Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults

作者：Nowell H Rosie K Bin Rachel A Anu James E Christopher J V Phelps Singleton Zhou Heap Mishra Bennett Paciorek, Nowell H Rosie K Bin Rachel A Anu James E Christopher J V Phelps Singleton Zhou Heap Mishra Bennett Paciorek, N. H. Phelps, Rosie K. Singleton, Bin Zhou, Rachel A. Heap, Anu Mishra, James E. Bennett, C. Paciorek, Victor P. F. Lhoste, R. Carrillo-Larco, Gretchen A. Stevens, A. Rodriguez-Martinez, Honor Bixby, J. Bentham, M. di Cesare, G. Danaei, Archie W. Rayner, A. Barradas-Pires, M. Cowan, S. Savin, L. Riley, Carlos A. Aguilar-Salinas, Jennifer L. Baker, A. Barkat, Z. Bhutta, Francesco Branca, R. B. Caixeta, S. Cuschieri, F. Farzadfar, S. Ganapathy, Nayu Ikeda, V. Iotova, A. Kengne, Y. Khang, A. Laxmaiah, Hsien-Ho Lin, Jun Ma, J. Mbanya, J. Miranda, R. Pradeepa, F. Rodríguez-Artalejo, M. Sorić, M. Turley, Li-Min Wang, K. Webster-Kerr, Majid Ezzati, Julie Leandra Mohsen Ziad A Shynar Suhaila Abdul Hanan F Aarestrup Abarca-Gómez Abbasi-Kangevari Abdeen Abd, J. Aarestrup, Leandra Abarca-Gómez, M. Abbasi-Kangevari, Ziad A. Abdeen, Shynar Abdrakhmanova, Suhaila Abdul Ghaffar, H. A. Abdul Rahim, Zulfiya Abdurrahmonova, N. Abu-Rmeileh, J. Garba, Benjamín Acosta-Cázares, Ishag Adam, Marzena Adamczyk, Robert J. Adams, S. Adu-Afarwuah, W. Aekplakorn, K. Afsana, Shoaib Afzal, V. Agbor, I. Agdeppa, J. Aghazadeh-Attari, Å. Ågren, Hassan Aguenaou, C. Agyemang, Mohamad Hasnan Ahmad, N. Ahmad, Ali Ahmadi, Naser Ahmadi, N. Ahmadi, Imran Ahmed, Soheir H. Ahmed, W. Ahrens, G. Aitmurzaeva, K. Ajlouni, H. Al-Hazzaa, Halima Al-Hinai, Badreya Al-Lahou, J. A. Al-Lawati, R. Al-Raddadi, Deena Al Asfoor, Huda M. Al Hourani, Nawal M. Al Qaoud, M. Alarouj, F. AlBuhairan, Shahla Aldhukair, Maryam A. Aldwairji, Sylvia Alexius, M. M. Ali, Anna V. Alieva, Abdullah Alkandari, A. Alkerwi, B. Alkhatib, Kristine H. Allin, Shaker A. Alomary, H. Alomirah, A. M. Alshangiti, M. Álvarez-Pedrerol, Eman Aly, D. Amarapurkar, Pilar Amiano Etxezarreta, J. Amoah, Norbert Amougou, P. Amouyel, Lars Bo Andersen, S. Anderssen, O. Androutsos, L. Ängquist, R. Anjana, A. Ansari-Moghaddam, E. Anufrieva, H. Aounallah-Skhiri, Joana Araújo, I. Ariansen, T. Aris, R. Arku, N. Arlappa, K. Aryal, N. Assefa, T. Aspelund, Felix K. Assah, B. Assembekov, M. C. Assunção, M. S. Aung, Correia Júnior Marco Aurélio de Valois, J. Auvinen, M. Avdičová, S. Avi, Kishwar Azad, A. Azevêdo, Mohsen Azimi-nezhad, Fereidoun Azizi, B. Babu, Flora Bacopoulou, Maja Bæksgaard Jørgensen, Azli Baharudin, S. Bahijri, Izet Bajramović, M. Bakacs, Nagalla Balakrishna, Yulia Balanova, M. Bamoshmoosh, Maciej Banach, J. Banegas, Joanna Baran, Rafał Baran, C. Barbagallo, Valter Barbosa, Alberto Barcelo, Maja Baretić, Joaquin Barnoya, Lena Barrera, Marta Barreto, Aluísio J. D. Barros, Mauro Virgílio Gomes Barros, Anna Bartosiewicz, Abdul Basit, J. L. Bastos, I. Bata, A. Batieha, Aline P. Batista, R. Batista, Z. Battakova, L. Baur, P. Bayauli, R. Beaglehole, S. Bel-Serrat, A. Belavendra, H. Ben Romdhane, T. Benedek, J. Benedics, M. Benet, Gilda Estela Benitez Rolandi, Michaela Benzeval, E. Bere, Nicolas Berger, I. Bergh, Y. Berhane, S. Berkinbayev, A. Bernabé-Ortiz, G. Bernotienė, Ximena Berrios Carrasola, Heloísa Bettiol, M. Beutel, Augustin F. Beybey, Jorge Bezerra, A. Bhagyalaxmi, S. Bharadwaj, Santosh K. Bhargava, Hongsheng Bi, Yufang Bi, D. Bia, K. Biasch, Elysée Claude Bika Lele, M. Bikbov, B. Bista, D. Bjelica, A. A. Bjerregaard, Peter Bjerregaard, E. Bjertness, M. B. Bjertness, C. Björkelund, K. V. Bloch, A. Blokstra, Moran Blychfeld Magnazu, Simona Bo, M. Bobak, L. Boddy, Bernhard O. Boehm, J. Boer, J. Boggia, Elena A. Bogova, C. Boissonnet, S. Bojesen, M. Bonaccio, V. Bongard, Alice Bonilla-Vargas, Matthias Bopp, H. Borghs, S. Botomba, Rupert R. A. Bourne, P. Bovet, K. Boymatova, Lien Braeckevelt, Lutgart Braeckman, M. Bragt, T. Braithwaite, I. Brajkovich, Juergen Breckenkamp, João Breda, H. Brenner, L. Brewster, Garry R. Brian, Y. Briceño, L. Brîndușe, B. Bringolf-Isler, Miguel Brito, Sinead Brophy, Johannes Brug, Graziella Bruno, A. Bugge, M. Buoncristiano, G. Burazeri, Con Burns, A. D. de León, J. Cacciottolo, H. Cai, Tilema Cama, C. Cameron, J. Camolas, G. Can, A. P. Cândido, F. Cañete, M. Capanzana, N. Capkova, E. Capuano, R. Capuano, V. Capuano, M. Cardol, V. C. Cardoso, Axel C. Carlsson, Esteban Carmuega, J. Carvalho, J. Casajús, F. Casanueva, M. Casas, Ertuğrul Çelikcan, L. Censi, Marvin Cervantes-Loaiza, J. César, P. Chamnan, S. Chamukuttan, A. Chan, Queenie Chan, F. Charchar, Marie-Aline Charles, H. Chaturvedi, Nishi Chaturvedi, Norsyamlina Che Abdul Rahim, Miao-Ling Chee, Chien-Jen Chen, Fangfang Chen, Huashuai Chen, Long-Sheng Chen, Shuo-Hua Chen, Zhengming Chen, Ching-Yu Cheng, Yi-Ling J. Cheng, Bahman Cheraghian, A. Chetrit, E. Chikova-Iscener, Mai Jm Chinapaw, A. Chinnock, A. Chiolero, S. Chiou, A. Chiriță-Emandi, M. Chirlaque, Belong Cho, Kaare Christensen, D. Christofaro, Jerzy Chudek, R. Cífková, M. Cilia, E. Cinteză, Massimo Cirillo, F. Claessens, Philip Clare, J. Clarke, E. Clays, E. Cohen, C. Cojocaru, S. Colorado-Yohar, L. Compañ-Gabucio, H. Concin, S. C. Confortin, Cyrus Cooper, Tara C. Coppinger, Eva Corpeleijn, L. Cortés, S. Costanzo, D. Cottel, Chris Cowell, Cora L. Craig, A. C. Crampin, Amanda J. Cross, A. Crujeiras, Juan J. Cruz, T. Csányi, S. Csilla, Alexandra M. Cucu, L. Cui, F. Cureau, Ewelina Czenczek-Lewandowska, Graziella D'Arrigo, Eleonora d'Orsi, A. G. da Silva, L. Dacica, C. Dahm, J. Dallongeville, Albertino Damasceno, C. Damsgaard, R. Dankner, T. Dantoft, P. Dasgupta, Saeed Dastgiri, L. Dauchet, K. Davletov, F. de Assis Guedes de Vasconcelos, M. A. D. de Assis, G. De Backer, D. de Bacquer, Jaco De Bacquer, J. de Bont, A. De Curtis, Patrícia de Fragas Hinnig, G. de Gaetano, S. de Henauw, P. De Miguel-Etayo, Jan-Walter De Neve, P. D. de Oliveira, D. De Ridder, K. de Ridder, S. D. de Rooij, A. C. de Sá, D. De Smedt, M. Deepa, A. Deev, V. Degennaro, Hélène Delisle, Francis Delpeuch, S. Demarest, Elaine Dennison, Katarzyna Dereń, Valérie Deschamps, R. Devrishov, M. Dhimal, A. Di Castelnuovo, J. S. Dias-da-Costa, M. Díaz-Sánchez, Alejandro Díaz, P. Díaz Fernández, Maria Ripollés, Ž. Dika, S. Djalalinia, Visnja D. Djordjic, Ha T. P. Do, Annette J. Dobson, Liria Dominguez, M. Donati, C. Donfrancesco, Guanghui Dong, Yan-Hui Dong, Silvana P. Donoso, A. Döring, M. Dorobanțu, A. Dorosty, M. Dörr, K. Doua, N. Dragano, W. Drygas, S. Du, J. Duan, C. Duante, P. Duboz, V. Duleva, V. Dulskienė, S. Dumith, A. Dushpanova, Terence Dwyer, A. Dyussupova, V. Dzerve, E. Dziankowska-Zaborszczyk, Narges Ebrahimi, Guadalupe Echeverría, Ricky Eddie, E. Eftekhar, Vasiliki Efthymiou, E. Egbagbe, R. Eggertsen, S. Eghtesad, G. Eiben, U. Ekelund, Mohammad El-Khateeb, Laila El Ammari, J. El Ati, Denise Eldemire-Shearer, Paul Elliott, O. Enang, R. Endevelt, R. Engle-Stone, R. Erasmus, C. Erem, G. Ergor, L. Eriksen, J. Eriksson, J. E. la Peña, Saeid Eslami, A. Esmaeili, Alun Evans, Roger G. Evans, D. Faeh, G. Fagherazzi, I. Fakhradiyev, A. Fakhretdinova, Caroline H. D. Fall, E. Faramarzi, Mojtaba Farjam, V. Sant'Angelo, Y. Farzi, Mohammad-Reza Fattahi, Prof. Dr. Asher. Fawwad, W. Fawzi, F. Félix-Redondo, Trevor S. Ferguson, Romulo A. Fernandes, D. Fernández-Bergés, Daniel Ferrante, Thomas Ferrao, Gerson Ferrari, M. Ferrari, M. Ferrario, C. Ferreccio, Haroldo S. Ferreira, Eldridge B. Ferrer, J. Ferrieres, Thamara Hübler Figueiró, Anna Fijałkowska, Günther Fink, M. Fisberg, K. Fischer, L. Foo, M. Forsner, E. Fottrell, Heba M. Fouad, Damian K. Francis, M. Franco, Z. Fras, B. Fraser, G. Frontera, F. Fuchs, Sandra C. Fuchs, I. I. Fujiati, Y. Fujita, Fumihiko Matsuda, Viktoriya Furdela, Takuro Furusawa, Stefan Adela Gabriela, Zbigniew A. Gaciong, M. Gafencu, Manuel Galán Cuesta, A. Galbarczyk, S. Galcheva, H. Galenkamp · 发表于：The Lancet · 年份：2024 · DOI：10.1016/s0140-6736(23)02750-2 · 被引用次数：1800 · 研究领域：Medicine

Summary Background Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. Methods We used data from 3663 population-based studies with 222 million participants that measured height and weight in representative samples of the general population. We used a Bayesian hierarchical model to estimate trends in the prevalence of different BMI categories, separately for adults (age ≥20 years) and school-aged children and adolescents (age 5–19 years), from 1990 to 2022 for 200 countries and territories. For adults, we report the individual and combined prevalence of underweight (BMI <18·5 kg/m2) and obesity (BMI ≥30 kg/m2). For school-aged children and adolescents, we report thinness (BMI <2 SD below the median of the WHO growth reference) and obesity (BMI >2 SD above the median). Findings From 1990 to 2022, the combined prevalence of underweight and obesity in adults decreased in 11 countries (6%) for women and 17 (9%) for men with a posterior probability of at least 0·80 that the observed changes were true decreases. The combined prevalence increased in 162 countries (81%) for women and 140 countries (70%) for men with a posterior probability of at least 0·80. In 2022, the combined prevalence of underweight and obesity was highest i...