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

NCD Risk Factor Collaboration (NCD-RisC); Robert J. Adams

doi:10.7554/eLife.60060

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

NCD Risk Factor Collaboration (NCD-RisC), Robert J. Adams

College of Medicine and Public Health

Research output: Contribution to journal › Article › peer-review

51 Citations (Scopus)

28 Downloads (Pure)

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 language	English
Article number	e60060
Number of pages	35
Journal	eLife
Volume	10
DOIs	https://doi.org/10.7554/eLife.60060
Publication status	Published - Mar 2021

UN SDGs

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

Access to Document

10.7554/eLife.60060Licence: CC BY

Heterogeneous_NCD_P2021Final published version, 4.97 MBLicence: CC BY

Cite this

@article{e581f2696fbd4f959353065acd1469dc,

title = "Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight",

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.",

author = "{NCD Risk Factor Collaboration (NCD-RisC)} and Iurilli, {Maria L.C.} and Bin Zhou and Bennett, {James E.} and Carrillo-Larco, {Rodrigo M.} and Sophiea, {Marisa K.} and Andrea Rodriguez-Martinez and Honor Bixby and Solomon, {Bethlehem D.} and Cristina Taddei and Goodarz Danaei and {Di Cesare}, Mariachiara and Stevens, {Gretchen A.} and Riley, {Leanne M.} and Stefan Savin and Cowan, {Melanie J.} and Pascal Bovet and Albertino Damasceno and Adela Chirita-Emandi and Hayes, {Alison J.} and Nayu Ikeda and Jackson, {Rod T.} and Khang, {Young Ho} and Avula Laxmaiah and Jing Liu and Miranda, {J. Jaime} and Olfa Saidi and Sylvain Sebert and Maroje Sori{\'c} and Gregor Starc and Gregg, {Edward W.} and Leandra Abarca-G{\'o}mez and Abdeen, {Ziad A.} and Shynar Abdrakhmanova and Ghaffar, {Suhaila Abdul} and Rahim, {Hanan F.Abdul} and Abu-Rmeileh, {Niveen M.} and Garba, {Jamila Abubakar} and Benjamin Acosta-Cazares and Adams, {Robert J.} and Wichai Aekplakorn and Kaosar Afsana and Shoaib Afzal and Agdeppa, {Imelda A.} and Javad Aghazadeh-Attari and Aguilar-Salinas, {Carlos A.} and Charles Agyemang and Ahmad, {Mohamad Hasnan} and Ahmad, {Noor Ani} and Ali Ahmadi and Naser Ahmadi and Ahmed, {Soheir H.} and Wolfgang Ahrens and Gulmira Aitmurzaeva and Kamel Ajlouni and Al-Hazzaa, {Hazzaa M.} and Badreya Al-Lahou and Rajaa Al-Raddadi and Monira Alarouj and Fadia AlBuhairan and Shahla AlDhukair and Ali, {Mohamed M.} and Abdullah Alkandari and Al{\'a}a Alkerwi and Kristine Allin and Mar Alvarez-Pedrerol and Eman Aly and Amarapurkar, {Deepak N.} and Parisa Amiri and Norbert Amougou and Philippe Amouyel and Andersen, {Lars Bo} and Anderssen, {Sigmund A.} and Lars {\"A}ngquist and Anjana, {Ranjit Mohan} and Alireza Ansari-Moghaddam and Hajer Aounallah-Skhiri and Joana Ara{\'u}jo and Inger Ariansen and Tahir Aris and Arku, {Raphael E.} and Nimmathota Arlappa and Aryal, {Krishna K.} and Thor Aspelund and Assah, {Felix K.} and Assun{\c c}{\~a}o, {Maria Cec{\'i}lia F.} and Aung, {May Soe} and Juha Auvinen and Maria Avdicov{\'a} and Shina Avi and Ana Azevedo and Mohsen Azimi-Nezhad and Fereidoun Azizi and Mehrdad Azmin and Babu, {Bontha V.} and {B{\ae}ksgaard J{\o}rgensen}, Maja and Azli Baharudin and Suhad Bahijri and Baker, {Jennifer L.} and Nagalla Balakrishna and Mohamed Bamoshmoosh and Maciej Banach and Piotr Bandosz and Banegas, {Jos{\'e} R.} and Joanna Baran and Barbagallo, {Carlo M.} and Alberto Barcel{\'o} and Amina Barkat and Barros, {Aluisio J.D.} and Barros, {Mauro Virg{\'i}lio Gomes} and Abdul Basit and Bastos, {Joao Luiz D.} and Iqbal Bata and Batieha, {Anwar M.} and Batista, {Rosangela L.} and Zhamilya Battakova and Assembekov Batyrbek and Baur, {Louise A.} and Robert Beaglehole and Silvia Bel-Serrat and Antonisamy Belavendra and Romdhane, {Habiba Ben} and Judith Benedics and Mikhail Benet and Bergh, {Ingunn Holden} and Salim Berkinbayev and Antonio Bernabe-Ortiz and Gailute Bernotiene and Helo{\'i}sa Bettiol and Jorge Bezerra and Aroor Bhagyalaxmi and Sumit Bharadwaj and Bhargava, {Santosh K.} and Bhutta, {Zulfiqar A.} and Hongsheng Bi and Yufang Bi and Daniel Bia and Lele, {Elysee Claude Bika} and Bikbov, {Mukharram M.} and Bihungum Bista and Bjelica, {Dusko J.} and Peter Bjerregaard and Espen Bjertness and Bjertness, {Marius B.} and Cecilia Bj{\"o}rkelund and Bloch, {Katia V.} and Anneke Blokstra and Simona Bo and Martin Bobak and Boddy, {Lynne M.} and Boehm, {Bernhard O.} and Heiner Boeing and Boggia, {Jose G.} and Elena Bogova and Boissonnet, {Carlos P.} and Bojesen, {Stig E.} and Marialaura Bonaccio and Vanina Bongard and Alice Bonilla-Vargas and Matthias Bopp and Herman Borghs and Lien Braeckevelt and Lutgart Braeckman and Bragt, {Marjolijn C.E.} and Imperia Brajkovich and Francesco Branca and Juergen Breckenkamp and Joa{\~o} Breda and Hermann Brenner and Brewster, {Lizzy M.} and Brian, {Garry R.} and Lacramioara Brinduse and Sinead Brophy and Graziella Bruno and Bueno-de-Mesquita, {H. Bas} and Anna Bugge and Marta Buoncristiano and Genc Burazeri and Con Burns and {de Le{\'o}n}, {Antonio Cabrera} and Joseph Cacciottolo and Hui Cai and Tilema Cama and Christine Cameron and Jos{\'e} Camolas and G{\"u}nay Can and Candido, {Ana Paula C.} and Felicia Ca{\~n}ete and Capanzana, {Mario V.} and Nadezda Capkov{\'a} and Eduardo Capuano and Vincenzo Capuano and Marloes Cardol and Cardoso, {Viviane C.} and Carlsson, {Axel C.} and Esteban Carmuega and Joana Carvalho and Casaj{\'u}s, {Jos{\'e} A.} and Casanueva, {Felipe F.} and Ertugrul Celikcan and Laura Censi and Marvin Cervantes-Loaiza and Cesar, {Juraci A.} and Snehalatha Chamukuttan and Chan, {Angelique W.} and Queenie Chan and Chaturvedi, {Himanshu K.} and Nish Chaturvedi and Rahim, {Norsyamlina Che Abdul} and Chee, {Miao Li} and Chen, {Chien Jen} and Fangfang Chen and Huashuai Chen and Shuohua Chen and Zhengming Chen and Cheng, {Ching Yu} and Bahman Cheraghian and Angela Chetrit and Ekaterina Chikova-Iscener and Arnaud Chiolero and Chiou, {Shu Ti} and Chirlaque, {Mar{\'i}a Dolores} and Belong Cho and Kaare Christensen and Christofaro, {Diego G.} and Jerzy Chudek and Renata Cifkova and Michelle Cilia and Eliza Cinteza and Frank Claessens and Janine Clarke and Els Clays and Emmanuel Cohen and Hans Concin and Confortin, {Susana C.} and Cyrus Cooper and Coppinger, {Tara C.} and Eva Corpeleijn and Simona Costanzo and Dominique Cottel and Chris Cowell and Craig, {Cora L.} and Crampin, {Amelia C.} and Crujeiras, {Ana B.} and Sem{\'a}nov{\'a} Csilla and Cucu, {Alexandra M.} and Liufu Cui and Cureau, {Felipe V.} and Ewelina Czenczek-Lewandowska and Graziella D{\textquoteright}Arrigo and Tiina Laatikainen",

year = "2021",

month = mar,

doi = "10.7554/eLife.60060",

language = "English",

volume = "10",

journal = "eLife",

issn = "2050-084X",

publisher = "eLife Sciences Publications Ltd",

}

TY - JOUR

T1 - Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight

AU - NCD Risk Factor Collaboration (NCD-RisC)

AU - Iurilli, Maria L.C.

AU - Zhou, Bin

AU - Bennett, James E.

AU - Carrillo-Larco, Rodrigo M.

AU - Sophiea, Marisa K.

AU - Rodriguez-Martinez, Andrea

AU - Bixby, Honor

AU - Solomon, Bethlehem D.

AU - Taddei, Cristina

AU - Danaei, Goodarz

AU - Di Cesare, Mariachiara

AU - Stevens, Gretchen A.

AU - Riley, Leanne M.

AU - Savin, Stefan

AU - Cowan, Melanie J.

AU - Bovet, Pascal

AU - Damasceno, Albertino

AU - Chirita-Emandi, Adela

AU - Hayes, Alison J.

AU - Ikeda, Nayu

AU - Jackson, Rod T.

AU - Khang, Young Ho

AU - Laxmaiah, Avula

AU - Liu, Jing

AU - Miranda, J. Jaime

AU - Saidi, Olfa

AU - Sebert, Sylvain

AU - Sorić, Maroje

AU - Starc, Gregor

AU - Gregg, Edward W.

AU - Abarca-Gómez, Leandra

AU - Abdeen, Ziad A.

AU - Abdrakhmanova, Shynar

AU - Ghaffar, Suhaila Abdul

AU - Rahim, Hanan F.Abdul

AU - Abu-Rmeileh, Niveen M.

AU - Garba, Jamila Abubakar

AU - Acosta-Cazares, Benjamin

AU - Adams, Robert J.

AU - Aekplakorn, Wichai

AU - Afsana, Kaosar

AU - Afzal, Shoaib

AU - Agdeppa, Imelda A.

AU - Aghazadeh-Attari, Javad

AU - Aguilar-Salinas, Carlos A.

AU - Agyemang, Charles

AU - Ahmad, Mohamad Hasnan

AU - Ahmad, Noor Ani

AU - Ahmadi, Ali

AU - Ahmadi, Naser

AU - Ahmed, Soheir H.

AU - Ahrens, Wolfgang

AU - Aitmurzaeva, Gulmira

AU - Ajlouni, Kamel

AU - Al-Hazzaa, Hazzaa M.

AU - Al-Lahou, Badreya

AU - Al-Raddadi, Rajaa

AU - Alarouj, Monira

AU - AlBuhairan, Fadia

AU - AlDhukair, Shahla

AU - Ali, Mohamed M.

AU - Alkandari, Abdullah

AU - Alkerwi, Aláa

AU - Allin, Kristine

AU - Alvarez-Pedrerol, Mar

AU - Aly, Eman

AU - Amarapurkar, Deepak N.

AU - Amiri, Parisa

AU - Amougou, Norbert

AU - Amouyel, Philippe

AU - Andersen, Lars Bo

AU - Anderssen, Sigmund A.

AU - Ängquist, Lars

AU - Anjana, Ranjit Mohan

AU - Ansari-Moghaddam, Alireza

AU - Aounallah-Skhiri, Hajer

AU - Araújo, Joana

AU - Ariansen, Inger

AU - Aris, Tahir

AU - Arku, Raphael E.

AU - Arlappa, Nimmathota

AU - Aryal, Krishna K.

AU - Aspelund, Thor

AU - Assah, Felix K.

AU - Assunção, Maria Cecília F.

AU - Aung, May Soe

AU - Auvinen, Juha

AU - Avdicová, Maria

AU - Avi, Shina

AU - Azevedo, Ana

AU - Azimi-Nezhad, Mohsen

AU - Azizi, Fereidoun

AU - Azmin, Mehrdad

AU - Babu, Bontha V.

AU - Bæksgaard Jørgensen, Maja

AU - Baharudin, Azli

AU - Bahijri, Suhad

AU - Baker, Jennifer L.

AU - Balakrishna, Nagalla

AU - Bamoshmoosh, Mohamed

AU - Banach, Maciej

AU - Bandosz, Piotr

AU - Banegas, José R.

AU - Baran, Joanna

AU - Barbagallo, Carlo M.

AU - Barceló, Alberto

AU - Barkat, Amina

AU - Barros, Aluisio J.D.

AU - Barros, Mauro Virgílio Gomes

AU - Basit, Abdul

AU - Bastos, Joao Luiz D.

AU - Bata, Iqbal

AU - Batieha, Anwar M.

AU - Batista, Rosangela L.

AU - Battakova, Zhamilya

AU - Batyrbek, Assembekov

AU - Baur, Louise A.

AU - Beaglehole, Robert

AU - Bel-Serrat, Silvia

AU - Belavendra, Antonisamy

AU - Romdhane, Habiba Ben

AU - Benedics, Judith

AU - Benet, Mikhail

AU - Bergh, Ingunn Holden

AU - Berkinbayev, Salim

AU - Bernabe-Ortiz, Antonio

AU - Bernotiene, Gailute

AU - Bettiol, Heloísa

AU - Bezerra, Jorge

AU - Bhagyalaxmi, Aroor

AU - Bharadwaj, Sumit

AU - Bhargava, Santosh K.

AU - Bhutta, Zulfiqar A.

AU - Bi, Hongsheng

AU - Bi, Yufang

AU - Bia, Daniel

AU - Lele, Elysee Claude Bika

AU - Bikbov, Mukharram M.

AU - Bista, Bihungum

AU - Bjelica, Dusko J.

AU - Bjerregaard, Peter

AU - Bjertness, Espen

AU - Bjertness, Marius B.

AU - Björkelund, Cecilia

AU - Bloch, Katia V.

AU - Blokstra, Anneke

AU - Bo, Simona

AU - Bobak, Martin

AU - Boddy, Lynne M.

AU - Boehm, Bernhard O.

AU - Boeing, Heiner

AU - Boggia, Jose G.

AU - Bogova, Elena

AU - Boissonnet, Carlos P.

AU - Bojesen, Stig E.

AU - Bonaccio, Marialaura

AU - Bongard, Vanina

AU - Bonilla-Vargas, Alice

AU - Bopp, Matthias

AU - Borghs, Herman

AU - Braeckevelt, Lien

AU - Braeckman, Lutgart

AU - Bragt, Marjolijn C.E.

AU - Brajkovich, Imperia

AU - Branca, Francesco

AU - Breckenkamp, Juergen

AU - Breda, Joaõ

AU - Brenner, Hermann

AU - Brewster, Lizzy M.

AU - Brian, Garry R.

AU - Brinduse, Lacramioara

AU - Brophy, Sinead

AU - Bruno, Graziella

AU - Bueno-de-Mesquita, H. Bas

AU - Bugge, Anna

AU - Buoncristiano, Marta

AU - Burazeri, Genc

AU - Burns, Con

AU - de León, Antonio Cabrera

AU - Cacciottolo, Joseph

AU - Cai, Hui

AU - Cama, Tilema

AU - Cameron, Christine

AU - Camolas, José

AU - Can, Günay

AU - Candido, Ana Paula C.

AU - Cañete, Felicia

AU - Capanzana, Mario V.

AU - Capková, Nadezda

AU - Capuano, Eduardo

AU - Capuano, Vincenzo

AU - Cardol, Marloes

AU - Cardoso, Viviane C.

AU - Carlsson, Axel C.

AU - Carmuega, Esteban

AU - Carvalho, Joana

AU - Casajús, José A.

AU - Casanueva, Felipe F.

AU - Celikcan, Ertugrul

AU - Censi, Laura

AU - Cervantes-Loaiza, Marvin

AU - Cesar, Juraci A.

AU - Chamukuttan, Snehalatha

AU - Chan, Angelique W.

AU - Chan, Queenie

AU - Chaturvedi, Himanshu K.

AU - Chaturvedi, Nish

AU - Rahim, Norsyamlina Che Abdul

AU - Chee, Miao Li

AU - Chen, Chien Jen

AU - Chen, Fangfang

AU - Chen, Huashuai

AU - Chen, Shuohua

AU - Chen, Zhengming

AU - Cheng, Ching Yu

AU - Cheraghian, Bahman

AU - Chetrit, Angela

AU - Chikova-Iscener, Ekaterina

AU - Chiolero, Arnaud

AU - Chiou, Shu Ti

AU - Chirlaque, María Dolores

AU - Cho, Belong

AU - Christensen, Kaare

AU - Christofaro, Diego G.

AU - Chudek, Jerzy

AU - Cifkova, Renata

AU - Cilia, Michelle

AU - Cinteza, Eliza

AU - Claessens, Frank

AU - Clarke, Janine

AU - Clays, Els

AU - Cohen, Emmanuel

AU - Concin, Hans

AU - Confortin, Susana C.

AU - Cooper, Cyrus

AU - Coppinger, Tara C.

AU - Corpeleijn, Eva

AU - Costanzo, Simona

AU - Cottel, Dominique

AU - Cowell, Chris

AU - Craig, Cora L.

AU - Crampin, Amelia C.

AU - Crujeiras, Ana B.

AU - Csilla, Semánová

AU - Cucu, Alexandra M.

AU - Cui, Liufu

AU - Cureau, Felipe V.

AU - Czenczek-Lewandowska, Ewelina

AU - D’Arrigo, Graziella

AU - Laatikainen, Tiina

PY - 2021/3

Y1 - 2021/3

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85103837539&partnerID=8YFLogxK

U2 - 10.7554/eLife.60060

DO - 10.7554/eLife.60060

M3 - Article

C2 - 33685583

AN - SCOPUS:85103837539

SN - 2050-084X

VL - 10

JO - eLife

JF - eLife

M1 - e60060

ER -

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

Abstract

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this