At a glance
- Obesity is a complex chronic disease. Too much body fat can cause inflammation and other long-lasting changes in the body.
- Obesity can increase the risk of many serious health problems for adults and children.
- Obesity impacts health care costs for patients and the health care system.
- Obesity also hinders military readiness.

Health risks for adults
Obesity is a complex chronic disease. Too much body fat can cause inflammation and other long-lasting metabolic changes in the body. These changes increase the risk of many serious health problems. Risks increase with the more excess weight a person carries and the longer a person carries that weight.
Studies show that obesity in adulthood increases the risk for the following conditions:
- High blood pressure (hypertension).123
- High cholesterol, high triglycerides, and other abnormal lipids.3
- Type 2 diabetes.[13, 10, 14]
- Heart disease and stroke.[10]
- Many types of cancer.[10, 11, 12]
- Chronic kidney disease. [16, 15]
- Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD), formerly known as nonalcoholic fatty liver disease.[17, 18]
- Mental health conditions, such as depression.4
- Joint problems, such as osteoarthritis.5
- Respiratory conditions, such as asthma6 and obstructive sleep apnea.7
- Severe illness from COVID-19[25]and flu[26, 27].
- Pregnancy problems, such as gestational diabetes[13, 28]
- Idiopathic intracranial hypertension8, a neurologic condition.
- Weight stigma9 and weight bias internalization.10
- All-cause mortality.11
Health risks for children
Studies show that obesity in childhood and adolescence is associated with the following short- and long-term health risks:
- High blood pressure, a risk factor for heart disease14.
- High cholesterol, high triglycerides, and other abnormal lipids.14
- Prediabetes and type 2 diabetes14.
- Nonalcoholic fatty liver disease (NAFLD)14, now called Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD).
- Mental health conditions, such as anxiety and depression.1415
- Respiratory conditions, such as asthma and obstructive sleep apnea.146
- Chronic kidney disease1617.
- Idiopathic intracranial hypertension, a neurologic condition.18
- Orthopedic conditions that impact joint and bone health.19
- Poor overall health and psychosocial functioning.19
- Weight-based stigma, teasing, and bullying.20
- Obesity in adulthood.21
Economic impact
Obesity care is costly for patients, providers, and the health care system. Costs can be direct or indirect.
For adults, obesity accounted for $173 billion in direct annual medical costs in 2019. Obesity led to $1,861 excess medical costs per person ($3,097 for severe obesity), compared to adults with healthy weight.22
For children and adolescents, obesity accounted for $1.3 billion in direct annual medical costs in 2019. Medical costs for children with obesity were $116 higher per person ($310 for severe obesity) than children with healthy weight.22
Annual nationwide productivity loss due to obesity ranged from $271 to $542 per employee with obesity, with national productivity losses ranging from $13.4 to $26.8 billion in 2016.23
US workers with obesity were absent from their jobs due to injury or illness an average of 3 days more per year than workers with a healthy weight.23
Military readiness
Approximately 1 in 3 people ages 17 to 24 are too heavy to serve in the U.S. military. Among the young adults who meet weight requirements, only 3 in 4 report physical activity levels that prepare them for challenges in basic training. Consequently, only 2 in 5 young adults are both weight-eligible and adequately active for military service.24
Body mass index (BMI) calculators
CDC's Child & Teen BMI Calculator
Calculate BMI, BMI percentile, and the corresponding BMI category for children 2 to 19 years. You can also view BMI percentile plotted on a growth chart and learn what the results mean.
CDC's Adult BMI Calculator
Calculate BMI and the corresponding BMI category for adults 20 and older. BMI calculators are not intended to be substitutes for professional medical advice.
- An J, Fischer H, Ni L, et al. Association Between Young Adult Characteristics and Blood Pressure Trajectories. J Am Heart Assoc. 2024;13(8):e033053. doi:10.1161/JAHA.123.033053
- Zheng Y, Manson JE, Yuan C, et al. Associations of Weight Gain From Early to Middle Adulthood With Major Health Outcomes Later in Life. JAMA. 2017;318(3):255-269. doi:10.1001/jama.2017.7092
- Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults--The Evidence Report. National Institutes of Health. Obes Res. 1998;6 Suppl 2:51S-209S. https://www.nhlbi.nih.gov/files/docs/guidelines/ob_gdlns.pdf
- Luppino FS, de Wit LM, Bouvy PF, et al. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry. 2010;67(3):220-229. doi:10.1001/archgenpsychiatry.2010.2
- Nedunchezhiyan U, Varughese I, Sun AR, Wu X, Crawford R, Prasadam I. Obesity, Inflammation, and Immune System in Osteoarthritis. Front Immunol. 2022;13:907750. Published 2022 Jul 4. doi:10.3389/fimmu.2022.907750
- Forno E, Han YY, Libman IM, Muzumdar RH, Celedón JC. Adiposity and Asthma in a Nationwide Study of Children and Adults in the United States. Ann Am Thorac Soc. 2018;15(3):322-330. doi:10.1513/AnnalsATS.201709-723OC
- Kendzerska T, Leung RS, Gershon AS, Tomlinson G, Ayas N. The Interaction of Obesity and Nocturnal Hypoxemia on Cardiovascular Consequences in Adults with Suspected Obstructive Sleep Apnea. A Historical Observational Study. Ann Am Thorac Soc. 2016;13(12):2234-2241. doi:10.1513/AnnalsATS.201604-263OC
- Markey KA, Mollan SP, Jensen RH, Sinclair AJ. Understanding idiopathic intracranial hypertension: mechanisms, management, and future directions. Lancet Neurol. 2016;15(1):78-91. doi:10.1016/S1474-4422(15)00298-7
- Puhl RM, Himmelstein MS, Pearl RL. Weight stigma as a psychosocial contributor to obesity. Am Psychol. 2020;75(2):274-289. doi:10.1037/amp0000538
- Pearl RL, Puhl RM, Lessard LM, Himmelstein MS, Foster GD. Prevalence and correlates of weight bias internalization in weight management: A multinational study. SSM Popul Health. 2021;13:100755. Published 2021 Feb 17. doi:10.1016/j.ssmph.2021.100755
- Chen C, Ye Y, Zhang Y, Pan XF, Pan A. Weight change across adulthood in relation to all cause and cause specific mortality: prospective cohort study. BMJ. 2019;367:l5584. Published 2019 Oct 16. doi:10.1136/bmj.l5584
- Tanaka SI, Isoda F, Ishihara Y, et al. T lymphopaenia in relation to body mass index and TNF-α in human obesity: Adequate weight reduction can be corrective. Clin Endocrinol. 2001;54(3):347-354.
- Alwarawrah Y, Kiernan K, MacIver NJ. Changes in Nutritional Status Impact Immune Cell Metabolism and Function. Front Immunol. 2018;16(9):1055.
- Skinner AC, Staiano AE, Armstrong SC, et al. Appraisal of clinical care practices for child obesity treatment. Part II: Comorbidities. Pediatrics. 2023; Feb1:151(2):e2022060643.
- Perry BI, Stochl J, Upthegrove R, et al. Longitudinal Trends in Childhood Insulin Levels and Body Mass Index and Associations With Risks of Psychosis and Depression in Young Adults [published correction appears in JAMA Psychiatry. 2021 Apr 1;78(4):449]. JAMA Psychiatry. 2021;78(4):416-425. doi:10.1001/jamapsychiatry.2020.4180
- Aarestrup J, Blond K, Vistisen D, et al. Childhood body mass index trajectories and associations with adult-onset chronic kidney disease in Denmark: A population-based cohort study. PLoS Med. 2022;19(9):e1004098. Published 2022 Sep 21. doi:10.1371/journal.pmed.1004098
- Kogon AJ, Roem J, Schneider MF, et al. Associations of body mass index (BMI) and BMI change with progression of chronic kidney disease in children. Pediatr Nephrol. 2023;38(4):1257-1266. doi:10.1007/s00467-022-05655-6
- Brara SM, Koebnick C, Porter AH, Langer-Gould A. Pediatric idiopathic intracranial hypertension and extreme childhood obesity. J Pediatr. 2012;161(4):602-607. doi:10.1016/j.jpeds.2012.03.047
- Halfon N, Larson K, Slusser W. Associations between obesity and comorbid mental health, developmental, and physical health conditions in a nationally representative sample of US children aged 10 to 17. Acad Pediatr. 2013;13(1):6-13. doi:10.1016/j.acap.2012.10.007
- Pont SJ, Puhl R, Cook SR, Slusser W; Section on Obesity; Obesity Society. Stigma Experienced by Children and Adolescents With Obesity. Pediatrics. 2017;140(6):e20173034. doi:10.1542/peds.2017-3034
- Simmonds M, Llewellyn A, Owen CG, Woolacott N. Predicting adult obesity from childhood obesity: a systematic review and meta-analysis. Obes Rev. 2016;17(2):95-107. doi:10.1111/obr.12334
- Ward ZJ, Bleich SN, Long MW, Gortmaker SL. Association of body mass index with health care expenditures in the United States by age and sex. PLoS One. 2021;Mar24:16(3):e0247307.
- Cawley J, Biener A, Meyerhoefer C, et al. Job absenteeism costs of obesity in the United States: National and state-level estimates. J Occup Med. 2021;63(7):565-573
- Webber BJ, Bornstein DB, Deuster PA, O'Connor FG, Park S, Rose KM, Whitfield GP. BMI and Physical Activity, Military-Aged U.S. Population 2015-2020. Am J Prev Med. 2023; 64(1):66-75. doi: 10.1016/j.amepre.2022.08.008.
- Brara SM, Koebnick C, Porter AH, Langer-Gould A. Pediatric idiopathic intracranial hypertension and extreme childhood obesity. J Pediatr. 2012;161(4):602-607. doi:10.1016/j.jpeds.2012.03.047
- Lauby-Secretan B, Scoccianti C, Loomis D, Grosse Y, Bianchini F, Straif K. Body fatness and cancer - Viewpoint of the IARC Working Group. N Engl J Med.2016;375(8):794-8. doi:10.1056/NEJMsr1606602
- Bhaskaran K, Douglas I, Forbes H, dos-Santos-Silva I, Leon DA, Smeeth L. Body-mass index and risk of 22 specific cancers: a population-based cohort study of 5·24 million UK adults. Lancet. 2014;384(9945):755-765. doi:10.1016/S0140-6736(14)60892-8
- Abdullah A, Peeters A, de Courten M, Stoelwinder J. The magnitude of association between overweight and obesity and the risk of diabetes: a meta-analysis of prospective cohort studies. Diabetes Res Clin Pract. 2010;89(3):309-319. doi:10.1016/j.diabres.2010.04.012
- Tsur AM, Akavian I, Landau R, et al. Adolescent Body Mass Index and Early Chronic Kidney Disease in Young Adulthood. JAMA Pediatr. 2024;178(2):142-150. doi:10.1001/jamapediatrics.2023.5420
- Garofalo C, Borrelli S, Minutolo R, Chiodini P, De Nicola L, Conte G. A systematic review and meta-analysis suggests obesity predicts onset of chronic kidney disease in the general population. Kidney Int. 2017;91(5):1224-1235. doi:10.1016/j.kint.2016.12.013
- Chan WK, Chuah KH, Rajaram RB, Lim LL, Ratnasingam J, Vethakkan SR. Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD): A State-of-the-Art Review. J Obes Metab Syndr. 2023;32(3):197-213. doi:10.7570/jomes23052
- Mori K, Akiyama Y, Tanaka M, et al. Deciphering metabolic dysfunction-associated steatotic liver disease: insights from predictive modeling and clustering analysis. J Gastroenterol Hepatol. Published online April 17, 2024. doi:10.1111/jgh.16552
- Kompaniyets L, Goodman AB, Belay B, et al. Body Mass Index and Risk for COVID-19-Related Hospitalization, Intensive Care Unit Admission, Invasive Mechanical Ventilation, and Death - United States, March-December 2020. MMWR Morb Mortal Wkly Rep. 2021;70(10):355-361. Published 2021 Mar 12. doi:10.15585/mmwr.mm7010e4
- Hopkins R, Young KG, Thomas NJ, et al. Risk factor associations for severe COVID-19, influenza and pneumonia in people with diabetes to inform future pandemic preparations: UK population-based cohort study. BMJ Open. 2024;14(1):e078135. Published 2024 Jan 31. doi:10.1136/bmjopen-2023-078135
- Famati EA, Ujamaa D, O'Halloran A, et al. Association of Chronic Medical Conditions With Severe Outcomes Among Nonpregnant Adults 18-49 Years Old Hospitalized With Influenza, FluSurv-NET, 2011-2019. Open Forum Infect Dis. 2023;10(12):ofad599. Published 2023 Nov 29. doi:10.1093/ofid/ofad599
- Yen IW, Lee CN, Lin MW, et al. Overweight and obesity are associated with clustering of metabolic risk factors in early pregnancy and the risk of GDM. PLoS One. 2019;14(12):e0225978. Published 2019 Dec 3. doi:10.1371/journal.pone.0225978