obesity, a partial explanation for the lack of clear care pathways when people are in the health system.
Based on interviews/survey returns from 7 stakeholders
Last updated: June 2020
