A poor diet and lack of physical activity during lockdown could have contributed to an £8 billion childhood obesity problem.
A new study suggests obesity in England rose significantly among four to five-year-olds and those aged 10 to 11 between 2019/20 and 20/21 – the height of the pandemic. More recent figures show a slight drop in obesity levels during primary school.
But the proportion of obese children aged 10 to 11 is higher than before the coronavirus pandemic.
Researchers from the National Institute for Health and Care Research Southampton Biomedical Research Centre and the University of Southampton warned that costs are set to climb because overweight and obese children and teenagers tend to become obese adults.
This includes money spent by the NHS on treating the complications of obesity, such as type 2 diabetes and heart disease. The study also said obese people more often die early.
Writing in the journal PLOS One, the team said: “During 2020-2021 there were steep increases in overweight and obesity prevalence in children. By 2022, overweight and obesity prevalence in children aged four to five returned to expected levels based on pre-pandemic trends.
“However, overweight and obesity prevalence in children aged 10 to 11 persisted and was four percentage points higher than expected, representing almost 56,000 additional children. The additional lifelong healthcare cost in this cohort (both children aged four to five and 10 to 11) will amount to £800 million with a cost to society of £8.7 billion.”
NHS figures released in October showed the proportion of 10 and 11-year-olds who were overweight and obese had dropped slightly – but it was not back to the levels pre-Covid. Obesity levels in Year 6 in England fell from 23.4% of pupils in 2021/22 to 22.7% in 2022/23, but are still higher than the 2019/20 pre-pandemic level of 21%.
When obesity and overweight figures are taken together, 36.6% of children (more than one in three) are above a healthy weight. This figure is also higher than the 35.1% in 2019/20. The data also showed that the prevalence of obesity in Reception-aged children (four and five) fell from from 10.1% in 2021/22 to 9.2% in 2022/23.
This is lower than in 2018/19 and 2019/20, and suggests more of a continued decline. Splitting the data by gender, boys are more likely to be overweight than girls. Meanwhile, children living in the most deprived areas of England are twice as likely to be obese as those in the most affluent regions.
For children in Year 6, obesity levels were 30.2% in the most deprived, compared with 13.1% in the least deprived. The researchers behind the new study said rising obesity during the pandemic could be put down to the effects of staying indoors a lot.
They said “the majority of children were schooled from home, the cancellation of organised sports and recreational activities reduc(ed) physical activity, and there were effects on children’s sleeping schedules and screen time”.
Professor Keith Godfrey, one of the study’s authors, from the Southampton Biomedical Research Centre, told the PA news agency that although obesity levels have dipped, the overall trajectory is still that obesity in older children is rising. He said: “The Covid obesity rates (have) reverted to approximately pre-pandemic levels in the Reception age children but not in the older children, and we think that’s because the behaviours associated with increased rates of childhood obesity – so, reduced physical activity, poor diet and so on – become more embedded in the older children.
“Younger children reverted back to habitual diet, habitual levels of physical activity.”
He said no one measure will sort out childhood obesity but it needs to become a “national priority”. He also suggested that intervening when children are younger is likely to have the most effect.
Co-author, emeritus Professor Mark Hanson, from the University of Southampton, said: “Once established, obesity has proven to be difficult to reverse.
“Some 60%-85% of children with obesity remain obese in adulthood, increasing their risks of future ill-health.
“Our finding of a rapid return to pre-pandemic levels of overweight and obesity in the youngest children suggests new policies should target under-fives.
“This is likely to be an effective means of tackling the growing problem of childhood obesity.”
Professor Simon Kenny, NHS England’s national clinical director for children and young people, said: “These figures will be as alarming to parents as they are to the NHS. Obesity affects every human organ system, and so at a young age can have a major impact on a child’s life, increasing their risk of type 2 diabetes, cancer, mental health issues and many other illnesses, which can lead to shorter and unhappier lives.
“The NHS is committed to helping as many young people and families affected by weight issues as possible through our new network of 30 specialist clinics, which offer tailored packages of physical, psychological and social support.
“But the NHS cannot solve this issue alone, and continued joined-up action by industry, local and national government and wider society is needed if we are to avoid a ticking health timebomb for the future.”
