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20th September 2025 (16 Topics)

Childhood Obesity Surpasses Underweight

Context:

UNICEF reports that for the first time, global obesity among school-aged children and adolescents exceeds underweight, affecting 1 in 10 children.

Global Malnutrition Trends

  • Prevalence of underweight among children aged 5–19 declined from 13% in 2000 to 2% in 2025.
  • Obesity rates increased from 3% in 2000 to 4% in 2025, surpassing underweight globally except in Sub-Saharan Africa and South Asia.
  • Approximately 188 million children and adolescents live with obesity.

Regional and Country-Specific Data

  • Pacific Islands: Highest prevalence – Niue (38%), Cook Islands (37%), Nauru (33%) due to shift to energy-dense imported foods.
  • High-income countries: Chile (27%), USA (21%), UAE (21%).
  • Highlights the double burden of malnutrition, where undernutrition and obesity coexist.

Health Implications

  • Obesity in children increases risk of insulin resistance, hypertension, type-2 diabetes, cardiovascular diseases, and certain cancers.
  • Overweight children: above healthy weight for age, sex, height; obesity is severe form of overweight.

Role of Ultra-Processed Foods and Marketing

  • Ultra-processed foods (high sugar, salt, unhealthy fats) dominate shops and schools.
  • Digital marketing targets children: 75% of youth recalled ads for sugary/fast foods; 60% influenced to consume.
  • Even conflict-affected regions report high exposure to unhealthy food marketing.

Economic and Policy Implications

  • Obesity-related economic costs projected to exceed US$4 trillion globally by 2035.
  • Governments taking action:g., Mexico banned ultra-processed foods in public schools, positively impacting over 34 million children.
  • UNICEF recommendations:
    • Mandatory food policies: labelling, marketing restrictions, taxes/subsidies.
    • Behavioral change interventions for families and communities.
    • Ban ultra-processed foods in schools and protect policy-making from industry interference.
    • Strengthen social protection for vulnerable families.

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