Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19·2 million participants

Background: Underweight and severe and morbid obesity are associated with highly elevated risks of adverse health outcomes. We estimated trends in mean body-mass index (BMI), which characterises its population distribution, and in the prevalences of a complete set of BMI categories for adults in all...

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Hauptverfasser: Di Cesare, Mariachiara, Bentham, James, Lu, Yuan, Adams, Robert, Aounallah-Skhiri, Hajer, Balakrishna, Nagalla, Beneet, Mikhail, Bi, HongSheng, Bjertness, Espen, Bo, Simona, Bragt, Marjolijn C. E, Cama, Tilema, Chamukuttan, Snehalatha, Chan, Angelique W, Christensen, Kaare, Dauchet, Luc, Doua, Kouamelan, Ekelund, Ulf, De La Pena, Jorge Escobedo, Fall, Caroline H, Ferguson, Trevor S, Finn, Joseph D, Fuchs, Sandra C, Gaspoz, Jean-Michel, Ghasemian, Anoosheh, Rivas, Juan P. Gonzalez, Grajda, Aneta, Grodzicki, Tomasz, Gruden, Grabriella, Guan, Ong Peng, Gupta, Prakash C, Htike, Maung Maung Than, Hussieni, Abdullatif S, Jamil, Kazi M, Jasienska, Grazyna, Juolevi, Anne, Katz, Joanne, Khalili, Davood, Klimont, Jeannette, Kromhout, Daan, Kumar, R. Krishna, Landrove, Orlando, Lappas, Georg, Laugsand, Lars Erik, Lee, Jeonghee, Lima-Costa, M. Fernanda, Machi, Suka, Mann, Jim I, Manzato, Enzo, Marrugat, Jaume, Miller, Jody C, Motlagh, Mohammad Esmaeel, Motta, Jorge, Mueisan, Maria Lorenza, neuhauser, Hannelore K, Ninomiya, Toshiharu, O'Reilly, Dermot, Parsaeian, Mahboubeh, Pednekar, Mangesh S, Pham, Son Thai, Portegies, Marileen L. P, Poulimeneas, Dimitrios, Qorbani, Mostafa, Bao, Tran Quoc, Radic, Ivana, Ribeiro, Robespierre, Rivera, Juan A, Ruiz-Betancourt, Blanca Sandra, Rutkowski, Marcin, Sachdev, Harshpal S, Martinez, Eduardo Salazar, Sandjaja, Santos, Osvaldo, Dos Santos, Renata Nunes, Savva, Savvas C, Rosario, Angelika Schaffrath, Sepanlou, Sadaf G, Smith, Margaret C, Sobngwi, Eugene, Stratton, Gareth, Sundström, Johan, Swinburn, Boyd A, Tao, Yong, Tarawneh, Mohammad, Thuesen, Betina H, Trivedi, Atul, Tynelius, Per, Tzourio, Christophe, Vega, Tomas, Viegi, Giovanni, Vollenweider, Peter, Wang, Ming-Dong, Wiecek, Andrzej, Wojtyniak, Bogdan, Woo, Jean, Xu, Haiquan, Yamborisut, Uruwan, Zhao, Wenhua, Zhu, Dan, Arlappa, Nimmathota
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creator Di Cesare, Mariachiara
Bentham, James
Lu, Yuan
Adams, Robert
Aounallah-Skhiri, Hajer
Balakrishna, Nagalla
Beneet, Mikhail
Bi, HongSheng
Bjertness, Espen
Bo, Simona
Bragt, Marjolijn C. E
Cama, Tilema
Chamukuttan, Snehalatha
Chan, Angelique W
Christensen, Kaare
Dauchet, Luc
Doua, Kouamelan
Ekelund, Ulf
De La Pena, Jorge Escobedo
Fall, Caroline H
Ferguson, Trevor S
Finn, Joseph D
Fuchs, Sandra C
Gaspoz, Jean-Michel
Ghasemian, Anoosheh
Rivas, Juan P. Gonzalez
Grajda, Aneta
Grodzicki, Tomasz
Gruden, Grabriella
Guan, Ong Peng
Gupta, Prakash C
Htike, Maung Maung Than
Hussieni, Abdullatif S
Jamil, Kazi M
Jasienska, Grazyna
Juolevi, Anne
Katz, Joanne
Khalili, Davood
Klimont, Jeannette
Kromhout, Daan
Kumar, R. Krishna
Landrove, Orlando
Lappas, Georg
Laugsand, Lars Erik
Lee, Jeonghee
Lima-Costa, M. Fernanda
Machi, Suka
Mann, Jim I
Manzato, Enzo
Marrugat, Jaume
Miller, Jody C
Motlagh, Mohammad Esmaeel
Motta, Jorge
Mueisan, Maria Lorenza
neuhauser, Hannelore K
Ninomiya, Toshiharu
O'Reilly, Dermot
Parsaeian, Mahboubeh
Pednekar, Mangesh S
Pham, Son Thai
Portegies, Marileen L. P
Poulimeneas, Dimitrios
Qorbani, Mostafa
Bao, Tran Quoc
Radic, Ivana
Ribeiro, Robespierre
Rivera, Juan A
Ruiz-Betancourt, Blanca Sandra
Rutkowski, Marcin
Sachdev, Harshpal S
Martinez, Eduardo Salazar
Sandjaja
Santos, Osvaldo
Dos Santos, Renata Nunes
Savva, Savvas C
Rosario, Angelika Schaffrath
Sepanlou, Sadaf G
Smith, Margaret C
Sobngwi, Eugene
Stratton, Gareth
Sundström, Johan
Swinburn, Boyd A
Tao, Yong
Tarawneh, Mohammad
Thuesen, Betina H
Trivedi, Atul
Tynelius, Per
Tzourio, Christophe
Vega, Tomas
Viegi, Giovanni
Vollenweider, Peter
Wang, Ming-Dong
Wiecek, Andrzej
Wojtyniak, Bogdan
Woo, Jean
Xu, Haiquan
Yamborisut, Uruwan
Zhao, Wenhua
Zhu, Dan
Arlappa, Nimmathota
description Background: Underweight and severe and morbid obesity are associated with highly elevated risks of adverse health outcomes. We estimated trends in mean body-mass index (BMI), which characterises its population distribution, and in the prevalences of a complete set of BMI categories for adults in all countries. Methods: We analysed, with use of a consistent protocol, population-based studies that had measured height and weight in adults aged 18 years and older. We applied a Bayesian hierarchical model to these data to estimate trends from 1975 to 2014 in mean BMI and in the prevalences of BMI categories (
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fullrecord <record><control><sourceid>cristin_3HK</sourceid><recordid>TN_cdi_cristin_nora_11250_2433013</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>11250_2433013</sourcerecordid><originalsourceid>FETCH-cristin_nora_11250_24330133</originalsourceid><addsrcrecordid>eNqNjEFOwzAQRbNhUUHvMBwgUpy0QNmiIg7QfTSNHXUkeybyjEV7HS7BnpPhSByA1Zfee_qb5uuUA3sFYkBfosFZ_K1NqCvy4bqKvutgksKWKSjMWRK4w_MeTKpyu1dAWERi8ICM8aakIDO4p8NL5UuJaCTcnlFrkQJqySEFNlArfn38JLvUx5_vHhLFWGNYMBtNtCCbPjR3M0YN27-9bx7fj6e3j3bKpEY8smQcnev33djvhqFzw_Cf5hdpOVKa</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19·2 million participants</title><source>NORA - Norwegian Open Research Archives</source><creator>Di Cesare, Mariachiara ; Bentham, James ; Lu, Yuan ; Adams, Robert ; Aounallah-Skhiri, Hajer ; Balakrishna, Nagalla ; Beneet, Mikhail ; Bi, HongSheng ; Bjertness, Espen ; Bo, Simona ; Bragt, Marjolijn C. E ; Cama, Tilema ; Chamukuttan, Snehalatha ; Chan, Angelique W ; Christensen, Kaare ; Dauchet, Luc ; Doua, Kouamelan ; Ekelund, Ulf ; De La Pena, Jorge Escobedo ; Fall, Caroline H ; Ferguson, Trevor S ; Finn, Joseph D ; Fuchs, Sandra C ; Gaspoz, Jean-Michel ; Ghasemian, Anoosheh ; Rivas, Juan P. Gonzalez ; Grajda, Aneta ; Grodzicki, Tomasz ; Gruden, Grabriella ; Guan, Ong Peng ; Gupta, Prakash C ; Htike, Maung Maung Than ; Hussieni, Abdullatif S ; Jamil, Kazi M ; Jasienska, Grazyna ; Juolevi, Anne ; Katz, Joanne ; Khalili, Davood ; Klimont, Jeannette ; Kromhout, Daan ; Kumar, R. Krishna ; Landrove, Orlando ; Lappas, Georg ; Laugsand, Lars Erik ; Lee, Jeonghee ; Lima-Costa, M. Fernanda ; Machi, Suka ; Mann, Jim I ; Manzato, Enzo ; Marrugat, Jaume ; Miller, Jody C ; Motlagh, Mohammad Esmaeel ; Motta, Jorge ; Mueisan, Maria Lorenza ; neuhauser, Hannelore K ; Ninomiya, Toshiharu ; O'Reilly, Dermot ; Parsaeian, Mahboubeh ; Pednekar, Mangesh S ; Pham, Son Thai ; Portegies, Marileen L. P ; Poulimeneas, Dimitrios ; Qorbani, Mostafa ; Bao, Tran Quoc ; Radic, Ivana ; Ribeiro, Robespierre ; Rivera, Juan A ; Ruiz-Betancourt, Blanca Sandra ; Rutkowski, Marcin ; Sachdev, Harshpal S ; Martinez, Eduardo Salazar ; Sandjaja ; Santos, Osvaldo ; Dos Santos, Renata Nunes ; Savva, Savvas C ; Rosario, Angelika Schaffrath ; Sepanlou, Sadaf G ; Smith, Margaret C ; Sobngwi, Eugene ; Stratton, Gareth ; Sundström, Johan ; Swinburn, Boyd A ; Tao, Yong ; Tarawneh, Mohammad ; Thuesen, Betina H ; Trivedi, Atul ; Tynelius, Per ; Tzourio, Christophe ; Vega, Tomas ; Viegi, Giovanni ; Vollenweider, Peter ; Wang, Ming-Dong ; Wiecek, Andrzej ; Wojtyniak, Bogdan ; Woo, Jean ; Xu, Haiquan ; Yamborisut, Uruwan ; Zhao, Wenhua ; Zhu, Dan ; Arlappa, Nimmathota</creator><creatorcontrib>Di Cesare, Mariachiara ; Bentham, James ; Lu, Yuan ; Adams, Robert ; Aounallah-Skhiri, Hajer ; Balakrishna, Nagalla ; Beneet, Mikhail ; Bi, HongSheng ; Bjertness, Espen ; Bo, Simona ; Bragt, Marjolijn C. E ; Cama, Tilema ; Chamukuttan, Snehalatha ; Chan, Angelique W ; Christensen, Kaare ; Dauchet, Luc ; Doua, Kouamelan ; Ekelund, Ulf ; De La Pena, Jorge Escobedo ; Fall, Caroline H ; Ferguson, Trevor S ; Finn, Joseph D ; Fuchs, Sandra C ; Gaspoz, Jean-Michel ; Ghasemian, Anoosheh ; Rivas, Juan P. Gonzalez ; Grajda, Aneta ; Grodzicki, Tomasz ; Gruden, Grabriella ; Guan, Ong Peng ; Gupta, Prakash C ; Htike, Maung Maung Than ; Hussieni, Abdullatif S ; Jamil, Kazi M ; Jasienska, Grazyna ; Juolevi, Anne ; Katz, Joanne ; Khalili, Davood ; Klimont, Jeannette ; Kromhout, Daan ; Kumar, R. Krishna ; Landrove, Orlando ; Lappas, Georg ; Laugsand, Lars Erik ; Lee, Jeonghee ; Lima-Costa, M. Fernanda ; Machi, Suka ; Mann, Jim I ; Manzato, Enzo ; Marrugat, Jaume ; Miller, Jody C ; Motlagh, Mohammad Esmaeel ; Motta, Jorge ; Mueisan, Maria Lorenza ; neuhauser, Hannelore K ; Ninomiya, Toshiharu ; O'Reilly, Dermot ; Parsaeian, Mahboubeh ; Pednekar, Mangesh S ; Pham, Son Thai ; Portegies, Marileen L. P ; Poulimeneas, Dimitrios ; Qorbani, Mostafa ; Bao, Tran Quoc ; Radic, Ivana ; Ribeiro, Robespierre ; Rivera, Juan A ; Ruiz-Betancourt, Blanca Sandra ; Rutkowski, Marcin ; Sachdev, Harshpal S ; Martinez, Eduardo Salazar ; Sandjaja ; Santos, Osvaldo ; Dos Santos, Renata Nunes ; Savva, Savvas C ; Rosario, Angelika Schaffrath ; Sepanlou, Sadaf G ; Smith, Margaret C ; Sobngwi, Eugene ; Stratton, Gareth ; Sundström, Johan ; Swinburn, Boyd A ; Tao, Yong ; Tarawneh, Mohammad ; Thuesen, Betina H ; Trivedi, Atul ; Tynelius, Per ; Tzourio, Christophe ; Vega, Tomas ; Viegi, Giovanni ; Vollenweider, Peter ; Wang, Ming-Dong ; Wiecek, Andrzej ; Wojtyniak, Bogdan ; Woo, Jean ; Xu, Haiquan ; Yamborisut, Uruwan ; Zhao, Wenhua ; Zhu, Dan ; Arlappa, Nimmathota</creatorcontrib><description><![CDATA[Background: Underweight and severe and morbid obesity are associated with highly elevated risks of adverse health outcomes. We estimated trends in mean body-mass index (BMI), which characterises its population distribution, and in the prevalences of a complete set of BMI categories for adults in all countries. Methods: We analysed, with use of a consistent protocol, population-based studies that had measured height and weight in adults aged 18 years and older. We applied a Bayesian hierarchical model to these data to estimate trends from 1975 to 2014 in mean BMI and in the prevalences of BMI categories (<18・5 kg/m2 [underweight], 18・5 kg/m2 to <20 kg/m2, 20 kg/m2 to <25 kg/m2, 25 kg/m2 to <30 kg/m2, 30 kg/m2 to <35 kg/m2, 35 kg/m2 to <40 kg/m2, ≥40 kg/m2 [morbid obesity]), by sex in 200 countries and territories, organised in 21 regions. We calculated the posterior probability of meeting the target of halting by 2025 the rise in obesity at its 2010 levels, if post-2000 trends continue. Findings: We used 1698 population-based data sources, with more than 19・2 million adult participants (9・9 million men and 9・3 million women) in 186 of 200 countries for which estimates were made. Global age-standardised mean BMI increased from 21・7 kg/m2 (95% credible interval 21・3–22・1) in 1975 to 24・2 kg/m2 (24・0–24・4) in 2014 in men, and from 22・1 kg/m2 (21・7–22・5) in 1975 to 24・4 kg/m2 (24・2–24・6) in 2014 in women. Regional mean BMIs in 2014 for men ranged from 21・4 kg/m2 in central Africa and south Asia to 29・2 kg/m2 (28・6–29・8) in Polynesia and Micronesia; for women the range was from 21・8 kg/m2 (21・4–22・3) in south Asia to 32・2 kg/m2 (31・5–32・8) in Polynesia and Micronesia. Over these four decades, age-standardised global prevalence of underweight decreased from 13・8% (10・5–17・4) to 8・8% (7・4–10・3) in men and from 14・6% (11・6–17・9) to 9・7% (8・3–11・1) in women. South Asia had the highest prevalence of underweight in 2014, 23・4% (17・8–29・2) in men and 24・0% (18・9–29・3) in women. Age-standardised prevalence of obesity increased from 3・2% (2・4–4・1) in 1975 to 10・8% (9・7–12・0) in 2014 in men, and from 6・4% (5・1–7・8) to 14・9% (13・6–16・1) in women. 2・3% (2・0–2・7) of the world’s men and 5・0% (4・4–5・6) of women were severely obese (ie, have BMI ≥35 kg/m2). Globally, prevalence of morbid obesity was 0・64% (0・46–0・86) in men and 1・6% (1・3–1・9) in women. Interpretation: If post-2000 trends continue, the probability of meeting the global obesity target is virtually zero. Rather, if these trends continue, by 2025, global obesity prevalence will reach 18% in men and surpass 21% in women; severe obesity will surpass 6% in men and 9% in women. Nonetheless, underweight remains prevalent in the world’s poorest regions, especially in south Asia.]]></description><language>eng</language><publisher>Elsevier</publisher><subject>adolescent ; adult ; Bayes theorem ; Body Mass Index ; developed countries ; developing countries ; female ; forecasting ; global health ; humans ; male ; models, statistical ; obesity/epidemiology ; prevalence ; thinness/epidemiology ; young adult</subject><creationdate>2016</creationdate><rights>info:eu-repo/semantics/openAccess</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,776,881,26544</link.rule.ids><linktorsrc>$$Uhttp://hdl.handle.net/11250/2433013$$EView_record_in_NORA$$FView_record_in_$$GNORA$$Hfree_for_read</linktorsrc></links><search><creatorcontrib>Di Cesare, Mariachiara</creatorcontrib><creatorcontrib>Bentham, James</creatorcontrib><creatorcontrib>Lu, Yuan</creatorcontrib><creatorcontrib>Adams, Robert</creatorcontrib><creatorcontrib>Aounallah-Skhiri, Hajer</creatorcontrib><creatorcontrib>Balakrishna, Nagalla</creatorcontrib><creatorcontrib>Beneet, Mikhail</creatorcontrib><creatorcontrib>Bi, HongSheng</creatorcontrib><creatorcontrib>Bjertness, Espen</creatorcontrib><creatorcontrib>Bo, Simona</creatorcontrib><creatorcontrib>Bragt, Marjolijn C. E</creatorcontrib><creatorcontrib>Cama, Tilema</creatorcontrib><creatorcontrib>Chamukuttan, Snehalatha</creatorcontrib><creatorcontrib>Chan, Angelique W</creatorcontrib><creatorcontrib>Christensen, Kaare</creatorcontrib><creatorcontrib>Dauchet, Luc</creatorcontrib><creatorcontrib>Doua, Kouamelan</creatorcontrib><creatorcontrib>Ekelund, Ulf</creatorcontrib><creatorcontrib>De La Pena, Jorge Escobedo</creatorcontrib><creatorcontrib>Fall, Caroline H</creatorcontrib><creatorcontrib>Ferguson, Trevor S</creatorcontrib><creatorcontrib>Finn, Joseph D</creatorcontrib><creatorcontrib>Fuchs, Sandra C</creatorcontrib><creatorcontrib>Gaspoz, Jean-Michel</creatorcontrib><creatorcontrib>Ghasemian, Anoosheh</creatorcontrib><creatorcontrib>Rivas, Juan P. Gonzalez</creatorcontrib><creatorcontrib>Grajda, Aneta</creatorcontrib><creatorcontrib>Grodzicki, Tomasz</creatorcontrib><creatorcontrib>Gruden, Grabriella</creatorcontrib><creatorcontrib>Guan, Ong Peng</creatorcontrib><creatorcontrib>Gupta, Prakash C</creatorcontrib><creatorcontrib>Htike, Maung Maung Than</creatorcontrib><creatorcontrib>Hussieni, Abdullatif S</creatorcontrib><creatorcontrib>Jamil, Kazi M</creatorcontrib><creatorcontrib>Jasienska, Grazyna</creatorcontrib><creatorcontrib>Juolevi, Anne</creatorcontrib><creatorcontrib>Katz, Joanne</creatorcontrib><creatorcontrib>Khalili, Davood</creatorcontrib><creatorcontrib>Klimont, Jeannette</creatorcontrib><creatorcontrib>Kromhout, Daan</creatorcontrib><creatorcontrib>Kumar, R. Krishna</creatorcontrib><creatorcontrib>Landrove, Orlando</creatorcontrib><creatorcontrib>Lappas, Georg</creatorcontrib><creatorcontrib>Laugsand, Lars Erik</creatorcontrib><creatorcontrib>Lee, Jeonghee</creatorcontrib><creatorcontrib>Lima-Costa, M. Fernanda</creatorcontrib><creatorcontrib>Machi, Suka</creatorcontrib><creatorcontrib>Mann, Jim I</creatorcontrib><creatorcontrib>Manzato, Enzo</creatorcontrib><creatorcontrib>Marrugat, Jaume</creatorcontrib><creatorcontrib>Miller, Jody C</creatorcontrib><creatorcontrib>Motlagh, Mohammad Esmaeel</creatorcontrib><creatorcontrib>Motta, Jorge</creatorcontrib><creatorcontrib>Mueisan, Maria Lorenza</creatorcontrib><creatorcontrib>neuhauser, Hannelore K</creatorcontrib><creatorcontrib>Ninomiya, Toshiharu</creatorcontrib><creatorcontrib>O'Reilly, Dermot</creatorcontrib><creatorcontrib>Parsaeian, Mahboubeh</creatorcontrib><creatorcontrib>Pednekar, Mangesh S</creatorcontrib><creatorcontrib>Pham, Son Thai</creatorcontrib><creatorcontrib>Portegies, Marileen L. P</creatorcontrib><creatorcontrib>Poulimeneas, Dimitrios</creatorcontrib><creatorcontrib>Qorbani, Mostafa</creatorcontrib><creatorcontrib>Bao, Tran Quoc</creatorcontrib><creatorcontrib>Radic, Ivana</creatorcontrib><creatorcontrib>Ribeiro, Robespierre</creatorcontrib><creatorcontrib>Rivera, Juan A</creatorcontrib><creatorcontrib>Ruiz-Betancourt, Blanca Sandra</creatorcontrib><creatorcontrib>Rutkowski, Marcin</creatorcontrib><creatorcontrib>Sachdev, Harshpal S</creatorcontrib><creatorcontrib>Martinez, Eduardo Salazar</creatorcontrib><creatorcontrib>Sandjaja</creatorcontrib><creatorcontrib>Santos, Osvaldo</creatorcontrib><creatorcontrib>Dos Santos, Renata Nunes</creatorcontrib><creatorcontrib>Savva, Savvas C</creatorcontrib><creatorcontrib>Rosario, Angelika Schaffrath</creatorcontrib><creatorcontrib>Sepanlou, Sadaf G</creatorcontrib><creatorcontrib>Smith, Margaret C</creatorcontrib><creatorcontrib>Sobngwi, Eugene</creatorcontrib><creatorcontrib>Stratton, Gareth</creatorcontrib><creatorcontrib>Sundström, Johan</creatorcontrib><creatorcontrib>Swinburn, Boyd A</creatorcontrib><creatorcontrib>Tao, Yong</creatorcontrib><creatorcontrib>Tarawneh, Mohammad</creatorcontrib><creatorcontrib>Thuesen, Betina H</creatorcontrib><creatorcontrib>Trivedi, Atul</creatorcontrib><creatorcontrib>Tynelius, Per</creatorcontrib><creatorcontrib>Tzourio, Christophe</creatorcontrib><creatorcontrib>Vega, Tomas</creatorcontrib><creatorcontrib>Viegi, Giovanni</creatorcontrib><creatorcontrib>Vollenweider, Peter</creatorcontrib><creatorcontrib>Wang, Ming-Dong</creatorcontrib><creatorcontrib>Wiecek, Andrzej</creatorcontrib><creatorcontrib>Wojtyniak, Bogdan</creatorcontrib><creatorcontrib>Woo, Jean</creatorcontrib><creatorcontrib>Xu, Haiquan</creatorcontrib><creatorcontrib>Yamborisut, Uruwan</creatorcontrib><creatorcontrib>Zhao, Wenhua</creatorcontrib><creatorcontrib>Zhu, Dan</creatorcontrib><creatorcontrib>Arlappa, Nimmathota</creatorcontrib><title>Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19·2 million participants</title><description><![CDATA[Background: Underweight and severe and morbid obesity are associated with highly elevated risks of adverse health outcomes. We estimated trends in mean body-mass index (BMI), which characterises its population distribution, and in the prevalences of a complete set of BMI categories for adults in all countries. Methods: We analysed, with use of a consistent protocol, population-based studies that had measured height and weight in adults aged 18 years and older. We applied a Bayesian hierarchical model to these data to estimate trends from 1975 to 2014 in mean BMI and in the prevalences of BMI categories (<18・5 kg/m2 [underweight], 18・5 kg/m2 to <20 kg/m2, 20 kg/m2 to <25 kg/m2, 25 kg/m2 to <30 kg/m2, 30 kg/m2 to <35 kg/m2, 35 kg/m2 to <40 kg/m2, ≥40 kg/m2 [morbid obesity]), by sex in 200 countries and territories, organised in 21 regions. We calculated the posterior probability of meeting the target of halting by 2025 the rise in obesity at its 2010 levels, if post-2000 trends continue. Findings: We used 1698 population-based data sources, with more than 19・2 million adult participants (9・9 million men and 9・3 million women) in 186 of 200 countries for which estimates were made. Global age-standardised mean BMI increased from 21・7 kg/m2 (95% credible interval 21・3–22・1) in 1975 to 24・2 kg/m2 (24・0–24・4) in 2014 in men, and from 22・1 kg/m2 (21・7–22・5) in 1975 to 24・4 kg/m2 (24・2–24・6) in 2014 in women. Regional mean BMIs in 2014 for men ranged from 21・4 kg/m2 in central Africa and south Asia to 29・2 kg/m2 (28・6–29・8) in Polynesia and Micronesia; for women the range was from 21・8 kg/m2 (21・4–22・3) in south Asia to 32・2 kg/m2 (31・5–32・8) in Polynesia and Micronesia. Over these four decades, age-standardised global prevalence of underweight decreased from 13・8% (10・5–17・4) to 8・8% (7・4–10・3) in men and from 14・6% (11・6–17・9) to 9・7% (8・3–11・1) in women. South Asia had the highest prevalence of underweight in 2014, 23・4% (17・8–29・2) in men and 24・0% (18・9–29・3) in women. Age-standardised prevalence of obesity increased from 3・2% (2・4–4・1) in 1975 to 10・8% (9・7–12・0) in 2014 in men, and from 6・4% (5・1–7・8) to 14・9% (13・6–16・1) in women. 2・3% (2・0–2・7) of the world’s men and 5・0% (4・4–5・6) of women were severely obese (ie, have BMI ≥35 kg/m2). Globally, prevalence of morbid obesity was 0・64% (0・46–0・86) in men and 1・6% (1・3–1・9) in women. Interpretation: If post-2000 trends continue, the probability of meeting the global obesity target is virtually zero. Rather, if these trends continue, by 2025, global obesity prevalence will reach 18% in men and surpass 21% in women; severe obesity will surpass 6% in men and 9% in women. Nonetheless, underweight remains prevalent in the world’s poorest regions, especially in south Asia.]]></description><subject>adolescent</subject><subject>adult</subject><subject>Bayes theorem</subject><subject>Body Mass Index</subject><subject>developed countries</subject><subject>developing countries</subject><subject>female</subject><subject>forecasting</subject><subject>global health</subject><subject>humans</subject><subject>male</subject><subject>models, statistical</subject><subject>obesity/epidemiology</subject><subject>prevalence</subject><subject>thinness/epidemiology</subject><subject>young adult</subject><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>3HK</sourceid><recordid>eNqNjEFOwzAQRbNhUUHvMBwgUpy0QNmiIg7QfTSNHXUkeybyjEV7HS7BnpPhSByA1Zfee_qb5uuUA3sFYkBfosFZ_K1NqCvy4bqKvutgksKWKSjMWRK4w_MeTKpyu1dAWERi8ICM8aakIDO4p8NL5UuJaCTcnlFrkQJqySEFNlArfn38JLvUx5_vHhLFWGNYMBtNtCCbPjR3M0YN27-9bx7fj6e3j3bKpEY8smQcnev33djvhqFzw_Cf5hdpOVKa</recordid><startdate>2016</startdate><enddate>2016</enddate><creator>Di Cesare, Mariachiara</creator><creator>Bentham, James</creator><creator>Lu, Yuan</creator><creator>Adams, Robert</creator><creator>Aounallah-Skhiri, Hajer</creator><creator>Balakrishna, Nagalla</creator><creator>Beneet, Mikhail</creator><creator>Bi, HongSheng</creator><creator>Bjertness, Espen</creator><creator>Bo, Simona</creator><creator>Bragt, Marjolijn C. E</creator><creator>Cama, Tilema</creator><creator>Chamukuttan, Snehalatha</creator><creator>Chan, Angelique W</creator><creator>Christensen, Kaare</creator><creator>Dauchet, Luc</creator><creator>Doua, Kouamelan</creator><creator>Ekelund, Ulf</creator><creator>De La Pena, Jorge Escobedo</creator><creator>Fall, Caroline H</creator><creator>Ferguson, Trevor S</creator><creator>Finn, Joseph D</creator><creator>Fuchs, Sandra C</creator><creator>Gaspoz, Jean-Michel</creator><creator>Ghasemian, Anoosheh</creator><creator>Rivas, Juan P. Gonzalez</creator><creator>Grajda, Aneta</creator><creator>Grodzicki, Tomasz</creator><creator>Gruden, Grabriella</creator><creator>Guan, Ong Peng</creator><creator>Gupta, Prakash C</creator><creator>Htike, Maung Maung Than</creator><creator>Hussieni, Abdullatif S</creator><creator>Jamil, Kazi M</creator><creator>Jasienska, Grazyna</creator><creator>Juolevi, Anne</creator><creator>Katz, Joanne</creator><creator>Khalili, Davood</creator><creator>Klimont, Jeannette</creator><creator>Kromhout, Daan</creator><creator>Kumar, R. Krishna</creator><creator>Landrove, Orlando</creator><creator>Lappas, Georg</creator><creator>Laugsand, Lars Erik</creator><creator>Lee, Jeonghee</creator><creator>Lima-Costa, M. Fernanda</creator><creator>Machi, Suka</creator><creator>Mann, Jim I</creator><creator>Manzato, Enzo</creator><creator>Marrugat, Jaume</creator><creator>Miller, Jody C</creator><creator>Motlagh, Mohammad Esmaeel</creator><creator>Motta, Jorge</creator><creator>Mueisan, Maria Lorenza</creator><creator>neuhauser, Hannelore K</creator><creator>Ninomiya, Toshiharu</creator><creator>O'Reilly, Dermot</creator><creator>Parsaeian, Mahboubeh</creator><creator>Pednekar, Mangesh S</creator><creator>Pham, Son Thai</creator><creator>Portegies, Marileen L. P</creator><creator>Poulimeneas, Dimitrios</creator><creator>Qorbani, Mostafa</creator><creator>Bao, Tran Quoc</creator><creator>Radic, Ivana</creator><creator>Ribeiro, Robespierre</creator><creator>Rivera, Juan A</creator><creator>Ruiz-Betancourt, Blanca Sandra</creator><creator>Rutkowski, Marcin</creator><creator>Sachdev, Harshpal S</creator><creator>Martinez, Eduardo Salazar</creator><creator>Sandjaja</creator><creator>Santos, Osvaldo</creator><creator>Dos Santos, Renata Nunes</creator><creator>Savva, Savvas C</creator><creator>Rosario, Angelika Schaffrath</creator><creator>Sepanlou, Sadaf G</creator><creator>Smith, Margaret C</creator><creator>Sobngwi, Eugene</creator><creator>Stratton, Gareth</creator><creator>Sundström, Johan</creator><creator>Swinburn, Boyd A</creator><creator>Tao, Yong</creator><creator>Tarawneh, Mohammad</creator><creator>Thuesen, Betina H</creator><creator>Trivedi, Atul</creator><creator>Tynelius, Per</creator><creator>Tzourio, Christophe</creator><creator>Vega, Tomas</creator><creator>Viegi, Giovanni</creator><creator>Vollenweider, Peter</creator><creator>Wang, Ming-Dong</creator><creator>Wiecek, Andrzej</creator><creator>Wojtyniak, Bogdan</creator><creator>Woo, Jean</creator><creator>Xu, Haiquan</creator><creator>Yamborisut, Uruwan</creator><creator>Zhao, Wenhua</creator><creator>Zhu, Dan</creator><creator>Arlappa, Nimmathota</creator><general>Elsevier</general><scope>3HK</scope></search><sort><creationdate>2016</creationdate><title>Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19·2 million participants</title><author>Di Cesare, Mariachiara ; Bentham, James ; Lu, Yuan ; Adams, Robert ; Aounallah-Skhiri, Hajer ; Balakrishna, Nagalla ; Beneet, Mikhail ; Bi, HongSheng ; Bjertness, Espen ; Bo, Simona ; Bragt, Marjolijn C. E ; Cama, Tilema ; Chamukuttan, Snehalatha ; Chan, Angelique W ; Christensen, Kaare ; Dauchet, Luc ; Doua, Kouamelan ; Ekelund, Ulf ; De La Pena, Jorge Escobedo ; Fall, Caroline H ; Ferguson, Trevor S ; Finn, Joseph D ; Fuchs, Sandra C ; Gaspoz, Jean-Michel ; Ghasemian, Anoosheh ; Rivas, Juan P. Gonzalez ; Grajda, Aneta ; Grodzicki, Tomasz ; Gruden, Grabriella ; Guan, Ong Peng ; Gupta, Prakash C ; Htike, Maung Maung Than ; Hussieni, Abdullatif S ; Jamil, Kazi M ; Jasienska, Grazyna ; Juolevi, Anne ; Katz, Joanne ; Khalili, Davood ; Klimont, Jeannette ; Kromhout, Daan ; Kumar, R. Krishna ; Landrove, Orlando ; Lappas, Georg ; Laugsand, Lars Erik ; Lee, Jeonghee ; Lima-Costa, M. Fernanda ; Machi, Suka ; Mann, Jim I ; Manzato, Enzo ; Marrugat, Jaume ; Miller, Jody C ; Motlagh, Mohammad Esmaeel ; Motta, Jorge ; Mueisan, Maria Lorenza ; neuhauser, Hannelore K ; Ninomiya, Toshiharu ; O'Reilly, Dermot ; Parsaeian, Mahboubeh ; Pednekar, Mangesh S ; Pham, Son Thai ; Portegies, Marileen L. P ; Poulimeneas, Dimitrios ; Qorbani, Mostafa ; Bao, Tran Quoc ; Radic, Ivana ; Ribeiro, Robespierre ; Rivera, Juan A ; Ruiz-Betancourt, Blanca Sandra ; Rutkowski, Marcin ; Sachdev, Harshpal S ; Martinez, Eduardo Salazar ; Sandjaja ; Santos, Osvaldo ; Dos Santos, Renata Nunes ; Savva, Savvas C ; Rosario, Angelika Schaffrath ; Sepanlou, Sadaf G ; Smith, Margaret C ; Sobngwi, Eugene ; Stratton, Gareth ; Sundström, Johan ; Swinburn, Boyd A ; Tao, Yong ; Tarawneh, Mohammad ; Thuesen, Betina H ; Trivedi, Atul ; Tynelius, Per ; Tzourio, Christophe ; Vega, Tomas ; Viegi, Giovanni ; Vollenweider, Peter ; Wang, Ming-Dong ; Wiecek, Andrzej ; Wojtyniak, Bogdan ; Woo, Jean ; Xu, Haiquan ; Yamborisut, Uruwan ; Zhao, Wenhua ; Zhu, Dan ; Arlappa, Nimmathota</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-cristin_nora_11250_24330133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>adolescent</topic><topic>adult</topic><topic>Bayes theorem</topic><topic>Body Mass Index</topic><topic>developed countries</topic><topic>developing countries</topic><topic>female</topic><topic>forecasting</topic><topic>global health</topic><topic>humans</topic><topic>male</topic><topic>models, statistical</topic><topic>obesity/epidemiology</topic><topic>prevalence</topic><topic>thinness/epidemiology</topic><topic>young adult</topic><toplevel>online_resources</toplevel><creatorcontrib>Di Cesare, Mariachiara</creatorcontrib><creatorcontrib>Bentham, James</creatorcontrib><creatorcontrib>Lu, Yuan</creatorcontrib><creatorcontrib>Adams, Robert</creatorcontrib><creatorcontrib>Aounallah-Skhiri, Hajer</creatorcontrib><creatorcontrib>Balakrishna, Nagalla</creatorcontrib><creatorcontrib>Beneet, Mikhail</creatorcontrib><creatorcontrib>Bi, HongSheng</creatorcontrib><creatorcontrib>Bjertness, Espen</creatorcontrib><creatorcontrib>Bo, Simona</creatorcontrib><creatorcontrib>Bragt, Marjolijn C. 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E</au><au>Cama, Tilema</au><au>Chamukuttan, Snehalatha</au><au>Chan, Angelique W</au><au>Christensen, Kaare</au><au>Dauchet, Luc</au><au>Doua, Kouamelan</au><au>Ekelund, Ulf</au><au>De La Pena, Jorge Escobedo</au><au>Fall, Caroline H</au><au>Ferguson, Trevor S</au><au>Finn, Joseph D</au><au>Fuchs, Sandra C</au><au>Gaspoz, Jean-Michel</au><au>Ghasemian, Anoosheh</au><au>Rivas, Juan P. Gonzalez</au><au>Grajda, Aneta</au><au>Grodzicki, Tomasz</au><au>Gruden, Grabriella</au><au>Guan, Ong Peng</au><au>Gupta, Prakash C</au><au>Htike, Maung Maung Than</au><au>Hussieni, Abdullatif S</au><au>Jamil, Kazi M</au><au>Jasienska, Grazyna</au><au>Juolevi, Anne</au><au>Katz, Joanne</au><au>Khalili, Davood</au><au>Klimont, Jeannette</au><au>Kromhout, Daan</au><au>Kumar, R. Krishna</au><au>Landrove, Orlando</au><au>Lappas, Georg</au><au>Laugsand, Lars Erik</au><au>Lee, Jeonghee</au><au>Lima-Costa, M. Fernanda</au><au>Machi, Suka</au><au>Mann, Jim I</au><au>Manzato, Enzo</au><au>Marrugat, Jaume</au><au>Miller, Jody C</au><au>Motlagh, Mohammad Esmaeel</au><au>Motta, Jorge</au><au>Mueisan, Maria Lorenza</au><au>neuhauser, Hannelore K</au><au>Ninomiya, Toshiharu</au><au>O'Reilly, Dermot</au><au>Parsaeian, Mahboubeh</au><au>Pednekar, Mangesh S</au><au>Pham, Son Thai</au><au>Portegies, Marileen L. P</au><au>Poulimeneas, Dimitrios</au><au>Qorbani, Mostafa</au><au>Bao, Tran Quoc</au><au>Radic, Ivana</au><au>Ribeiro, Robespierre</au><au>Rivera, Juan A</au><au>Ruiz-Betancourt, Blanca Sandra</au><au>Rutkowski, Marcin</au><au>Sachdev, Harshpal S</au><au>Martinez, Eduardo Salazar</au><au>Sandjaja</au><au>Santos, Osvaldo</au><au>Dos Santos, Renata Nunes</au><au>Savva, Savvas C</au><au>Rosario, Angelika Schaffrath</au><au>Sepanlou, Sadaf G</au><au>Smith, Margaret C</au><au>Sobngwi, Eugene</au><au>Stratton, Gareth</au><au>Sundström, Johan</au><au>Swinburn, Boyd A</au><au>Tao, Yong</au><au>Tarawneh, Mohammad</au><au>Thuesen, Betina H</au><au>Trivedi, Atul</au><au>Tynelius, Per</au><au>Tzourio, Christophe</au><au>Vega, Tomas</au><au>Viegi, Giovanni</au><au>Vollenweider, Peter</au><au>Wang, Ming-Dong</au><au>Wiecek, Andrzej</au><au>Wojtyniak, Bogdan</au><au>Woo, Jean</au><au>Xu, Haiquan</au><au>Yamborisut, Uruwan</au><au>Zhao, Wenhua</au><au>Zhu, Dan</au><au>Arlappa, Nimmathota</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19·2 million participants</atitle><date>2016</date><risdate>2016</risdate><abstract><![CDATA[Background: Underweight and severe and morbid obesity are associated with highly elevated risks of adverse health outcomes. We estimated trends in mean body-mass index (BMI), which characterises its population distribution, and in the prevalences of a complete set of BMI categories for adults in all countries. Methods: We analysed, with use of a consistent protocol, population-based studies that had measured height and weight in adults aged 18 years and older. We applied a Bayesian hierarchical model to these data to estimate trends from 1975 to 2014 in mean BMI and in the prevalences of BMI categories (<18・5 kg/m2 [underweight], 18・5 kg/m2 to <20 kg/m2, 20 kg/m2 to <25 kg/m2, 25 kg/m2 to <30 kg/m2, 30 kg/m2 to <35 kg/m2, 35 kg/m2 to <40 kg/m2, ≥40 kg/m2 [morbid obesity]), by sex in 200 countries and territories, organised in 21 regions. We calculated the posterior probability of meeting the target of halting by 2025 the rise in obesity at its 2010 levels, if post-2000 trends continue. Findings: We used 1698 population-based data sources, with more than 19・2 million adult participants (9・9 million men and 9・3 million women) in 186 of 200 countries for which estimates were made. Global age-standardised mean BMI increased from 21・7 kg/m2 (95% credible interval 21・3–22・1) in 1975 to 24・2 kg/m2 (24・0–24・4) in 2014 in men, and from 22・1 kg/m2 (21・7–22・5) in 1975 to 24・4 kg/m2 (24・2–24・6) in 2014 in women. Regional mean BMIs in 2014 for men ranged from 21・4 kg/m2 in central Africa and south Asia to 29・2 kg/m2 (28・6–29・8) in Polynesia and Micronesia; for women the range was from 21・8 kg/m2 (21・4–22・3) in south Asia to 32・2 kg/m2 (31・5–32・8) in Polynesia and Micronesia. Over these four decades, age-standardised global prevalence of underweight decreased from 13・8% (10・5–17・4) to 8・8% (7・4–10・3) in men and from 14・6% (11・6–17・9) to 9・7% (8・3–11・1) in women. South Asia had the highest prevalence of underweight in 2014, 23・4% (17・8–29・2) in men and 24・0% (18・9–29・3) in women. Age-standardised prevalence of obesity increased from 3・2% (2・4–4・1) in 1975 to 10・8% (9・7–12・0) in 2014 in men, and from 6・4% (5・1–7・8) to 14・9% (13・6–16・1) in women. 2・3% (2・0–2・7) of the world’s men and 5・0% (4・4–5・6) of women were severely obese (ie, have BMI ≥35 kg/m2). Globally, prevalence of morbid obesity was 0・64% (0・46–0・86) in men and 1・6% (1・3–1・9) in women. Interpretation: If post-2000 trends continue, the probability of meeting the global obesity target is virtually zero. Rather, if these trends continue, by 2025, global obesity prevalence will reach 18% in men and surpass 21% in women; severe obesity will surpass 6% in men and 9% in women. Nonetheless, underweight remains prevalent in the world’s poorest regions, especially in south Asia.]]></abstract><pub>Elsevier</pub><oa>free_for_read</oa></addata></record>
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subjects adolescent
adult
Bayes theorem
Body Mass Index
developed countries
developing countries
female
forecasting
global health
humans
male
models, statistical
obesity/epidemiology
prevalence
thinness/epidemiology
young adult
title Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19·2 million participants
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