San Marino
High income
- Deskrizzjoni Ġenerali
- Prevalenza tal-obeżità
- Xejriet maż-żmien
- Tqassim tal-popolazzjoni
- Kawżi
- Komorbiditajiet
- Politiki
- Contextual factors
Report cards
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Tqassim tal-popolazzjoni
Kawżi
Komorbiditajiet
Politiki
Contextual factors
Prevalenza tal-obeżità
Tfal, 2022-2024
| Tip ta' stħarriġ: | Imkejjel |
| Età: | 8 |
| Id-daqs tal-kampjun: | 174 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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 |
Tfal, 2016
| Tip ta' stħarriġ: | Imkejjel |
| Età: | 8 |
| Id-daqs tal-kampjun: | 202 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | Report on the fourth round of data collection, 2015–2017: WHO European Childhood Obesity Surveillance Initiative (COSI). |
| Noti: | Small sample size |
| Cutoffs: | WHO |
Tfal, 2012
| Tip ta' stħarriġ: | Imkejjel |
| Id-daqs tal-kampjun: | 278 (148 boys, 130 girls) |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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)
Piż żejjed/obeżità skont l-edukazzjoni
Tfal, 2022-2024
| Tip ta' stħarriġ: | Imkejjel |
| Età: | 6-9 |
| Id-daqs tal-kampjun: | 230 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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. |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | 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 |
Attività fiżika insuffiċjenti
Tfal, 2022-2024
| Tip ta' stħarriġ: | Irrappurtat mill-persuna nnifisha |
| Età: | 6-9 |
| Id-daqs tal-kampjun: | 211 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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. |
| Noti: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only). |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | 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 |
Subien, 2022-2024
| Tip ta' stħarriġ: | Irrappurtat mill-persuna nnifisha |
| Età: | 6-9 |
| Id-daqs tal-kampjun: | 211 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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. |
| Noti: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only). |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | 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 |
Bniet, 2022-2024
| Tip ta' stħarriġ: | Irrappurtat mill-persuna nnifisha |
| Età: | 6-9 |
| Id-daqs tal-kampjun: | 211 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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. |
| Noti: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only). |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | 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
Tfal, 2022-2024
| Tip ta' stħarriġ: | Irrappurtat mill-persuna nnifisha |
| Età: | 6-9 |
| Id-daqs tal-kampjun: | 238 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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. |
| Noti: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only) |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Prevalence of daily consumption of soft drinks containing sugar, as reported by the child's parent (%) |
Subien, 2022-2024
| Tip ta' stħarriġ: | Irrappurtat mill-persuna nnifisha |
| Età: | 6-9 |
| Id-daqs tal-kampjun: | 238 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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. |
| Noti: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only) |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Prevalence of daily consumption of soft drinks containing sugar, as reported by the child's parent (%) |
Bniet, 2022-2024
| Tip ta' stħarriġ: | Irrappurtat mill-persuna nnifisha |
| Età: | 6-9 |
| Id-daqs tal-kampjun: | 238 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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. |
| Noti: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only) |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Prevalence of daily consumption of soft drinks containing sugar, as reported by the child's parent (%) |
Prevalenza ta' inqas minn konsum ta' frott ta' kuljum
Tfal, 2022-2024
| Tip ta' stħarriġ: | Irrappurtat mill-persuna nnifisha |
| Età: | 6-9 |
| Id-daqs tal-kampjun: | 239 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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. |
| Noti: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only). |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Proportion of children whose parents reported that their child consumes fruit less than daily |
Subien, 2022-2024
| Tip ta' stħarriġ: | Irrappurtat mill-persuna nnifisha |
| Età: | 6-9 |
| Id-daqs tal-kampjun: | 239 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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. |
| Noti: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only). |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Proportion of children whose parents reported that their child consumes fruit less than daily |
Bniet, 2022-2024
| Tip ta' stħarriġ: | Irrappurtat mill-persuna nnifisha |
| Età: | 6-9 |
| Id-daqs tal-kampjun: | 239 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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. |
| Noti: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only). |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Proportion of children whose parents reported that their child consumes fruit less than daily |
Tfal, 2018-2020
| Tip ta' stħarriġ: | Irrappurtat mill-persuna nnifisha |
| Età: | 6-9 |
| Id-daqs tal-kampjun: | 309 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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. |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Percentage who reported eating fruit less than daily |
Subien, 2018-2020
| Tip ta' stħarriġ: | Irrappurtat mill-persuna nnifisha |
| Età: | 6-9 |
| Id-daqs tal-kampjun: | 309 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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. |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Percentage who reported eating fruit less than daily |
Bniet, 2018-2020
| Tip ta' stħarriġ: | Irrappurtat mill-persuna nnifisha |
| Età: | 6-9 |
| Id-daqs tal-kampjun: | 309 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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. |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Percentage who reported eating fruit less than daily |
Prevalenza ta' inqas minn konsum veġetali ta' kuljum
Tfal, 2022-2024
| Tip ta' stħarriġ: | Irrappurtat mill-persuna nnifisha |
| Età: | 6-9 |
| Id-daqs tal-kampjun: | 239 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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. |
| Noti: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only). |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Proportion of children whose parents reported that their child consumes vegetables less than daily |
Subien, 2022-2024
| Tip ta' stħarriġ: | Irrappurtat mill-persuna nnifisha |
| Età: | 6-9 |
| Id-daqs tal-kampjun: | 239 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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. |
| Noti: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only). |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Proportion of children whose parents reported that their child consumes vegetables less than daily |
Bniet, 2022-2024
| Tip ta' stħarriġ: | Irrappurtat mill-persuna nnifisha |
| Età: | 6-9 |
| Id-daqs tal-kampjun: | 239 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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. |
| Noti: | National data excluding Germany (Bremen only) and Kazakhstan (Almaty only). |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Proportion of children whose parents reported that their child consumes vegetables less than daily |
Tfal, 2018-2020
| Tip ta' stħarriġ: | Irrappurtat mill-persuna nnifisha |
| Età: | 6-9 |
| Id-daqs tal-kampjun: | 312 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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. |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Prevalence of less-than-daily vegetable consumption (% less-than-daily vegetable consumption) |
Subien, 2018-2020
| Tip ta' stħarriġ: | Irrappurtat mill-persuna nnifisha |
| Età: | 6-9 |
| Id-daqs tal-kampjun: | 312 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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. |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Prevalence of less-than-daily vegetable consumption (% less-than-daily vegetable consumption) |
Bniet, 2018-2020
| Tip ta' stħarriġ: | Irrappurtat mill-persuna nnifisha |
| Età: | 6-9 |
| Id-daqs tal-kampjun: | 312 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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. |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Prevalence of less-than-daily vegetable consumption (% less-than-daily vegetable consumption) |
Saħħa mentali - disturbi tad-depressjoni
Adulti, 2021
| Età: | 20+ |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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) |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Number living with depression per 100,000 population (adults 20+ years) |
Irġiel, 2021
| Età: | 20+ |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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) |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Number living with depression per 100,000 population (adults 20+ years) |
Nisa, 2021
| Età: | 20+ |
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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) |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Number living with depression per 100,000 population (adults 20+ years) |
Tfal, 2021
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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) |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Number living with depressive disorder per 100,000 population (Under 20 years of age) |
Subien, 2021
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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) |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Number living with depressive disorder per 100,000 population (Under 20 years of age) |
Bniet, 2021
| Erja Koperta: | Nazzjonali |
| Referenzi: | 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) |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Number living with depressive disorder per 100,000 population (Under 20 years of age) |
Saħħa mentali - disturbi ta' ansjetà
Adulti, 2021
| Età: | 20+ |
| Referenzi: | 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). |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Number living with anxiety per 100,000 population |
Irġiel, 2021
| Età: | 20+ |
| Referenzi: | 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). |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Number living with anxiety per 100,000 population |
Nisa, 2021
| Età: | 20+ |
| Referenzi: | 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). |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Number living with anxiety per 100,000 population |
Tfal, 2021
| Referenzi: | 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) |
Subien, 2021
| Referenzi: | 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) |
Bniet, 2021
| Referenzi: | 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) |
Prevalenza tad-dijabete
Adulti, 2024
| Referenzi: | Reproduced with kind permission International Diabetes Federation. IDF Diabetes Atlas, 11th edn. Brussels, Belgium:International Diabetes Federation, 2025. http://www.diabetesatlas.org |
Adulti, 2021
| Età: | 20-79 |
| Erja Koperta: | Nazzjonali |
| Referenzi: | Reproduced with kind permission International Diabetes Federation. IDF Diabetes Atlas, 10th edn. Brussels, Belgium:International Diabetes Federation, 2021. http://www.diabetesatlas.org |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Age-adjusted comparative prevalence of diabetes, % |
Adulti, 2019
| Età: | 20-79 |
| Referenzi: | Reproduced with kind permission International Diabetes Federation. IDF Diabetes Atlas, 9th edn. Brussels,Belgium: 2019. Available at: https://www.diabetesatlas.org |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | Diabetes age-adjusted comparative prevalence (%). |
Adulti, 2017
| Referenzi: | Reproduced with kind permission of IDF, International Diabetes Federation. IDF Diabetes Atlas, 8th edition. Brussels, Belgium: International Diabetes Federation, 2017. http://www.diabetesatlas.org |
| Definizzjonijiet (disponibbli bl-Ingliż biss): | 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
Last updated September 13, 2022
Download contextual factors as a PDF Contextual factors definitions