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Updated: Jan 2, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Prevalence of severe childhood obesity in Wales UK
1Health Intelligence Division, Public Health Wales, Cardiff CF10 4BZ, UK.
Insights
Severe childhood obesity affects 3.1% of children in Wales, with higher rates in deprived areas and among boys. While prevalence increased slightly, the trend was not statistically significant, highlighting a need for targeted interventions.
Area of Science:
- Public Health
- Pediatrics
- Epidemiology
Background:
- Childhood obesity is a significant public health concern in Wales, with approximately 12.5% of young children (4-5 years) affected.
- Severe childhood obesity, defined as a body mass index (BMI) above the 99.6th centile, requires specific attention due to its health implications.
Purpose of the Study:
- To examine trends in severe childhood obesity prevalence in Wales from 2013/14 to 2017/18.
- To investigate the relationship between severe childhood obesity and socioeconomic deprivation.
- To analyze differences in severe obesity prevalence by sex.
Main Methods:
- Utilized data from the Wales Childhood Measurement Programme (2013/14-2017/18) for children aged 4-5 years.
- Calculated the prevalence of severe obesity (BMI > 99.6th centile) over time, by sex, and by socioeconomic deprivation level.
Main Results:
- Overall severe obesity prevalence was 3.1% (95% CI 3.0-3.2%), with higher rates in the most deprived areas (3.9%) compared to the least deprived (1.9%).
- Boys exhibited a higher prevalence of severe obesity (3.6%) than girls (3.0%) in 2017/18.
- Severe obesity prevalence showed an increasing trend over the study period, though this was not statistically significant.
Conclusions:
- Socioeconomic deprivation is significantly associated with higher levels of severe childhood obesity in Wales.
- Boys are significantly more likely to experience severe obesity than girls.
- Findings underscore the need for targeted public health strategies to address severe childhood obesity, particularly in disadvantaged communities and among boys.
Background:
In Wales, approximately one in eight children is obese (aged 4-5 years). The aim of this prevalence study was to examine the trends in severe childhood obesity and investigate any relationship with socioeconomic deprivation.
Methods:
Data for all children included as part of the Wales Childhood Measurement Programme (2013/14-2017/18) were utilized. Data on the number who had a body mass index above the 99.6th centile indicating severe obesity were calculated over time by sex and in relation to deprivation.
Results:
Of the 162 208 children measured between 2013/14 and 2017/18 (mean age 5.06 years, standard deviation 0.35 years), the overall prevalence of severe obesity was 3.1% (95% confidence interval [CI] 3.0-3.2%). This varies from 1.9% (95% CI 1.7-2.1%) in the least deprived areas to 3.9% (95% CI 3.7-4.0%) in the most deprived areas. Boys have higher prevalence of severe obesity than girls: 3.6% (95% CI 3.4-3.9%) of boys (n = 598) and 3.0% (95% CI 2.7-3.2%) of girls (n = 467) were categorized as severely obese in reception year in Wales in 2017/18. Prevalence has increased over time but this is not statistically significant.
Conclusion:
This study found significantly higher levels of severe obesity in areas of socioeconomic deprivation. Levels of severe obesity were significantly higher in boys than in girls.
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