Less overweight and obesity among children of higher educated parents

Children eating fresh fruit from the same bowl
© ANP / Arenda Oomen
In the period 2018-2021, 12 percent of children aged 2 to 11 were overweight and 3 percent severely overweight (obese). Six percent were exposed to secondhand tobacco smoke at home. Overweight, obesity and exposure to tobacco smoke were less prevalent among children with higher educated parents than among those with lower educated parents. This is reported by Statistics Netherlands (CBS) in the Annual Report Youth Monitor 2022, based on new analyses with figures from the latest National Health Survey/Lifestyle Monitor.

Of the children under 12 with lower educated parents, 70 percent had at least one overweight parent, against 59 percent of the children with highly educated parents. For obesity, the respective shares were 30 and 14 percent on average over the period 2018-2021. Of the children with lower educated parents, 54 percent had at least one parent who was a smoker in the period of measurement. This was 15 percent among children of parents with a high education level.

Smoking and (severe) overweight rates by education level, 2018-2021
oudersLow education level (%)Intermediate education level (%)High education level (%)
At least 1 obese
parent/caretaker
29.724.513.9
At least 1 overweight
parent/caretaker
70.471.959.4
At least 1 parent/
caretaker who smokes
53.935.415.0

Three times more obesity among 2 to 11-year-olds with lower educated parents

In the period 2018-2021, 12 percent of children aged 2 to 11 years were overweight and 3 percent obese (severely overweight). Overweight was twice as common among children with lower educated parents as among those with highly educated parents. Of the children with lower educated parents, 6 percent were obese against 2 percent of the children with highly educated parents.

(Severe) overweight rates in children aged 2-11 by parents' education level, 2018-2021
aandoeningTotal (%)Low education level (%)Intermediate education level (%)High education level (%)
Overweight12.2921.7913.859.73
Obesity2.866.492.802.24

More overweight children among overweight parents

In 2018-2021, overweight and obesity were more prevalent among children aged 2 to 11 years with at least one obese parent compared to those without an obese parent. Twenty-two percent of the children with at least one obese parent were overweight, against 11 percent of the children without an obese parent. Six percent of the children with at least one obese parent were obese themselves, while this was 3 percent among children without an obese parent. Overweight was also more prevalent among children with at least one overweight parent: 15 percent, versus 8 percent of the children without an overweight parent.

Obesity rates among children aged 2-11 years, 2018-2021
ouderOverweight child (%)Obese child (%)
At least 1 obese
parent/caretaker
21.975.70
Parents/caretakers without obesity10.712.53
At least 1 overweight
parent/caretaker
15.443.45
Parents/caretakers without overweight8.202.54

Less exposure to tobacco smoke among children of higher educated parents

In the period 2019-2021, 94 percent of the parents of 0 to 11-year-olds stated that their child had (almost) never been exposed to secondhand tobacco smoke (also known as passive smoking) at home. This percentage was higher among higher educated parents (97 percent) than among parents with intermediate (91 percent) and low (88 percent) education levels. In the same period, 1 percent of 0 to 11-year-olds were exposed to indoor tobacco smoke on a daily basis; this was 0.3 percent of children with highly educated parents, almost 2 percent of children with medium-skilled parents and over 4 percent of children with low-skilled parents.

Exposure of 0 to 11-year-olds to tobacco smoke, by education level of parents, 2019-2021
frequentieTotal (%)Low education level (%)Intermediate education level (%)High education level (%)
Never or almost never94.3187.8291.2796.71
Not daily4.617.776.933.04
Daily1.084.401.800.26

How does CBS obtain these figures?

The results have been taken from the 2018-2021 National Health Survey/Lifestyle Monitor, conducted by CBS, RIVM and the Trimbos Institute. Based on a sample from the Personal Records Database (BRP), people in all age categories were asked to complete a survey on smoking, alcohol consumption, drugs, height and weight, and nutrition. For respondents under the age of 12, the survey questions were answered by a parent or caretaker.