San Marino
High income
- Overview
- Obesity prevalence
- Trends over time
- Population breakdowns
- Drivers
- Comorbidities
- Policies
- Contextual factors
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Report cards
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Population breakdowns
Drivers
Comorbidities
Contextual factors
Obesity prevalence
Children, 2022-2024
| Survey type: | Measured |
| Age: | 8 |
| Sample size: | 174 |
| Area covered: | National |
| References: | WHO European Childhood Obesity Surveillance Initiative (COSI): report on the sixth round of data collection, 2022– 2024. Copenhagen: WHO Regional Office for Europe; 2025. Licence: CC BY-NC-SA 3.0 IGO. |
| Cutoffs: | WHO 2007 |
Children, 2016
| Survey type: | Measured |
| Age: | 8 |
| Sample size: | 202 |
| Area covered: | National |
| References: | Report on the fourth round of data collection, 2015–2017: WHO European Childhood Obesity Surveillance Initiative (COSI). |
| Notes: | Small sample size |
| Cutoffs: | WHO |
Children, 2012
| Survey type: | Measured |
| Sample size: | 278 (148 boys, 130 girls) |
| Area covered: | National |
| References: | Report on the third round of data collection, 2012–2013: WHO European Childhood Obesity Surveillance Initiative (COSI). |
% Children (aged 8) living with overweight or obesity, 2012-2022 (WHO)
Overweight/obesity by education
Children, 2022-2024
| Survey type: | Measured |
| Age: | 6-9 |
| Sample size: | 230 |
| Area covered: | National |
| References: | WHO European Childhood Obesity Surveillance Initiative (COSI): report on the sixth round of data collection, 2022– 2024. Copenhagen: WHO Regional Office for Europe; 2025. Licence: CC BY-NC-SA 3.0 IGO. |
| Definitions: | Level of parental education: (i) low to medium, where both parents have lower education or one parent has lower education and the other has higher education; and (ii) high, where both parents have higher education. Lower education was defined as “primary school or less”, “lower secondary education”, or “upper secondary and post-secondary non-tertiary education”. Higher education included “short-cycle tertiary education or bachelor’s or equivalent level” and “master’s or doctoral or equivalent level”. In single-parent families, parental education was determined based on the educational attainment of the single parent. |
| Cutoffs: | WHO 2007 |
Insufficient physical activity
Children, 2022-2024
| Survey type: | Self-reported |
| Age: | 6-9 |
| Sample size: | 211 |
| Area covered: | National |
| References: | WHO European Childhood Obesity Surveillance Initiative (COSI): report on the sixth round of data collection, 2022– 2024. Copenhagen: WHO Regional Office for Europe; 2025. Licence: CC BY-NC-SA 3.0 IGO. |
| Notes: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only). |
| Definitions: | Percentage of children not meeting WHO recommendations for physical activity, i.e. not playing actively/vigorously for at least one hour a day on an average day, as reported by their parent |
Boys, 2022-2024
| Survey type: | Self-reported |
| Age: | 6-9 |
| Sample size: | 211 |
| Area covered: | National |
| References: | WHO European Childhood Obesity Surveillance Initiative (COSI): report on the sixth round of data collection, 2022– 2024. Copenhagen: WHO Regional Office for Europe; 2025. Licence: CC BY-NC-SA 3.0 IGO. |
| Notes: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only). |
| Definitions: | Percentage of children not meeting WHO recommendations for physical activity, i.e. not playing actively/vigorously for at least one hour a day on an average day, as reported by their parent |
Girls, 2022-2024
| Survey type: | Self-reported |
| Age: | 6-9 |
| Sample size: | 211 |
| Area covered: | National |
| References: | WHO European Childhood Obesity Surveillance Initiative (COSI): report on the sixth round of data collection, 2022– 2024. Copenhagen: WHO Regional Office for Europe; 2025. Licence: CC BY-NC-SA 3.0 IGO. |
| Notes: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only). |
| Definitions: | Percentage of children not meeting WHO recommendations for physical activity, i.e. not playing actively/vigorously for at least one hour a day on an average day, as reported by their parent |
Prevalence of at least daily soft drink consumption
Children, 2022-2024
| Survey type: | Self-reported |
| Age: | 6-9 |
| Sample size: | 238 |
| Area covered: | National |
| References: | WHO European Childhood Obesity Surveillance Initiative (COSI): report on the sixth round of data collection, 2022– 2024. Copenhagen: WHO Regional Office for Europe; 2025. Licence: CC BY-NC-SA 3.0 IGO. |
| Notes: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only) |
| Definitions: | Prevalence of daily consumption of soft drinks containing sugar, as reported by the child's parent (%) |
Boys, 2022-2024
| Survey type: | Self-reported |
| Age: | 6-9 |
| Sample size: | 238 |
| Area covered: | National |
| References: | WHO European Childhood Obesity Surveillance Initiative (COSI): report on the sixth round of data collection, 2022– 2024. Copenhagen: WHO Regional Office for Europe; 2025. Licence: CC BY-NC-SA 3.0 IGO. |
| Notes: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only) |
| Definitions: | Prevalence of daily consumption of soft drinks containing sugar, as reported by the child's parent (%) |
Girls, 2022-2024
| Survey type: | Self-reported |
| Age: | 6-9 |
| Sample size: | 238 |
| Area covered: | National |
| References: | WHO European Childhood Obesity Surveillance Initiative (COSI): report on the sixth round of data collection, 2022– 2024. Copenhagen: WHO Regional Office for Europe; 2025. Licence: CC BY-NC-SA 3.0 IGO. |
| Notes: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only) |
| Definitions: | Prevalence of daily consumption of soft drinks containing sugar, as reported by the child's parent (%) |
Prevalence of less than daily fruit consumption
Children, 2022-2024
| Survey type: | Self-reported |
| Age: | 6-9 |
| Sample size: | 239 |
| Area covered: | National |
| References: | WHO European Childhood Obesity Surveillance Initiative (COSI): report on the sixth round of data collection, 2022– 2024. Copenhagen: WHO Regional Office for Europe; 2025. Licence: CC BY-NC-SA 3.0 IGO. |
| Notes: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only). |
| Definitions: | Proportion of children whose parents reported that their child consumes fruit less than daily |
Boys, 2022-2024
| Survey type: | Self-reported |
| Age: | 6-9 |
| Sample size: | 239 |
| Area covered: | National |
| References: | WHO European Childhood Obesity Surveillance Initiative (COSI): report on the sixth round of data collection, 2022– 2024. Copenhagen: WHO Regional Office for Europe; 2025. Licence: CC BY-NC-SA 3.0 IGO. |
| Notes: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only). |
| Definitions: | Proportion of children whose parents reported that their child consumes fruit less than daily |
Girls, 2022-2024
| Survey type: | Self-reported |
| Age: | 6-9 |
| Sample size: | 239 |
| Area covered: | National |
| References: | WHO European Childhood Obesity Surveillance Initiative (COSI): report on the sixth round of data collection, 2022– 2024. Copenhagen: WHO Regional Office for Europe; 2025. Licence: CC BY-NC-SA 3.0 IGO. |
| Notes: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only). |
| Definitions: | Proportion of children whose parents reported that their child consumes fruit less than daily |
Children, 2018-2020
| Survey type: | Self-reported |
| Age: | 6-9 |
| Sample size: | 309 |
| Area covered: | National |
| References: | Report on the fifth round of data collection, 2018–2020: WHO European Childhood Obesity Surveillance Initiative (COSI). Copenhagen: WHO Regional Office for Europe; 2022. Licence: CC BY-NC-SA 3.0 IGO. |
| Definitions: | Percentage who reported eating fruit less than daily |
Boys, 2018-2020
| Survey type: | Self-reported |
| Age: | 6-9 |
| Sample size: | 309 |
| Area covered: | National |
| References: | Report on the fifth round of data collection, 2018–2020: WHO European Childhood Obesity Surveillance Initiative (COSI). Copenhagen: WHO Regional Office for Europe; 2022. Licence: CC BY-NC-SA 3.0 IGO. |
| Definitions: | Percentage who reported eating fruit less than daily |
Girls, 2018-2020
| Survey type: | Self-reported |
| Age: | 6-9 |
| Sample size: | 309 |
| Area covered: | National |
| References: | Report on the fifth round of data collection, 2018–2020: WHO European Childhood Obesity Surveillance Initiative (COSI). Copenhagen: WHO Regional Office for Europe; 2022. Licence: CC BY-NC-SA 3.0 IGO. |
| Definitions: | Percentage who reported eating fruit less than daily |
Prevalence of less than daily vegetable consumption
Children, 2022-2024
| Survey type: | Self-reported |
| Age: | 6-9 |
| Sample size: | 239 |
| Area covered: | National |
| References: | WHO European Childhood Obesity Surveillance Initiative (COSI): report on the sixth round of data collection, 2022– 2024. Copenhagen: WHO Regional Office for Europe; 2025. Licence: CC BY-NC-SA 3.0 IGO. |
| Notes: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only). |
| Definitions: | Proportion of children whose parents reported that their child consumes vegetables less than daily |
Boys, 2022-2024
| Survey type: | Self-reported |
| Age: | 6-9 |
| Sample size: | 239 |
| Area covered: | National |
| References: | WHO European Childhood Obesity Surveillance Initiative (COSI): report on the sixth round of data collection, 2022– 2024. Copenhagen: WHO Regional Office for Europe; 2025. Licence: CC BY-NC-SA 3.0 IGO. |
| Notes: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only). |
| Definitions: | Proportion of children whose parents reported that their child consumes vegetables less than daily |
Girls, 2022-2024
| Survey type: | Self-reported |
| Age: | 6-9 |
| Sample size: | 239 |
| Area covered: | National |
| References: | WHO European Childhood Obesity Surveillance Initiative (COSI): report on the sixth round of data collection, 2022– 2024. Copenhagen: WHO Regional Office for Europe; 2025. Licence: CC BY-NC-SA 3.0 IGO. |
| Notes: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only). |
| Definitions: | Proportion of children whose parents reported that their child consumes vegetables less than daily |
Children, 2018-2020
| Survey type: | Self-reported |
| Age: | 6-9 |
| Sample size: | 312 |
| Area covered: | National |
| References: | Report on the fifth round of data collection, 2018–2020: WHO European Childhood Obesity Surveillance Initiative (COSI). Copenhagen: WHO Regional Office for Europe; 2022. Licence: CC BY-NC-SA 3.0 IGO. |
| Definitions: | Prevalence of less-than-daily vegetable consumption (% less-than-daily vegetable consumption) |
Boys, 2018-2020
| Survey type: | Self-reported |
| Age: | 6-9 |
| Sample size: | 312 |
| Area covered: | National |
| References: | Report on the fifth round of data collection, 2018–2020: WHO European Childhood Obesity Surveillance Initiative (COSI). Copenhagen: WHO Regional Office for Europe; 2022. Licence: CC BY-NC-SA 3.0 IGO. |
| Definitions: | Prevalence of less-than-daily vegetable consumption (% less-than-daily vegetable consumption) |
Girls, 2018-2020
| Survey type: | Self-reported |
| Age: | 6-9 |
| Sample size: | 312 |
| Area covered: | National |
| References: | Report on the fifth round of data collection, 2018–2020: WHO European Childhood Obesity Surveillance Initiative (COSI). Copenhagen: WHO Regional Office for Europe; 2022. Licence: CC BY-NC-SA 3.0 IGO. |
| Definitions: | Prevalence of less-than-daily vegetable consumption (% less-than-daily vegetable consumption) |
Mental health - depression disorders
Adults, 2021
| Age: | 20+ |
| Area covered: | National |
| References: | Institute for Health Metrics and Evaluation (IHME). GBD Compare Data Visualization. Global Burden of Disease (GBD) Study 2021. Seattle, WA: IHME, University of Washington, 2023. Available from http://vizhub.healthdata.org/gbd-compare. (Last accessed 23.04.25) |
| Definitions: | Number living with depression per 100,000 population (adults 20+ years) |
Men, 2021
| Age: | 20+ |
| Area covered: | National |
| References: | Institute for Health Metrics and Evaluation (IHME). GBD Compare Data Visualization. Global Burden of Disease (GBD) Study 2021. Seattle, WA: IHME, University of Washington, 2023. Available from http://vizhub.healthdata.org/gbd-compare. (Last accessed 23.04.25) |
| Definitions: | Number living with depression per 100,000 population (adults 20+ years) |
Women, 2021
| Age: | 20+ |
| Area covered: | National |
| References: | Institute for Health Metrics and Evaluation (IHME). GBD Compare Data Visualization. Global Burden of Disease (GBD) Study 2021. Seattle, WA: IHME, University of Washington, 2023. Available from http://vizhub.healthdata.org/gbd-compare. (Last accessed 23.04.25) |
| Definitions: | Number living with depression per 100,000 population (adults 20+ years) |
Children, 2021
| Area covered: | National |
| References: | Institute for Health Metrics and Evaluation (IHME). GBD Compare Data Visualization. Global Burden of Disease (GBD) Study 2021. Seattle, WA: IHME, University of Washington, 2023. Available from http://vizhub.healthdata.org/gbd-compare. (Last accessed 23.04.25) |
| Definitions: | Number living with depressive disorder per 100,000 population (Under 20 years of age) |
Boys, 2021
| Area covered: | National |
| References: | Institute for Health Metrics and Evaluation (IHME). GBD Compare Data Visualization. Global Burden of Disease (GBD) Study 2021. Seattle, WA: IHME, University of Washington, 2023. Available from http://vizhub.healthdata.org/gbd-compare. (Last accessed 23.04.25) |
| Definitions: | Number living with depressive disorder per 100,000 population (Under 20 years of age) |
Girls, 2021
| Area covered: | National |
| References: | Institute for Health Metrics and Evaluation (IHME). GBD Compare Data Visualization. Global Burden of Disease (GBD) Study 2021. Seattle, WA: IHME, University of Washington, 2023. Available from http://vizhub.healthdata.org/gbd-compare. (Last accessed 23.04.25) |
| Definitions: | Number living with depressive disorder per 100,000 population (Under 20 years of age) |
Mental health - anxiety disorders
Adults, 2021
| Age: | 20+ |
| References: | Institute for Health Metrics and Evaluation (IHME). GBD Compare Data Visualization. Global Burden of Disease (GBD) Study 2021. Seattle, WA: IHME, University of Washington, 2023. Available from http://vizhub.healthdata.org/gbd-compare. (Last accessed 23.04.25). |
| Definitions: | Number living with anxiety per 100,000 population |
Men, 2021
| Age: | 20+ |
| References: | Institute for Health Metrics and Evaluation (IHME). GBD Compare Data Visualization. Global Burden of Disease (GBD) Study 2021. Seattle, WA: IHME, University of Washington, 2023. Available from http://vizhub.healthdata.org/gbd-compare. (Last accessed 23.04.25). |
| Definitions: | Number living with anxiety per 100,000 population |
Women, 2021
| Age: | 20+ |
| References: | Institute for Health Metrics and Evaluation (IHME). GBD Compare Data Visualization. Global Burden of Disease (GBD) Study 2021. Seattle, WA: IHME, University of Washington, 2023. Available from http://vizhub.healthdata.org/gbd-compare. (Last accessed 23.04.25). |
| Definitions: | Number living with anxiety per 100,000 population |
Children, 2021
| References: | Institute for Health Metrics and Evaluation (IHME). GBD Compare Data Visualization. Global Burden of Disease (GBD) Study 2021. Seattle, WA: IHME, University of Washington, 2023. Available from http://vizhub.healthdata.org/gbd-compare. (Last accessed 23.04.25) |
Boys, 2021
| References: | Institute for Health Metrics and Evaluation (IHME). GBD Compare Data Visualization. Global Burden of Disease (GBD) Study 2021. Seattle, WA: IHME, University of Washington, 2023. Available from http://vizhub.healthdata.org/gbd-compare. (Last accessed 23.04.25) |
Girls, 2021
| References: | Institute for Health Metrics and Evaluation (IHME). GBD Compare Data Visualization. Global Burden of Disease (GBD) Study 2021. Seattle, WA: IHME, University of Washington, 2023. Available from http://vizhub.healthdata.org/gbd-compare. (Last accessed 23.04.25) |
Diabetes prevalence
Adults, 2024
| References: | Reproduced with kind permission International Diabetes Federation. IDF Diabetes Atlas, 11th edn. Brussels, Belgium:International Diabetes Federation, 2025. http://www.diabetesatlas.org |
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 (%). |
Policies, Interventions and Actions
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? | Absent |
| Back-of-pack nutrition declaration? | Present |
| Color coding? | Absent |
| Warning label? | Absent |
Regulation and marketing
| Are there fiscal policies on unhealthy products? | Absent |
| Tax on unhealthy foods? | Absent |
| Tax on unhealthy drinks? | Absent |
| 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)? | Absent |
| Mandatory limit of trans fats in place (all settings)? | Absent |
| 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? | Absent |
| Mandatory restriction on broadcast media? | Absent |
| Mandatory restriction on non-broadcast media? | Absent |
| Voluntary policies/marketing restrictions on the promotion of unhealthy food/drinks to children? | Absent |
| Are there mandatory standards for food in schools? | Absent |
| Are there any mandatory nutrient limits in any manufactured food products? | Absent |
| Nutrition standards for public sector procurement? | Absent |
Political will and support
| National obesity strategy or nutrition and physical activity national strategy? | Absent |
| National obesity strategy? | Absent |
| National childhood obesity strategy? | Absent |
| Comprehensive nutrition strategy? | Absent |
| Comprehensive physical activity strategy? | Absent |
| Evidence-based dietary guidelines and/or RDAs? | Absent |
| National target(s) on reducing obesity? | Absent |
| Promotion of breastfeeding? | Absent |
Monitoring and surveillance
| Monitoring of the prevalence and incidence for the main obesity-related NCDs and risk factors? | Absent |
| Within 5 years? | Absent |
Governance and resource
| Multi-sectoral national co-ordination mechanism for obesity or nutrition (including obesity)? | Absent |
Key
Present
Present (voluntary)
Incoming
Absent
Unknown
Last updated September 13, 2022
Download contextual factors as a PDF Contextual factors definitions
