Global, regional and national prevalence of overweight and obesity in children and adults 1980-2013: A systematic analysis

作者：Marie Ng, Thomas D. Fleming, Margaret Robinson, B. Thomson, Nicholas Graetz, Christopher Margono, Erin C. Mullany, S. Biryukov, C. Abbafati, S. Abera, J. Abraham, N. Abu-Rmeileh, T. Achoki, F. AlBuhairan, Z. A. Alemu, R. Alfonso, Mohammed K. Ali, R. Ali, N. A. Guzmán, W. Ammar, P. Anwari, A. Banerjee, S. Barquera, S. Basu, D. Bennett, Z. Bhutta, J. Blore, N. Cabral, Ismael Campos Nonato, Jung-Chen Chang, R. Chowdhury, K. Courville, M. Criqui, D. Cundiff, K. Dabhadkar, L. Dandona, A. Davis, A. Dayama, S. Dharmaratne, Eric L. Ding, Adnan M. Durrani, A. Esteghamati, F. Farzadfar, Derek F J Fay, V. Feigin, A. Flaxman, M. Forouzanfar, A. Goto, M. Green, R. Gupta, N. Hafezi-Nejad, G. Hankey, Heather C Harewood, Rasmus J. Havmoeller, Simon Iain Hay, Lucía Hernández, Abdullatif Husseini, B. Idrisov, Nayu Ikeda, F. Islami, Eiman Jahangir, S. Jassal, S. Jee, M. Jeffreys, J. Jonas, E. Kabagambe, S. E. Khalifa, A. Kengne, Y. Khader, Y. Khang, Daniel H. Kim, R. Kimokoti, J. Kinge, Y. Kokubo, S. Kosen, G. Kwan, T. Lai, M. Leinsalu, Yichong Li, Xiaofeng Liang, Shiwei Liu, G. Logroscino, P. Lotufo, Yuan Lu, Ji-Xiang Ma, Nana Kwaku Mainoo, G. Mensah, T. Merriman, A. Mokdad, J. Moschandreas, M. Naghavi, A. Naheed, D. Nand, K. Narayan, E. L. Nelson, M. Neuhouser, M. Nisar, T. Ohkubo, S. Oti, A. Pedroza, D. Prabhakaran, N. Roy, Uchechukwu K. A. Sampson, Hyeyoung Seo, S. Sepanlou, K. Shibuya, R. Shiri, I. Shiue, G. Singh, Jasvinder A. Singh, V. Skirbekk, Nicolas J. C. Stapelberg, L. Sturua, Bryan L. Sykes, M. Tobias, B. Tran, L. Trasande, H. Toyoshima, S. V. D. Vijver, T. Vasankari, J. Veerman, G. Velásquez-Melendez, V. Vlassov, S. Vollset, S. Vollset, T. Vos, Claire Wang, Xiao Wang, E. Weiderpass, A. Werdecker, J. Wright, Y. C. Yang, H. Yatsuya, Jihyun Yoon, Seok-Jun Yoon, Yong Zhao, Maigeng Zhou, Shankuan Zhu, Alan D. Lopez, C. Murray, E. Gakidou · 发表于：The Lancet · 年份：2014 · DOI：10.1016/s0140-6736(14)60460-8 · 被引用次数：10200 · 研究领域：Medicine

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 DALYs globally. The rise in obesity has led to widespread calls for regular monitoring of changes in overweight and obesity prevalence in all populations. Comparative, up-to-date information on levels and trends is essential both to quantify population health effects and to prompt decision-makers to prioritize action. Methods We systematically identified surveys, reports, and published studies (n = 1,769) that included information on height and weight, both through physical measurements and self-reports. Mixed effects linear regression was used to correct for the bias in self-reports. Age-sex-country-year observations (n = 19,244) on prevalence of obesity and overweight were synthesized using a spatio-temporal Gaussian Process Regression model to estimate prevalence with 95% uncertainty intervals. Findings Globally, the proportion of adults with a body mass index (BMI) of 25 or greater increased from 28.8% (95% UI: 28.4-29.3) in 1980 to 36.9% (36.3-37.4) in 2013 for men and from 29.8% (29.3-30.2) to 38.0% (37.5-38.5) for women. Increases were observed in both developed and developing countries. There have been substantial increases in prevalence among children and adolescents in developed countries, with 23.8% (22.9-24.7) of boys and 22.6% (21.7-23.6) of girls being either overweight or obese in 2013. The prevalence of overweight and obesity is also r...