Preva­lence of obe­sity

The prevalence of obesity indicator measures the percentage of the overall population in Germany with a body mass index (BMI) of 30 or above.

It provides a proxy measure to individual healthcare provision

The BMI is an internationally established and comparable measure, but it is far from perfect. The indicator does not provide any information on the ratio of body fat to muscle, or physical fitness.

The BMI calculations are based on data from the Microcensus carried out by the Federal Statistical Office involving a detailed survey of around 830,000 people in Germany. Every four years the "Health questionnaire" section provides information about people’s weight and height. People in surveys tend to over-state their height and under-state their weight, so the prevalence of obesity is generally underestimated. A comparison of survey data and data from monitored measurements shows that the prevalence of obesity in the general population was underestimated by around 10 per cent by those self-reporting their information. This means that for 2009 the BMI for the general population was 24 per cent rather than 15 per cent.

The Microcensus provides the most up-to-date and appropriate data source for observing long-term trends in obesity, because data allow for regional and longitudinal analyses.

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Obesity prevalence among adults by age group
The chart shows obesity prevalence among adults by age group and gender in 1999 and 2013. In all five age groups, the proportion of men and women with a BMI of 30 or above was higher in 2013 than in 1999. The obesity risk increases with age. The proportion of men and women with a BMI of 30 or above is thus largest among those aged 55 to 64. 24 percent of men and 19 percent of women in this age bracket were considered obese in 2013. In all age groups, the risk of obesity is higher for men than for women.Man199920173%6%7%12%11%17%16%20%17%23%14%21%030% Woman199920173%4%6%9%9%12%13%14%16%18%14%19%030%
aged 18-24
aged 25-34
aged 35-44
aged 45-54
aged 55-64
aged 65 and over

Source: German Federal Statistical Office, Microcensus, own calculations.

Obesity prevalence among adults by federal states
The chart shows obesity prevalence by federal states in 1999 and 2017. The proportion of obese adults was higher in 2017 than in 1999 in Germany as a whole and in many federal states. The national average was 11.5 percent in 1999 and 16.3 percent in 2017. The federal states Mecklenburg-Western Pomerania, Saxony-Anhalt, Thuringia, Brandenburg and Saxony were above this average in 2017 with proportions of obesity among adults between 18.0 and 21.8 percent. The federal states Hamburg, Berlin, Baden-Württemberg, Bavaria and Schleswig-Holstein had levels below the national average. Proportions of obesity among adults here ranged between 12.2 and 15.4 percent.Highest proportion1999201714.4%18.3%15.3%21.8%13.2%18.0%14.6%20.8%15.2%20.4%11.5%16.3%030% Lowest proportion1999201710.4%14.9%11.5%15.2%9.8%13.0%8.9%12.2%10.0%15.4%11.5%16.3%030%
Baden-Württemberg
Bavaria
Berlin
Brandenburg
Germany
Hamburg
Mecklenburg-West Pomerania
Saxony
Saxony-Anhalt
Schleswig-Holstein
Thuringia

Source: German Federal Statistical Office, Microcensus, own calculations.

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