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Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight
Imperial College London, United Kingdom. (NCD Risk Factor Collaboration (NCD-RisC))ORCID iD: 0000-0003-0409-1635
University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). (Medborgarcentrerad hälsa (Mech), Research on Citizen Centered Health, University of Skövde (Reacch US) ; NCD Risk Factor Collaboration (NCD-RisC))ORCID iD: 0000-0002-4397-3721
Imperial College London, United Kingdom ; University of Ghana, Accra, Ghana. (NCD Risk Factor Collaboration (NCD-RisC))ORCID iD: 0000-0002-2109-8081
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Number of Authors: 13812021 (English)In: eLIFE, E-ISSN 2050-084X, Vol. 10, article id e60060Article in journal (Refereed) Published
Abstract [en]

From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions.

Place, publisher, year, edition, pages
Elife Sciences Publications Ltd , 2021. Vol. 10, article id e60060
Keywords [en]
systematic analysis, Australian adults, pooled analysis, Chinese adults, double burden, US adults, trends, health, malnutrition, prevalence
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Research on Citizen Centered Health, University of Skövde (Reacch US)
Identifiers
URN: urn:nbn:se:his:diva-19600DOI: 10.7554/eLife.60060ISI: 000627596100001PubMedID: 33685583Scopus ID: 2-s2.0-85103837539OAI: oai:DiVA.org:his-19600DiVA, id: diva2:1542841
Funder
Wellcome trust
Note

CC BY 4.0

NCD Risk Factor Collaboration (NCD-RisC)

For correspondence:

majid.ezzati@imperial.ac.uk

s.filippi@imperial.ac.uk

Funder | Author:

Wellcome Trust | Majid Ezzati

Medical Research Council | Maria LC Iurilli

Available from: 2021-04-08 Created: 2021-04-08 Last updated: 2023-08-17Bibliographically approved

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Eiben, Gabriele

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