Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults
dc.date.accessioned | 2018-03-22T17:02:59Z | |
dc.date.available | 2018-03-22T17:02:59Z | |
dc.date.created | 2017-11-29T14:53:24Z | |
dc.date.issued | 2017 | |
dc.identifier.citation | Bentham, James Di Cesare, Mariachiara Bilano, Ver Bixby, Honor Zhou, Bin Stevens, Gretchen A. Riley, Leanne M. Taddei, Cristina Hajifathalian, Kaveh Lu, Yuan Savin, Stefan Cowan, Melanie J. Paciorek, Christopher J. Chirita-Emandi, Adela Hayes, Alison J Katz, Joanne Kelishadi, Roya Kengne, André Pascal Khang, Young-Ho Laxmaiah, Avula Li, Yanping Ma, Jun Miranda, J. Jaime Mostafa, Aya Neovius, Martin Padez, Cristina Rampal, Lekhraj Zhu, Aubrianna Bennett, James E. Danaei, Goodarz Bhutta, Zulfiqar A. Ezzati, Majid Abarca-Gómez, Leandra Abdeen, Ziad A. Hamid, Zargar Abdul Abu-Rmeileh, Niveen M. Acosta-Cazares, Benjamin Acuin, Cecilia Adams, Robert J. Aekplakorn, Wichai Afsana, Kaosar Aguilar-Salinas, Carlos A. Agyemang, Charles Ahmadvand, Alireza Ahrens, Wolfgang Ajlouni, Kamel Akhtaeva, Nazgul Al-Hazzaa, Hazzaa M. Al-Othman, Amani Rashed Al-Raddadi, Rajaa AlBuhairan, Fadia S. AlDhukair, Shahla Ali, Mohamed M Ali, Osman Alkerwi, Ala'a Alvarez-Pedrerol, Mar Aly, Eman Amarapurkar, Deepak N. Amouyel, Philippe Amuzu, Antoinette Andersen, Lars Bo Anderssen, Sigmund Alfred Andrade, Dolores S Ängquist, Lars Anjana, Ranjit Mohan Aounallah-Skhiri, Hajer Araújo, Joana Ariansen, Inger Kristine Aris, Tahir Arlappa, Nimmathota Arveiler, Dominique Aryal, Krishna Aspelund, Thor Assah, Felix K. Assunção, Maria Cecília Aung, May Soe Avdicová, Mária Azevedo, Ana Azizi, Fereidoun Babu, Bontha V Bahijri, Suhad Baker, Jennifer L. Balakrishna, Nagalla Bamoshmoosh, Mohamed Banach, Maciej Bandosz, Piotr Banegas, Jose R Barbagallo, Carlo M. Barcelo, Alberto Barkat, Amina Barros, Aluisio J.D. Barros, Mauro V.G. Bata, Iqbal Biehl, Anna Månsson Bjertness, Espen Bjertness, Marius Bergsmark Ekelund, Ulf Graff-Iversen, Sidsel Htet, Aung Soe Janszky, Imre Kolle, Elin Krokstad, Steinar Laugsand, Lars Erik Mathiesen, Ellisiv B. Meisfjord, Jørgen Rajan Meyer, Haakon E Sen, Abhijit Steene-Johannessen, Jostein Vatten, Lars Johan Wilsgaard, Tom . Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. The Lancet. 2017, 390(10113), 2627-2642 | |
dc.identifier.uri | http://hdl.handle.net/10852/61271 | |
dc.description.abstract | Summary Background Underweight, overweight, and obesity in childhood and adolescence are associated with adverse health consequences throughout the life-course. Our aim was to estimate worldwide trends in mean body-mass index (BMI) and a comprehensive set of BMI categories that cover underweight to obesity in children and adolescents, and to compare trends with those of adults. Methods We pooled 2416 population-based studies with measurements of height and weight on 128·9 million participants aged 5 years and older, including 31·5 million aged 5–19 years. We used a Bayesian hierarchical model to estimate trends from 1975 to 2016 in 200 countries for mean BMI and for prevalence of BMI in the following categories for children and adolescents aged 5–19 years: more than 2 SD below the median of the WHO growth reference for children and adolescents (referred to as moderate and severe underweight hereafter), 2 SD to more than 1 SD below the median (mild underweight), 1 SD below the median to 1 SD above the median (healthy weight), more than 1 SD to 2 SD above the median (overweight but not obese), and more than 2 SD above the median (obesity). Findings Regional change in age-standardised mean BMI in girls from 1975 to 2016 ranged from virtually no change (−0·01 kg/m2 per decade; 95% credible interval −0·42 to 0·39, posterior probability [PP] of the observed decrease being a true decrease=0·5098) in eastern Europe to an increase of 1·00 kg/m2 per decade (0·69–1·35, PP>0·9999) in central Latin America and an increase of 0·95 kg/m2 per decade (0·64–1·25, PP>0·9999) in Polynesia and Micronesia. The range for boys was from a non-significant increase of 0·09 kg/m2 per decade (−0·33 to 0·49, PP=0·6926) in eastern Europe to an increase of 0·77 kg/m2 per decade (0·50–1·06, PP>0·9999) in Polynesia and Micronesia. Trends in mean BMI have recently flattened in northwestern Europe and the high-income English-speaking and Asia-Pacific regions for both sexes, southwestern Europe for boys, and central and Andean Latin America for girls. By contrast, the rise in BMI has accelerated in east and south Asia for both sexes, and southeast Asia for boys. Global age-standardised prevalence of obesity increased from 0·7% (0·4–1·2) in 1975 to 5·6% (4·8–6·5) in 2016 in girls, and from 0·9% (0·5–1·3) in 1975 to 7·8% (6·7–9·1) in 2016 in boys; the prevalence of moderate and severe underweight decreased from 9·2% (6·0–12·9) in 1975 to 8·4% (6·8–10·1) in 2016 in girls and from 14·8% (10·4–19·5) in 1975 to 12·4% (10·3–14·5) in 2016 in boys. Prevalence of moderate and severe underweight was highest in India, at 22·7% (16·7–29·6) among girls and 30·7% (23·5–38·0) among boys. Prevalence of obesity was more than 30% in girls in Nauru, the Cook Islands, and Palau; and boys in the Cook Islands, Nauru, Palau, Niue, and American Samoa in 2016. Prevalence of obesity was about 20% or more in several countries in Polynesia and Micronesia, the Middle East and north Africa, the Caribbean, and the USA. In 2016, 75 (44–117) million girls and 117 (70–178) million boys worldwide were moderately or severely underweight. In the same year, 50 (24–89) million girls and 74 (39–125) million boys worldwide were obese. Interpretation The rising trends in children's and adolescents' BMI have plateaued in many high-income countries, albeit at high levels, but have accelerated in parts of Asia, with trends no longer correlated with those of adults. | en_US |
dc.language | EN | |
dc.publisher | Elsevier | |
dc.rights | Attribution 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.title | Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults | en_US |
dc.type | Journal article | en_US |
dc.creator.author | Bentham, James | |
dc.creator.author | Di Cesare, Mariachiara | |
dc.creator.author | Bilano, Ver | |
dc.creator.author | Bixby, Honor | |
dc.creator.author | Zhou, Bin | |
dc.creator.author | Stevens, Gretchen A. | |
dc.creator.author | Riley, Leanne M. | |
dc.creator.author | Taddei, Cristina | |
dc.creator.author | Hajifathalian, Kaveh | |
dc.creator.author | Lu, Yuan | |
dc.creator.author | Savin, Stefan | |
dc.creator.author | Cowan, Melanie J. | |
dc.creator.author | Paciorek, Christopher J. | |
dc.creator.author | Chirita-Emandi, Adela | |
dc.creator.author | Hayes, Alison J | |
dc.creator.author | Katz, Joanne | |
dc.creator.author | Kelishadi, Roya | |
dc.creator.author | Kengne, André Pascal | |
dc.creator.author | Khang, Young-Ho | |
dc.creator.author | Laxmaiah, Avula | |
dc.creator.author | Li, Yanping | |
dc.creator.author | Ma, Jun | |
dc.creator.author | Miranda, J. Jaime | |
dc.creator.author | Mostafa, Aya | |
dc.creator.author | Neovius, Martin | |
dc.creator.author | Padez, Cristina | |
dc.creator.author | Rampal, Lekhraj | |
dc.creator.author | Zhu, Aubrianna | |
dc.creator.author | Bennett, James E. | |
dc.creator.author | Danaei, Goodarz | |
dc.creator.author | Bhutta, Zulfiqar A. | |
dc.creator.author | Ezzati, Majid | |
dc.creator.author | Abarca-Gómez, Leandra | |
dc.creator.author | Abdeen, Ziad A. | |
dc.creator.author | Hamid, Zargar Abdul | |
dc.creator.author | Abu-Rmeileh, Niveen M. | |
dc.creator.author | Acosta-Cazares, Benjamin | |
dc.creator.author | Acuin, Cecilia | |
dc.creator.author | Adams, Robert J. | |
dc.creator.author | Aekplakorn, Wichai | |
dc.creator.author | Afsana, Kaosar | |
dc.creator.author | Aguilar-Salinas, Carlos A. | |
dc.creator.author | Agyemang, Charles | |
dc.creator.author | Ahmadvand, Alireza | |
dc.creator.author | Ahrens, Wolfgang | |
dc.creator.author | Ajlouni, Kamel | |
dc.creator.author | Akhtaeva, Nazgul | |
dc.creator.author | Al-Hazzaa, Hazzaa M. | |
dc.creator.author | Al-Othman, Amani Rashed | |
dc.creator.author | Al-Raddadi, Rajaa | |
dc.creator.author | AlBuhairan, Fadia S. | |
dc.creator.author | AlDhukair, Shahla | |
dc.creator.author | Ali, Mohamed M | |
dc.creator.author | Ali, Osman | |
dc.creator.author | Alkerwi, Ala'a | |
dc.creator.author | Alvarez-Pedrerol, Mar | |
dc.creator.author | Aly, Eman | |
dc.creator.author | Amarapurkar, Deepak N. | |
dc.creator.author | Amouyel, Philippe | |
dc.creator.author | Amuzu, Antoinette | |
dc.creator.author | Andersen, Lars Bo | |
dc.creator.author | Anderssen, Sigmund Alfred | |
dc.creator.author | Andrade, Dolores S | |
dc.creator.author | Ängquist, Lars | |
dc.creator.author | Anjana, Ranjit Mohan | |
dc.creator.author | Aounallah-Skhiri, Hajer | |
dc.creator.author | Araújo, Joana | |
dc.creator.author | Ariansen, Inger Kristine | |
dc.creator.author | Aris, Tahir | |
dc.creator.author | Arlappa, Nimmathota | |
dc.creator.author | Arveiler, Dominique | |
dc.creator.author | Aryal, Krishna | |
dc.creator.author | Aspelund, Thor | |
dc.creator.author | Assah, Felix K. | |
dc.creator.author | Assunção, Maria Cecília | |
dc.creator.author | Aung, May Soe | |
dc.creator.author | Avdicová, Mária | |
dc.creator.author | Azevedo, Ana | |
dc.creator.author | Azizi, Fereidoun | |
dc.creator.author | Babu, Bontha V | |
dc.creator.author | Bahijri, Suhad | |
dc.creator.author | Baker, Jennifer L. | |
dc.creator.author | Balakrishna, Nagalla | |
dc.creator.author | Bamoshmoosh, Mohamed | |
dc.creator.author | Banach, Maciej | |
dc.creator.author | Bandosz, Piotr | |
dc.creator.author | Banegas, Jose R | |
dc.creator.author | Barbagallo, Carlo M. | |
dc.creator.author | Barcelo, Alberto | |
dc.creator.author | Barkat, Amina | |
dc.creator.author | Barros, Aluisio J.D. | |
dc.creator.author | Barros, Mauro V.G. | |
dc.creator.author | Bata, Iqbal | |
dc.creator.author | Biehl, Anna Månsson | |
dc.creator.author | Bjertness, Espen | |
dc.creator.author | Bjertness, Marius Bergsmark | |
dc.creator.author | Ekelund, Ulf | |
dc.creator.author | Graff-Iversen, Sidsel | |
dc.creator.author | Htet, Aung Soe | |
dc.creator.author | Janszky, Imre | |
dc.creator.author | Kolle, Elin | |
dc.creator.author | Krokstad, Steinar | |
dc.creator.author | Laugsand, Lars Erik | |
dc.creator.author | Mathiesen, Ellisiv B. | |
dc.creator.author | Meisfjord, Jørgen Rajan | |
dc.creator.author | Meyer, Haakon E | |
dc.creator.author | Sen, Abhijit | |
dc.creator.author | Steene-Johannessen, Jostein | |
dc.creator.author | Vatten, Lars Johan | |
dc.creator.author | Wilsgaard, Tom | |
cristin.unitcode | 185,52,14,0 | |
cristin.unitname | Avdeling for samfunnsmedisin og global helse | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.fulltext | original | |
cristin.qualitycode | 2A | |
dc.identifier.cristin | 1520342 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=The Lancet&rft.volume=390&rft.spage=2627&rft.date=2017 | |
dc.identifier.jtitle | The Lancet | |
dc.identifier.volume | 390 | |
dc.identifier.issue | 10113 | |
dc.identifier.startpage | 2627 | |
dc.identifier.endpage | 2642 | |
dc.identifier.doi | http://dx.doi.org/10.1016/S0140-6736(17)32129-3 | |
dc.identifier.urn | URN:NBN:no-63894 | |
dc.type.document | Tidsskriftartikkel | en_US |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 0140-6736 | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/61271/4/Bentham_2017_Wor.pdf | |
dc.type.version | PublishedVersion |
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