Health Effects of Overweight and Obesity in 195 Countries over 25 Years.
;
Mall Leinsalu;
Xiaofeng Liang;
Stephen S Lim;
Patrick Liu;
Alan D Lopez;
Rafael Lozano;
Azeem Majeed;
Reza Malekzadeh;
Deborah C Malta;
Mohsen Mazidi;
Colm McAlinden;
Stephen T McGarvey;
Desalegn T Mengistu;
George A Mensah;
Gert BM Mensink;
Haftay B Mezgebe;
Erkin M Mirrakhimov;
Ulrich O Mueller;
Jean J Noubiap;
Carla M Obermeyer;
Felix A Ogbo;
Mayowa O Owolabi;
George C Patton;
Farshad Pourmalek;
Mostafa Qorbani;
Anwar Rafay;
Rajesh K Rai;
Chhabi L Ranabhat;
Nikolas Reinig;
Saeid Safiri;
Joshua A Salomon;
Juan R Sanabria;
Itamar S Santos;
Benn Sartorius ;
Monika Sawhney;
Josef Schmidhuber;
Aletta E Schutte;
Maria I Schmidt;
Sadaf G Sepanlou;
Moretza Shamsizadeh;
Sara Sheikhbahaei;
Min-Jeong Shin;
Rahman Shiri;
Ivy Shiue;
Hirbo S Roba;
Diego AS Silva;
Jonathan I Silverberg;
Jasvinder A Singh;
Saverio Stranges;
Soumya Swaminathan;
Rafael Tabarés-Seisdedos;
Fentaw Tadese;
Bemnet A Tedla;
Balewgizie S Tegegne;
Abdullah S Terkawi;
JS Thakur;
Marcello Tonelli;
Roman Topor-Madry;
Stefanos Tyrovolas;
Kingsley N Ukwaja;
Olalekan A Uthman;
Masoud Vaezghasemi;
Tommi Vasankari;
Vasiliy V Vlassov;
Stein E Vollset;
Elisabete Weiderpass;
Andrea Werdecker;
Joshua Wesana;
Ronny Westerman;
Yuichiro Yano;
Naohiro Yonemoto;
Gerald Yonga;
Zoubida Zaidi;
Zerihun M Zenebe;
Ben Zipkin;
Christopher JL Murray;
(2017)
Health Effects of Overweight and Obesity in 195 Countries over 25 Years.
The New England journal of medicine, 377 (1).
pp. 13-27.
ISSN 0028-4793
DOI: 10.1056/NEJMoa1614362
BACKGROUND: Although the rising pandemic of obesity has received major attention in many countries, the effects of this attention on trends and the disease burden of obesity remain uncertain. METHODS: We analyzed data from 68.5 million persons to assess the trends in the prevalence of overweight and obesity among children and adults between 1980 and 2015. Using the Global Burden of Disease study data and methods, we also quantified the burden of disease related to high body-mass index (BMI), according to age, sex, cause, and BMI in 195 countries between 1990 and 2015. RESULTS: In 2015, a total of 107.7 million children and 603.7 million adults were obese. Since 1980, the prevalence of obesity has doubled in more than 70 countries and has continuously increased in most other countries. Although the prevalence of obesity among children has been lower than that among adults, the rate of increase in childhood obesity in many countries has been greater than the rate of increase in adult obesity. High BMI accounted for 4.0 million deaths globally, nearly 40% of which occurred in persons who were not obese. More than two thirds of deaths related to high BMI were due to cardiovascular disease. The disease burden related to high BMI has increased since 1990; however, the rate of this increase has been attenuated owing to decreases in underlying rates of death from cardiovascular disease. CONCLUSIONS: The rapid increase in the prevalence and disease burden of elevated BMI highlights the need for continued focus on surveillance of BMI and identification, implementation, and evaluation of evidence-based interventions to address this problem. (Funded by the Bill and Melinda Gates Foundation.).
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