Tonga
- Overview
- Obesity prevalence
- Trends over time
- Population breakdowns
- Drivers
- Comorbidities
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National obesity risk *7.5/10This is a composite ‘obesity risk’ score (out of 10, the highest risk) based on obesity prevalence, rate of increase, likelihood of meeting the 2025 target, treatment indicator and childhood stunting levels.Childhood obesity risk *10/11This is a ‘risk score’ for each country’s likelihood of having or acquiring a major childhood obesity problem during the 2020s, taking account of current prevalence levels and risk for future obesity (based on stunting among infants, maternal obesity, maternal smoking, and breastfeeding rates).
* Based on estimated data. For more information see Publications
Obesity prevalence
Trends over time
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The report card collates all the most-recent graphics for this country. If you would like to produce a custom report based on selected graphics, just tap the Add to custom PDF button below the graphics you would like to use.Population breakdowns
Drivers
Insufficient activity
Soft drink consumption
Fruit consumption
Vegetable consumption
Fast food 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.Obesity prevalence
Adults, 2017
| Survey type: | Measured |
| Age: | 18-69 |
| Sample size: | 3858 |
| Area covered: | National |
| References: | Tonga STEPS Survey 2017 https://extranet.who.int/ncdsmicrodata/index.php/catalog/713 (Last accessed 13.10.20) |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Adults, 2012
| Survey type: | Measured |
| Age: | 25-64 |
| Sample size: | 2599 |
| Area covered: | National |
| References: | STEPS Survey Tonga 2012 available at https://www.who.int/ncds/surveillance/steps/2012_Tonga_STEPSReport.pdf (last accessed 04.05.2020) |
| Notes: | STEPS |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Adults, 2004
| Survey type: | Measured |
| Age: | 15-64 |
| Sample size: | 958 |
| Area covered: | National |
| References: | Tonga STEPS Survey 2004 |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Adults, 1998-2000
| Survey type: | Measured |
| Age: | 15-85 |
| Sample size: | 1024 |
| Area covered: | National |
| References: | Colaguir S, Colagiuri R, Na'ati S, Muimuiheata S, Hussain Z and Palau T. (2002). The prevalence of diabetes in the Kingdom of Tonga. Diabetes care, 25: 1378 - 1383. |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Children, 2017
| Survey type: | Self-reported |
| Age: | 13-17 |
| Sample size: | 3333 |
| Area covered: | National |
| References: | Tonga - Global School-Based Student Health Survey 2017 https://www.who.int/ncds/surveillance/gshs/tonga/en/ (Last accessed 20.10.20) |
| Cutoffs: | WHO |
Children, 2002-2003
| Survey type: | Measured |
| Age: | 5-11 |
| Sample size: | 895 |
| References: | Shoko Fukuyama a; Tsukasa Inaoka b; Yasuhiro Matsumura c; Taro Yamauchi a; Kazumi Natsuhara d; Ryosuke kimura e; Ryutaro Ohtsuka f. Anthropometry of 5-19-year-old Tongan children with special interest in the high prevalence of obesity among adolescent girls. Annals of Human Biology, Volume 32, Issue 6 November 2005 , pages 714 - 723 |
| 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 |
% Adults living with obesity in Tonga 1998-2017
Men
| Survey type: | Measured |
| References: | 1998: Colaguir S, Colagiuri R, Na'ati S, Muimuiheata S, Hussain Z and Palau T. (2002). The prevalence of diabetes in the Kingdom of Tonga. Diabetes care, 25: 1378 - 1383. 2004: Tonga STEPS Survey 2004 2012: STEPS Survey Tonga 2012 available at https://www.who.int/ncds/surveillance/steps/2012_Tonga_STEPSReport.pdf (last accessed 04.05.2020) 2017: Tonga STEPS Survey 2017 https://extranet.who.int/ncdsmicrodata/index.php/catalog/713 (Last accessed 13.10.20) |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
| Different methodologies may have been used to collect this data and so data from different surveys may not be strictly comparable. Please check with original data sources for methodologies used. | |
Women
| Survey type: | Measured |
| References: | 1998: Colaguir S, Colagiuri R, Na'ati S, Muimuiheata S, Hussain Z and Palau T. (2002). The prevalence of diabetes in the Kingdom of Tonga. Diabetes care, 25: 1378 - 1383. 2004: Tonga STEPS Survey 2004 2012: STEPS Survey Tonga 2012 available at https://www.who.int/ncds/surveillance/steps/2012_Tonga_STEPSReport.pdf (last accessed 04.05.2020) 2017: Tonga STEPS Survey 2017 https://extranet.who.int/ncdsmicrodata/index.php/catalog/713 (Last accessed 13.10.20) |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
| Different methodologies may have been used to collect this data and so data from different surveys may not be strictly comparable. Please check with original data sources for methodologies used. | |
% Adults living with overweight or obesity in Tonga 1998-2017
Men
| Survey type: | Measured |
| References: | 1998: Colaguir S, Colagiuri R, Na'ati S, Muimuiheata S, Hussain Z and Palau T. (2002). The prevalence of diabetes in the Kingdom of Tonga. Diabetes care, 25: 1378 - 1383. 2004: Tonga STEPS Survey 2004 2012: STEPS Survey Tonga 2012 available at https://www.who.int/ncds/surveillance/steps/2012_Tonga_STEPSReport.pdf (last accessed 04.05.2020) 2017: Tonga STEPS Survey 2017 https://extranet.who.int/ncdsmicrodata/index.php/catalog/713 (Last accessed 13.10.20) |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
| Different methodologies may have been used to collect this data and so data from different surveys may not be strictly comparable. Please check with original data sources for methodologies used. | |
Women
| Survey type: | Measured |
| References: | 1998: Colaguir S, Colagiuri R, Na'ati S, Muimuiheata S, Hussain Z and Palau T. (2002). The prevalence of diabetes in the Kingdom of Tonga. Diabetes care, 25: 1378 - 1383. 2004: Tonga STEPS Survey 2004 2012: STEPS Survey Tonga 2012 available at https://www.who.int/ncds/surveillance/steps/2012_Tonga_STEPSReport.pdf (last accessed 04.05.2020) 2017: Tonga STEPS Survey 2017 https://extranet.who.int/ncdsmicrodata/index.php/catalog/713 (Last accessed 13.10.20) |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
| Different methodologies may have been used to collect this data and so data from different surveys may not be strictly comparable. Please check with original data sources for methodologies used. | |
% Adults living with obesity in selected countries in the Asia/Oceania Region 1975-2019
Men
| References: | 1976, 1981, 1986: Yoshiike N, Seino F, Tajima S, Arai Y, Kawano M, Furuhata T, Inoue S. Twenty-year changes in the prevalence of overweight in Japanese adults: The National Nutrition Survey 1976-95. Obesity Reviews 2002;3:183-190 1993: Solon FS. Nutrition related chronic diseases in the Philippines. Makati city, Philippines: Nutrition Center of the Philippines Report Series, vol 2, No.1, cited in Reference 53 1995, 1996: Martorell R, Khan LK, Hughes ML, Grummer Strawn LM. Obesity in women from developing countries. EJCN (2000) 54;247-252 1998: Data provided by the Philippean Depatment of Health, Dr C. Barbu, data reanalysed by Dr Charmaine Duante. 2000: Asia Pacific Cohort Studies Collaboration. The burden of overweight and obesity in the Asia-Pacific region. Obesity Reviews 2007;8:191-196. 2001: SCN (2004). 5th Report on the World Nutrition Situation. Nutrition for Improved Development Outcomes. Appendix 11 2002: Report of the 2002 China National Nutrition and Health Survey. 2004. (In Chinese). Chinese Ministry of Public Health (CMPH). 2003: http://www.fnri.dost.gov.ph/files/fnri%20files/nns/factsandfigures2003/anthropometric.pdf (last accessed June 14th 2011) 2004: Tonga STEPS Survey 2004 2005, 2013: Chang HC, Yang HC, Chang HY, et al. Morbid obesity in Taiwan: Prevalence, trends, associated social demographics, and lifestyle factors. PLoS One. 2017;12(2):e0169577. Published 2017 Feb 2. doi:10.1371/journal.pone.0169577 2006: Gerritsen S, Stefanogiannis N, Galloway Y, Devlin M, Templaton R and Yeh L. A portrait of health: key results of the 2006/07 New Zealand Health Survey. 2007: Mohamud WN, Musa KI, Khir AS, Ismail AA, Ismail IS, Kadir KA, Kamaruddin NA, Yaacob NA, Mustafa N, Ali O, Isa SH, Bebakar WM.Prevalence of overweight and obesity among adult Malaysians: an update. Asia Pac J Clin Nutr. 2011;20(1):35-41. 2009: Yan, S., Li, J., Li, S., Zhang, B., Du, S., Gordon-Larsen, P., Adair, L. and Popkin, B. (2012), The expanding burden of cardiometabolic risk in China: the China Health and Nutrition Survey. Obesity Reviews. doi: 10.1111/j.1467-789X.2012.01016.x 2011, 2012: New Zealand Health Survey. https://www.health.govt.nz/publication/annual-update-key-results-2018-19-new-zealand-health-survey (last accessed 14.07.20) 2014: New Zealand Health Survey 2014/15. https://www.health.govt.nz/publication/annual-update-key-results-2014-15-new-zealand-health-survey (last accessed 16.12.2015) 2015: 2015 Philippine Anthropometric Survey. http://enutrition.fnri.dost.gov.ph/site/preview.php?xx=%20uploads/2015_ANTHROPOMETRIC_SURVEY.pdf 2016: Ministry of Health. 2018. Annual Data Explorer 2017/18: New Zealand Health Survey [Data File]. URL: https://minhealthnz.shinyapps.io/nz-health-survey-2017-18-annual-data-explorer/(last accessed 14th December 2017) 2017: Tonga STEPS Survey 2017 https://extranet.who.int/ncdsmicrodata/index.php/catalog/713 (Last accessed 13.10.20) 2018: New Zealand Health Survey 2018-19. New Zealand Ministry of Health (https://minhealthnz.shinyapps.io/nz-health-survey-2018-19-annual-data-explorer/_w_b396d161/#!/key-indicators accessed 14.11.19) |
| Different methodologies may have been used to collect this data and so data from different surveys may not be strictly comparable. Please check with original data sources for methodologies used. | |
Women
| References: | 1976, 1981, 1986: Yoshiike N, Seino F, Tajima S, Arai Y, Kawano M, Furuhata T, Inoue S. Twenty-year changes in the prevalence of overweight in Japanese adults: The National Nutrition Survey 1976-95. Obesity Reviews 2002;3:183-190 1993: Solon FS. Nutrition related chronic diseases in the Philippines. Makati city, Philippines: Nutrition Center of the Philippines Report Series, vol 2, No.1, cited in Reference 53 1995, 1996: Martorell R, Khan LK, Hughes ML, Grummer Strawn LM. Obesity in women from developing countries. EJCN (2000) 54;247-252 1998: Data provided by the Philippean Depatment of Health, Dr C. Barbu, data reanalysed by Dr Charmaine Duante. 2000: Asia Pacific Cohort Studies Collaboration. The burden of overweight and obesity in the Asia-Pacific region. Obesity Reviews 2007;8:191-196. 2001: SCN (2004). 5th Report on the World Nutrition Situation. Nutrition for Improved Development Outcomes. Appendix 11 2002: Report of the 2002 China National Nutrition and Health Survey. 2004. (In Chinese). Chinese Ministry of Public Health (CMPH). 2003: http://www.fnri.dost.gov.ph/files/fnri%20files/nns/factsandfigures2003/anthropometric.pdf (last accessed June 14th 2011) 2004: Tonga STEPS Survey 2004 2005, 2013: Chang HC, Yang HC, Chang HY, et al. Morbid obesity in Taiwan: Prevalence, trends, associated social demographics, and lifestyle factors. PLoS One. 2017;12(2):e0169577. Published 2017 Feb 2. doi:10.1371/journal.pone.0169577 2006: Gerritsen S, Stefanogiannis N, Galloway Y, Devlin M, Templaton R and Yeh L. A portrait of health: key results of the 2006/07 New Zealand Health Survey. 2007: Mohamud WN, Musa KI, Khir AS, Ismail AA, Ismail IS, Kadir KA, Kamaruddin NA, Yaacob NA, Mustafa N, Ali O, Isa SH, Bebakar WM.Prevalence of overweight and obesity among adult Malaysians: an update. Asia Pac J Clin Nutr. 2011;20(1):35-41. 2009: Yan, S., Li, J., Li, S., Zhang, B., Du, S., Gordon-Larsen, P., Adair, L. and Popkin, B. (2012), The expanding burden of cardiometabolic risk in China: the China Health and Nutrition Survey. Obesity Reviews. doi: 10.1111/j.1467-789X.2012.01016.x 2011, 2012: New Zealand Health Survey. https://www.health.govt.nz/publication/annual-update-key-results-2018-19-new-zealand-health-survey (last accessed 14.07.20) 2014: New Zealand Health Survey 2014/15. https://www.health.govt.nz/publication/annual-update-key-results-2014-15-new-zealand-health-survey (last accessed 16.12.2015) 2015: 2015 Philippine Anthropometric Survey. http://enutrition.fnri.dost.gov.ph/site/preview.php?xx=%20uploads/2015_ANTHROPOMETRIC_SURVEY.pdf 2016: Ministry of Health. 2018. Annual Data Explorer 2017/18: New Zealand Health Survey [Data File]. URL: https://minhealthnz.shinyapps.io/nz-health-survey-2017-18-annual-data-explorer/(last accessed 14th December 2017) 2017: Tonga STEPS Survey 2017 https://extranet.who.int/ncdsmicrodata/index.php/catalog/713 (Last accessed 13.10.20) 2018: New Zealand Health Survey 2018-19. New Zealand Ministry of Health (https://minhealthnz.shinyapps.io/nz-health-survey-2018-19-annual-data-explorer/_w_b396d161/#!/key-indicators accessed 14.11.19) |
| Different methodologies may have been used to collect this data and so data from different surveys may not be strictly comparable. Please check with original data sources for methodologies used. | |
Overweight/obesity by age
Adults, 2012
| Survey type: | Measured |
| Sample size: | 2599 |
| Area covered: | National |
| References: | STEPS Survey Tonga 2012 available at https://www.who.int/ncds/surveillance/steps/2012_Tonga_STEPSReport.pdf (last accessed 04.05.2020) |
| Notes: | STEPS |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Insufficient physical activity
Adults, 2016
| References: | Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet 2018 http://dx.doi.org/10.1016/S2214-109X(18)30357-7 |
Men, 2016
| References: | Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet 2018 http://dx.doi.org/10.1016/S2214-109X(18)30357-7 |
Women, 2016
| References: | Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet 2018 http://dx.doi.org/10.1016/S2214-109X(18)30357-7 |
Children, 2010
| Age: | 11-17 |
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A893?lang=en |
| Notes: | % of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily. |
| Definitions: | % Adolescents insufficiently active (age standardised estimate) |
Boys, 2010
| Age: | 11-17 |
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A893?lang=en |
| Notes: | % of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily. |
| Definitions: | % Adolescents insufficiently active (age standardised estimate) |
Girls, 2010
| Age: | 11-17 |
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A893?lang=en |
| Notes: | % of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily. |
| Definitions: | % Adolescents insufficiently active (age standardised estimate) |
Average daily frequency of carbonated soft drink consumption
Children, 2010-2015
| Survey type: | Measured |
| Age: | 12-17 |
| References: | Beal et al. (2019). Global Patterns of Adolescent Fruit, Vegetable, Carbonated Soft Drink, and Fast-food consumption: A meta-analysis of global school-based student health surveys. Food and Nutrition Bulletin. https://doi.org/10.1177/0379572119848287 sourced from Food Systems Dashboard http://www.foodsystemsdashboard.org/food-system |
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) |
Prevalence of less-than-daily fruit consumption
Children, 2010-2015
| Survey type: | Measured |
| Age: | 12-17 |
| References: | Global School-based Student Health Surveys. Beal et al (2019). Global Patterns of Adolescent Fruit, Vegetable, Carbonated Soft Drink, and Fast-food consumption: A meta-analysis of global school-based student health surveys. Food and Nutrition Bulletin. https://doi.org/10.1177/0379572119848287. Sourced from Food Systems Dashboard http://www.foodsystemsdashboard.org/food-system |
| Definitions: | Prevalence of less-than-daily fruit consumption (% less-than-daily fruit consumption) |
Prevalence of less-than-daily vegetable consumption
Children, 2010-2015
| Survey type: | Measured |
| Age: | 12-17 |
| References: | Beal et al. (2019). Global Patterns of Adolescent Fruit, Vegetable, Carbonated Soft Drink, and Fast-food consumption: A meta-analysis of global school-based student health surveys. Food and Nutrition Bulletin. https://doi.org/10.1177/0379572119848287 sourced from Food Systems Dashboard http://www.foodsystemsdashboard.org/food-system |
| Definitions: | Prevalence of less-than-daily vegetable consumption (% less-than-daily vegetable consumption) |
Average weekly frequency of fast food consumption
Children, 2010-2015
| Age: | 12-17 |
| References: | Beal et al. (2019). Global Patterns of Adolescent Fruit, Vegetable, Carbonated Soft Drink, and Fast-food consumption: A meta-analysis of global school-based student health surveys. Food and Nutrition Bulletin. https://doi.org/10.1177/0379572119848287 sourced from Food Systems Dashboard http://www.foodsystemsdashboard.org/food-system |
Estimated per-capita processed meat intake
Adults, 2017
| Survey type: | Measured |
| Age: | 25+ |
| References: | Global Burden of Disease, the Institute for Health Metrics and Evaluation http://ghdx.healthdata.org/ |
| Definitions: | Estimated per-capita processed meat intake (g per day) |
Estimated per-capita whole grains intake
Adults, 2017
| Survey type: | Measured |
| Age: | 25+ |
| References: | Global Burden of Disease, the Institute for Health Metrics and Evaluation http://ghdx.healthdata.org/ |
| Definitions: | Estimated per-capita whole grains intake (g/day) |
Mental health - depression disorders
Adults, 2015
| References: | Prevalence data from Global Burden of Disease study 2015 (http://ghdx.healthdata.org) published in: Depression and Other Common Mental Disorders: Global Health Estimates. Geneva:World Health Organization; 2017. Licence: CC BY-NC-SA 3.0 IGO. |
| Definitions: | % of population with depression disorders |
Mental health - anxiety disorders
Adults, 2015
| References: | Prevalence data from Global Burden of Disease study 2015 (http://ghdx.healthdata.org) published in: Depression and Other Common Mental Disorders: Global Health Estimates. Geneva:World Health Organization; 2017. Licence: CC BY-NC-SA 3.0 IGO. |
| Definitions: | % of population with anxiety disorders |
Raised blood pressure
Adults, 2015
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A875?lang=en |
| Definitions: | Age Standardised estimated % Raised blood pressure 2015 (SBP>=140 OR DBP>=90). |
Men, 2015
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A875?lang=en |
| Definitions: | Age Standardised estimated % Raised blood pressure 2015 (SBP>=140 OR DBP>=90). |
Women, 2015
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A875?lang=en |
| Definitions: | Age Standardised estimated % Raised blood pressure 2015 (SBP>=140 OR DBP>=90). |
Raised cholesterol
Adults, 2008
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A885 |
| Definitions: | % Raised total cholesterol (>= 5.0 mmol/L) (age-standardized estimate). |
Men, 2008
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A885 |
| Definitions: | % Raised total cholesterol (>= 5.0 mmol/L) (age-standardized estimate). |
Women, 2008
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A885 |
| Definitions: | % Raised total cholesterol (>= 5.0 mmol/L) (age-standardized estimate). |
Raised fasting blood glucose
Men, 2014
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A869?lang=en |
| Definitions: | Age Standardised % raised fasting blood glucose (>= 7.0 mmol/L or on medication). |
Women, 2014
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A869?lang=en |
| Definitions: | Age Standardised % raised fasting blood glucose (>= 7.0 mmol/L or on medication). |
Diabetes prevalence
Adults, 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 (%). |
