BACKGROUND: The weight distribution of a random sample of Spanish popu
lation aged 25-60 years is described. The prevalence of obesity and ov
erweight is estimated by sex, age group and cultural level. SUBJECTS A
ND METHOD: Weight, height and waist to hip ratio (WHR) were measured o
n 5,388 subjects aged 25-60 yr who participated in population Nutritio
nal surveys carried out in four Spanish autonomous regions (Cataluna,
Pais Vasco, Madrid and Valencia) from 1989 to 1994. They were pooled t
ogether in order to build a national random sample. The sample was cla
ssified according to body mass index (BMI) (weight in kg/height in m(2
)). Obesity was defined as BMI greater than or equal to 30 kg/m(2). Th
e prevalence of obesity by sex, age group and cultural level was estim
ated. Risk values for WHR were defined as WHR > 1 far men and WHR > 0.
9 for women. RESULTS: The prevalence of obesity was 13.4%, 11.5% among
men and 15.2% among women. Obesity increased with age in men and wome
n, from 5.3% in the 25-34 yr group to 26.3% in the age group 55-60. Am
ong those with a BMI greater than or equal to 30, 30.7% of men and 25.
1% of women had also risk values for WHR. Educational level showed an
inverse relationship with obesity, thus obesity was higher in less edu
cated groups, particularly among women (p < 0.001). The geographical d
istribution of obesity showed a south-southeast trend, significant for
males (p < 0.001). CONCLUSIONS: Prevalence of obesity in Spain was 13
.4%, bligher after 45 yr of age, particulary in women and less educate
d groups.