Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1694573100209.pdf (Antigua and Barbuda)
PREVENTING CHILDHOOD OBESITY IN THE CARIBBEAN Enabling Caribbean civil society’s contribution to national and regional action for healthier, happier children.
HCC Country Obesity Fact Sheet Antigua and Barbuda Population 2017 102 012 World Bank Income Level 2017 Revision High Income Estimated Cumulative Cost of Obesity 2017-2025 (US$M) 125.4 Barbuda Antigua and Barbuda Saint John’s Antigua 1 in 3 Caribbean Children is overweight or obese Childhood obesity* exceeds 10% in 7 of 11 CARICOM countries with data Obesity in childhood is linked to high blood pressure, type II diabetes, and low self esteem Childhood obesity tracks into adulthood increasing the likelihood of developing NCDs *Based on the WHO definition of childhood obesity Caribbean Policy Environment Fiscal Policies School Policies banning SSBs in schools Marketing Regulation/ Mandatory Front of Pack Nutrition Labeling Nutrition Guidelines & Policies/ Healthy Schools Policies SSB Taxes in Barbados, Bermuda & Dominica Bermuda, Bahamas, Jamaica and Trinidad & Tobago 3/20 4/20 0/20 Multiple countries CARICOM Childhood Obesity Prevention action frameworks: 1.
HCC Civil Society Action Plan 2017-2021: Preventing Childhood Obesity in the Caribbean 2.

CARPHA Plan of Action for promoting healthy weights in the Caribbean: Prevention and control of childhood obesity 2014-2019 3.

CARPHA 6-point policy package 4.
PAHO Plan of Action for the prevention of obesity in children and adolescents 2014-2019 OBESITY AND OVERWEIGHT AMONG CHILDREN 2016 Childhood levels of OVERwEIGHT or OBESE Childhood levels of OBESITY AGE 5 to 9 10 to 19 BOTh SExES 29.6% 25.3% AGE 5 to 9 10 to 19 BOTh SExES 14.6% 10% 26.7% BOTh SExES AGE: 5 to 19 11.5% BOTh SExES AGE: 5 to 19 RISk FACTOR STATUS Insufficient activity* 2010 AGE 11 to 17 MAlE FEMAlE 72.4% 83.3% 78.3% BOTh SExES AGE: 11 to 17 Attendance at physical education (PE) class on >= 3 days/week during the school year Students who spent three or more hours per day during a typical or usual day doing sitting activities Soft drink consumption STUDENTS (13-15 years) who usually drank carbonated soft drinks one or more times per day during the past 30 days (%) Infant breastfeeding * Percent of defined population attaining less than 60 minutes of moderate- to vigorous-intensity physical activity daily.
2 | Preventing Childhood Obesity in the Caribbean BOTh SExES 26.4% 54.8% 58.8% No data Antigua and Barbuda | July 2019 ADULT OVERWEIGHT AND OBESITY PREVALENCE 2016 Age-standardized prevalence of OVERwEIGHT and OBESITY Age-standardized prevalence of OBESITY MAlE FEMAlE 40.1% 55.6% MAlE FEMAlE 11.6% 25.9% 48% BOTh SExES 18.9% BOTh SExES Fresh fruit and vegetable intake is low in both Caribbean men and women, with less than 15% in most countries eating the recommended five or more portions a day.
References: 1. WHO: http://www.worldometers.info 2.

United Nations, World Population Prospects, 2017 revision 3.

Global, regional and national prevalence of overweight and obesity in children and adults 1980-2013: A systematic analysis Lancet.

2014 Aug 30; 384(9945): 766–781.

4.

Global Health Observatory data repository 5.

Global school based student health survey (Results for students aged 13-15 years) 6.

World Health Organization - NCD Progress Monitor, 2017.

7.
7.

World Obesity Federation: http://www.obesityday.worldobesity.org/ourdata2017 http://docs.wixstatic.com/ ugd/6599c5_2a8fa0968efd4854b74f399abb3078c0.pdf?index=true 8.

El estado de las guías alimentarias basadas en alimentos en América Latina y el Caribe: 21 años después de la Conferencia Internacional sobre Nutrición 9.

Risk factor surveys of individual CARICOM countries.
STEPS surveys were used for all countries except Barbados where HOTN was used and Jamaica where Jamaica Health and Lifestyle survey 2008 was used.

Preventing Childhood Obesity in the Caribbean | 3 Antigua and Barbuda | July 2019 CHILDHOOD OBESITY PREVENTION SCORECARD (COPS) WhO Recommends a comprehensive approach to prevention including implementation of key policies including: Taxation of SSBs; Regulation of Marketing to Children; Mandatory Front of Package Nutritional labelling; and School Policies.
The HCC CSAP Childhood Obesity Prevention Scorecard (COPS) has 15 indicators to measure a country’s response to this emerging crisis.
Not implemented/Absent Partially implemented/Under development Implemented/Present 1 National NCD Commission or Equivalent 2 Active hCC COP Initiative (to be completed online only) 3 Nation policy, stretegic plan or action plan on obesity 4 Mandatory front-of-package nutrition labelling regulation 5 Nutrition policy or guidelines for all schools 6 Regulation banning or restricting the sale and marketing of SSBs and or all EDNP foods in and around all schools and ensuring the provision of free drinking water 7 Regulation banning the marketing of unhealthy foods to children 8 Regulation banning trans fats (legislstive limit on trans fat) 9 Taxes on Sugary Drinks (SSBs) 10 Taxes on EDNP foods / unhealthy foods.
11 Subsidies on local fruits and vegetables 12 Implementation of the Baby Friendly hospital Initiative (BFhI) in at least one local health facility 13 legislation/regulations fully implementing the International Code of Marketing of Breast-milk substitutes 14 Mandatory physical education in all government schools 15 National program(s) contributing to childhood obesity prevention (COP) efforts CSAP: Civil Society Action Plan | COP: Childhood Obesity Prevention | SSBs: Sugar Sweetened Beverages | EDNP: Energy Dense Nutrient Poor PRIORITIES AREAS Trade and fiscal policies Nutrition literacy Early childhood nutrition Marketing of healthy and unhealthy foods and beverages to children School- and community-based interventions Resource mobilisation Strategic planning, monitoring, and evaluation link to the real time COPS webpage on the hCC website at: www.healthycaribbean.org/cops/ You will find resources such as policy documents for countries reporting progress If you would like to inform us of any data discrepancy or update for this fact sheet please contact us at hcc@healthycaribbean.org 4 | Preventing Childhood Obesity in the Caribbean Antigua and Barbuda | July 2019