Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013

被引：6954

作者：

Ng, Marie

Fleming, Tom ^{[1
]}

Robinson, Margaret ^{[1
]}

Thomson, Blake ^{[1
]}

Graetz, Nicholas ^{[1
]}

Margono, Christopher ^{[1
]}

Mullany, Erin C. ^{[1
]}

Biryukov, Stan ^{[1
]}

Abbafati, Cristiana ^{[3
]}

Abera, Semaw Ferede ^{[4
]}

Abraham, Jerry P. ^{[5
]}

Abu-Rmeileh, Niveen M. E. ^{[6
]}

Achoki, Tom ^{[1
,7
]}

AlBuhairan, Fadia S. ^{[8
,9
]}

Alemu, Zewdie A. ^{[10
]}

Alfonso, Rafael

Ali, Mohammed K. ^{[11
]}

Ali, Raghib ^{[12
]}

Alvis Guzman, Nelson ^{[13
]}

Ammar, Walid ^{[14
]}

Anwari, Palwaslia ^{[15
]}

Banerjee, Amitava ^{[16
]}

Barquera, Simon ^{[17
]}

Basu, Sanjay ^{[18
]}

Bennett, Derrick A. ^{[12
]}

Bhutta, Zulfiqar ^{[19
]}

Blore, Jed ^{[20
]}

Cabral, Norberto ^{[21
]}

Campos Nonato, Ismael ^{[17
]}

Chang, Jung-Chen ^{[22
]}

Chowdhury, Rajiv ^{[23
]}

Courville, Karen J. ^{[24
]}

Criqui, Michael H. ^{[25
]}

Cundiff, David K.

Dabhadkar, Kaustubh C. ^{[11
]}

Dandona, Lalit ^{[1
,26
]}

Davis, Adrian ^{[27
]}

Dayama, Anand ^{[11
]}

Dharmaratne, Samath D. ^{[28
]}

Ding, Eric L. ^{[29
]}

Durrani, Adnan M. ^{[32
,33
]}

Esteghamati, Alireza ^{[34
]}

Farzadfar, Farshad ^{[34
]}

Fay, Derek F. J. ^{[27
]}

Feigin, Valery L. ^{[36
]}

Flaxman, Abraham ^{[1
]}

Forouzanfar, Mohammad H. ^{[1
]}

Goto, Atsushi ^{[37
]}

Green, Mark A. ^{[38
]}

Gupta, Rajeev ^{[39
]}

机构：

[1] Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98121 USA

[2] Univ Washington, Sch Med, Seattle, WA 98121 USA

[3] Univ Roma La Sapienza, I-00185 Rome, Italy

[4] Mekelle Univ, Sch Publ Hlth, Coll Hlth Sci, Mekelle, Ethiopia

[5] Univ Texas San Antonio, Sch Med, San Antonio, TX USA

[6] Birzeti Univ, Inst Community & Publ Hlth, Ramallah, West Bank, Palestine

[7] Minist Hlth, Gaborone, Botswana

[8] King Saud bin Abdulaziz Univ Hlth Sci, King Abdulaziz Med City, Riyadh, Saudi Arabia

[9] King Abdullah Int Med Res Ctr, Riyadh, Saudi Arabia

[10] Debre Markos Univ, Debre Markos, Ethiopia

[11] Emory Univ, Atlanta, GA USA

[12] Univ Oxford, Oxford, England

[13] Univ Cartagena, Cartagena De Indias, Colombia

[14] Minist Publ Hlth, Beirut, Lebanon

[15] UNFPA, Kabul, Afghanistan

[16] Univ Birmingham, Birmingham, W Midlands, England

[17] Natl Inst Publ Hlth, Cuernavaca, Morelos, Mexico

[18] Stanford Univ, Stanford, CA 94305 USA

[19] Aga Khan Univ, Med Ctr, Karachi, Pakistan

[20] Univ Melbourne, Melbourne, Vic, Australia

[21] Univ Joinville Univille, Joinville, Brazil

[22] Natl Taiwan Univ, Taipei 10764, Taiwan

[23] Univ Cambridge, Cambridge, England

[24] Hosp Dr Gustavo N Collado, Chitre, Herrera, Panama

[25] Univ Calif San Diego, San Diego, CA 92103 USA

[26] Publ Hlth Fdn India, New Delhi, India

[27] Publ Hlth England, London, England

[28] Univ Peradeniya, Peradeniya, Sri Lanka

[29] Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA

[30] NHLBI, CTRIS, Bethesda, MD 20892 USA

[31] NHLBI, CTRIS, Montgomery, MD USA

[32] NIH, Bethesda, MD 20892 USA

[33] NIH, Montgomery, MD USA

[34] Univ Tehran Med Sci, Endocrinol & Metab Res Ctr, Tehran, Iran

[35] Univ Tehran Med Sci, Digest Dis Res Inst, Tehran, Iran

[36] AUT Univ, Natl Inst Stroke & Appl Neurosci, Auckland, New Zealand

[37] Natl Ctr Global Hlth & Med, Dept Diabet Res, Tokyo, Japan

[38] Univ Sheffield, Sheffield, S Yorkshire, England

[39] Fortis Escorts Hosp, Jaipur, Rajasthan, India

[40] Univ Western Australia, Sch Med & Pharmacol, Perth, WA 6009, Australia

[41] Eunice Gibson Polyclin, Bridgetown, Barbados

[42] Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden

[43] Karolinska Inst, Stockholm, Sweden

[44] Birzeit Univ, Ramallah, Palestine

[45] Brandeis Univ, Waltham, MA USA

[46] Natl Inst Hlth & Nutr, Tokyo 162, Japan

[47] Amer Canc Soc, Atlanta, GA 30329 USA

[48] Ochsner Med Ctr, New Orleans, LA USA

[49] Univ Calif San Diego, VA San Diego, San Diego, CA 92103 USA

[50] Yonsei Univ, Grad Sch Publ Hlth, Seoul 120749, South Korea

来源：

LANCET | 2014年 / 384卷 / 9945期

关键词：

BODY-MASS INDEX; PHYSICAL-ACTIVITY; GUT MICROBIOME; UNITED-STATES; 187; COUNTRIES; CARDIOVASCULAR-DISEASE; NUTRITION TRANSITION; RISK-FACTORS; TRENDS; MORTALITY;

D O I：

10.1016/S0140-6736(14)60460-8

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

Background In 2010, overweight and obesity were estimated to cause 3.4 million deaths, 3.9% of years of life lost, and 3.8% of disability-adjusted life-years (DALYs) worldwide. The rise in obesity has led to widespread calls for regular monitoring of changes in overweight and obesity prevalence in all populations. Comparable, up-to-date information about levels and trends is essential to quantify population health effects and to prompt decision makers to prioritise action. We estimate the global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013. Methods We systematically identified surveys, reports, and published studies (n = 1769) that included data for height and weight, both through physical measurements and self-reports. We used mixed effects linear regression to correct for bias in self-reports. We obtained data for prevalence of obesity and overweight by age, sex, country, and year (n = 19 244) with a spatiotemporal Gaussian process regression model to estimate prevalence with 95% uncertainty intervals (UIs). Findings Worldwide, the proportion of adults with a body-mass index (BMI) of 25 kg/m(2) or greater increased between 1980 and 2013 from 28.8% (95% UI 28.4-29.3) to 36.9% (36.3-37.4) in men, and from 29.8% (29.3-30.2) to 38.0% (37.5-38.5) in women. Prevalence has increased substantially in children and adolescents in developed countries; 23.8% (22.9-24.7) of boys and 22.6% (21.7-23.6) of girls were overweight or obese in 2013. The prevalence of overweight and obesity has also increased in children and adolescents in developing countries, from 8.1% (7.7-86) to 12.9% (12.3-13.5) in 2013 for boys and from 8.4% (8.1-8.8) to 13.4% (13.0-13.9) in girls. In adults, estimated prevalence of obesity exceeded 50% in men in Tonga and in women in Kuwait, Kiribati, Federated States of Micronesia, Libya, Qatar, Tonga, and Samoa. Since 2006, the increase in adult obesity in developed countries has slowed down. Interpretation Because of the established health risks and substantial increases in prevalence, obesity has become a major global health challenge. Not only is obesity increasing, but no national success stories have been reported in the past 33 years. Urgent global action and leadership is needed to help countries to more effectively intervene. Funding Bill & Melinda Gates Foundation.

引用

页码：766 / 781

页数：16

共 72 条

[1]

[Anonymous], EUR SURV

[2]

[Anonymous], Demographic and health surveys

[3]

[Anonymous], WORLD

[4]

[Anonymous], WHO MONICA PROJ

[5]

[Anonymous], OB DAT PORT

[6]

[Anonymous], FOOD BALANCE SHEETS

[7]

[Anonymous], HIGH LEV M GEN ASS P

[8]

[Anonymous], REPR HLTH SURV

[9]

Astrup A, 2012, LANCET, V379, P1100, DOI 10.1016/S0140-6736(12)60456-5

[10]

Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies [J].

Barba, C ;

Cavalli-Sforza, T ;

Cutter, J ;

Darnton-Hill, I ;

Deurenberg, P ;

Deurenberg-Yap, M ;

Gill, T ;

James, P ;

Ko, G ;

Miu, AH ;

Kosulwat, V ;

Kumanyika, S ;

Kurpad, A ;

Mascie-Taylor, N ;

Moon, HK ;

Nishida, C ;

Noor, MI ;

Reddy, KS ;

Rush, E ;

Schultz, JT ;

Seidell, J ;

Stevens, J ;

Swinburn, B ;

Tan, K ;

Weisell, R ;

Wu, ZS ;

Yajnik, CS ;

Yoshiike, N ;

Zimmet, P .

LANCET, 2004, 363 (9403) :157-163

← 1 2 3 4 5 6 7 8 →