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Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight

  • NCD Risk Factor Collaboration (NCD-RisC)
  • Imperial College London
  • Harvard University
  • Middlesex University
  • World Health Organization
  • Ministry of Health, Seychelles
  • University of Lausanne
  • Universidade Eduardo Mondlane
  • Victor Babes University of Medicine and Pharmacy
  • University of Sydney
  • National Institutes of Biomedical Innovation, Health and Nutrition
  • The University of Auckland
  • Seoul National University
  • ICMR - National Institute of Nutrition
  • Capital Medical University
  • Universidad Peruana Cayetano Heredia
  • Université de Tunis El Manar
  • University of Oulu
  • University of Zagreb
  • University of Ljubljana
  • Caja Costarricense de Seguro Social
  • Al-Quds University
  • Republican State Entpr. on the Right of Economic Use National Center for Public Health, The Ministry of Health of the Republic of Kazakhstan
  • Kementerian Kesihatan Malaysia
  • Qatar University
  • Birzeit University
  • Usmanu Danfodiyo University
  • Instituto Mexicano del Seguro Social
  • Flinders University
  • Mahidol University
  • BRAC University
  • University of Copenhagen
  • Department of Science and Technology Taguig
  • Urmia University of Medical Sciences
  • Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
  • University of Amsterdam
  • Shahrekord University of Medical Sciences

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Article numbere60060
JournaleLife
Volume10
DOIs
StatePublished - Mar 2021

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 2 - Zero Hunger
    SDG 2 Zero Hunger
  2. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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