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：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. Cesare, G. Danaei, Archie W. Rayner, A. Barradas-Pires, Melanie J. Cowan, S. Savin, L. Riley, C. A. Aguilar-Salinas, Jennifer L. Baker, Amina 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, Limin Wang, K. Webster-Kerr, J. Aarestrup, Leandra Abarca-Gómez, M. Abbasi-Kangevari, Ziad A Abdeen, Shynar Abdrakhmanova, S. A. Ghaffar, H. A. 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, A. 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, H. A. Hourani, Nawal M Al Qaoud, M. Alarouj, F. Albuhairan, Shahla Aldhukair, Maryam A. Aldwairji, Sylvia Alexius, Mohamed 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, John Amoah, Norbert Amougou, P. Amouyel, Lars Bo Andersen, S. Anderssen, O. Androutsos, L. Ängquist, R. Anjana, A. Ansari-Moghaddam, Elena 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. 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, M. B. 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 Cordeiro Barbosa Filho, Alberto Barcelo, Maja Baretić, J. Barnoya, Lena Barrera, Marta Barreto, Aluísio J. D. Barros, M. V. Barros, Anna Bartosiewicz, Abdul Basit, J. L. Bastos, I. Bata, A. Batieha, Aline P. Batista, R. Batista, Z. Battakova, Louise A. Baur, P. Bayauli, R. Beaglehole, S. Bel-Serrat, A. Belavendra, H. Romdhane, T. Benedek, Judith Benedics, M. Benet, G. Rolandi, Michaela Benzeval, E. Bere, Nicolas Berger, I. Bergh, Y. Berhane, S. Berkinbayev, A. Bernabe-Ortiz, G. Bernotiene, Ximena Berrios Carrasola, Heloísa Bettiol, Manfred E. Beutel, Augustin F. Beybey, Jorge Bezerra, A. Bhagyalaxmi, S. Bharadwaj, S. K. Bhargava, Hongsheng Bi, Yufang Bi, D. Bia, K. Biasch, Elysée Claude Bika Lele, M. Bikbov, B. Bista, D. Bjelica, A. Bjerregaard, P. Bjerregaard, Espen Bjertness, M. B. Bjertness, Cecilia Björkelund, Katia V. Bloch, A. Blokstra, Moran Blychfeld Magnazu, Simona Bo, M. Bobák, L. Boddy, Bernhard O. Boehm, J. Boer, J. Boggia, E. Bogova, C. Boissonnet, S. Bojesen, M. Bonaccio, V. Bongard, Alice Bonilla-Vargas, Matthias Bopp, H. Borghs, S. Botomba, Rupert RA 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, Anna Bugge, M. Buoncristiano, G. Burazeri, Con Burns, A. C. León, J. Cacciottolo, H. Cai, Tilema Cama, C. Cameron, J. Camolas, G. Can, A. P. Cândido, F. Cañete, M. Capanzana, N. Capkova, E. Capuano, Rocco Capuano, V. Capuano, M. Cardol, V. C. Cardoso, Axel C. Carlsson, Esteban Carmuega, J. Carvalho, J. Casajús, F. Casanueva, M. Casas, Ertugrul Celikcan, 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, M. Chee, Chien-Jen Chen, Fangfang Chen, Huashuai Chen, Long-Sheng Chen, Shuohua Chen, Zhengming Chen, Ching-Yu Cheng, Yiling J. Cheng, Bahman Cheraghian, Angela 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, Frank 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, Amelia C Crampin, Amanda J. Cross, A. Crujeiras, J. Cruz, T. Csányi, S. Csilla, A.M. Cucu, L. Cui, F. Cureau, Ewelina Czenczek-Lewandowska, Graziella D’Arrigo, E. d'Orsi, A. Silva, Liliana Dacica, C. Dahm, J. Dallongeville, Albertino Damasceno, C. T. Damsgaard, R. Dankner, T. Dantoft, P. Dasgupta, Saeed Dastgiri, L. Dauchet, K. Davletov, Francisco de Assis Guedes de Vasconcelos, M. A. Assis, G. D. Backer, D. Bacquer, Jaco De Bacquer, J. Bont, A. Curtis, P. F. Hinnig, G. Gaetano, S. Henauw, P. Miguel-Etayo, J. Neve, P. Oliveira, D. Ridder, Karin De Ridder, S. Rooij, Ana Carolina Mgn de Sá, D. Smedt, M. Deepa, A. Deev, V. DeGennaro, Hélène Delisle, Francis Delpeuch, S. Demarest, Elaine Dennison, Katarzyna Dereń, Valérie Deschamps, R. Devrishov, M. Dhimal, A. Castelnuovo, J. S. Dias-da-Costa, María Elena Díaz-Sánchez, Alejandro Díaz, Pedro 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, Yanhui Dong, Silvana P. Donoso, A. Döring, M. Dorobanțu, A. Dorosty, Marcus Dörr, K. Doua, N. Dragano, W. Drygas, S. Du, Jianhua 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. Ati, Denise eldemire-shearer, Paul Elliott, O. Enang, R. Endevelt, R. Engle-Stone, R. Erasmus, C. Erem, G. Ergor, L. Eriksen, J. Eriksson, Jorge Escobedo-de la Peña, Saeid Eslami, A. Esmaeili, A. 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, Francisco J Felix-Redondo, T. S. Ferguson, Romulo A Fernandes, D. Fernández-Bergés, Daniel Ferrante, T. Ferrao, Gerson Ferrari, M. Ferrari, M. Ferrario, C. Ferreccio, Haroldo S Ferreira, Eldridge 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, Matsuda Fumihiko, Viktoriya Furdela, Takuro Furusawa, Stefan Adela Gabriela, Zbigniew Gaciong, M. Gafencu, Manuel Galán Cuesta, A. Galbarczyk, S. Galcheva, H. Galenkamp, D. Galeone, M. Galfo, F. Galvano, Jingli Gao · 发表于：The Lancet · 年份：2024 · DOI：10.1016/s0140-6736(23)02750-2 · 被引用次数：1697 · 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...