Tunisia
- Overview
- Obesity prevalence
- 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 *7/11This 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
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The report card collates all the most-recent graphics for this country. If you would like to produce a custom report based on selected graphics, just tap the Add to custom PDF button below the graphics you would like to use.Population breakdowns
Drivers
Comorbidities
Economic impact
Policies
Contextual factors
Obesity prevalence
Adults, 2005
| Survey type: | Measured |
| Age: | 35-70 |
| Sample size: | 5343 |
| Area covered: | National |
| References: | El Ati J, Traissac P, Delpeuch F, Aounallah-Skhiri H, Béji C, et al. (2012) Gender Obesity Inequities Are Huge but Differ Greatly According to Environment and Socio-Economics in a North African Setting: A National Cross-Sectional Study in Tunisia. PLoS ONE 7(10): e48153. doi:10.1371/journal.pone.0048153 |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Adults, 1997
| Survey type: | Measured |
| Age: | 20-60 |
| Sample size: | 2760 |
| Area covered: | National |
| References: | Mokhtar N, Elati J, Chabir R, Bour A, Elkari K, Schlossman NP, Caballero B and Aguenaou H. (2001). Diet, culture and obesity in Northern Africa. Journal of Nutrition. 131: 887S - 892S. |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Adults, 1990
| Survey type: | Measured |
| Age: | 18+ |
| Sample size: | 8611 |
| References: | Shetty P, James WPT. BMI distribution in developed and developing countries. FAO Food and Nutrition Papers. 1994 No. 56 |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Children, 2013-2014
| Survey type: | Measured |
| Age: | 15-18 |
| Sample size: | 418 |
| Area covered: | National |
| References: | Musaiger A.O et al. 2016. Prevalence of overweight and obesity among adolescents in eight Arab countries: comparison between two international standards (ARABEAT-2). Nutr Hosp. 33(5). pp. 1062-1065. |
| Notes: | IOTF cut-offs used |
| Cutoffs: | IOTF |
Children, 2012-2013
| Survey type: | Measured |
| Age: | 6-11 |
| Sample size: | 4647 |
| Area covered: | National |
| References: | Ghouili H et al 2018. Body mass index reference curves for Tunisian children. Arch Pediatr. 2018 Nov;25(8):459-463. |
| Notes: | IOTF International Cut off used |
| Cutoffs: | IOTF |
Children, 2011
| Survey type: | Measured |
| Age: | 9-12 |
| Sample size: | 1529 |
| Area covered: | Regional |
| References: | Regaieg et al 2014. [Prevalence and risk factors of overweight and obesity in a population of school children in urban areas Sfax, Tunisia]. Pan Afr Med J.7(57). doi: 10.11604/pamj.2014.17.57.3351. |
| Notes: | Sfax, Tunisia IOTF cut-offs used. |
| Cutoffs: | IOTF |
Children, 2005
| Survey type: | Measured |
| Age: | 15-19 |
| Sample size: | 2872 |
| Area covered: | National |
| References: | Aounallah-Skhiri H, Romdhane HB, Traissac P et al. Nutritional status of Tunisian adolescents: associated gender,environmental and socio-economic factors Public Health Nutrition: 11(12), 1306–1317 |
| Notes: | IOTF cut off used NB numbers are only in text in paper. WHO 85th centile shown in tables in paper |
| Cutoffs: | IOTF |
Overweight/obesity by education
Men, 2005
| Survey type: | Measured |
| Age: | 35-70 |
| Sample size: | 5343 |
| Area covered: | National |
| References: | Atek M, Traissac P, El Ati J, et al. Obesity and association with area of residence, gender and socio-economic factors in Algerian and Tunisian adults. PLoS One. 2013 Oct 8;8(10):e75640. doi: 10.1371/journal.pone.0075640. eCollection 2013 |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Women, 2005
| Survey type: | Measured |
| Age: | 35-70 |
| Sample size: | 5343 |
| Area covered: | National |
| References: | Atek M, Traissac P, El Ati J, et al. Obesity and association with area of residence, gender and socio-economic factors in Algerian and Tunisian adults. PLoS One. 2013 Oct 8;8(10):e75640. doi: 10.1371/journal.pone.0075640. eCollection 2013 |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Overweight/obesity by age
Adults, 2005
| Survey type: | Measured |
| Sample size: | 5343 |
| Area covered: | National |
| References: | Atek M, Traissac P, El Ati J, et al. Obesity and association with area of residence, gender and socio-economic factors in Algerian and Tunisian adults. PLoS One. 2013 Oct 8;8(10):e75640. doi: 10.1371/journal.pone.0075640. eCollection 2013 |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Children, 2012-2013
| Survey type: | Measured |
| Sample size: | 4647 |
| Area covered: | National |
| References: | Ghouili H et al 2018. Body mass index reference curves for Tunisian children. Arch Pediatr. 2018 Nov;25(8):459-463. |
| Notes: | IOTF International Cut Off |
| Cutoffs: | IOTF |
Overweight/obesity by socio-economic group
Men, 2005
| Survey type: | Measured |
| Age: | 35-70 |
| Sample size: | 5343 |
| Area covered: | National |
| References: | Atek M, Traissac P, El Ati J, et al. Obesity and association with area of residence, gender and socio-economic factors in Algerian and Tunisian adults. PLoS One. 2013 Oct 8;8(10):e75640. doi: 10.1371/journal.pone.0075640. eCollection 2013 |
| Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m². | |
Women, 2005
| Survey type: | Measured |
| Age: | 35-70 |
| Sample size: | 5343 |
| Area covered: | National |
| References: | Atek M, Traissac P, El Ati J, et al. Obesity and association with area of residence, gender and socio-economic factors in Algerian and Tunisian adults. PLoS One. 2013 Oct 8;8(10):e75640. doi: 10.1371/journal.pone.0075640. eCollection 2013 |
| 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, 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) |
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) |
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) |
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) |
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, 2008-2015
| 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, 2008-2015
| 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) |
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 |
% Infants exclusively breastfed 0-5 months
Children, 2010-2019
| Area covered: | National |
| References: | Enquête par grappes à indicateurs multiples (MICS), 2018, Rapport Final. Tunisie: le Ministère du Développement de l’Investissement et de la Coopération Internationale (MDICI) |
| Notes: | See UNICEF website for further survey information. Available at : https://data.unicef.org/resources/dataset/infant-young-child-feeding/ (last accessed 28.9.21) Citation: United Nations Children’s Fund, Division of Data, Analysis, Planning and Monitoring (2021). Global UNICEF Global Databases: Infant and Young Child Feeding: Exclusive breastfeeding, New York, September 2021. |
| Definitions: | % exclusively breastfed 0-5 months |
Oesophageal cancer
Men, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, oesophagus, adults ages 20+. ASR (World) per 100,000 |
Women, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, oesophagus, adults ages 20+. ASR (World) per 100,000 |
Breast cancer
Women, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, breast, females, ages 20+. ASR (World) per 100,000 |
Colorectal cancer
Men, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, colorectum, adults, ages 20+. ASR (World) per 100,000 |
Women, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, colorectum, adults, ages 20+. ASR (World) per 100,000 |
Pancreatic cancer
Men, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, pancreas, adults, ages 20+. ASR (World) per 100,000 |
Women, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, pancreas, adults, ages 20+. ASR (World) per 100,000 |
Gallbladder cancer
Men, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, gallbladder, adults, ages 20+. ASR (World) per 100,000 |
Women, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, gallbladder, adults, ages 20+. ASR (World) per 100,000 |
Kidney cancer
Men, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, kidney, adults, ages 20+. ASR (World) per 100,000 |
Women, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, kidney, adults, ages 20+. ASR (World) per 100,000 |
Cancer of the uterus
Women, 2018
| Age: | 20+ |
| References: | Global Cancer Observatory, Cancer incidence rates http://gco.iarc.fr/ (last accessed 30th June 2020) |
| Definitions: | Estimated age-standardized incidence rates (World) in 2018, cervix uteri, females, ages 20+. ASR (World) per 100,000 |
Raised blood pressure
Adults, 2015
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A875?lang=en |
| Definitions: | Age Standardised estimated % Raised blood pressure 2015 (SBP>=140 OR DBP>=90). |
Men, 2015
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A875?lang=en |
| Definitions: | Age Standardised estimated % Raised blood pressure 2015 (SBP>=140 OR DBP>=90). |
Women, 2015
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A875?lang=en |
| Definitions: | Age Standardised estimated % Raised blood pressure 2015 (SBP>=140 OR DBP>=90). |
Raised cholesterol
Adults, 2008
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A885 |
| Definitions: | % Raised total cholesterol (>= 5.0 mmol/L) (age-standardized estimate). |
Men, 2008
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A885 |
| Definitions: | % Raised total cholesterol (>= 5.0 mmol/L) (age-standardized estimate). |
Women, 2008
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A885 |
| Definitions: | % Raised total cholesterol (>= 5.0 mmol/L) (age-standardized estimate). |
Raised fasting blood glucose
Men, 2014
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A869?lang=en |
| Definitions: | Age Standardised % raised fasting blood glucose (>= 7.0 mmol/L or on medication). |
Women, 2014
| References: | Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A869?lang=en |
| Definitions: | Age Standardised % raised fasting blood glucose (>= 7.0 mmol/L or on medication). |
Diabetes prevalence
Adults, 2021
| Age: | 20-79 |
| Area covered: | National |
| References: | Reproduced with kind permission International Diabetes Federation. IDF Diabetes Atlas, 10th edn. Brussels, Belgium:International Diabetes Federation, 2021. http://www.diabetesatlas.org |
| Definitions: | Age-adjusted comparative prevalence of diabetes, % |
Adults, 2019
| Age: | 20-79 |
| References: | Reproduced with kind permission International Diabetes Federation. IDF Diabetes Atlas, 9th edn. Brussels,Belgium: 2019. Available at: https://www.diabetesatlas.org |
| Definitions: | Diabetes age-adjusted comparative prevalence (%). |
Adults, 2017
| References: | Reproduced with kind permission of IDF, International Diabetes Federation. IDF Diabetes Atlas, 8th edition. Brussels, Belgium: International Diabetes Federation, 2017. http://www.diabetesatlas.org |
| Definitions: | Diabetes age-adjusted comparative prevalence (%). |
Total economic cost as % of GDP
Policies, Interventions and Actions
Contextual factors
Disclaimer: These contextual factors should be interpreted with care. Results are updated as regularly as possible and use very specific criteria. The criteria used and full definitions are available for download at the bottom of this page.
Tap on a tick to find out more about policies influencing this factor.
Labelling
| Is there mandatory nutrition labelling? | Absent |
| Front-of-package labelling? | Absent |
| Back-of-pack nutrition declaration? | Present |
| Color coding? | Absent |
| Warning label? | Absent |
Regulation and marketing
| Are there fiscal policies on unhealthy products? | Unknown |
| Tax on unhealthy foods? | Absent |
| Tax on unhealthy drinks? | Unknown |
| Are there fiscal policies on healthy products? | Absent |
| Subsidy on fruits? | Absent |
| Subsidy on vegetables? | Absent |
| Subsidy on other healthy products? | Absent |
| Mandatory limit or ban of trans fat (all settings)? | Absent |
| Mandatory limit of trans fats in place (all settings)? | Absent |
| Ban on trans-fats or phos in place (all settings)? | Absent |
| Are there any mandatory policies/marketing restrictions on the promotion of unhealthy food/drinks to children? | Absent |
| Mandatory restriction on broadcast media? | Absent |
| Mandatory restriction on non-broadcast media? | Absent |
| Voluntary policies/marketing restrictions on the promotion of unhealthy food/drinks to children? | Absent |
| Are there mandatory standards for food in schools? | Absent |
| Are there any mandatory nutrient limits in any manufactured food products? | Absent |
| Nutrition standards for public sector procurement? | Absent |
Political will and support
| National obesity strategy or nutrition and physical activity national strategy? | Present |
| National obesity strategy? | Present |
| National childhood obesity strategy? | Absent |
| Comprehensive nutrition strategy? | Unknown |
| Comprehensive physical activity strategy? | Unknown |
| Evidence-based dietary guidelines and/or RDAs? | Unknown |
| National target(s) on reducing obesity? | Present |
| Guidelines/policy on obesity treatment? | Absent |
| 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? | Absent |
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 September 13, 2022
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