{"id":1146,"date":"2024-08-15T10:10:09","date_gmt":"2024-08-15T09:10:09","guid":{"rendered":"https:\/\/heliusstudy.nl\/?post_type=publicatie&#038;p=1146"},"modified":"2024-08-15T10:11:53","modified_gmt":"2024-08-15T09:11:53","slug":"trends-in-adult-body-mass-index-in-200-countries-from-1975-to-2014-a-pooled-analysis-of-1698-population-based-measurement-studies-with-19%c2%b72-million-participants","status":"publish","type":"publicatie","link":"https:\/\/heliusstudy.nl\/en\/publicatie\/trends-in-adult-body-mass-index-in-200-countries-from-1975-to-2014-a-pooled-analysis-of-1698-population-based-measurement-studies-with-19%c2%b72-million-participants\/","title":{"rendered":"Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19\u00b72 million participants"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Background:&nbsp;<\/strong>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.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Methods:&nbsp;<\/strong>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 (&lt;18\u00b75 kg\/m(2) [underweight], 18\u00b75 kg\/m(2) to &lt;20 kg\/m(2), 20 kg\/m(2) to &lt;25 kg\/m(2), 25 kg\/m(2) to &lt;30 kg\/m(2), 30 kg\/m(2) to &lt;35 kg\/m(2), 35 kg\/m(2) to &lt;40 kg\/m(2), \u226540 kg\/m(2) [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.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Findings:&nbsp;<\/strong>We used 1698 population-based data sources, with more than 19\u00b72 million adult participants (9\u00b79 million men and 9\u00b73 million women) in 186 of 200 countries for which estimates were made. Global age-standardised mean BMI increased from 21\u00b77 kg\/m(2) (95% credible interval 21\u00b73-22\u00b71) in 1975 to 24\u00b72 kg\/m(2) (24\u00b70-24\u00b74) in 2014 in men, and from 22\u00b71 kg\/m(2) (21\u00b77-22\u00b75) in 1975 to 24\u00b74 kg\/m(2) (24\u00b72-24\u00b76) in 2014 in women. Regional mean BMIs in 2014 for men ranged from 21\u00b74 kg\/m(2) in central Africa and south Asia to 29\u00b72 kg\/m(2) (28\u00b76-29\u00b78) in Polynesia and Micronesia; for women the range was from 21\u00b78 kg\/m(2) (21\u00b74-22\u00b73) in south Asia to 32\u00b72 kg\/m(2) (31\u00b75-32\u00b78) in Polynesia and Micronesia. Over these four decades, age-standardised global prevalence of underweight decreased from 13\u00b78% (10\u00b75-17\u00b74) to 8\u00b78% (7\u00b74-10\u00b73) in men and from 14\u00b76% (11\u00b76-17\u00b79) to 9\u00b77% (8\u00b73-11\u00b71) in women. South Asia had the highest prevalence of underweight in 2014, 23\u00b74% (17\u00b78-29\u00b72) in men and 24\u00b70% (18\u00b79-29\u00b73) in women. Age-standardised prevalence of obesity increased from 3\u00b72% (2\u00b74-4\u00b71) in 1975 to 10\u00b78% (9\u00b77-12\u00b70) in 2014 in men, and from 6\u00b74% (5\u00b71-7\u00b78) to 14\u00b79% (13\u00b76-16\u00b71) in women. 2\u00b73% (2\u00b70-2\u00b77) of the world&#8217;s men and 5\u00b70% (4\u00b74-5\u00b76) of women were severely obese (ie, have BMI \u226535 kg\/m(2)). Globally, prevalence of morbid obesity was 0\u00b764% (0\u00b746-0\u00b786) in men and 1\u00b76% (1\u00b73-1\u00b79) in women.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Interpretation:&nbsp;<\/strong>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&#8217;s poorest regions, especially in south Asia.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background:&nbsp;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:&nbsp;We analysed, with use of a consistent protocol, population-based studies [&hellip;]<\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":true},"publications_year":[37],"thema":[45],"class_list":["post-1146","publicatie","type-publicatie","status-publish","hentry","publications_year-37","thema-other"],"acf":[],"_links":{"self":[{"href":"https:\/\/heliusstudy.nl\/en\/wp-json\/wp\/v2\/publicatie\/1146","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/heliusstudy.nl\/en\/wp-json\/wp\/v2\/publicatie"}],"about":[{"href":"https:\/\/heliusstudy.nl\/en\/wp-json\/wp\/v2\/types\/publicatie"}],"wp:attachment":[{"href":"https:\/\/heliusstudy.nl\/en\/wp-json\/wp\/v2\/media?parent=1146"}],"wp:term":[{"taxonomy":"publications_year","embeddable":true,"href":"https:\/\/heliusstudy.nl\/en\/wp-json\/wp\/v2\/publications_year?post=1146"},{"taxonomy":"thema","embeddable":true,"href":"https:\/\/heliusstudy.nl\/en\/wp-json\/wp\/v2\/thema?post=1146"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}