Obesity and Native Hawaiians/Pacific Islanders

  • Native Hawaiians/Pacific Islanders were three times more likely to be obese than the overall Asian American population in 2014.
  • Native Hawaiians/Pacific Islanders were 80 percent more likely to be obese than non-Hispanic whites in 2016.
  • Native Hawaiian/Pacific Islander adolescents were more than twice as likely to be obese as compared to non-Hispanic white adolescents in 2017.
  • A 2014 survey on Native Hawaiians/Pacific Islanders (NHPI) revealed that Native Hawaiian/Pacific Islander sub-populations had higher obesity rates than both Asian Americans and white Americans.
  • In 2014, Samoans were 5.6 times more likely to be obese as compared to the overall Asian American population.
  • People who are overweight are more likely to suffer from high blood pressure, high levels of blood fats, diabetes and LDL cholesterol – all risk factors for heart disease and stroke.1
Age-adjusted percentage of persons 18 years of age and over who were overweight but not obese, 2016. (Body Mass Index (BMI) of 25 or greater)
Native Hawaiian/Pacific IslanderNon-Hispanic WhiteNative Hawaiian/Pacific Islander / Non-Hispanic White Ratio
24.434.30.7

Source: CDC 2020. Summary Health Statistics: National Health Interview Survey: 2016. Table A-15a.
https://www.cdc.gov/nchs/nhis/shs/tables.htm

Age-adjusted percentage of persons 18 years of age and over who were obese, 2016. (Body Mass Index (BMI) of 30 or greater)
Native Hawaiian/Pacific IslanderNon-Hispanic WhiteNative Hawaiian/Pacific Islander / Non-Hispanic White Ratio
51.728.71.8

Source: CDC 2020. Summary Health Statistics: National Health Interview Survey: 2016. Table A-15a.
https://www.cdc.gov/nchs/nhis/shs/tables.htm

Age-adjusted percentages of body mass index among adults 18 years of age and over, single-race, overweight but not obese, 2014
PopulationOverweightRatio Overweight / All Asian PopulationRatio Overweight / Whites
All Whites35.01.2--
All Asians28.6--0.8
All NHPI31.61.10.9
Native Hawaiian30.81.10.9
Pacific Islander32.91.20.9
Samoan28.21.00.8
Guamanian/Chamorro34.71.21.0
Other Pacific Islander37.81.31.1

Source: CDC 2015. Health Conditions and Behaviors of Native Hawaiian and Pacific Islander Persons in the United States, 2014. Table 2.
https://www.cdc.gov/nchs/data/series/sr_03/sr03_040.pdf [PDF | 2.43MB]

Age-adjusted percentages of body mass index among adults 18 years of age and over, single-race, obese, 2014
PopulationObeseRatio Obese / All Asian PopulationRatio Obese / Whites
All Whites28.22.6--
All Asians11.0--0.4
All NHPI44.64.11.6
Native Hawaiian43.03.91.5
Pacific Islander44.94.11.6
Samoan61.65.62.2
Guamanian/Chamorro39.93.61.4
Other Pacific Islander38.03.51.3

Source: CDC 2015. Health Conditions and Behaviors of Native Hawaiian and Pacific Islander Persons in the United States, 2014. Table 2.
https://www.cdc.gov/nchs/data/series/sr_03/sr03_040.pdf [PDF | 2.43MB]

CHILDREN

  • National data on overweight and obesity not available at this time.

ADOLESCENTS

Percentage of high school students who were overweight, 2017
Native Hawaiian/Pacific IslanderNon-Hispanic WhiteNative Hawaiian/Pacific Islander / Non-Hispanic White Ratio
21.514.01.5

Source: High School Youth Risk Behavior Survey Data.
Available at https://nccd.cdc.gov/youthonline. [Accessed 03/03/2020]

Percentage of high school students who were obese, 2017
Native Hawaiian/Pacific IslanderNon-Hispanic WhiteNative Hawaiian/Pacific Islander / Non-Hispanic White Ratio
26.712.52.4

Source: High School Youth Risk Behavior Survey Data.
Available at https://nccd.cdc.gov/youthonline. [Accessed 03/03/2020]

HEALTH IMPACT OF OBESITY

Percentage of inactive leisure-time physical activity, adults 18 years of age and over, 2018 (Did not meet federal physical activity guidelines)
Native Hawaiian/Pacific IslanderNon-Hispanic WhiteNative Hawaiian/Pacific Islander / Non-Hispanic White Ratio
51.438.91.3

Source: CDC 2020. Summary Health Statistics: National Health Interview Survey: 2018. Table A-14a.
https://www.cdc.gov/nchs/nhis/shs/tables.htm

Percentage of some leisure-time physical activity, adults 18 years of age and over, 2018 (Met aerobic guidelines only)
Native Hawaiian/Pacific IslanderNon-Hispanic WhiteNative Hawaiian/Pacific Islander / Non-Hispanic White Ratio
44.557.50.8

Source: CDC 2020. Summary Health Statistics: National Health Interview Survey: 2018. Table A-14a.
https://www.cdc.gov/nchs/nhis/shs/tables.htm

Percentage of regular leisure-time physical activity, adults 18 years of age and over, 2018 (Met federal physical activity guidelines)
Native Hawaiian/Pacific IslanderNon-Hispanic WhiteNative Hawaiian/Pacific Islander / Non-Hispanic White Ratio
21.925.80.8

Source: CDC 2020. Summary Health Statistics: National Health Interview Survey: 2018. Table A-14a.
https://www.cdc.gov/nchs/nhis/shs/tables.htm

RISK FACTORS

Obesity is a risk factor for several diseases. For statistics on these related diseases, see:

Diabetes – See Diabetes and Native Hawaiian and Pacific Islanders
Heart Disease – See Heart Disease and Native Hawaiian and Pacific Islanders
Stroke – See Stroke and Native Hawaiian and Pacific Islanders


1Source: https://www.cdc.gov/healthyweight/effects/index.html