• Overview
  • Obesity prevalence
  • Trends over time
  • Population breakdowns
  • Drivers
  • Comorbidities
  • Economic impact
  • Policies
  • Contextual factors
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National obesity risk *7/10This 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 *7.5/11This 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

Report cards

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Report card (adult data)

Report card (child data)

Population breakdowns

By education

By age

By region

By socio-economic group

By ethnicity

Limited activity

Double Burden

Drivers

Insufficient activity

Sugar consumption

Soft drink consumption

Confectionery consumption

Sweet/savoury snack consumption

Fruit consumption

Vegetable consumption

Processed meat consumption

Grains consumption

Depression

Anxiety

Roots of obesity »

Like all chronic diseases, the root causes/drivers of obesity are complex. Select here to view 'other' root causes/drivers.

Unaffordable diet

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Comorbidities

Oesophageal cancer

Breast cancer

Colorectal cancer

Pancreatic cancer

Gallbladder cancer

Kidney cancer

Cancer of the uterus

Raised blood pressure

Raised cholesterol

Raised fasting blood glucose

Diabetes prevalence

Ovarian Cancer

Leukemia

Liver & bile duct cancer

Mulitple Myeloma

Non Hodgkin Lymphoma

Thyroid Cancer

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Economic impact

Economic impact

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Policies

National Obesity Strategy

Nutritional or Health Strategy

Marketing

Physical Activity

Tax/Subsidies on Food or Beverages

Community Interventions

Transnational Obesity Strategies

Labelling

NCD Strategy

Regulations (voluntary/pledges)

Health Effectiveness Reviews

Multidisciplinary Intervention

Management or treatment guidelines

Training

Non-national strategies

School Food Regulations/Guidelines

Breastfeeding

Obesity Target

Multisectoral national mechanism for obesity

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Contextual factors

Contextual factors

Obesity prevalence

Adults, 2023-2024

Survey type:Self-reported
Age:18+
Sample size:21032
Area covered:National
References:Encuesta de Salud de España – ESdE 2023 (ESdE2023). https://vsf-iwsold-pro-01.mscbs.gob.es/estadEstudios/estadisticas/encuestaSaludEspana/home.htm [Accessed 10.07.25]
Notes:Sample size includes all aged 15+, but this data only includes those aged 18+
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Adults, 2022

Survey type:Self-reported
Age:18+
Area covered:National
References:Eurostat 2022 Data. Available at https://ec.europa.eu/eurostat/databrowser/view/ilc_hch10/default/table?lang=en (last accessed 23.09.25)
Notes:EUROSTAT 2022 data derived from EU statistics on income and living conditions (EU-SILC) survey
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Adults, 2019-2020

Survey type:Self-reported
Age:15+
Sample size:22,072
Area covered:National
References:Encuesta Europea de Salud en España (EESE) 2020. Available at: https://www.mscbs.gob.es/estadEstudios/estadisticas/EncuestaEuropea/EncuestaEuropea2020/EESE2020_inf_evol_princip_result.pdf. Last accessed: 27.05.21.
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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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.
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Adults, 2017

Survey type:Self-reported
Age:18+
Sample size:23089
Area covered:National
References:ENES 2017 available at https://www.mscbs.gob.es/estadEstudios/estadisticas/encuestaNacional/encuesta2017.htm (last accessed 03.03.21)
Notes:Sample size is for 15+ Years (only 18+ years included below)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Adults, 2014-2015

Survey type:Measured
Age:25-64
Sample size:3966
Area covered:National
References:Aranceta-Bartrina, J. et al. (2016) 'Prevalence of General Obesity and Abdominal Obesity in the Spanish Adult Population (Aged 25-64 Years) 2014-2015: The ENPE Study', Rev Esp Cardiol (Engl Ed), 69(6), pp. 579-87. doi: 10.1016/j.rec.2016.02.009. Epub 2016 Apr 26
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Adults, 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 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.
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Adults, 2008-2010

Survey type:Measured
Age:18+
Sample size:12036
Area covered:National
References:Gutierrez-Fisac JL, Guallar-Castillion P, Leon-Munoz LM, Graciani A, Banegas JR & Rodriguez-Artalejo F. Prevalence of general and abdominal obesity in the adult population of Spain, 2008-2010. Obesity Reviews early online 12th Dec 2011.
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Adults, 2001

Survey type:Measured
Age:20+
Sample size:6569
References:http://www.fnri.dost.gov.ph/files/fnri%20files/nns/factsandfigures2003/anthropometric.pdf last accessed June 14th 2011
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Adults, 1990-2001

Survey type:Measured
Age:20+
Sample size:20589
Area covered:Regional
References:Serra Majem L, Ribas Barba L, Aranceta-Bartrina J, Pérez Rodrigo C, Saavedra Santana P, Peña Quintana L. Obesidad infantil y juvenil en España. Resultados del estudio enKid (1998-2000). Med Clin (Barc). 2003, 121 (19): 725-732. Aranceta-Bartrina J, Serra-Majem L, Foz-sala M, Moreno-Esteban B; Grupo Colaborativo SEEDO. Prevalencia de obesidad en España. Med Clin (Barc). 2005, 125 (12): 460-6. Gutierrez-Fisac JL, López E, Banegas JR, Graciani A, Rodríguez-Artalejo F (2004). Prevalence of overweight and obesity in elderly people in Spain. Obes Res; 12 (4): 710-715.
Notes:Pooled analysis of random regional population samples: 1998 - 2000 1990 - 2000 2001
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Adults, 1990-1994

Survey type:Measured
Age:25-60
Sample size:5388
References:Aranceta J, Perex Rodrigo C, Serra Majem LI et al. Prevalence od Obesity in Spain: SEEDO'97 study. Spanish Collaborative Group for the Study of Obesity. Med Clin (Barc). 1998;117:441-5
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Children, 2023-2024

Survey type:Measured
Age:6-9
Sample size:12678
Area covered:National
References:ALADINO Study 2023 (Preview). https://www.aesan.gob.es/AECOSAN/docs/documentos/nutricion/ALADINO_AESAN.pdf (Accessed 26.09.24)
Notes:The study is part of the Childhood Obesity Surveillance Initiative (COSI)
Cutoffs:WHO
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Children, 2023-2024

Survey type:Self-reported
Age:2-17
Sample size:3,641
Area covered:National
References:Encuesta de Salud de España – ESdE 2023 (ESdE2023). https://vsf-iwsold-pro-01.mscbs.gob.es/estadEstudios/estadisticas/encuestaSaludEspana/home.htm [Accessed 10.07.25]
Notes:Sample size unavailable for ages 2-17, sample size given is for ages 0-14
Cutoffs:IOTF
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Children, 2022-2023

Survey type:Measured
Age:8-16
Sample size:3201
Area covered:National
References:PASOS 2022 Study. https://gasolfoundation.org/wp-content/uploads/2023/07/GF-PASOS-2023-v7.pdf (Accessed 10.07.24)
Cutoffs:WHO
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Children, 2022-2024

Survey type:Measured
Age:7
Area covered:National
References:WHO European Childhood Obesity Surveillance Initiative (COSI): A brief review of results from round 6 of COSI (2022-2024). Copenhagen: WHO Regional Office for Europe; 2024. Licence: CC BY-NC-SA 3.0 IGO.
Cutoffs:WHO 2007
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Children, 2021-2022

Survey type:Self-reported
Age:13
Area covered:National
References:Rakic JG, Hamrik Z, Dzielska A, Felder-Puig R, Oja L, Bakalár P et al. A focus on adolescent physical activity, eating behaviours, weight status and body image in Europe, central Asia and Canada. Health Behaviour in School-aged Children (HBSC) international report from the 2021/2022 survey. Volume 4. Copenhagen: WHO Regional Office for Europe; 2024. 'Any translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation. The original English edition shall be the binding and authentic edition'
Notes:HBSC aims to survey approximately 1500 pupils per age group in each country or region (totaling around 4500)
Definitions:+2SD
Cutoffs:WHO 2007
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Children, 2019-2020

Survey type:Measured
Age:8-16
Sample size:3724
Area covered:National
References:Gómez SF, Homs C, Wärnberg J, et alStudy protocol of a population-based cohort investigating PhysCIal Activity, Sedentarism, lifestyles and Obesity in Spanish youth: the PASOS studyBMJ Open 2020;10:e036210. doi: 10.1136/bmjopen-2019-036210. Available at: https://bmjopen.bmj.com/content/10/9/e036210. Further data provided by personal communication by Dr. SANTI F. GÓMEZ of the GASOL Foundation.
Cutoffs:IOTF
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Children, 2019

Survey type:Measured
Age:6-9
Sample size:16665
Area covered:National
References:Ministerio de Consumo, Agency Espanola de seguirdad alimentaria y nutrction (2020) ALADINO 2019 Informe Breve. ESTUDIO SOBRE LA ALIMENTACIÓN, ACTIVIDAD FÍSICA, DESARROLLO INFANTIL Y OBESIDAD EN ESPAÑA 2019
Cutoffs:WHO
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Children, 2018-2020

Survey type:Measured
Age:7
Sample size:4280
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.
Cutoffs:WHO 2007
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Children, 2015-2016

Survey type:Measured
Age:6-9
Sample size:10,899
Area covered:National
References:Estudio ALADINO Estudio de Vigilancia del Crecimiento, Alimentación,Actividad Física, Desarrollo Infantil y Obesidad en España. 2015. Ministerio de Sanidad, Servicios Sociales e Igualdad Agencia Española de Consumo, Seguridad Alimentaria y Nutrición, 2016. Available from: http://www.aecosan.msssi.gob.es/AECOSAN/docs/documentos/nutricion/observatorio/Estudio_ALADINO_2015.pdf (accesed 9th April 2019) [Article in Spanish].
Cutoffs:IOTF
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Children, 2015-2016

Survey type:Measured
Age:6-9
Sample size:10899
Area covered:National
References:Ministerio de Consumo, Agency Espanola de seguirdad alimentaria y nutrction (2020) ALADINO 2019 Informe Breve. ESTUDIO SOBRE LA ALIMENTACIÓN, ACTIVIDAD FÍSICA, DESARROLLO INFANTIL Y OBESIDAD EN ESPAÑA 2019
Cutoffs:WHO
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Children, 2015-2016

Survey type:Measured
Age:6
Sample size:2635
Area covered:National
References:Report on the fourth round of data collection, 2015–2017: WHO European Childhood Obesity Surveillance Initiative (COSI).
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Children, 2015-2016

Survey type:Measured
Age:7
Sample size:2815
Area covered:National
References:Report on the fourth round of data collection, 2015–2017: WHO European Childhood Obesity Surveillance Initiative (COSI).
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Children, 2015-2016

Survey type:Measured
Age:8
Sample size:2789
Area covered:National
References:Report on the fourth round of data collection, 2015–2017: WHO European Childhood Obesity Surveillance Initiative (COSI).
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Children, 2015-2016

Survey type:Measured
Age:9
Sample size:2635
Area covered:National
References:Report on the fourth round of data collection, 2015–2017: WHO European Childhood Obesity Surveillance Initiative (COSI).
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Children, 2012

Survey type:Measured
Age:8-17
Sample size:978
Area covered:National
References:Sánchez-Cruz JJ, Jiménez-Moleón JJ, Fernández-Quesada F, Sánchez MJ. Prevalence of Child and Youth Obesity in Spain in 2012.Rev Esp Cardiol. 2013 Jan 31. pii: S0300-8932(12)00640-9. doi: 10.1016/j.recesp.2012.10.016. [Epub ahead of print] In English & Spanish
Notes:International IOTF cut off points
Cutoffs:IOTF
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Children, 2012-2013

Survey type:Measured
Age:7
Sample size:1814
Area covered:National
References:World Health Organization. Regional Office for Europe. 2018. WHO European Childhood Obesity Surveillance Initiative: overweight and obesity among 6-9-year-old children: report of the third round of data collection 2012-2013.World Health Organization. Regional Office for Europe. https://apps.who.int/iris/handle/10665/346108
Cutoffs:WHO 2007
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Children, 2010

Survey type:Measured
Age:10-12
Sample size:1008
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:IOTF International Cut Off
Cutoffs:IOTF
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Children, 2010-2011

Survey type:Measured
Age:6-9
Sample size:7659
Area covered:National
References:Napoleón Pérez-Farinós, Ana M. López-Sobaler, M. Ángeles Dal Re, Carmen Villar, Estefanía Labrado, Teresa Robledo, Rosa M. Ortega, "The ALADINO Study: A National Study of Prevalence of Overweight and Obesity in Spanish Children in 2011", BioMed Research International, vol. 2013, Article ID 163687, 7 pages, 2013. https://doi.org/10.1155/2013/163687
Cutoffs:IOTF
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Children, 2010-2011

Survey type:Measured
Age:6-9
Sample size:7659
Area covered:National
References:Ministerio de Consumo, Agency Espanola de seguirdad alimentaria y nutrction (2020) ALADINO 2019 Informe Breve. ESTUDIO SOBRE LA ALIMENTACIÓN, ACTIVIDAD FÍSICA, DESARROLLO INFANTIL Y OBESIDAD EN ESPAÑA 2019
Cutoffs:WHO
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Children, 2009-2013

Survey type:Measured
Age:7-8
Sample size:7747
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 II and III (2009- 2013) IOTF cut-offs used.
Cutoffs:IOTF
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Children, 2009-2010

Survey type:Measured
Age:7
Sample size:2207
Area covered:National
References:Wijnhoven, T.M., van Raaij, J.M., Spinelli, A. et al. WHO European Childhood Obesity Surveillance Initiative: body mass index and level of overweight among 6-9-year-old children from school year 2007/2008 to school year 2009/2010. BMC Public Health 14, 806 (2014). https://doi.org/10.1186/1471-2458-14-806
Cutoffs:WHO 2007
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Children, 2000-2002

Survey type:Measured
Age:13-14
Area covered:National
References:Personal communication from LA Moreno
Notes:Large National Survey but sample size not specified IOTF Cut off. Reference: Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ. 2000 May 6;320(7244):1240-3
Cutoffs:IOTF
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Children, 1998-2000

Survey type:Measured
Age:5-17
Sample size:2057
Area covered:National
References:Serra Majem L, Ribas Barba L, Aranceta Bartrina J, Pérez Rodrigo C, Saavedra Santana P, Peña Quintana L. (2003). Obesidad infantil y juvenil en España. Resultados del estudio enKid (1998-2000). Medicina Clinica (Barc). 121 (19): 725 - 732
Notes:IOTF Cut off. Reference: Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ. 2000 May 6;320(7244):1240-3.
Cutoffs:IOTF
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Children, 1995-1996

Survey type:Measured
Age:13-14
Area covered:National
References:Personal communication from LA Moreno
Notes:Large National Survey but sample size not specified Cut off. Reference: Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ. 2000 May 6;320(7244):1240-3
Cutoffs:IOTF
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Children, 1985-1986

Survey type:Measured
Age:13-14
Area covered:National
References:Personal communication from LA Moreno
Notes:Large National Survey but sample size not specified IOTF Cut off. Reference: Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ. 2000 May 6;320(7244):1240-3
Cutoffs:IOTF
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Overweight/obesity by age and education

Adults, 2022

Survey type:Self-reported
Area covered:National
References:Eurostat 2022 Data. Available at: https://ec.europa.eu/eurostat/databrowser/view/ilc_hch10__custom_16791318/default/table?lang=en&page=time:2022 [Accessed 21.05.25]
Definitions:Less than primary, primary and lower secondary education (level 0-2), Upper secondary and post-secondary non-tertiary education (level 3-4) Tertiary education (level 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.
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Men, 2022

Survey type:Self-reported
Area covered:National
References:Eurostat 2022 Data. Available at: https://ec.europa.eu/eurostat/databrowser/view/ilc_hch10__custom_16791318/default/table?lang=en&page=time:2022 [Accessed 21.05.25]
Definitions:Less than primary, primary and lower secondary education (level 0-2), Upper secondary and post-secondary non-tertiary education (level 3-4) Tertiary education (level 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.
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Women, 2022

Survey type:Self-reported
Area covered:National
References:Eurostat 2022 Data. Available at: https://ec.europa.eu/eurostat/databrowser/view/ilc_hch10__custom_16791318/default/table?lang=en&page=time:2022 [Accessed 21.05.25]
Definitions:Less than primary, primary and lower secondary education (level 0-2), Upper secondary and post-secondary non-tertiary education (level 3-4) Tertiary education (level 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.
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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_bm1e&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.
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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_bm1e&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.
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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_bm1e&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.
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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.
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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.
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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.
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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.
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Overweight/obesity by education

Adults, 2023-2024

Survey type:Self-reported
Age:18+
Sample size:21032
Area covered:National
References:Encuesta de Salud de España – ESdE 2023 (ESdE2023). Available at: https://vsf-iwsold-pro-01.mscbs.gob.es/estadEstudios/estadisticas/encuestaSaludEspana/home.htm [Accessed 10.07.25]
Notes:Sample size listed includes all aged 15+, but this data only includes those aged 18+
Definitions:Basic and lower = level 0-2, Intermediate = level 3-4, Higher = Level 5-8 (CNED-2014-A)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Men, 2023-2024

Survey type:Self-reported
Age:18+
Sample size:21032
Area covered:National
References:Encuesta de Salud de España – ESdE 2023 (ESdE2023). Available at: https://vsf-iwsold-pro-01.mscbs.gob.es/estadEstudios/estadisticas/encuestaSaludEspana/home.htm [Accessed 10.07.25]
Notes:Sample size listed includes all aged 15+, but this data only includes those aged 18+
Definitions:Basic and lower = level 0-2, Intermediate = level 3-4, Higher = Level 5-8 (CNED-2014-A)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Women, 2023-2024

Survey type:Self-reported
Age:18+
Sample size:21032
Area covered:National
References:Encuesta de Salud de España – ESdE 2023 (ESdE2023). Available at: https://vsf-iwsold-pro-01.mscbs.gob.es/estadEstudios/estadisticas/encuestaSaludEspana/home.htm [Accessed 10.07.25]
Notes:Sample size listed includes all aged 15+, but this data only includes those aged 18+
Definitions:Basic and lower = level 0-2, Intermediate = level 3-4, Higher = Level 5-8 (CNED-2014-A)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Adults, 2022

Survey type:Self-reported
Age:16+
Area covered:National
References:Eurostat 2022 Data. Available at https://ec.europa.eu/eurostat/databrowser/view/ilc_hch10/default/table?lang=en (last accessed 19.03.25)
Notes:EUROSTAT 2022 data derived from EU statistics on income and living conditions (EU-SILC) survey which includes adults aged 16+ years. This differs from most EUROSTAT data which is derived from the Health Interview Surveys, which includes adults aged 15+ years (though sometimes only data from adults aged 18+ reported)
Definitions:Less than primary, primary and lower secondary education (level 0-2), Upper secondary and post-secondary non-tertiary education (level 3-4) Tertiary education (level 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.
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Men, 2022

Survey type:Self-reported
Age:16+
Area covered:National
References:Eurostat 2022 Data. Available at https://ec.europa.eu/eurostat/databrowser/view/ilc_hch10/default/table?lang=en (last accessed 19.03.25)
Notes:EUROSTAT 2022 data derived from EU statistics on income and living conditions (EU-SILC) survey which includes adults aged 16+ years. This differs from most EUROSTAT data which is derived from the Health Interview Surveys, which includes adults aged 15+ years (though sometimes only data from adults aged 18+ reported)
Definitions:Less than primary, primary and lower secondary education (level 0-2), Upper secondary and post-secondary non-tertiary education (level 3-4) Tertiary education (level 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.
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Women, 2022

Survey type:Self-reported
Age:16+
Area covered:National
References:Eurostat 2022 Data. Available at https://ec.europa.eu/eurostat/databrowser/view/ilc_hch10/default/table?lang=en (last accessed 19.03.25)
Notes:EUROSTAT 2022 data derived from EU statistics on income and living conditions (EU-SILC) survey which includes adults aged 16+ years. This differs from most EUROSTAT data which is derived from the Health Interview Surveys, which includes adults aged 15+ years (though sometimes only data from adults aged 18+ reported)
Definitions:Less than primary, primary and lower secondary education (level 0-2), Upper secondary and post-secondary non-tertiary education (level 3-4) Tertiary education (level 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.
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Men, 2014

Survey type:Self-reported
Age:18+
Sample size:Total sample size in EU = 35100 (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: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) Translated graphics for obesity by educational level are also available for 2011-12 & 1990-94 (on request).
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Women, 2014

Survey type:Self-reported
Age:18+
Sample size:Total sample size in EU = 35100 (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: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) Translated graphics for obesity by educational level are also available for 2011-12 & 1990-94 (on request).
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Men, 2011-2012

Survey type:Self-reported
Age:25-64
Sample size:34784
Area covered:National
References:National Health Survey Spain. Ministry of Health. Social Services and Equality and INE. http://www.ine.es (last accessed 20.5.15)
Notes:Education definitions: 1. Cannot read or write, or incomplete primary education 2. Complete primary education 3. Secondary education, 1st stage 4. Secondary education, 2nd stage 5. Advanced professional training or the equivalent 6. University education
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Women, 2011-2012

Survey type:Self-reported
Age:25-64
Sample size:34784
Area covered:National
References:National Health Survey Spain. Ministry of Health. Social Services and Equality and INE. http://www.ine.es (last accessed 20.5.15)
Notes:Education definitions: 1. Cannot read or write, or incomplete primary education 2. Complete primary education 3. Secondary education, 1st stage 4. Secondary education, 2nd stage 5. Advanced professional training or the equivalent 6. University education
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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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)
Notes:Definitions are: levels 0-2 = pre-primary, primary and lower secondary education levels 3-4 = upper secondary and post-secondary non-tertiary education levels 5-6 = first and second stage of tertiary education
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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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)
Notes:Definitions are: levels 0-2 = pre-primary, primary and lower secondary education levels 3-4 = upper secondary and post-secondary non-tertiary education levels 5-6 = first and second stage of tertiary education
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Men, 1990-1994

Survey type:Measured
Age:25-60
Sample size:5388
Area covered:Four Spanish regions (Catalunya, Basque Country, Madrid and Valencia)
References:Aranceta J, Perez Rodrigo C, Serra Majem L et al. Influence of sociodemographic factors in the prevalence of obesity in Spain. The SEEDO '97 Study. European Journal of Clinical Nutrition (2001); 55: 430-435. http://www.nature.com/ejcn/journal/v55/n6/pdf/1601189a.pdf (last accessed 29.4.15)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Women, 1990-1994

Survey type:Measured
Age:25-60
Sample size:5388
Area covered:Four Spanish regions (Catalunya, Basque Country, Madrid and Valencia)
References:Aranceta J, Perez Rodrigo C, Serra Majem L et al. Influence of sociodemographic factors in the prevalence of obesity in Spain. The SEEDO '97 Study. European Journal of Clinical Nutrition (2001); 55: 430-435. http://www.nature.com/ejcn/journal/v55/n6/pdf/1601189a.pdf (last accessed 29.4.15)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Children, 2023-2024

Survey type:Measured
Age:6-9
Sample size:12678
Area covered:National
References:Estudio ALADINO 2023: Estudio sobre Alimentación, Actividad Física, Desarrollo Infantil y Obesidad en España 2023. Agencia Española de Seguridad Alimentaria y Nutrición. Ministerio de Derechos Sociales, Consumo y Agenda 2030. Madrid, 2024
Notes:The study is part of the Childhood Obesity Surveillance Initiative (COSI)
Definitions:Highest educational level attained by one of the parents
Cutoffs:WHO
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Children, 2019-2020

Survey type:Measured
Age:8-16
Sample size:3724
Area covered:National
References:Gómez SF, Homs C, Wärnberg J, et alStudy protocol of a population-based cohort investigating PhysCIal Activity, Sedentarism, lifestyles and Obesity in Spanish youth: the PASOS studyBMJ Open 2020;10:e036210. doi: 10.1136/bmjopen-2019-036210. Available at: https://bmjopen.bmj.com/content/10/9/e036210. Further data provided by personal communication by Dr. SANTI F. GÓMEZ of the GASOL Foundation.
Cutoffs:IOTF
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Children, 2012

Survey type:Measured
Age:8-17
Sample size:978
Area covered:National
References:Sánchez-Cruz J-J, et al. Prevalencia de obesidad infantil y juvenil en España en 2012. Rev Esp Cardiol. 2013. http://dx.doi.org/10.1016/j.recesp.2012.10.016 (last accessed 20.5.15)
Notes:Prevalence of overweight and obesity of children based on educational level of person responsible for diet.
Cutoffs:Other
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Children, 2010

Survey type:Measured
Age:10-12
Sample size:1008
Area covered:National
References:Brug J, van Stralen MM, te Velde SJ et al. Differences in Weight Status and Energy-Balance Related Behaviors among Schoolchildren across Europe: The ENERGY-Project. PLoS ONE 2012;7 (4) e34742
Cutoffs:IOTF
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Overweight/obesity by age

Adults, 2023-2024

Survey type:Measured
Sample size:21032
Area covered:National
References:Encuesta de Salud de España – ESdE 2023 (ESdE2023). Available at: https://vsf-iwsold-pro-01.mscbs.gob.es/estadEstudios/estadisticas/encuestaSaludEspana/home.htm [Accessed 10.07.25]
Notes:Sample size listed includes all aged 15+, but this data only includes those aged 18+
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Adults, 2022

Survey type:Self-reported
Area covered:National
References:Eurostat 2022 Data. Available at: https://ec.europa.eu/eurostat/databrowser/view/ilc_hch10__custom_16790073/default/table?lang=en&page=time:2022 [Accessed 20.05.25]
Definitions:EUROSTAT 2022 data derived from EU statistics on income and living conditions (EU-SILC) survey which includes adults aged 16+ years. This differs from most EUROSTAT data which is derived from the Health Interview Surveys, which includes adults aged 15+ years (though sometimes only data from adults aged 18+ reported)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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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.
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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.
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Adults, 2008-2010

Survey type:Measured
Sample size:12036
Area covered:National
References:Gutiérrez-Fisac, J. L., Guallar-Castillón, P., León-Muñoz, L. M., Graciani, A., Banegas, J. R. and Rodríguez-Artalejo, F. (2012). Prevalence of general and abdominal obesity in the adult population of Spain, 2008–2010: the ENRICA study. Obesity Reviews; 13: 388–392. doi: 10.1111/j.1467-789X.2011.00964.x
Notes:Data on waist circumference and prevalence of abdominal obesity 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.
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Children, 2023-2024

Survey type:Measured
Sample size:12678
Area covered:National
References:Estudio ALADINO 2023: Estudio sobre Alimentación, Actividad Física, Desarrollo Infantil y Obesidad en España 2023. Agencia Española de Seguridad Alimentaria y Nutrición. Ministerio de Derechos Sociales, Consumo y Agenda 2030. Madrid, 2024
Notes:The study is part of the Childhood Obesity Surveillance Initiative (COSI)
Cutoffs:WHO
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Children, 2022-2023

Survey type:Measured
Sample size:3201
Area covered:National
References:PASOS 2022 Study. https://gasolfoundation.org/wp-content/uploads/2023/07/GF-PASOS-2023-v7.pdf (Accessed 10.07.24)
Cutoffs:WHO
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Children, 2021-2022

Survey type:Self-reported
Area covered:See Report
References:Rakić JG, Hamrik Z, Dzielska A, Felder-Puig R, Oja L, Bakalár P et al. A focus on adolescent physical activity, eating behaviours, weight status and body image in Europe, central Asia and Canada. Health Behaviour in School-aged Children (HBSC) international report from the 2021/2022 survey. Volume 4. Copenhagen: WHO Regional Office for Europe; 2024. 'Any translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation. The original English edition shall be the binding and authentic edition'
Notes:HBSC aims to survey approximately 1500 pupils per age group in each country or region (totaling around 4500)
Cutoffs:+2SD
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Children, 2019

Survey type:Measured
Sample size:16665
Area covered:National
References:Ministerio de Consumo, Agency Espanola de seguirdad alimentaria y nutrction (2020) ALADINO 2019 Informe Breve. ESTUDIO SOBRE LA ALIMENTACIÓN, ACTIVIDAD FÍSICA, DESARROLLO INFANTIL Y OBESIDAD EN ESPAÑA 2019
Cutoffs:WHO
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Children, 2019-2020

Survey type:Measured
Sample size:3724
Area covered:National
References:Gómez SF, Homs C, Wärnberg J, et alStudy protocol of a population-based cohort investigating PhysCIal Activity, Sedentarism, lifestyles and Obesity in Spanish youth: the PASOS studyBMJ Open 2020;10:e036210. doi: 10.1136/bmjopen-2019-036210. Available at: https://bmjopen.bmj.com/content/10/9/e036210. Further data provided by personal communication by Dr. SANTI F. GÓMEZ of the GASOL Foundation.
Cutoffs:IOTF
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Children, 2018-2020

Survey type:Measured
Sample size:16665
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.
Cutoffs:WHO 2007
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Children, 2015-2016

Survey type:Measured
Sample size:10,899
Area covered:National
References:Available from: http://www.aecosan.msssi.gob.es/AECOSAN/docs/documentos/nutricion/observatorio/Estudio_ALADINO_2015.pdf (accesed 9th April 2019) [Article in Spanish].
Notes:IOTF cut-offs used. Translated graphics for data by age category are also available from 2011-12 and 2010-11 (on request).
Cutoffs:IOTF
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Children, 2012

Survey type:Measured
Sample size:978
Area covered:National
References:Sánchez-Cruz J-J, et al. Prevalencia de obesidad infantil y juvenil en España en 2012. Rev Esp Cardiol. 2013. http://dx.doi.org/10.1016/j.recesp.2012.10.16 (last accessed 20.5.15)
Cutoffs:IOTF
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Children, 2012-2013

Survey type:Measured
Sample size:7yrs 1820 8yrs 1606 Both genders
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
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Children, 2011-2012

Survey type:Self-reported
Sample size:6051
Area covered:National
References:National Health Survey: http://www.ine.es/jaxi/tabla.do (last accessed 20.5.15)
Notes:Self Report
Cutoffs:IOTF
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Children, 2010-2011

Survey type:Measured
Sample size:7659
Area covered:National
References:Pérez-Farinós N, López-Sobaler AM, Dal Re MÁ, Villar C, Labrado E, Robledo T, Ortega RM. The ALADINO study: a national study of prevalence of overweight and obesity in Spanish children in 2011. Biomed Res Int. 2013;2013:163687. doi: 10.1155/2013/163687. Epub 2013 Sep 8
Cutoffs:IOTF
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Overweight/obesity by region

Adults, 2023-2024

Survey type:Self-reported
Age:18+
Sample size:21,032
Area covered:National
References:Encuesta de Salud de España – ESdE 2023 (ESdE2023). Available at: https://vsf-iwsold-pro-01.mscbs.gob.es/estadEstudios/estadisticas/encuestaSaludEspana/home.htm [Accessed 10.07.25]
Notes:Sample size for 15+ years nationally, only 18+ in autonomous communities included
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Adults, 2020

Survey type:Self-reported
Age:18+
Sample size:57,131
Area covered:National
References:Gutiérrez-González, E., García-Solano, M., Pastor-Barriuso, R., de, F., Almudena Rollán-Gordo, Belén Peñalver-Argüeso, Peña-Rey, I., Pollán, M. and Pérez-Gómez, B. (2023). Socio-geographical disparities of obesity and excess weight in adults in Spain: insights from the ENE-COVID study. Frontiers in Public Health, [online] 11. doi.org/10.3389/fpubh.2023.1195249 ‌
Notes:Data from the ENE-COVID study 2020 (crude prevalence). Overweight data manually derived from excess weight (BMI≥25 kg/m2)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Men, 2020

Survey type:Self-reported
Age:18+
Sample size:57,131
Area covered:National
References:Gutiérrez-González, E., García-Solano, M., Pastor-Barriuso, R., de, F., Almudena Rollán-Gordo, Belén Peñalver-Argüeso, Peña-Rey, I., Pollán, M. and Pérez-Gómez, B. (2023). Socio-geographical disparities of obesity and excess weight in adults in Spain: insights from the ENE-COVID study. Frontiers in Public Health, [online] 11. doi.org/10.3389/fpubh.2023.1195249 ‌
Notes:Data from the ENE-COVID study 2020 (crude prevalence). Overweight data manually derived from excess weight (BMI≥25 kg/m2)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Women, 2020

Survey type:Self-reported
Age:18+
Sample size:57,131
Area covered:National
References:Gutiérrez-González, E., García-Solano, M., Pastor-Barriuso, R., de, F., Almudena Rollán-Gordo, Belén Peñalver-Argüeso, Peña-Rey, I., Pollán, M. and Pérez-Gómez, B. (2023). Socio-geographical disparities of obesity and excess weight in adults in Spain: insights from the ENE-COVID study. Frontiers in Public Health, [online] 11. doi.org/10.3389/fpubh.2023.1195249 ‌
Notes:Data from the ENE-COVID study 2020 (crude prevalence). Overweight data manually derived from excess weight (BMI≥25 kg/m2)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Adults, 2020

Survey type:Self-reported
Age:18+
Sample size:57,131
Area covered:National
References:Gutiérrez-González, E., García-Solano, M., Pastor-Barriuso, R., de, F., Almudena Rollán-Gordo, Belén Peñalver-Argüeso, Peña-Rey, I., Pollán, M. and Pérez-Gómez, B. (2023). Socio-geographical disparities of obesity and excess weight in adults in Spain: insights from the ENE-COVID study. Frontiers in Public Health, [online] 11. doi.org/10.3389/fpubh.2023.1195249 ‌
Notes:Data from the ENE-COVID study 2020 (crude prevalence). Overweight data manually derived from excess weight (BMI≥25 kg/m2). Provinces A-H
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Adults, 2020

Survey type:Self-reported
Age:18+
Sample size:57,131
Area covered:National
References:Gutiérrez-González, E., García-Solano, M., Pastor-Barriuso, R., de, F., Almudena Rollán-Gordo, Belén Peñalver-Argüeso, Peña-Rey, I., Pollán, M. and Pérez-Gómez, B. (2023). Socio-geographical disparities of obesity and excess weight in adults in Spain: insights from the ENE-COVID study. Frontiers in Public Health, [online] 11. doi.org/10.3389/fpubh.2023.1195249.
Notes:Data from the ENE-COVID study 2020 (crude prevalence). Overweight data manually derived from excess weight (BMI≥25 kg/m2). Provinces J-Z
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Adults, 2019

Survey type:Self-reported
Age:18+
Area covered:National
References:Eurostat 2019. https://doi.org/10.2908/HLTH_EHIS_BM1U [Accessed 10.07.25]
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Men, 2019

Survey type:Self-reported
Age:18+
Area covered:National
References:Eurostat 2019. https://doi.org/10.2908/HLTH_EHIS_BM1U [Accessed 10.07.25]
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Women, 2019

Survey type:Self-reported
Age:18+
Area covered:National
References:Eurostat 2019. https://doi.org/10.2908/HLTH_EHIS_BM1U [Accessed 10.07.25]
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Adults, 2017

Survey type:Self-reported
Age:18+
Sample size:23089
Area covered:National
References:ENES 2017 available at https://www.mscbs.gob.es/estadEstudios/estadisticas/encuestaNacional/encuesta2017.htm (last accessed 03.03.21)
Notes:Sample size for 15+ years nationally, only 18+ in autonomous communities included
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Men, 1990-1994

Survey type:Measured
Age:25-60
Sample size:5388
Area covered:Four Spanish regions: Catalunya, Basque Country, Madrid and Valenci
References:Aranceta J, Perez Rodrigo C, Serra Majem L et al. Influence of sociodemographic factors in the prevalence of obesity in Spain. The SEEDO '97 Study. European Journal of Clinical Nutrition (2001); 55: 430-435
Notes:Obesity defined as BMI => 30 kg/m2
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Women, 1990-1994

Survey type:Measured
Age:25-60
Sample size:5388
Area covered:Four Spanish regions: Catalunya, Basque Country, Madrid and Valenci
References:Aranceta J, Perez Rodrigo C, Serra Majem L et al. Influence of sociodemographic factors in the prevalence of obesity in Spain. The SEEDO '97 Study. European Journal of Clinical Nutrition (2001); 55: 430-435
Notes:Obesity defined as BMI => 30 kg/m2
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Men, 1990-1994

Survey type:Measured
Age:25-60
Sample size:5388
Area covered:Four Spanish regions: Catalunya, Basque Country, Madrid and Valenci
References:Aranceta J, Perez Rodrigo C, Serra Majem L et al. Influence of sociodemographic factors in the prevalence of obesity in Spain. The SEEDO '97 Study. European Journal of Clinical Nutrition (2001); 55: 430-435
Notes:Data is age-adjusted prevalence. Obesity defined as BMI => 30 kg/m2 Note that odds ratio for obesity by socio-demographic factors 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.
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Women, 1990-1994

Survey type:Measured
Age:25-60
Sample size:5388
Area covered:Four Spanish regions: Catalunya, Basque Country, Madrid and Valenci
References:Aranceta J, Perez Rodrigo C, Serra Majem L et al. Influence of sociodemographic factors in the prevalence of obesity in Spain. The SEEDO '97 Study. European Journal of Clinical Nutrition (2001); 55: 430-435
Notes:Data is age-adjusted prevalence. Obesity defined as BMI => 30 kg/m2 Note that odds ratio for obesity by socio-demographic factors 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.
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Children, 2017

Survey type:Self-reported
Age:2-17
Sample size:6106
Area covered:National
References:Informe Anual del Sistema Nacional de Salud 2019, Available at: https://www.mscbs.gob.es/estadEstudios/estadisticas/sisInfSanSNS/tablasEstadisticas/InfAnualSNS2019/Informe_SNS_2019.pdf. Data from Spanish National Health Survey 2017. Available at: https://www.mscbs.gob.es/estadEstudios/estadisticas/encuestaNacional/encuestaNac2017/ENSE17_Metodologia.pdf. Both last accessed: 06.05.21.
Cutoffs:IOTF
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Overweight/obesity by age and region

Adults, 2019

Survey type:Self-reported
Area covered:National
References:Eurostat 2019. https://doi.org/10.2908/HLTH_EHIS_BM1U [Accessed 11.07.25]
Notes:Data for 18-24 year old females from rural areas flagged for low reliability
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Men, 2019

Survey type:Self-reported
Area covered:National
References:Eurostat 2019. https://doi.org/10.2908/HLTH_EHIS_BM1U [Accessed 11.07.25]
Notes:Data for 18-24 year old females from rural areas flagged for low reliability
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Women, 2019

Survey type:Self-reported
Area covered:National
References:Eurostat 2019. https://doi.org/10.2908/HLTH_EHIS_BM1U [Accessed 11.07.25]
Notes:Data for 18-24 year old females from rural areas flagged for low reliability
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Men, 2014

Survey type:Self-reported
Area covered:National
References:Eurostat 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.
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Women, 2014

Survey type:Self-reported
Area covered:National
References:Eurostat 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.
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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.
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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.
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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.
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Adults, 2014

Survey type:Self-reported
Area covered:National
References:Eurostat 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.
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Men, 2014

Survey type:Self-reported
Area covered:National
References:Eurostat 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.
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Women, 2014

Survey type:Self-reported
Area covered:National
References:Eurostat 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.
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Overweight/obesity by socio-economic group

Adults, 2023-2024

Survey type:Self-reported
Age:18+
Sample size:21032
Area covered:National
References:Encuesta de Salud de España – ESdE 2023 (ESdE2023). Available at: https://vsf-iwsold-pro-01.mscbs.gob.es/estadEstudios/estadisticas/encuestaSaludEspana/home.htm [Accessed 10.07.25]
Notes:Sample size listed includes all aged 15+, but this data only includes those aged 18+
Definitions:Social class based on the occupation of the reference person
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Men, 2023-2024

Survey type:Self-reported
Age:18+
Sample size:21032
Area covered:National
References:Encuesta de Salud de España – ESdE 2023 (ESdE2023). Available at: https://vsf-iwsold-pro-01.mscbs.gob.es/estadEstudios/estadisticas/encuestaSaludEspana/home.htm [Accessed 10.07.25]
Notes:Sample size listed includes all aged 15+, but this data only includes those aged 18+
Definitions:Social class based on the occupation of the reference person
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Women, 2023-2024

Survey type:Self-reported
Age:18+
Sample size:21032
Area covered:National
References:Encuesta de Salud de España – ESdE 2023 (ESdE2023). Available at: https://vsf-iwsold-pro-01.mscbs.gob.es/estadEstudios/estadisticas/encuestaSaludEspana/home.htm [Accessed 10.07.25]
Notes:Sample size listed includes all aged 15+, but this data only includes those aged 18+
Definitions:Social class based on the occupation of the reference person
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Men, 2017

Survey type:Self-reported
Age:18+
Sample size:23,089
Area covered:National
References:Spanish National Health Survey 2017 (Encuesta Nacional de Salud 2017). Available at: https://www.mscbs.gob.es/estadEstudios/estadisticas/encuestaNacional/encuesta2017.htm. Last accessed: 11.05.21.
Definitions:Social class based on the occupation of the reference person.
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Women, 2017

Survey type:Self-reported
Age:18+
Sample size:23,089
Area covered:National
References:Spanish National Health Survey 2017 (Encuesta Nacional de Salud 2017). Available at: https://www.mscbs.gob.es/estadEstudios/estadisticas/encuestaNacional/encuesta2017.htm. Last accessed: 11.05.21.
Definitions:Social class based on the occupation of the reference person.
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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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.
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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.
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Men, 2011-2012

Survey type:Self-reported
Age:18+
Sample size:34784
Area covered:National
References:National Health Survey: http://www.ine.es/jaxi/tabla.do (last accessed 20.5.15)
Notes:Definitions: I. Directors and managers of establishments with 10 or more wage earners and professionals traditionally associated with university degrees II. Directors and managers of establishments with 10 or more wage earners, professionals traditionally associated with university degrees and other technical support professionals III. Intermediate occupations and self-employed workers IV. Supervisors and workers in skilled technical occupations V. Skilled primary sector workers and other semi-skilled workers VI. Non-skilled workers
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Women, 2011-2012

Survey type:Self-reported
Age:18+
Sample size:34784
Area covered:National
References:National Health Survey: http://www.ine.es/jaxi/tabla.do (last accessed 20.5.15)
Notes:Definitions: I. Directors and managers of establishments with 10 or more wage earners and professionals traditionally associated with university degrees II. Directors and managers of establishments with 10 or more wage earners, professionals traditionally associated with university degrees and other technical support professionals III. Intermediate occupations and self-employed workers IV. Supervisors and workers in skilled technical occupations V. Skilled primary sector workers and other semi-skilled workers VI. Non-skilled workers
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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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)
Notes:SES assessed by 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.
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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)
Notes:SES assessed by 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.
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Men, 1990-1994

Survey type:Measured
Age:25-60
Sample size:5388
Area covered:Four Spanish regions (Catalunya, Basque Country, Madrid and Valencia)
References:Aranceta J, Perez Rodrigo C, Serra Majem L et al. Influence of sociodemographic factors in the prevalence of obesity in Spain. The SEEDO '97 Study. European Journal of Clinical Nutrition (2001); 55: 430-435
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Women, 1990-1994

Survey type:Measured
Age:25-60
Sample size:5388
Area covered:Four Spanish regions (Catalunya, Basque Country, Madrid and Valencia)
References:Aranceta J, Perez Rodrigo C, Serra Majem L et al. Influence of sociodemographic factors in the prevalence of obesity in Spain. The SEEDO '97 Study. European Journal of Clinical Nutrition (2001); 55: 430-435
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Children, 2023-2024

Survey type:Measured
Age:6-9
Sample size:12678
Area covered:National
References:Estudio ALADINO 2023: Estudio sobre Alimentación, Actividad Física, Desarrollo Infantil y Obesidad en España 2023. Agencia Española de Seguridad Alimentaria y Nutrición. Ministerio de Derechos Sociales, Consumo y Agenda 2030. Madrid, 2024
Notes:The study is part of the Childhood Obesity Surveillance Initiative (COSI)
Cutoffs:WHO
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Children, 2022

Survey type:Measured
Age:8-16
Sample size:2892
Area covered:National
References:PASOS 2022 Study. https://gasolfoundation.org/wp-content/uploads/2023/01/GF-PASOS-informe-2022-WEB.pdf (Accessed 30.01.22)
Notes:Preliminary results
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Boys, 2021-2022

Survey type:Self-reported
Age:11-15
References:Raki? JG, Hamrik Z, Dzielska A, Felder-Puig R, Oja L, Bakalár P et al. A focus on adolescent physical activity, eating behaviours, weight status and body image in Europe, central Asia and Canada. Health Behaviour in School-aged Children (HBSC) international report from the 2021/2022 survey. Volume 4. Copenhagen: WHO Regional Office for Europe; 2024. 'Any translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation. The original English edition shall be the binding and authentic edition'
Notes:Family affluence scaleHBSC aims to survey approximately 1500 pupils per age group in each country or region (totaling around 4500)
Cutoffs:+2SD
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Girls, 2021-2022

Survey type:Self-reported
Age:11-15
References:Raki? JG, Hamrik Z, Dzielska A, Felder-Puig R, Oja L, Bakalár P et al. A focus on adolescent physical activity, eating behaviours, weight status and body image in Europe, central Asia and Canada. Health Behaviour in School-aged Children (HBSC) international report from the 2021/2022 survey. Volume 4. Copenhagen: WHO Regional Office for Europe; 2024. 'Any translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation. The original English edition shall be the binding and authentic edition'
Notes:Family affluence scaleHBSC aims to survey approximately 1500 pupils per age group in each country or region (totaling around 4500)
Cutoffs:+2SD
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Children, 2019-2020

Survey type:Measured
Age:8-16
Sample size:3724
Area covered:National
References:Gómez SF, Homs C, Wärnberg J, et alStudy protocol of a population-based cohort investigating PhysCIal Activity, Sedentarism, lifestyles and Obesity in Spanish youth: the PASOS studyBMJ Open 2020;10:e036210. doi: 10.1136/bmjopen-2019-036210. Available at: https://bmjopen.bmj.com/content/10/9/e036210. Further data provided by personal communication by Dr. SANTI F. GÓMEZ of the GASOL Foundation.
Cutoffs:IOTF
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Children, 2019

Survey type:Measured
Age:6-9
Sample size:16665
Area covered:National
References:Ministerio de Consumo, Agency Espanola de seguirdad alimentaria y nutrction (2020) ALADINO 2019 Informe Breve. ESTUDIO SOBRE LA ALIMENTACIÓN, ACTIVIDAD FÍSICA, DESARROLLO INFANTIL Y OBESIDAD EN ESPAÑA 2019
Definitions:Parental annual income
Cutoffs:WHO
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Boys, 2017

Survey type:Self-reported
Age:2-17
Sample size:6106
Area covered:National
References:ENES 2017 available at https://www.mscbs.gob.es/estadEstudios/estadisticas/encuestaNacional/encuesta2017.htm (last accessed 03.03.21)
Cutoffs:IOTF
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Girls, 2017

Survey type:Self-reported
Age:2-17
Sample size:6106
Area covered:National
References:ENES 2017 available at https://www.mscbs.gob.es/estadEstudios/estadisticas/encuestaNacional/encuesta2017.htm (last accessed 03.03.21)
Cutoffs:IOTF
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Children, 2012

Survey type:Measured
Age:8-17
Sample size:978
Area covered:National
References:Sánchez-Cruz J-J, et al. Prevalencia de obesidad infantil y juvenil en España en 2012. Rev Esp Cardiol. 2013. http://dx.doi.org/10.1016/j.recesp.2012.10.016 (last accessed 20.5.15)
Cutoffs:IOTF
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Children, 2007-2008

Survey type:Measured
Age:2-9
Sample size:1824
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:Lowest income groups sample size too small so excluded
Cutoffs:IOTF
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Overweight/obesity by ethnicity

Ethnic groups are as defined by publication of origin and are not as defined by WOF. In some instances ethnicity is conflated with nationality and/or race.

Adults, 2023-2024

Survey type:Self-reported
Age:18+
Sample size:21,032
Area covered:National
References:Encuesta de Salud de España – ESdE 2023 (ESdE2023). Available at: https://vsf-iwsold-pro-01.mscbs.gob.es/estadEstudios/estadisticas/encuestaSaludEspana/home.htm [Accessed 10.07.25]
Notes:Sample size listed includes all aged 15+, but this data only includes those aged 18+
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Men, 2023-2024

Survey type:Self-reported
Age:18+
Sample size:21,032
Area covered:National
References:Encuesta de Salud de España – ESdE 2023 (ESdE2023). Available at: https://vsf-iwsold-pro-01.mscbs.gob.es/estadEstudios/estadisticas/encuestaSaludEspana/home.htm [Accessed 10.07.25]
Notes:Sample size listed includes all aged 15+, but this data only includes those aged 18+
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Women, 2023-2024

Survey type:Self-reported
Age:18+
Sample size:21,032
Area covered:National
References:Encuesta de Salud de España – ESdE 2023 (ESdE2023). Available at: https://vsf-iwsold-pro-01.mscbs.gob.es/estadEstudios/estadisticas/encuestaSaludEspana/home.htm [Accessed 10.07.25]
Notes:Sample size listed includes all aged 15+, but this data only includes those aged 18+
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Adults, 2020

Survey type:Self-reported
Age:18+
Sample size:57,131
Area covered:National
References:Gutiérrez-González, E., García-Solano, M., Pastor-Barriuso, R., de, F., Almudena Rollán-Gordo, Belén Peñalver-Argüeso, Peña-Rey, I., Pollán, M. and Pérez-Gómez, B. (2023). Socio-geographical disparities of obesity and excess weight in adults in Spain: insights from the ENE-COVID study. Frontiers in Public Health, [online] 11. doi.org/10.3389/fpubh.2023.1195249. ‌
Notes:Data from the ENE-COVID study 2020 (Standardized). Overweight data manually derived from excess weight (BMI≥25 kg/m2)
Definitions:Nationality: Spanish or Other
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Men, 2020

Survey type:Self-reported
Age:18+
Sample size:57,131
Area covered:National
References:Gutiérrez-González, E., García-Solano, M., Pastor-Barriuso, R., de, F., Almudena Rollán-Gordo, Belén Peñalver-Argüeso, Peña-Rey, I., Pollán, M. and Pérez-Gómez, B. (2023). Socio-geographical disparities of obesity and excess weight in adults in Spain: insights from the ENE-COVID study. Frontiers in Public Health, [online] 11. doi.org/10.3389/fpubh.2023.1195249. ‌
Notes:Data from the ENE-COVID study 2020 (Standardized). Overweight data manually derived from excess weight (BMI≥25 kg/m2)
Definitions:Nationality: Spanish or Other
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Women, 2020

Survey type:Self-reported
Age:18+
Sample size:57,131
Area covered:National
References:Gutiérrez-González, E., García-Solano, M., Pastor-Barriuso, R., de, F., Almudena Rollán-Gordo, Belén Peñalver-Argüeso, Peña-Rey, I., Pollán, M. and Pérez-Gómez, B. (2023). Socio-geographical disparities of obesity and excess weight in adults in Spain: insights from the ENE-COVID study. Frontiers in Public Health, [online] 11. doi.org/10.3389/fpubh.2023.1195249. ‌
Notes:Data from the ENE-COVID study 2020 (Standardized). Overweight data manually derived from excess weight (BMI≥25 kg/m2)
Definitions:Nationality: Spanish or Other
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Men, 2017

Survey type:Self-reported
Age:18+
Sample size:23,089
Area covered:National
References:Spanish National Health Survey 2017 (Encuesta Nacional de Salud 2017). Available at: https://www.mscbs.gob.es/estadEstudios/estadisticas/encuestaNacional/encuesta2017.htm. Last accessed: 11.05.21.
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Women, 2017

Survey type:Self-reported
Age:18+
Sample size:23,089
Area covered:National
References:Spanish National Health Survey 2017 (Encuesta Nacional de Salud 2017). Available at: https://www.mscbs.gob.es/estadEstudios/estadisticas/encuestaNacional/encuesta2017.htm. Last accessed: 11.05.21.
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Children, 2023-2024

Survey type:Self-reported
Age:2-17
Sample size:3,641
Area covered:National
References:Encuesta de Salud de España – ESdE 2023 (ESdE2023). Available at: https://vsf-iwsold-pro-01.mscbs.gob.es/estadEstudios/estadisticas/encuestaSaludEspana/home.htm [Accessed 10.07.25]
Notes:Sample size unavailable for ages 2-17, sample size given is for ages 0-14
Cutoffs:IOTF
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Boys, 2023-2024

Survey type:Self-reported
Age:2-17
Sample size:3,641
Area covered:National
References:Encuesta de Salud de España – ESdE 2023 (ESdE2023). Available at: https://vsf-iwsold-pro-01.mscbs.gob.es/estadEstudios/estadisticas/encuestaSaludEspana/home.htm [Accessed 10.07.25]
Notes:Sample size unavailable for ages 2-17, sample size given is for ages 0-14
Cutoffs:IOTF
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Girls, 2023-2024

Survey type:Self-reported
Age:2-17
Sample size:3,641
Area covered:National
References:Encuesta de Salud de España – ESdE 2023 (ESdE2023). Available at: https://vsf-iwsold-pro-01.mscbs.gob.es/estadEstudios/estadisticas/encuestaSaludEspana/home.htm [Accessed 10.07.25]
Notes:Sample size unavailable for ages 2-17, sample size given is for ages 0-14
Cutoffs:IOTF
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Boys, 2017

Survey type:Self-reported
Age:2-17
Sample size:6106
Area covered:National
References:Spanish National Health Survey 2017 (Encuesta Nacional de Salud 2017). Available at: https://www.mscbs.gob.es/estadEstudios/estadisticas/encuestaNacional/encuesta2017.htm. Last accessed: 11.05.21.
Cutoffs:IOTF
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Girls, 2017

Survey type:Self-reported
Age:2-17
Sample size:6106
Area covered:National
References:Spanish National Health Survey 2017 (Encuesta Nacional de Salud 2017). Available at: https://www.mscbs.gob.es/estadEstudios/estadisticas/encuestaNacional/encuesta2017.htm. Last accessed: 11.05.21.
Cutoffs:IOTF
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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.
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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.
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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.
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Double burden of underweight & overweight

Adults, 2022

Survey type:Measured
Age:20+
References:NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population representative studies with 222 million children, adolescents, and adults. Lancet 2024; published online Feb 29. https://doi.org/10.1016/S0140-6736(23)02750-2.
Notes:Age Standardised estimates
Definitions:Combined prevalence of BMI<18.5 kg/m² and BMI>=30 kg/m² (double burden of underweight and obesity)
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Children, 2022

Survey type:Measured
Age:5-19
References:NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population representative studies with 222 million children, adolescents, and adults. Lancet 2024; published online Feb 29. https://doi.org/10.1016/S0140-6736(23)02750-2.
Notes:Age standardised estimates
Definitions:Combined prevalence of BMI < -2SD and BMI > 2SD (double burden of thinness and obesity)
Cutoffs:BMI < -2SD and BMI > 2SD
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Insufficient physical activity

Adults, 2022

Survey type:Self-reported
Age:18+
Area covered:National
References:WHO (2024). Prevalence of insufficient physical activity among adults aged 18-years age-standardized estimate in 2022. Available at https://www.who.int/data/gho/data/indicators/indicator-details/GHO/prevalence-of-insufficient-physical-activity-among-adults-aged-18-years-(age-standardized-estimate)-(-)
Definitions:Percent of population attaining less than 150 minutes of moderate-intensity physical activity per week, or less than 75 minutes of vigorous-intensity physical activity per week, or equivalent.
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Men, 2022

Survey type:Self-reported
Age:18+
Area covered:National
References:WHO (2024). Prevalence of insufficient physical activity among adults aged 18-years age-standardized estimate in 2022. Available at https://www.who.int/data/gho/data/indicators/indicator-details/GHO/prevalence-of-insufficient-physical-activity-among-adults-aged-18-years-(age-standardized-estimate)-(-)
Definitions:Percent of population attaining less than 150 minutes of moderate-intensity physical activity per week, or less than 75 minutes of vigorous-intensity physical activity per week, or equivalent.
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Women, 2022

Survey type:Self-reported
Age:18+
Area covered:National
References:WHO (2024). Prevalence of insufficient physical activity among adults aged 18-years age-standardized estimate in 2022. Available at https://www.who.int/data/gho/data/indicators/indicator-details/GHO/prevalence-of-insufficient-physical-activity-among-adults-aged-18-years-(age-standardized-estimate)-(-)
Definitions:Percent of population attaining less than 150 minutes of moderate-intensity physical activity per week, or less than 75 minutes of vigorous-intensity physical activity per week, or equivalent.
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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
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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
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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
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Boys, 2022

Survey type:Self-reported
Area covered:National
References:Rakic JG, Hamrik Z, Dzielska A, Felder-Puig R, Oja L, Bakalár P et al. A focus on adolescent physical activity, eating behaviours, weight status and body image in Europe, central Asia and Canada. Health Behaviour in School-aged Children international report from the 2021/2022 survey. Volume 4. Copenhagen: WHO Regional Office for Europe; 2024. Licence: CC BY-NC-SA 3.0 IGO.Health Behaviour in School-aged Children study (2023), Data browser (findings from the 2021/22 international HBSC survey): https://data-browser.hbsc.org.
Notes:Young people were asked to report the number of days over the past week during which they were physically active for a total of at least 60 minutes. The question was introduced by text defining moderate-to-vigorous physical activity (MVPA) as any activity that increases the heart rate and makes the person get out of breath some of the time, with examples provided. Findings presented on the Observatory show the proportions who report less than 60 minutes of MVPA daily. NB. National except Belgium (Flemish speaking region only)
Definitions:% reporting less than 60 minutes of MVPA daily
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Girls, 2022

Survey type:Self-reported
Area covered:National
References:Rakic JG, Hamrik Z, Dzielska A, Felder-Puig R, Oja L, Bakalár P et al. A focus on adolescent physical activity, eating behaviours, weight status and body image in Europe, central Asia and Canada. Health Behaviour in School-aged Children international report from the 2021/2022 survey. Volume 4. Copenhagen: WHO Regional Office for Europe; 2024. Licence: CC BY-NC-SA 3.0 IGO.Health Behaviour in School-aged Children study (2023), Data browser (findings from the 2021/22 international HBSC survey): https://data-browser.hbsc.org.
Notes:Young people were asked to report the number of days over the past week during which they were physically active for a total of at least 60 minutes. The question was introduced by text defining moderate-to-vigorous physical activity (MVPA) as any activity that increases the heart rate and makes the person get out of breath some of the time, with examples provided. Findings presented on the Observatory show the proportions who report less than 60 minutes of MVPA daily. NB. National except Belgium (Flemish speaking region only)
Definitions:% reporting less than 60 minutes of MVPA daily
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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)
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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)
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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)
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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)
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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)
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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)
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Sugar consumption

Adults, 2016

References:Source: Euromonitor International
Definitions:Sugar consumption (Number of 500g sugar portions/person/month)
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Estimated per capita sugar sweetened beverages intake

Adults, 2016

References:Source: Euromonitor International
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Prevalence of at least daily carbonated soft drink consumption

Boys, 2021-2022

Area covered:National
References:Health Behaviour in School-aged Children study (2023), Data browser (findings from the 2021/22 international HBSC survey): https://data-browser.hbsc.org.
Definitions:Proportion who reported drinking sugary soft drinks daily (at least once)
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Girls, 2021-2022

Area covered:National
References:Health Behaviour in School-aged Children study (2023), Data browser (findings from the 2021/22 international HBSC survey): https://data-browser.hbsc.org.
Definitions:Proportion who reported drinking sugary soft drinks daily (at least once)
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Boys, 2017-2018

Area covered:National
References:Health Behaviour in School-aged Children study (2020), Data browser (findings from the 2017/18 international HBSC survey): https://data-browser.hbsc.org.
Definitions:Proportion who reported drinking sugary soft drinks daily (at least once)
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Girls, 2017-2018

Area covered:National
References:Health Behaviour in School-aged Children study (2020), Data browser (findings from the 2017/18 international HBSC survey): https://data-browser.hbsc.org.
Definitions:Proportion who reported drinking sugary soft drinks daily (at least once)
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Children, 2014

Survey type:Measured
References:World Health Organization. (2017). Adolescent obesity and related behaviours: Trends and inequalities in the who european region, 2002-2014: observations from the Health Behavior in School-aged Children (HBSC) WHO collaborative cross-national study (J. Inchley, D. Currie, J. Jewel, J. Breda, & V. Barnekow, Eds.). World Health Organization. Sourced from Food Systems Dashboard http://www.foodsystemsdashboard.org
Notes:15-year-old adolescents
Definitions:Prevalence of at least daily carbonated soft drink consumption (% of at least daily carbonated soft drink consumption)
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Prevalence of confectionery consumption

Adults, 2016

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

Boys, 2021-2022

Survey type:Self-reported
Area covered:National
References:Rakic JG, Hamrik Z, Dzielska A, Felder-Puig R, Oja L, Bakalár P et al. A focus on adolescent physical activity, eating behaviours, weight status and body image in Europe, central Asia and Canada. Health Behaviour in School-aged Children international report from the 2021/2022 survey. Volume 4. Copenhagen: WHO Regional Office for Europe; 2024. Licence: CC BY-NC-SA 3.0 IGO
Definitions:Proportion who reported eating fruit less than daily
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Girls, 2021-2022

Survey type:Self-reported
Area covered:National
References:Rakic JG, Hamrik Z, Dzielska A, Felder-Puig R, Oja L, Bakalár P et al. A focus on adolescent physical activity, eating behaviours, weight status and body image in Europe, central Asia and Canada. Health Behaviour in School-aged Children international report from the 2021/2022 survey. Volume 4. Copenhagen: WHO Regional Office for Europe; 2024. Licence: CC BY-NC-SA 3.0 IGO
Definitions:Proportion who reported eating fruit less than daily
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Children, 2018-2020

Survey type:Self-reported
Age:6-9
Sample size:16307
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
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Boys, 2018-2020

Survey type:Self-reported
Age:6-9
Sample size:16307
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
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Girls, 2018-2020

Survey type:Self-reported
Age:6-9
Sample size:16307
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
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Boys, 2017-2018

Survey type:Self-reported
Area covered:National
References:Health Behaviour in School-aged Children study (2020), Data browser (findings from the 2017/18 international HBSC survey): https://data-browser.hbsc.org.
Definitions:Proportion who reported eating fruit less than daily
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Girls, 2017-2018

Survey type:Self-reported
Area covered:National
References:Health Behaviour in School-aged Children study (2020), Data browser (findings from the 2017/18 international HBSC survey): https://data-browser.hbsc.org.
Definitions:Proportion who reported eating fruit less than daily
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Children, 2014

Survey type:Self-reported
Age:11-15
Area covered:National
References:World Health Organization. (2017). Adolescent obesity and related behaviours: Trends and inequalities in the who european region, 2002-2014: observations from the Health Behavior in School-aged Children (HBSC) WHO collaborative cross-national study (J. Inchley, D. Currie, J. Jewel, J. Breda, & V. Barnekow, Eds.).
Definitions:Proportion who reported eating fruit less than daily
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Boys, 2013-2014

Survey type:Self-reported
Area covered:National
References:Health Behaviour in School-aged Children study, Data browser (findings from the 2013/14 international HBSC survey): https://data-browser.hbsc.org.
Definitions:Proportion who reported eating fruit less than daily
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Girls, 2013-2014

Survey type:Self-reported
Area covered:National
References:Health Behaviour in School-aged Children study, Data browser (findings from the 2013/14 international HBSC survey): https://data-browser.hbsc.org.
Definitions:Proportion who reported eating fruit less than daily
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Prevalence of less than daily vegetable consumption

Boys, 2021-2022

Survey type:Self-reported
Area covered:National
References:Rakic JG, Hamrik Z, Dzielska A, Felder-Puig R, Oja L, Bakalár P et al. A focus on adolescent physical activity, eating behaviours, weight status and body image in Europe, central Asia and Canada. Health Behaviour in School-aged Children international report from the 2021/2022 survey. Volume 4. Copenhagen: WHO Regional Office for Europe; 2024. Licence: CC BY-NC-SA 3.0 IGO
Definitions:Prevalence of less-than-daily vegetable consumption (% less-than-daily vegetable consumption)
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Girls, 2021-2022

Survey type:Self-reported
Area covered:National
References:Rakic JG, Hamrik Z, Dzielska A, Felder-Puig R, Oja L, Bakalár P et al. A focus on adolescent physical activity, eating behaviours, weight status and body image in Europe, central Asia and Canada. Health Behaviour in School-aged Children international report from the 2021/2022 survey. Volume 4. Copenhagen: WHO Regional Office for Europe; 2024. Licence: CC BY-NC-SA 3.0 IGO
Definitions:Prevalence of less-than-daily vegetable consumption (% less-than-daily vegetable consumption)
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Children, 2018-2020

Survey type:Self-reported
Age:6-9
Sample size:16154
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)
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Boys, 2018-2020

Survey type:Self-reported
Age:6-9
Sample size:16154
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)
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Girls, 2018-2020

Survey type:Self-reported
Age:6-9
Sample size:16154
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)
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Boys, 2017-2018

Survey type:Self-reported
Area covered:National
References:Health Behaviour in School-aged Children study (2020), Data browser (findings from the 2017/18 international HBSC survey): https://data-browser.hbsc.org.
Definitions:Prevalence of less-than-daily vegetable consumption (% less-than-daily vegetable consumption)
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Girls, 2017-2018

Survey type:Self-reported
Area covered:National
References:Health Behaviour in School-aged Children study (2020), Data browser (findings from the 2017/18 international HBSC survey): https://data-browser.hbsc.org.
Definitions:Prevalence of less-than-daily vegetable consumption (% less-than-daily vegetable consumption)
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Children, 2014

Survey type:Self-reported
Age:11-15
Area covered:National
References:World Health Organization. (2017). Adolescent obesity and related behaviours: Trends and inequalities in the who european region, 2002-2014: observations from the Health Behavior in School-aged Children (HBSC) WHO collaborative cross-national study (J. Inchley, D. Currie, J. Jewel, J. Breda, & V. Barnekow, Eds.).
Definitions:Prevalence of less-than-daily vegetable consumption (% less-than-daily vegetable consumption)
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Boys, 2013-2014

Survey type:Self-reported
Area covered:National
References:Health Behaviour in School-aged Children study, Data browser (findings from the 2013/14 international HBSC survey): https://data-browser.hbsc.org.
Definitions:Prevalence of less-than-daily vegetable consumption (% less-than-daily vegetable consumption)
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Girls, 2013-2014

Survey type:Self-reported
Area covered:National
References:Health Behaviour in School-aged Children study, Data browser (findings from the 2013/14 international HBSC survey): https://data-browser.hbsc.org.
Definitions:Prevalence of less-than-daily vegetable consumption (% less-than-daily vegetable consumption)
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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)
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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)
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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)
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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)
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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)
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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
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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)
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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)
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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)
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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
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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
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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
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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
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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)
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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)
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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)
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Percent of population who cannot afford a healthy diet

Adults, 2024

Area covered:National
References:FAO. 2025. FAOSTAT: Cost and Affordability of a Healthy Diet (CoAHD). https://www.fao.org/faostat/en/#data/CAHD. Licence: CC-BY-4.0. [Last Accessed 15.10.25]
Notes:The percent of the population whose food budget is below the cost of a healthy diet.
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Adults, 2022

Area covered:National
References:The Food Systems Dashboard. The Global Alliance for Improved Nutrition (GAIN), The Columbia Climate School, and Cornell University College of Agriculture and Life Sciences. 2024. Geneva, Switzerland. https://www.foodsystemsdashboard.org. DOI: https://doi.org/10.36072/db.
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Oesophageal cancer

Men, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Indicence per 100,000
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Women, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Indicence per 100,000
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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 10.01.2329
Definitions:Age-standardized indicence rates per 100 000
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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 10.01.2329
Definitions:Age-standardized indicence rates per 100 000
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Breast cancer

Women, 2022

Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Incidence per 100,000
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Colorectal cancer

Men, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Incidence per 100,000
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Women, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Incidence per 100,000
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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 10.01.2329
Definitions:Age-standardized indicence rates per 100 000
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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 10.01.2329
Definitions:Age-standardized indicence rates per 100 000
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Pancreatic cancer

Men, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Incidence per 100,000
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Women, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Incidence per 100,000
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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 10.01.2329
Definitions:Age-standardized indicence rates per 100 000
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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 10.01.2329
Definitions:Age-standardized indicence rates per 100 000
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Gallbladder cancer

Men, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Indicence per 100,000
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Women, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Indicence per 100,000
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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 10.01.2329
Definitions:Age-standardized indicence rates per 100 000
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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 10.01.2329
Definitions:Age-standardized indicence rates per 100 000
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Kidney cancer

Men, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Incidence per 100,000
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Women, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Incidence per 100,000
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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 10.01.2329
Definitions:Age-standardized indicence rates per 100 000
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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 10.01.2329
Definitions:Age-standardized indicence rates per 100 000
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Cancer of the uterus

Women, 2022

Age:20+
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Incidence per 100,000
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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 10.01.2329
Definitions:Age-standardized indicence rates per 100 000
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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).
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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).
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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).
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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).
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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).
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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).
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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).
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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).
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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
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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, %
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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 (%).
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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 (%).
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Ovarian Cancer

Women, 2022

Age:20+
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Incidence per 100,000
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Leukemia

Men, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Incidence per 100,000
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Women, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Incidence per 100,000
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
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Liver and intrahepatic bile duct Cancer

Men, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Incidence per 100,000
Download graph Add to custom PDF

Women, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Incidence per 100,000
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Multiple Myeloma

Men, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Indicence per 100,000
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
Download graph Add to custom PDF

Women, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Indicence per 100,000
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
Download graph Add to custom PDF

Non Hodgkin Lymphoma

Men, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Incidence per 100,000
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
Download graph Add to custom PDF

Women, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Incidence per 100,000
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².
Download graph Add to custom PDF

Thyroid Cancer

Men, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Incidence per 100,000
Download graph Add to custom PDF

Women, 2022

Age:20+
Area covered:National
References:Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2024).Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.who.int/today, accessed [16.07.24]
Definitions:Incidence per 100,000
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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

Royal Decree on Healthy and Sustainable School Canteens

This Royal Decree requires all schools that serve lunch to follow new nutritional standards, as of September 2025. Five healthy meals consisting primarily of fresh, seasonal foods must be provided per week. These meals should include more legumes, wholegrains, and seasonal vegetables. Processed pastries, sugary drinks, and energy drinks are banned from canteens and vending machines, and only one fried dish can be provided per week. This decree is intended to combat rising childhood obesity and socioeconomic health inequalities in Spain.

Categories:Evidence of School Food Regulations
Categories (partial):Evidence of Nutritional or Health Strategy/Guidelines/Policy/Action plan
Year(s):2025 (ongoing)
Target age group:Children
Organisation:Government
Find out more:www.dsca.gob.es
Linked document:Download linked document

The National Strategy for the Promotion of Sport against Sedentarism and Physical Inactivity (2025-2030)

Estrategia Nacional de Fomento del Deporte Contra el Sedentarismo y la Inactividad Física (2025-2030) lays out plans to increase physical activity with the aims of improving public health and preventing the development of NCDs, overweight and obesity. (Report in Spanish)

Categories:Evidence of Physical Activity Guidelines/Policy
Year(s):2025 (ongoing)
Target age group:Adults and children
Organisation:Government
Find out more:www.csd.gob.es
Linked document:Download linked document

Commercial Determinants of Noncommunicable Diseases in the WHO European Region

This report highlights the substantial impact of commercial determinants on noncommunicable diseases (‎NCDs)‎ in the WHO European Region. Nearly 7500 deaths per day in the Region are attributed to commercial determinants, such as tobacco, alcohol,processed food, fossil fuels and occupational practices. These commercial products and practices contribute to 25% of all deaths in the Region. The report’s chapters systematically explore various facets of how commercial interests exacerbate NCDs and key strategies used by commercial actors to negatively influence NCD-related policies at the national and international level. The reportalso provides selected case studies from the Region to illustrate key strategies and outcomes of industry influence on health policies.The report then calls for urgent and coordinated action to address the commercial determinants of NCDs. It advocates for building coalitions based on the values of equity, sustainability, and resilience. Public health actors are urged to develop competencies in economic and legal frameworks, enforce transparency, and manage conflicts of interest effectively. The report underscores the need for robust financial reforms and strict regulation to curb industry power and protect public health. By implementing these strategies, the Region can accelerate progress towards global NCD targets and Sustainable Development Goals by 2030.

Categories:Evidence of Marketing Guidelines/Policy
Year(s):2024 (ongoing)
Target age group:Adults and children
Organisation:World Health Organisation (WHO)
Linked document:Download linked document
References:World Health Organization. Regional Office for Europe. (‎2024)‎. Commercial Determinants of Noncommunicable Diseases in the WHO European Region. World Health Organization. Regional Office for Europe. https://iris.who.int/handle/10665/376957. License: CC BY-NC-SA 3.0 IGO

GIRO - Spanish guide to management of obesity

The Spanish Society for the Study of Obesity (SEEDO) published the 2nd edition of the Spanish guideline for obesity management in adults (GIRO) in March 2024. The guidelines recognise obesity as a chronic, complex, relapsing disease that requires a personalised and stigma-free approach from healthcare professionals (HCPs). (GIRO document available in Spanish, research article in English).

Categories:Evidence of Management/treatment guidelines
Year(s):2024 (ongoing)
Target age group:Adults
Organisation:Spanish Society for the Study of Obesity (SEEDO)
Find out more:karger.com
Linked document:Download linked document
References:Lecube A., Azcona C., Azriel S., Baile JI., Barreiro E., Blay G., Cañadas O., Bourgon L., Carretero J., Carrillo L., Ciudin A., Codesal M., Coronado PJ., Couto I., Estévez J., Ferraz I., Fernández-Fi - gares MªP., Fernández JM., Flores L., García I., Gimeno AM., González S., Gualdrón MªA., de Hollanda A., Martínez E., Martínez AD., Miñambres I., Moizé V., Morales C., O’Connor C., Orive A., Ramírez V., Romero M., Ruiz J., Salvador J., Serrano C., Soler MJ., Supervía M., Torremadé J., Valentí V., Vicente G., Vilarrasa N., Malagón MªM. “2ª edición Guía Española GIRO: guía española del manejo integral y multidisciplinar de la obesidad en personas adultas, 2024 https://www.seedo.es/index.php/guia-giro

Interministerial Committee to combat Child Obesity

The Government has set up a committee to promote and co-ordinate the National Strategic Plan for the Reduction of Childhood Obesity (2022-2030). The committee includes representatives from 18 ministerial departments that were involved in creating the plan.

Categories:Evidence of National Obesity Strategy/Policy or Action plan
Evidence of a multi-sectoral national coordination mechanism for obesity or nutrition (including obesity)
Year(s):2024 (ongoing)
Target age group:Children
Organisation:Government
Find out more:www.sanidad.gob.es

JA PreventNCD

Joint Action to Prevent Non-Communicable Diseases and Cancer (JA Prevent NCD) is a three year project funded by the EUforHealth 2021-2027 programme. It is designed to reduce the burden of cancer and NCDs across Europe by supporting member states (22 EU member states and Iceland, Norway, and Ukraine) to implement effective prevention strategies by focusing on both personal and societal risk factors. The project aims to reduce fragmentation and duplication of actions.

Categories:Transnational Obesity Strategies/Policy/Recommendations or Action Plan
Evidence of NCD strategy
Year(s):2024-2027
Organisation:EUforHealth 2021-2027
Find out more:preventncd.eu

Miajadas - Healthy bicycle and pedestrian routes

In the municipality of Miajadas, existing rural trails were improved with appropriate signage. The new, improved routes were promoted through social media, posters, and a presentation event for each route. This local project was done to promote physical activity and sustainable transport. (Document in Spanish)

Categories:Evidence of Community Interventions/Campaign
Year(s):2024 (ongoing)
Target age group:Adults and children
Organisation:Miajadas Town Hall
Find out more:sipes.sanidad.gob.es

Strategy for the Promotion of Healthy Living in Andalusia 2024-2030

This Strategy aims to promote healthy living across the Andalusian population through local interventions and policies to address health inequalities. It includes plans to reduce obesity and non-communicable diseases by promoting healthy eating and physical activity. (Report in Spanish)

Categories:Non-national obesity strategies
Year(s):2024-2030
Target age group:Adults and children
Organisation:Andalusian Regional Government, Ministry of Health and Consumer Affairs
Find out more:sipes.sanidad.gob.es
References:GARCÍA-CUBILLANA DE LA CRUZ, Pablo. Estrategia de promoción de una vida saludable en Andalucía [Recurso electrónico] : 2024-2030 / [Autoría: Pablo García-Cubillana de la Cruz, Amelia I. Martín Barato, Mª Dolores Fernández Pérez; Dirección y coordinación: Mª Dolores Fernández Pérez, Pablo García-Cubillana de la Cruz]. -- [Sevilla] : Consejería de salud y Consumo, 2024.

'Your BODY thanks you, your MIND thanks you'

The 'Lo agradece tu CUERPO, lo agradece tu MENTE' campaign was launched by the Ministry of Health to promote the importance of healthy environments and lifestyles in combatting non-communicable disease. It recommends healthy and varied eating, and active living. The campaign was promoted via posters, radio spots, and videos.

Categories:Evidence of Community Interventions/Campaign
Year(s):2022 (ongoing)
Target age group:Adults and children
Organisation:Ministry of Health
Find out more:www.sanidad.gob.es

Madrid Healthy and Sustainable Food Strategy 2022-2025

“Estrategia de Alimentación Saludable y Sostensible (EASS)" aims to develop a sustainable health system in Madrid that ensures access to healthy food.

Categories:Non-national obesity strategies
Evidence of Nutritional or Health Strategy/Guidelines/Policy/Action plan
Year(s):2022-2025
Target age group:Adults and children
Organisation:Madrid City Council
Find out more:transparencia.madrid.es
Linked document:Download linked document

National Strategic Plan for the Reduction of Childhood Obesity (2022-2030)

The National Strategic Plan for the Reduction of Childhood Obesity lays the foundations for all stakeholders in society to act against this problem by following the four pillars of healthy living habits: physical activity and sports, healthy eating, sleep and emotional well-being. It sets specific targets to reduce childhood obesity by 20-25% in 2030, reduce inequalities in childhood obesity, and increase physical activity levels by 25%. (Report in Spanish)

Categories:Evidence of Obesity Target
Evidence of National Obesity Strategy/Policy or Action plan
Categories (partial):Evidence of Nutritional or Health Strategy/Guidelines/Policy/Action plan
Year(s):2022-2033
Target age group:Children
Organisation:Government
Linked document:Download linked document

Recommendations for the population on physical activity and reducing sedentary lifestyle (2022)

The updated 2022 recommendations aim to inform the public about the amount, intensity, frequency, and duration of physical activity that benefits health. They are based on existing international recommendations and scientific evidence, with the ultimate goal of promoting more physical activity for the entire population.

Categories:Evidence of Physical Activity Guidelines/Policy
Year(s):2022 (ongoing)
Organisation:Ministry of Health
Find out more:www.sanidad.gob.es
Linked document:Download linked document

Nutri-score Labelling

The Minister for Consumer Affairs, Alberto Garzón, has announced that the front-of-pack nutritional labelling system Nutri-score would enter into force in the first four months of 2021.

Categories:Labelling Regulation/Guidelines
Year(s):2021 (ongoing)
Target age group:Adults and children
Organisation:Government
Find out more:www.lamoncloa.gob.es
References:https://www.lamoncloa.gob.es/lang/en/gobierno/news/Paginas/2020/20200626food-labelling.aspx Please note the GINA website has been replaced by the GIFNA database and the GINA link will no longer work. You will find this document by searching this new database: https://gifna.who.int/

Value Added Tax on Sugary Drinks

In 2021, the Spanish government increased the Value Added Tax (VAT) for sugary drinks as part of efforts to address rising overweight and obesity. The new tax rate is set a 21% (an increase from 10%). This increase was approved through Law 11/2020 of 30th December on the 2021 General State Budget (LGPE) (article 69).

Categories:Taxation/Subsidies on Food or Beverages or law relating to public health
Year(s):2021 (ongoing)
Target age group:Adults and children
Organisation:Government
Find out more:sede.agenciatributaria.gob.es
References:https://policydatabase.wcrf.org/level_one?page=nourishing-level-one#step2=2#step3=315

'Put more heroes on your plate' campaign

The Spanish Agency for Food Safety and Nutrition (AESAN) launched the 'Put more heroes on your plate and fill your life with superpowers' campaign to promote healthy eating and combat childhood obesity. It encourages children to exercise, and to eat fruits, vegetables, and legumes. The campaign was disseminated on social media (Instagram, WhatsApp, TikTok) with videos, infographics, and filters. A website with online games and information was also set up.

Categories:Evidence of Community Interventions/Campaign
Year(s):2020 (ongoing)
Target age group:Children
Organisation:Spanish Agency for Food Safety and Nutrition (AESAN)
Find out more:www.aesan.gob.es

'Sugar I Leave You' Campaign

'Azúcar, te dejo' was a social media campaign by the Spanish Agency for Food Safety and Nutrition (AESAN). It aimed to reduce sugar consumption.

Categories:Evidence of Community Interventions/Campaign
Year(s):2020 (ongoing)
Target age group:Adults
Organisation:Spanish Agency for Food Safety and Nutrition (AESAN)
Find out more:www.aesan.gob.es

Los Salvacomidas

Los Salvacomidas is a nutritional educational programme for children and adolescents. It aims to promote healthy eating and reduce food waste.

Categories:Evidence of Community Interventions/Campaign
Year(s):2020 (ongoing)
Target age group:Children
Organisation:EIT Food
Find out more:www.eitfood.eu

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) Please note the GINA website has been replaced by the GIFNA database and the GINA link will no longer work. You will find this document by searching this new database: https://gifna.who.int/

European practical and patient-centred guidelines for adult obesity management in primary care

This article aims to provide obesity management guidelines specifically tailored to GPs, favouring a practical patient-centred approach. The focus is on GP communication and motivational interviewing as well as on therapeutic patient education. The new guidelines highlight the importance of avoiding stigmatization, something frequently seen in different health care settings. In addition, managing the psychological aspects of the disease, such as improving self-esteem, body image and quality of life must not be neglected.

Categories:Evidence of Management/treatment guidelines
Year(s):2019 (ongoing)
Linked document:Download linked document
References:Dominique Durrer Schutz, Luca Busetto, Dror Dicker, Nathalie Farpour-Lambert, Rachel Pryke, Hermann Toplak, Daniel Widmer, Volkan Yumuk, Yves Schutz; European Practical and Patient-Centred Guidelines for Adult Obesity Management in Primary Care. Obes Facts 15 March 2019; 12 (1): 40–66. https://doi.org/10.1159/000496183

Impact of Catalonia sugar-sweetened beverage tax

This study assesses the impact of the excise tax on sugar-sweetened beverages in Catalonia. It finds that the number of regular consumers of these beverages fell following the tax.

Categories:Health Effectiveness Reviews (obesity related)
Year(s):2019 (ongoing)
Target age group:Adults and children
References:Royo-Bordonada, M.Á., Fernández-Escobar, C., Simón, L., Sanz-Barbero, B. and Padilla, J. (2019). Impact of an excise tax on the consumption of sugar-sweetened beverages in young people living in poorer neighbourhoods of Catalonia, Spain: a difference in differences study. BMC Public Health, [online] 19(1). doi:https://doi.org/10.1186/s12889-019-7908-5. ‌

Maximum limit for salt in bread

In April 2019, a maximum mandatory limit for the salt content in bread was set, through Royal Decree 308/2019. It restricts the classifications of ‘wholemeal’, ‘sourdough’, ‘artisanal’ and ‘multicereal’ bread and sets the maximum allowable salt in the ordinary bread as a finished product must be 1.66 grams of salt per 100 grams of bread, when analysed by determination of total sodium (Article 11. 2c).

Categories:Evidence of Nutritional or Health Strategy/Guidelines/Policy/Action plan
Year(s):2019 (ongoing)
Target age group:Adults and children
Organisation:Government
Find out more:boe.es

Collaboration Plan for the Improvement of Food and Beverage Composition 2020

This plan, led by the Spanish Agency for Food Safety and Nutrition (AESAN), aimed to reduce the levels of sugar, salt and fat in a wide range of popular food products. 180 voluntary commitments were signed by representatives of over 300 companies in the food sector. These also included reducing portion sizes, increasing the availability of healthy foods, and limiting the availability of unhealthy foods. A final evaluation of the project, carried out by AESAN, found that 99% of the objectives have been met. (Documents available in Spanish and English).

Categories:Industry/Government regulations - voluntary /pledges
Year(s):2017-2020
Target age group:Adults and children
Organisation:Spanish Agency for Food Safety and Nutrition (AESAN)
Find out more:www.aesan.gob.es
Linked document:Download linked document

Evaluation of compliance with the Spanish Code of self-regulation of food and drinks advertising

This evaluation found that compliance levels were lower in 2012 compared to 2008, and recommends a statutory system instead of self-regulation.

Categories:Health Effectiveness Reviews (obesity related)
Year(s):2017
Find out more:pubmed.ncbi.nlm.nih.gov
References:León-Flández K et al. (2017) Evaluation of compliance with the Spanish Code of self-regulation of food and drinks advertising directed at children under the age of 12 years in Spain, 2012. Public health, 150, 121-129. Information provided with kind permission of World Cancer Research Fund International from their NOURISHING framework www.wcrf.org/NOURISHING

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

Sugar sweetened beverage tax (Catalonia)

Two-tier sugar sweetened beverage tax in Catalonia.

Categories:Taxation/Subsidies on Food or Beverages or law relating to public health
Year(s):2017 (ongoing)
Target age group:Adults and children
Organisation:Gobierno de Espana
Find out more:www.hacienda.gob.es
Linked document:Download linked document
References:Gobierno de España. Impuesto bebidas azucaradas envasadas CATALUÑA. Available from: http://www.hacienda.gob.es/Documentacion/Publico/PortalVarios/FinanciacionTerritorial/Autonomica/TributosPropios/Normativa/2017/14.%20Impuesto%20bebidas%20azucaradas%20envasadas%20CATALU%C3%91A%202017.pdf. [Accessed 13 December 2018].

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/

Physical activity strategy for the WHO European Region 2016-2025

The strategy focuses on physical activity as a leading factor in health and well-being in the European Region, with particular attention to the burden of non-communicable diseases associated with insufficient activity levels and sedentary behaviour. It aims to cover all forms of physical activity throughout the life-course.

Categories:Evidence of Physical Activity Guidelines/Policy
Year(s):2016-2025
Target age group:Adults and children
Organisation:WHO Regional Office for Europe
Find out more:www.who.int
Linked document:Download linked document

Recommendations for the population on physical activity and reducing sedentary lifestyle (2015)

These recommendations aim to raise awareness of the population which is the amount, intensity, frequency and duration of physical activity that benefits health. They are based on existing international recommendations and on scientific evidence, with the ultimate goal that all people should be more active physically.

Categories:Evidence of Physical Activity Guidelines/Policy
Year(s):2015-2022
Target age group:Adults and children
Organisation:Ministry of Health, Social Services and Equality
Linked document:Download linked document
References:Ministerio de Sanidad, Servicios Sociales e Igualdad. Actividad Física para la Salud y Reducción del Sedentarismo. Recomendaciones para la población. Estrategia de Promoción de la Salud y Prevención en el SNS. Madrid, 2015

Take action, advise health

Take action, advise health (Acta­vate, aconseja salud) is a free online course for health professionals, that enables them to prescribe physical activity through the institutions of the Spanish National Health System.

Categories:Training
Year(s):2015 (ongoing)
Target age group:Adults and children
Organisation:The Ministry of Education, Culture and Sports
Linked document:Download linked document

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/Recommendations 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 &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;zwnj;

Som la pera

'Som la pera' is one of the European Youth Tackling Obesity (EYTO) campaigns and is a school-based intervention using events and activities to encourage healthy living. It involves challenges designed by young people to increase physical activity and consumption of fruits and vegetables.

Categories:Evidence of Community Interventions/Campaign
Year(s):2013 (ongoing)
Target age group:Children
Organisation:European Youth Tackling Obesity (EYTO) project
Find out more:www.eyto.org.uk
References:European Youth Tackling Obesity (EYTO) project. http://www.eyto.org.uk/about/the-campaigns/home (last accessed 10 Feb 2016)

The Prevention and Health Promotion Strategy of the NHS

'La Estrategia de Promoción de la Salud y Prevención en el Sistema Nacional de Salud' proposes the progressive development of interventions aimed at improving health. It focuses on combating non-communicable diseases and related risk factors. The strategy aims to encourage healthy lifestyles and behaviours among children and adults. (Report in Spanish, Executive Summary available in English)

Categories:Evidence of NCD strategy
Year(s):2013-2026
Target age group:Adults and children
Organisation:Ministry of Health
Find out more:www.sanidad.gob.es
Linked document:Download linked document

White Paper on Nutrition in Spain

This white paper seeks to be a pioneering tool in Spain and to be both a nutritional resource for academia, scientis and policy makers.

Categories:Evidence of Nutritional or Health Strategy/Guidelines/Policy/Action plan
Year(s):2013 (ongoing)
Target age group:Adults and children
Organisation:Government
Find out more:www.aecosan.msssi.gob.es
Linked document:Download linked document
References:Agencia Española de Seguridad Alimentaria y Nutrición y el Instituto Nacional de Consumo

FESNAD and SEESO recommendations for prevention and treatment for overweight and obesity in adults

Evidence based Nutritional recommendations for preventing and treating overweight and obesity (developed by two Spanish scientific associations, FESNAD (Spanish Federation of Nutrition, Food and Dietetic Associations) and SEEDO (Spanish Association for the Study of Obesity)).

Categories:Evidence of Management/treatment guidelines
Year(s):2012 (ongoing)
Target age group:Adults and children
Organisation:FESNAD (Spanish Federation of Nutrition, Food and Dietetic Associations) and SEEDO (Spanish Association for the Study of Obesity)
Find out more:www.ncbi.nlm.nih.gov
Linked document:Download linked document
References:Fernández Manuel M. G, Lesmes I.B, Marset J.B, Izquierdo J.Q, Sala X.F, Salas-Salvadó J; FESNAD-SEEDO consensus group (2012). Evidence-based nutritional recommendations for the prevention and treatment of overweight and obesity in adults (FESNAD-SEEDO consensus document). The role of diet in obesity treatment (III/III). Nutrición Hospitalaria. 27(3). pp. 833-64.

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
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/22917 (last accessed 28.06.22) Please note the GINA website has been replaced by the GIFNA database and the GINA link will no longer work. You will find this document by searching this new database: https://gifna.who.int/

Evaluation of the EU school milk and fruit scheme

This report found that the EU School Milk Scheme has had a very limited real impact on schools, and makes recommendations based on its shortcomings for the EU School Fruit Scheme.

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

Law on Nutrition and Food Safety (Ley 17/2011)

Law on Nutrition and Food Safety (Ley 17/2011) prevents kindergartens and schools from selling food and beverages high in saturated fat, trans fat, salt and sugar. The law also state kindergartens and schools should be free from advertising.

Categories:Evidence of Marketing Guidelines/Policy
Evidence of Nutritional or Health Strategy/Guidelines/Policy/Action plan
Evidence of School Food Regulations
Year(s):2011 (ongoing)
Target age group:Children
Organisation:Government
Find out more:policydatabase.wcrf.org
References:https://policydatabase.wcrf.org/level_one?page=nourishing-level-one#step2=1#step3=337

Madrid - Alimentación, Actividad fisica y Salud (ALAS – Food, Physical Activity and Health)

The ALAS programme was established in Madrid in 2011, aiming to reduce the prevalence of obesity and NCDs by promoting regular exercise and healthy eating. The programme holds workshops on healthy food options, food labelling, nutrition, exercise, and changing unhealthy habits.

Categories:Non-national obesity strategies
Evidence of Community Interventions/Campaign
Year(s):2011 (ongoing)
Target age group:Adults and children
Organisation:Madrid Salud
Find out more:madridsalud.es
Linked document:Download linked document

Integral Plan for Physical Activity and Sport Promotion (Plan Integral de Actividad Fisica y el Deporte)

The Comprehensive Plan for Physical Activity and Sport is a program that aims to promote universal access to quality sport for the whole population.

Categories:Evidence of Physical Activity Guidelines/Policy
Year(s):2010-2020
Target age group:Adults and children
Organisation:High Council for Sport
Find out more:repositori.uji.es
Linked document:Download linked document

The Toy Box Study

The Toy Box intervention is a multicomponent, kindergarten-based, family-involved intervention, focusing on the promotion of water consumption, healthy snacking, physical activity and the reduction/ breaking up of sedentary time in preschool children and their families.

Categories:Evidence of Community Interventions/Campaign
Year(s):2010-2014
Target age group:Adults and children
Organisation:EU funded multidisciplinary team project
Find out more:www.toybox-study.eu

Clinical Practice Guideline for the Prevention and Treatment of Childhood and Juvenile Obesity

A set of clinical practice guidelines for the prevention and treatment of obesity in children and juveniles in Spain.

Categories:Evidence of Management/treatment guidelines
Year(s):2009 (ongoing)
Target age group:Children
Organisation:Ministry for Health and Social Policy
Linked document:Download linked document
References:Working Group of the Guideline for the Prevention and Treatment of Childhood and Juvenile Obesity; Iberoamerican Cochrane Centre, coordinator; Clinical Practice Guideline for the Prevention and Treatment of Childhood and Juvenile Obesity; CPGs: Quality Plan for the Spanish National Healthcare System of the Spanish Ministry for Health and Social Policy; Catalan Agency for Health Technology Assessment, 2009; Clinical Practice Guideline: CAHTA no. 2007/25.

Healthy eating as a family

Aims to promote healthy eating as a family by educating teachers and parents.

Categories:Evidence of Community Interventions/Campaign
Year(s):2009 (ongoing)
Target age group:Adults and children
Organisation:Hispacoop, the Spanish Confederation on Consumers and Users' Cooperatives
Find out more:www.menjasaenfamilia.org

Healthy Stadia Network

"At Healthy Stadia, we encourage professional and amateur sports clubs, league operators, national and international governing bodies of sport to develop their stadia and sports facilities as health-promoting environments. We do this by supporting them to adopt a range of policies and practices in support of the health of their fans, their staff and the surrounding community. The definition we give to Healthy Stadia is: Healthy Stadia are… those who promote the health of visitors, fans, players, employees and the surrounding community… places where people can go to have a positive, healthy experience playing or watching sport."

Categories:Evidence of Community Interventions/Campaign
Year(s):2008 (ongoing)
Target age group:Adults and children
References:https://healthystadia.eu/healthy-stadia-concept/

NAOS Strategy Working Group- AECOSAN - Health Councils of the Autonomous Communities

Since 2008, the NAOS Strategy has worked in coordination with the Autonomous Communities' Health Departments (CCAA) through a technical working group. In this group, joint initiatives are developed on issues derived from Law 17/2011 on Food Safety and Nutrition, on programmes to promote healthy eating, nutrition, or physical activity for the prevention of obesity and / or the promotion of healthy habits.

Categories:Evidence of Nutritional or Health Strategy/Guidelines/Policy/Action plan
Year(s):2008 (ongoing)
Target age group:Adults and children
Organisation:Ministry of Health
References:https://extranet.who.int/nutrition/gina/en/node/27123 Please note the GINA website has been replaced by the GIFNA database and the GINA link will no longer work. You will find this document by searching this new database: https://gifna.who.int/

Actividad física y salud en la infancia y la adolescencia Guía para todas las personas que participan en su educación

Guide for all educations on Physical Activity and Health in Children and Adolescents Guide

Categories:Evidence of Physical Activity Guidelines/Policy
Year(s):2006 (ongoing)
Target age group:Adults and children
Organisation:Ministry of Health
Linked document:Download linked document

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

Thao-Salud Infantil

"Thao-Salud Infantil is a childhood obesity prevention program whose objective is to increase HEALTHY LIVING styles in children from 0 to 12 years of age and their families. Community-based program that is applied in the municipalities , through the mobilization of different local actors of the municipality, from local authorities, educational centres, sports centres, markets, etc. to reach families."

Categories:Evidence of Community Interventions/Campaign
Year(s):2006 (ongoing)
Target age group:Children
Find out more:programathao.com
References:https://programathao.com/que-es/

Delta Project for Nutritional education and the Physical activity

"The Delta Nutrition Education Project (DELTA), emerges as response to a situation in the Autonomous Community of the Canary Islands, in the than the problems associated with food, such as overweight, obesity, diabetes, cardiovascular disease and mortality derived from these shows an upward trend... The DELTA is defined as a set of proposals, strategies and didactic materials oriented to the promotion of food healthy and physical activity, in a broader context of education for health."

Categories:Evidence of Nutritional or Health Strategy/Guidelines/Policy/Action plan
Evidence of Community Interventions/Campaign
Year(s):2005 (ongoing)
Target age group:Children
Organisation:Canary Islands Government
Linked document:Download linked document
References:https://www3.gobiernodecanarias.org/sanidad/scs/content/7cb018a1-24c8-11e1-bded-83400f7d5093/DocumentodescriptivoPROYECTODELTA.pdf

Food-based dietary guidelines: Eat healthy and move: 12 healthy decisions (Come sano y muévete: 12 decisiones saludables)

Spain published the dietary guidelines for children and adolescents in 2005. The guidelines for the general population were launched in 2008. The guidelines were developed as part of the Strategy for Nutrition, Physical Activity and the Prevention of Obesity (NAOS Strategy) of the Spanish Agency for Consumer Affairs, Food Safety and Nutrition of the Spanish Ministry of Health, Social Services and Equality.

Categories:Evidence of Nutritional or Health Strategy/Guidelines/Policy/Action plan
Year(s):2005 (ongoing)
Target age group:Adults and children
Organisation:Ministry of Health
Linked document:Download linked document
References:http://www.fao.org/nutrition/education/food-dietary-guidelines/regions/countries/spain/en/

Nutrition, Physical Activity and Obesity Prevention Strategy (NAOS)

Aims to promote a healthy diet and increase physical activity.

Categories:Evidence of Physical Activity Guidelines/Policy
Evidence of Nutritional or Health Strategy/Guidelines/Policy/Action plan
Evidence of National Obesity Strategy/Policy or Action plan
Year(s):2005 (ongoing)
Target age group:Adults and children
Organisation:The Ministry of Health and Consumer Affairs, the Ministry of Education and Science, the Ministry of Agriculture, Fisheries and Food, the Autonomous Communities, Town Councils, foundations, professionals, businesses, NGO’s and consumer associations.
Find out more:www.aesan.gob.es
Linked document:Download linked document

Self-Regulatory Code on Food Advertising to Children (CODIGO PAOS)

This is a multi-stakeholder initiative developed by the food industry in consultation with the government and the advertising industry. It includes a copy advice procedure for pre-vetting advertisements, and enforcement and monitoring bodies.

Categories:Industry/Government regulations - voluntary /pledges
Categories (partial):Evidence of Marketing Guidelines/Policy
Year(s):2005 (ongoing)
Target age group:Children
Organisation:The Spanish Federation of Food and Drink Industries (FIAB) issued the CODIGO PAOS, with support by the Ministry of Health & Consumer Affairs, and the advertising self-regulatory organisation.
Find out more:estaticos.cocacola.es
Linked document:Download linked document

GNPR 2016-17 (q7) Breastfeeding 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 Please note the GINA website has been replaced by the GIFNA database and the GINA link will no longer work. You will find this document by searching this new database: https://gifna.who.int/

IMED Multi-disciplinary unit for Obesity treatment

IMED Hospitales has set up the Multidisciplinary Unit for the Treatment of Obesity, a complete unit to solve the problems of obesity and overweight. A team of surgeons, endoscopists, psychologists, psychiatrists, endocrinologists, nutritionists, anesthesiologists, aesthetic doctors and plastic surgeons who work together to provide customized and effective solutions.

Categories:Evidence of Multidisciplinary Intervention
Target age group:Adults and children
Organisation:IMED Elche
Find out more:www.imedelche.com
Linked document:Download linked document
References:Available from: http://www.imedelche.com/fr/pagina/unidad-de-tratamiento-integral-de-la-obesidad/ [accessed August 2019]. Please note the GINA website has been replaced by the GIFNA database and the GINA link will no longer work. You will find this document by searching this new database: https://gifna.who.int/

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?Absent
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?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?Present-(voluntary)
Are there mandatory standards for food in schools?Present
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?Present
National childhood obesity strategy?Present
Comprehensive nutrition strategy?Present
Comprehensive physical activity strategy?Present
Evidence-based dietary guidelines and/or RDAs?Present
National target(s) on reducing obesity?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 11, 2025

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