Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 13-27 |
| Journal | New England Journal of Medicine |
| Volume | 377 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 6 Jul 2017 |
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Health Effects of Overweight and Obesity in 195 Countries over 25 Years. / Afshin, Ashkan; Forouzanfar, Mohammad; Reitsma, Marissa; Sur, Patrick; Estep, Kara; Lee, Alex; Marczak, Laurie; Mokdad, Ali; Moradi-Lakeh, Maziar; Naghavi, Mohsen; Salama, Joseph; Vos, Theo; Abate, Kalkidan; Abbafati, Cristiana; Ahmed, Muktar Beshir; Al-Aly, Ziad; Alkerwi, Ala'a; Al-Raddadi, Rajaa; Amare, Azmeraw; Amberbir, Alemayehu; Amegah, Adeladza K.; Amini, Erfan; Amrock, Stephen Marc; Anjana, Ranjit M.; Ärnlöv, Johan; Asayesh, Hamid; Banerjee, Amitava; Barac, Aleksandra; Baye, Estifanos; Bennett, Derrick; Beyene, Addisu Shunu; Biadgilign, Sibhatu; Biryukov, Stan; Bjertness, Espen; Boneya, Dube; Campos-Nonato, Ismael; Carrero, Juan J.; Cecilio, Pedro; Cercy, Kelly; Ciobanu, Liliana; Cornaby, Leslie; Damtew, Solomon; Dandona, Lalit; Dandona, Rakhi; Dharmaratne, Samath; Duncan, Bruce B.; Eshrati, Babak; Esteghamati, Alireza; Feigin, Valery; Fernandes, João C.; Fürst, Thomas; Gebrehiwot, Tsegaye T.; Gold, Audra; Gona, Philimon; Goto, Atsushi; Habtewold, Tesfa D.; Hadush, Kokeb T.; Hafezi-Nejad, Nima; Hay, Simon; Horino, Masako; Islami, Farhad; Kamal, Ritul; Kasaeian, Amir; Katikireddi, Srinivasa V.; Kengne, Andre; Kesavachandran, Chandrasekharan; Khader, Yousef; Khang, Young-Ho; Khubchandani, Jagdish; Kim, Daniel; Kim, Yunjin; Kinfu, Yohannes; Kosen, Soewarta; Ku, Tiffany; Kuate Defo, Barthelemy; Kumar, Anil; Larson, Heidi; Leinsalu, Mall; Liang, Xiaofeng; Lim, Stephen; Liu, Patrick; Lopez, Alan; Lozano, Rafael; Majeed, Azeem; Malekzadeh, Reza; Malta, Deborah Carvalho; Mazidi, Mohsen; McAlinden, Colm; McGarvey, Stephen T.; Mengistu, Desalegn T.; Mensah, George; Mensink, Gert B. M.; Mezgebe, Haftay B.; Mirrakhimov, Erkin M.; Mueller, Ulrich; Noubiap, Jean J.; Obermeyer, Carla M.; Ogbo, Felix; Owolabi, Mayowa O.; Patton, George; Pourmalek, Farshad; Qorbani, Mostafa; Rafay, Anwar; Rai, Rajesh Kumar; Ranabhat, Chhabi Lal; Reinig, Nikolas; Safiri, Saeid; Salomon, Joshua; Sanabria, Juan Ramon; Santos, Itamar; Sartorius, Benn; Sawhney, Monika; Schmidhuber, Josef; Schutte, Aletta Elisabeth; Schmidt, Maria I.; Sepanlou, Sadaf; Shamsizadeh, Moretza; Sheikhbahaei, Sara; Shin, Min-Jeong; Shiri, Rahman; Shiue, Ivy; Roba, Hirbos Shore; Silva, Diego A. S.; Silverberg, Jonathan; Singh, Jasvinder; Stranges, Saverio; Swaminathan, Soumya; Tabarés-Seisdedos, Rafael; Tadese, Fentaw; Tedla, Bemnet Amare; Tegegne, Balewgizie S.; Terkawi, Abdullah Sulieman; Thakur, J. S.; Tonelli, Marcello; Topor-Madry, Roman; Tyrovolas, Stefanos; Ukwaja, Kingsley Nnanna; Uthman, Olalekan; Vaezghasemi, Masoud; Vasankari, Tommi; Vlassov, Vasiliy Victorovich; Vollset, Stein Emil; Weiderpass, Elisabete; Werdecker, Andrea; Wesana, Joshua; Westerman, Ronny; Yano, Yuichiro; Yonemoto, Naohiro; Yonga, Gerald; Zaidi, Zoubida; Zenebe, Zerihun Menlkalew; Zipkin, Ben; Murray, Christopher.
In: New England Journal of Medicine, Vol. 377, No. 1, 06.07.2017, p. 13-27.Research output: Contribution to journal › Article › peer-review
TY - JOUR
T1 - Health Effects of Overweight and Obesity in 195 Countries over 25 Years
AU - Afshin, Ashkan
AU - Forouzanfar, Mohammad
AU - Reitsma, Marissa
AU - Sur, Patrick
AU - Estep, Kara
AU - Lee, Alex
AU - Marczak, Laurie
AU - Mokdad, Ali
AU - Moradi-Lakeh, Maziar
AU - Naghavi, Mohsen
AU - Salama, Joseph
AU - Vos, Theo
AU - Abate, Kalkidan
AU - Abbafati, Cristiana
AU - Ahmed, Muktar Beshir
AU - Al-Aly, Ziad
AU - Alkerwi, Ala'a
AU - Al-Raddadi, Rajaa
AU - Amare, Azmeraw
AU - Amberbir, Alemayehu
AU - Amegah, Adeladza K.
AU - Amini, Erfan
AU - Amrock, Stephen Marc
AU - Anjana, Ranjit M.
AU - Ärnlöv, Johan
AU - Asayesh, Hamid
AU - Banerjee, Amitava
AU - Barac, Aleksandra
AU - Baye, Estifanos
AU - Bennett, Derrick
AU - Beyene, Addisu Shunu
AU - Biadgilign, Sibhatu
AU - Biryukov, Stan
AU - Bjertness, Espen
AU - Boneya, Dube
AU - Campos-Nonato, Ismael
AU - Carrero, Juan J.
AU - Cecilio, Pedro
AU - Cercy, Kelly
AU - Ciobanu, Liliana
AU - Cornaby, Leslie
AU - Damtew, Solomon
AU - Dandona, Lalit
AU - Dandona, Rakhi
AU - Dharmaratne, Samath
AU - Duncan, Bruce B.
AU - Eshrati, Babak
AU - Esteghamati, Alireza
AU - Feigin, Valery
AU - Fernandes, João C.
AU - Fürst, Thomas
AU - Gebrehiwot, Tsegaye T.
AU - Gold, Audra
AU - Gona, Philimon
AU - Goto, Atsushi
AU - Habtewold, Tesfa D.
AU - Hadush, Kokeb T.
AU - Hafezi-Nejad, Nima
AU - Hay, Simon
AU - Horino, Masako
AU - Islami, Farhad
AU - Kamal, Ritul
AU - Kasaeian, Amir
AU - Katikireddi, Srinivasa V.
AU - Kengne, Andre
AU - Kesavachandran, Chandrasekharan
AU - Khader, Yousef
AU - Khang, Young-Ho
AU - Khubchandani, Jagdish
AU - Kim, Daniel
AU - Kim, Yunjin
AU - Kinfu, Yohannes
AU - Kosen, Soewarta
AU - Ku, Tiffany
AU - Kuate Defo, Barthelemy
AU - Kumar, Anil
AU - Larson, Heidi
AU - Leinsalu, Mall
AU - Liang, Xiaofeng
AU - Lim, Stephen
AU - Liu, Patrick
AU - Lopez, Alan
AU - Lozano, Rafael
AU - Majeed, Azeem
AU - Malekzadeh, Reza
AU - Malta, Deborah Carvalho
AU - Mazidi, Mohsen
AU - McAlinden, Colm
AU - McGarvey, Stephen T.
AU - Mengistu, Desalegn T.
AU - Mensah, George
AU - Mensink, Gert B. M.
AU - Mezgebe, Haftay B.
AU - Mirrakhimov, Erkin M.
AU - Mueller, Ulrich
AU - Noubiap, Jean J.
AU - Obermeyer, Carla M.
AU - Ogbo, Felix
AU - Owolabi, Mayowa O.
AU - Patton, George
AU - Pourmalek, Farshad
AU - Qorbani, Mostafa
AU - Rafay, Anwar
AU - Rai, Rajesh Kumar
AU - Ranabhat, Chhabi Lal
AU - Reinig, Nikolas
AU - Safiri, Saeid
AU - Salomon, Joshua
AU - Sanabria, Juan Ramon
AU - Santos, Itamar
AU - Sartorius, Benn
AU - Sawhney, Monika
AU - Schmidhuber, Josef
AU - Schutte, Aletta Elisabeth
AU - Schmidt, Maria I.
AU - Sepanlou, Sadaf
AU - Shamsizadeh, Moretza
AU - Sheikhbahaei, Sara
AU - Shin, Min-Jeong
AU - Shiri, Rahman
AU - Shiue, Ivy
AU - Roba, Hirbos Shore
AU - Silva, Diego A. S.
AU - Silverberg, Jonathan
AU - Singh, Jasvinder
AU - Stranges, Saverio
AU - Swaminathan, Soumya
AU - Tabarés-Seisdedos, Rafael
AU - Tadese, Fentaw
AU - Tedla, Bemnet Amare
AU - Tegegne, Balewgizie S.
AU - Terkawi, Abdullah Sulieman
AU - Thakur, J. S.
AU - Tonelli, Marcello
AU - Topor-Madry, Roman
AU - Tyrovolas, Stefanos
AU - Ukwaja, Kingsley Nnanna
AU - Uthman, Olalekan
AU - Vaezghasemi, Masoud
AU - Vasankari, Tommi
AU - Vlassov, Vasiliy Victorovich
AU - Vollset, Stein Emil
AU - Weiderpass, Elisabete
AU - Werdecker, Andrea
AU - Wesana, Joshua
AU - Westerman, Ronny
AU - Yano, Yuichiro
AU - Yonemoto, Naohiro
AU - Yonga, Gerald
AU - Zaidi, Zoubida
AU - Zenebe, Zerihun Menlkalew
AU - Zipkin, Ben
AU - Murray, Christopher
N1 - Manuscript version freely available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5477817/
PY - 2017/7/6
Y1 - 2017/7/6
N2 - BACKGROUND: Although the rising pandemic of obesity has received major attention in many countries, the effects of this attention on trends and the disease burden of obesity remain uncertain. METHODS: We analyzed data from 68.5 million persons to assess the trends in the prevalence of overweight and obesity among children and adults between 1980 and 2015. Using the Global Burden of Disease study data and methods, we also quantified the burden of disease related to high body-mass index (BMI), according to age, sex, cause, and BMI in 195 countries between 1990 and 2015. RESULTS: In 2015, a total of 107.7 million children and 603.7 million adults were obese. Since 1980, the prevalence of obesity has doubled in more than 70 countries and has continuously increased in most other countries. Although the prevalence of obesity among children has been lower than that among adults, the rate of increase in childhood obesity in many countries has been greater than the rate of increase in adult obesity. High BMI accounted for 4.0 million deaths globally, nearly 40% of which occurred in persons who were not obese. More than two thirds of deaths related to high BMI were due to cardiovascular disease. The disease burden related to high BMI has increased since 1990; however, the rate of this increase has been attenuated owing to decreases in underlying rates of death from cardiovascular disease. CONCLUSIONS: The rapid increase in the prevalence and disease burden of elevated BMI highlights the need for continued focus on surveillance of BMI and identification, implementation, and evaluation of evidence-based interventions to address this problem.
AB - BACKGROUND: Although the rising pandemic of obesity has received major attention in many countries, the effects of this attention on trends and the disease burden of obesity remain uncertain. METHODS: We analyzed data from 68.5 million persons to assess the trends in the prevalence of overweight and obesity among children and adults between 1980 and 2015. Using the Global Burden of Disease study data and methods, we also quantified the burden of disease related to high body-mass index (BMI), according to age, sex, cause, and BMI in 195 countries between 1990 and 2015. RESULTS: In 2015, a total of 107.7 million children and 603.7 million adults were obese. Since 1980, the prevalence of obesity has doubled in more than 70 countries and has continuously increased in most other countries. Although the prevalence of obesity among children has been lower than that among adults, the rate of increase in childhood obesity in many countries has been greater than the rate of increase in adult obesity. High BMI accounted for 4.0 million deaths globally, nearly 40% of which occurred in persons who were not obese. More than two thirds of deaths related to high BMI were due to cardiovascular disease. The disease burden related to high BMI has increased since 1990; however, the rate of this increase has been attenuated owing to decreases in underlying rates of death from cardiovascular disease. CONCLUSIONS: The rapid increase in the prevalence and disease burden of elevated BMI highlights the need for continued focus on surveillance of BMI and identification, implementation, and evaluation of evidence-based interventions to address this problem.
U2 - 10.1056/NEJMoa1614362
DO - 10.1056/NEJMoa1614362
M3 - Article
VL - 377
SP - 13
EP - 27
JO - New England Journal of Medicine
JF - New England Journal of Medicine
SN - 0028-4793
IS - 1
ER -