Dr Lackram Bodoe, Minister of Health, recently stated that one in every four children is either overweight or obese in Trinidad and Tobago.
One year ago, on the eve of World Obesity Day 2025, the Caribbean Public Health Agency (CARPHA) reported that "one in every three children is overweight or obese,” in the Caribbean. CARPHA also “estimated [the] prevalence of overweight and obesity in adults in the Region of the Americas was 67.5% (an increase of 52% from 1990), of which 33.8% (36.5% in women and 31.0% in men) were obese."
The Lancet Global Health Report [2024] stated the prevalence of insufficient physical activity among persons 18 years and older in Trinidad and Tobago was 40.0-49.9%.
According to CARPHA, obesity increases the risk of NCDs in children and adults, "namely cardiovascular diseases (like heart disease and stroke), diabetes mellitus, cancers, and chronic respiratory diseases (like chronic obstructive pulmonary disease and asthma). NCDs are the leading cause of illness, death, and disability in the Caribbean region. Obese children are more likely to become obese adults and are at a higher risk of developing NCDs in adulthood." https://carpha.org/More/Media/Articles/ArticleID/1004/CARPHA-Advocates-for-Systemic-Changes-to-Reduce-Childhood-Obesity
One recommendation for addressing overweight and obesity is promoting physical activity. The World Health Organisation (WHO) defines physical activity as any bodily movement that requires energy expenditure (WHO, 2022). Both moderate- and vigorous-intensity physical activity provide several health benefits such as:
• Reduces Risk of Chronic Diseases-Regular exercise lowers the risk of type 2 diabetes, cardiovascular disease, and some cancers (e.g., colon, breast) (Warburton & Bredin, 2019).
• Improves Mental Health & Reduces Depression (Schuch et al., 2021).
• Weight Loss Management (Cox, 2017).
The minister’s indication that his ministry is working with the Ministry of Education to promote physical activity in schools is a meaningful start. However, involvement in physical activity is shaped by societal factors such as social class, culture (e.g., educational credentialism over physical activity), safe spaces, gendered spaces, and individual factors such as self-confidence and motivation.
Furthermore, it is critical in the school system that teachers responsible for transferring physical literacy and skills are certified and experienced to work with children from heterogeneous socioeconomic and cultural backgrounds.
Having played sport should not automatically justify serving as a physical education teacher. That practice must be discontinued immediately. Furthermore, the entire education system must embrace physical activity as important, or sweaty students will be ostracised and easily discouraged by teachers/administrators who wear academic blinders.
If the school system gets it ‘right,’ it has to be reinforced in communities, including the family system. However, not every community and family system operates on a level playing field as it relates to access to resources. Therefore, promoting a culture of physical activity in and out of the school system must be aligned to addressing society’s wider socioeconomic issues.
