Childhood obesity has become a growing global health challenge, affecting both developed and developing countries. In 2022, new data revealed striking disparities in the prevalence of obesity among girls worldwide, measured by a Body Mass Index (BMI) greater than +2 standard deviations (SD) from the WHO growth standard median. This threshold corresponds to a clinical diagnosis of obesity in children.

This article explores global childhood obesity trends among girls, highlights countries with the highest prevalence rates, and examines broader patterns in relation to geography, development, and public health.

What Does “Obesity” Mean in Children?

Obesity in children is defined differently than in adults. The World Health Organization (WHO) classifies childhood obesity as having a BMI-for-age value more than +2 SDs above the WHO Child Growth Standards median. A high BMI can indicate excess body fat and is associated with long-term health risks including diabetes, cardiovascular disease, and psychological effects.


Global Rankings: Childhood Obesity in Girls by Country (2022)

According to the 2022 data, here are the top 10 countries with the highest prevalence of obesity in girls:

RankCountryPrevalence
1Tonga25%
2Niue23%
3Cook Islands23%
4Bahamas21%
5Palau21%
6Tuvalu16%
7Seychelles15%
8Nauru15%
9United States15%
10Egypt15%

Many of the top countries are small island nations in the Pacific, where imported processed foods, reduced physical activity, and economic transitions have contributed to a steep rise in obesity.


Regional Patterns and Insights

  • Pacific Islands Lead Globally: The highest obesity rates in girls are concentrated in Polynesia and Micronesia. Countries like Tonga, Niue, and Cook Islands report rates exceeding 20%.
  • Developed Countries Not Immune: The United States, New Zealand, and several Gulf countries (e.g., UAE, Kuwait) rank high on the list, underscoring that economic development alone does not safeguard against childhood obesity.
  • Middle-Range Countries: Nations like Chile, Argentina, Mexico, and Brazil report moderate rates (12–14%), highlighting the global spread of childhood obesity into Latin America.
  • Lowest Prevalence Rates: Many countries in sub-Saharan Africa, Southeast Asia, and parts of Eastern Europe report extremely low childhood obesity rates among girls, often under 1%. This includes countries like Ethiopia, Bangladesh, and Madagascar.

Countries With Lowest Prevalence of Childhood Obesity in Girls (2022)

RankCountryPrevalence
200Madagascar0%
199Timor-Leste0%
198Burundi0%
197Congo0%
196Niger0%

These figures may reflect undernutrition or other developmental health issues, emphasizing the double burden of malnutrition in many low-income countries.

Ranking: Obesity in Children (Girls) by Country (2022)

RankCountry/Region/WorldPrevalence of BMI > 2SD (obesity) lower 95% uncertainty interval
1Tonga25%
2Niue23%
3Cook Islands23%
4Bahamas21%
5Palau21%
6Tuvalu16%
7Seychelles15%
8Nauru15%
9United States of America15%
10Egypt15%
11French Polynesia14%
12New Zealand14%
13Argentina14%
14Saint Vincent and the Grenadines14%
15Chile13%
16Brunei Darussalam13%
17Tokelau13%
18Mexico12%
19Peru12%
20Antigua and Barbuda12%
21Iraq12%
22Barbados12%
23Uruguay12%
24United Arab Emirates12%
25Brazil12%
26Samoa11%
27Bahrain11%
28Kuwait11%
29American Samoa11%
30Cuba11%
31Australia10%
32Malaysia10%
33Belize10%
34Saint Kitts and Nevis10%
35Panama10%
36Puerto Rico10%
37Hungary9%
38Jamaica9%
39Saint Lucia9%
40Marshall Islands8%
41Qatar8%
42Jordan8%
43Dominica8%
44Oman8%
45Federated States of Micronesia8%
46Colombia8%
47United Kingdom8%
48Turkiye8%
49Saudi Arabia8%
50Costa Rica7%
51Slovenia7%
52Finland7%
53Bulgaria7%
54Cyprus7%
55Spain7%
56Dominican Republic7%
57Guyana7%
58Algeria7%
59Indonesia6%
60Thailand6%
61Paraguay6%
62Iran6%
63Lebanon6%
64Greece6%
65Canada6%
66Bolivia6%
67State of Palestine6%
68El Salvador6%
69Trinidad and Tobago6%
70Austria6%
71South Korea6%
72Estonia6%
73Malta6%
74South Africa6%
75Ecuador6%
76Kiribati6%
77Venezuela6%
78Mauritania6%
79North Macedonia6%
80Guatemala6%
81Mauritius5%
82China5%
83Libya5%
84Ireland5%
85Grenada5%
86Bermuda5%
87Israel5%
88Maldives5%
89Italy5%
90Slovakia5%
91Sweden5%
92Romania5%
93Croatia5%
94Serbia5%
95Switzerland5%
96Armenia4%
97Afghanistan4%
98Georgia4%
99Suriname4%
100Honduras4%
101Portugal4%
102Bosnia and Herzegovina4%
103Sri Lanka4%
104Nicaragua4%
105Taiwan4%
106Montenegro4%
107Lithuania4%
108Fiji4%
109Syrian Arab Republic4%
110Poland4%
111Pakistan4%
112Ghana3%
113Germany3%
114Yemen3%
115Morocco3%
116Tunisia3%
117Azerbaijan3%
118Albania3%
119Papua New Guinea3%
120Latvia3%
121Belgium3%
122Norway3%
123Gabon3%
124Singapore3%
125Czechia3%
126Eswatini2%
127Philippines2%
128Liberia2%
129Kazakhstan2%
130Russian Federation2%
131Mali2%
132Cote d’Ivoire2%
133Zambia2%
134Viet Nam2%
135France2%
136India2%
137Bhutan2%
138Lesotho2%
139Cameroon2%
140Denmark2%
141Netherlands2%
142Andorra2%
143Botswana2%
144Japan2%
145Gambia2%
146Cabo Verde2%
147Solomon Islands2%
148Benin1%
149Moldova1%
150Ukraine1%
151Kenya1%
152Greenland1%
153Uzbekistan1%
154Nigeria1%
155Comoros1%
156Vanuatu1%
157Belarus1%
158Sierra Leone1%
159Guinea1%
160Myanmar1%
161Mongolia1%
162Cambodia1%
163Iceland1%
164Bangladesh1%
165DR Congo1%
166North Korea1%
167Sudan1%
168Luxembourg1%
169South Sudan1%
170Haiti1%
171Zimbabwe1%
172Namibia1%
173Tajikistan1%
174Togo1%
175Lao PDR1%
176Turkmenistan1%
177Nepal1%
178Guinea Bissau1%
179Rwanda1%
180Sao Tome and Principe1%
181Malawi1%
182Uganda1%
183Ethiopia1%
184Tanzania1%
185Angola1%
186Kyrgyzstan1%
187Mozambique1%
188Burkina Faso1%
189Equatorial Guinea0%
190Eritrea0%
191Central African Republic0%
192Senegal0%
193Chad0%
194Djibouti0%
195Somalia0%
196Niger0%
197Congo0%
198Burundi0%
199Timor-Leste0%
200Madagascar0%

Source:

NCD-RisC, National Adult Body-Mass Index

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