Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults

Olafsson, Ö.; Schipf, S.; Zhu, D.; Kengne, A. P.; Avdicová, M.; Tynelius, P.; Wong, J. E.; Murphy, N.; Kersting, M.; Solfrizzi, V.; Russo, P.; He, J.; Rodrigues, D.; De-Henauw, S.; Qasrawi, R. F.; Santos, R.; Sunyer, J.; De-Bacquer, D.; Janszky, I.; Garnett, S. P.; Ghasemian, A.; Horimoto, A. R. V. R.; Hwalla, N.; Mistretta, A.; Masoodi, S. R.; Marrugat, J.; Romaguera, D.; Cooper, R.; Pilav, A.; Ruiz-Betancourt, B. S.; Afsana, K.; Onat, A.; Kulaga, Z.; Rampal, S.; Schmidt, C. O.; Kapantais, E.; Spiroski, I.; Pereira, A. C.; Mursu, J.; Jérome, C. S.; Vale, S.; Bhatti, Z.; Al-Othman, A. R.; Kelleher, C.; Cardoso, V. C.; Osmond, C.; Bao, T. Q.; Araújo, J.; Hambleton, I. R.; Grujic, V.; Van-Minh, H.; So, H. K.; Viikari-Juntura, E.; Gates, L.; Boggia, J. G.; Ramachandran, A.; Sant'angelo, V. F.; Erem, C.; Miquel, J. F.; Sánchez-Abanto, J.; Schargrodsky, H.; Pop, R. M.; Schienkiewitz, A.; Popovic, S. R.; De-Ridder, K.; Braeckevelt, L.; Malyutina, S.; Bugge, A.; Kavousi, M.; Jurak, G.; Lehtimäki, T.; Fuchs, F. D.; de-Wit, T. F. R.; Chiou, S. T.; Rubinstein, A.; Tanser, F.; Momenan, A.; Kruger, H. S.; Mohammadifard, N.; Neal, W. A.; Bettiol, H.; Omar, M. A.; Damsgaard, C. T.; Prashant, M.; Frontera, G.; Siantar, R.; Ugel, E. E.; Michels, N.; Woodward, M.; Motta, J.; Kubinova, R.; D'arrigo, G.; de-Oliveira, P. D.; Mi, J.; Abdeen, Z. A.; D'orsi, E.; Noto, D.; Jamil, K. M.; Naidu, B. M.; Aspelund, T.; Chen, S.; Howitt, C.; Nguyen, N. D.; Pednekar, M. S.; Posch, G.; Wilks, R. J.; Trivedi, A.; Owusu-Dabo, E.; Benedics, J.; Benet, M.; Carlsson, A. C.; Si-Ramlee, K.; Sachdev, H. S.; van-der-Schouw, Y. T.; Kerimkulova, A.; Tarp, J.; Martin, R.; Laamiri, F. Z.; Machi, S.; O'reilly, D.; Breckenkamp, J.; Hassapidou, M.; Aounallah-Skhiri, H.; Wu, S.; Manzato, E.; Sobngwi, E.; Nguyen, C. T.; Pikhart, H.; Fernandes, R. A.; Guo, Y.; Batieha, A. M.; Námešná, J.; Chen, H.; Bennett, J. E.; Blokstra, A.; Carvalho, M. J.; de-León, A. C.; Kumar, R. H.; Jóźwiak, J.; Patel, N. D.; Huybrechts, I.; Bonaccio, M.; Sung, Y. T.; Koskinen, S.; Assunção, M. C. F.; Giwercman, A.; Noboa, O. A.; Willeit, J.; Gregor, R. D.; Obreja, G.; Al-Raddadi, R.; Laxmaiah, A.; Wareham, N.; Hadaegh, F.; Zheng, Y.; Garcia-De-la-hera, M.; Ulmer, H.; Neovius, M.; Pajak, A.; Albuhairan, F.; Boissonnet, C. P.; Chen, F.; Lachat, C.; Ahmadvand, A.; Iannone, A. G.; Palloni, A.; Ye, X.; Park, S. W.; Burazeri, G.; Sundström, J.; Machado-Rodrigues, A. M.; Monyeki, K. D. K.; Yan, W.; Viswanathan, B.; Duleva, V.; Yoshihara, A.; Simons, J.; Vrijheid, M.; Piwonska, A.; Amouyel, P.; Irazola, V. E.; Sharma, S. K.; Grosso, G.; Jacobs, J. M.; Peltonen, M.; Chikova-Iscener, E.; Eriksen, L.; Pandey, A.; Sørensen, T. I. A.; Noale, M.; Furusawa, T.; Peykari, N.; Dziankowska-Zaborszczyk, E.; Hadjigeorgiou, C. A.; McFarlane, S. R.; Guimaraes, A. L.; Kromhout, D.; Wang, Q.; Palmieri, L.; Michaelsen, K. F.; Deschamps, V.; Agyemang, C.; Mortensen, E. L.; Jelaković, B.; Kemper, H. C. G.; Luksiene, D.; Tjonneland, A.; Brenner, H.; Wojtyniak, B.; Khateeb, M.; Banach, M.; Topór-Madry, R.; Amuzu, A.; Widhalm, K.; Hopman, W. M.; Chirita-Emandi, A.; Musil, V.; Rodríguez-Villamizar, L. A.; Gunter, M.; Bobak, M.; Jelaković, A.; Salmerón, D.; Stergiou, G. S.; Bongard, V.; Ali, M. M.; Cacciottolo, J.; Ekelund, U.; Gaspoz, J. M.; Baur, L. A.; Chen, C. J.; Kuh, D.; Szponar, L.; Guerrero, R.; Silva, A. M.; Jiang, C. Q.; Kuciene, R.; Topbas, M.; Kumar, R. K.; Norie, S.; Ornelas, R.; Klimont, J.; Dehghan, A.; Viet, L.; Pohlabeln, H.; Krokstad, S.; Aekplakorn, W.; Bandosz, P.; Matsha, T. E.; Slusarczyk, P.; Gaciong, Z.; Ribeiro, R.; Tulloch-Reid, M. K.; Gu, D.; Rojas-Martinez, R.; Gafencu, M.; Rosario, A. S.; Tshepo, L.; Grafnetter, D.; Moreno, L. A.; Duante, C.; Shin, D. W.; Arveiler, D.; Song, Y.; Fuchs, S. C.; Tao, Y.; Caserta, C. A.; Cadena, L. H.; Cowan, M. J.; Pierannunzio, D.; Anjana, R. M.; Christofaro, D. G.; Dzerve, V.; Tarawneh, M. R.; Kiechl, S.; You, Q. S.; Sans, S.; Kurjata, P.; Vanderschueren, D.; Reganit, P. F. M.; Delpeuch, F.; Kuulasmaa, K.; Juolevi, A.; Poulimeneas, D.; Kajantie, E. O.; Norat, T.; Sibai, A. M.; Sepanlou, S. G.; Silva, D. A. S.; Giampaoli, S.; Keinänen-Kiukaanniemi, S.; Stieber, J.; Victora, C. G.; Cisneros, J. Z.; Jafar, T.; Kafatos, A.; Sjöström, M.; Kasaeian, A.; Barbagallo, C. M.; Föger, B.; Kim, Y. Y.; Bhutta, Z. A.; Lind, L.; Aldhukair, S.; Khader, Y. S.; Aly, E.; Heshmat, R.; Murtagh, E. M.; Barros, M. V. G.; Peters, A.; Savva, S.; Petkeviciene, J.; Metspalu, A.; Sabanayagam, C.; Puiu, M.; Narake, S.; Saidi, O.; Adams, R. J.; Dastgiri, S.; Marques-Vidal, P.; Zeng, Y.; Kristensen, P. L.; Foo, L. H.; Laatikainen, T.; Khang, Y. H.; Craig, C. L.; Herrera, V. M.; Zheng, W.; Bi, Y.; Peeters, P. H.; Wong-Mcclure, R. A.; Donfrancesco, C.; Laugsand, L. E.; Peixoto, S. V.; Landrove, O.; Mossakowska, M.; Shibuya, K.; Wanderley, R. S. , Jr.; Monterrubio, E. A.; Kyobutungi, C.; Hata, J.; McKee, M.; Nsour, M. A.; Alkerwi, A.; Fouad, H. M.; Mathiesen, E. B.; Pahomova, E.; Simons, L. A.; Cândido, A. P. C.; McNulty, B. A.; Petrescu, C. H.; Ahrens, W.; Hajifathalian, K.; Smith, M. C.; Gudnason, V.; Jennings, G.; Mikkel, K.; Roy, J. G. R.; Liu, J.; Meshram, I. I.; Tamosiunas, A.; Osler, M.; Gulliford, M. C.; Davletov, K.; Vioque, J.; Acuin, C.; Cooper, C.; Gualdi-Russo, E.; De-Curtis, A.; Nakamura, H.; Mbanya, J. C. N.; Bjelica, D. J.; Mirrakhimov, E.; Yusof, S. M.; Nankap, M.; Ning, G.; Savy, M.; Balakrishna, N.; Chetrit, A.; Gianfagna, F.; Dallongeville, J.; Klumbiene, J.; Buoncristiano, M.; Stavreski, B.; Mostafa, A.; Gudmundsson, E. F.; Nishtar, S.; Willeit, P.; Farzadfar, F.; Kriemler, S.; Gureje, O.; Ivkovic, V.; León-Muñoz, L. M.; Stokwiszewski, J.; Meisfjord, J.; Azevedo, A.; Levitt, N. S.; Kovacs, V. A.; Delisle, H.; Saum, K. U.; Menon, G. R.; Ikram, M. A.; Mocanu, V.; Shalnova, S. A.; Velasquez-Melendez, G.; Bista, B.; Oltarzewski, M.; Alvarez-Pedrerol, M.; Kamaruddin, N. A.; El-Ati, J.; Rodríguez-Artalejo, F.; Diaz, A.; Aryal, K. K.; Jamrozik, K.; Salanave, B.; Poh, B. K.; Tautu, O. F.; Godos, J.; Tormo, M. J.; Sen, A.; Vega, T.; Tullu, F.; Confortin, S. C.; Jaddou, H.; Ferrari, M.; Padez, C.; Bikbov, M.; Lebanan, M. A. O.; Tornaritis, M. J.; Chaturvedi, N.; Wang, M. D.; Saramies, J. L.; Pérez, C. M.; Guallar-Castillón, P.; Bruno, G.; Felix-Redondo, F. J.; Meirhaeghe, A.; Pistelli, F.; Heinen, M.; Bhargava, S. K.; Malekzadeh, R.; Fischer, K.; Nardone, P.; Donoso, S. P.; Rascon-Pacheco, R. A.; Rao, S. R.; Ukoli, F. A. M.; Al-Hazzaa, H. M.; Evans, Alun; Gill, T. K.; Ordunez, P.; Molbo, D.; Salonen, J. T.; Virtanen, J. K.; McLachlan, S.; Lundqvist, A.; Amarapurkar, D. N.; Geiger, H.; Kusuma, Y. S.; Margozzini, P.; Fujita, Y.; Capuano, V.; Matijasevich, A.; Wagner, A.; Chudek, J.; Cinteza, E.; Hardy, R.; Halkjær, J.; Barceló, A.; Martinez, E. S.; Perez-Farinos, N.; Ramke, J.; Lin, H. H.; Engle-Stone, R.; Kowlessur, S.; Turley, M. L.; Larijani, B.; Wu, J.; Eiben, G.; Geleijnse, J. M.; Ezzati, M.; Ferguson, T. S.; Unal, B.; Kauhanen, J.; Grajda, A.; Bharadwaj, S.; Braeckman, L.; Stathopoulou, M. G.; Magriplis, E.; Hu, Y.; Heidinger-Felso, R.; Mohan, V.; Kunešová, M.; van-Valkengoed, I. G. M.; Brewster, L. M.; Zhao, W.; Akhtaeva, N.; Yusoff, M. F. M.; Lima-Costa, M. F.; Völzke, H.; Mišigoj-Durakovic, M.; Di-Castelnuovo, A. F.; Mu, T. T.; Whincup, P. H.; Waldhör, T.; Brajkovich, I.; Barkat, A.; Bjertness, E.; Woo, J.; Sun, C. A.; Muiesan, M. L.; Cowell, C.; Gasull, M.; Grøntved, A.; Lauria, L.; Franco, M. D. C.; Ronkainen, K.; Portegies, M. L. P.; Lu, Y.; van-Rossem, L.; Forslund, A. S.; Ikeda, N.; Zhao, D.; Weerasekera, D.; Cottel, D.; Martin-Prevel, Y.; Dika, Z.; Mann, J. I.; Bixby, H.; Punab, M.; Tuomainen, T. P.; Guan, O. P.; Suriyawongpaisal, P.; Visvikis-Siest, S.; Moschonis, G.; Lunet, N.; Lin, X.; Thijs, L.; Ostojic, S. M.; Redon, J.; Dankner, R.; Palli, D.; Ho, S. C.; Zaccagni, L.; Gonzalez-Gross, M.; Katz, J.; Moon, J. S.; Costanzo, S.; Coppinger, T. C.; Graff-Iversen, S.; Yusoff, F.; Nabipour, I.; Ostovar, A.; Khouw, I. M. S. L.; Mota-Pinto, A.; Zhussupov, B.; Kalter-Leibovici, O.; Marques, L. P.; Gottrand, F.; Martorell, R.; Tzourio, C.; Anderssen, S. A.; Wong, T. Y.; Petrauskiene, A.; Linneberg, A.; Hormiga, C. M.; Ibrahim, M. M.; Tolstrup, J. S.; Banegas, J. R.; Snijder, M. B.; Batista, R. L.; Bjertness, M. B.; Mediene-Benchekor, S.; Azizi, F.; Jiménez-Acosta, S. M.; Barros, A. J. D.; Makdisse, M.; Simon, M.; Franco, O. H.; Joffres, M.; Wong, J. Y. Y.; Loit, H. M.; Magliano, D. J.; Zafiropulos, V.; Babu, B. V.; Mota, J.; Ali, O.; Molnár, D.; Sardinha, L. B.; Yngve, A.; Bata, I.; De-Backer, G.; Assah, F. K.; McLean, R. M.; Cai, H.; Ohara, K.; Bi, H.; Smeeth, L.; Porta, M.; Ma, G.; Ibarluzea, J. M.; Menezes, A. M. B.; Robinson, S. M.; Dobson, A. J.; Spinelli, A.; Tsigga, M.; Cameron, C.; Koziel, S.; Papandreou, D.; Suárez-Medina, R.; Riboli, E.; Shin, Y.; Faeh, D.; Vanuzzo, D.; Trichopoulou, A.; Møllehave, L. T.; Salvetti, M.; Strufaldi, M. W.; Otero, J. A.; Poustchi, H.; Hayes, A. J.; Hofman, A.; Nagel, G.; Schutte, A. E.; Pan, W. H.; de-Gaetano, G.; Kim, J.; Herrala, S.; Bilano, V.; Cifkova, R.; Le, T. D.; Stratton, G.; Zimmermann, E.; Gutzwiller, F.; Khalili, D.; Valdivia, G.; Boddy, L. M.; Lim, W. Y.; Yang, X.; Bueno-De-mesquita, H. B.; Pham, S. T.; Walton, J.; Moreira, L. B.; Shaw, J. E.; Trichopoulos, D.; Rühli, F. J.; Ferrieres, J.; Aung, M. S.; Panza, F.; Abarca-Gómez, L.; Verschuren, W. M. M.; Traissac, P.; Paciorek, C. J.; Scazufca, M.; Iacoviello, L.; Ängquist, L. H.; Do, H. T. P.; Di-Cesare, M.; Rigo, F.; Mondo, C. K.; Ma, J.; Kouda, K.; Houti, L.; Miller, J. 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T.; Lorbeer, R.; Camolas, J.; Hamid, Z. A.; Dos-Santos, R. N.; Steene-Johannessen, J.; Wan-Bebakar, W. M.; Henriques, A.; Lilly, C. L.; Wannamethee, S. G.; Islam, M.; Zambon, S.; Ariansen, I.; Zampelas, A.; Gareta, D.; Nenko, I.; Peer, N.; Huu, C. N.; Stöckl, D.; Sy, R. G.; Maire, B.; Slowikowska-Hilczer, J.; Hihtaniemi, I. T.; Knoflach, M.; Vlasoff, T.; Viegi, G.; Khaw, K. T.; Forsner, M.; Litwin, M.; Ribas-Barba, L.; Xu, H.; Younger-Coleman, N. O.; Goldsmith, R. A.; Malhotra, R.; Raj, M.; Casas, J. P.; Wijga, A. H.; Rahman, M.; Sonestedt, E.; Chaturvedi, H. K.; Maggi, S.; Raitakari, O.; Miranda, J. Jaime; Thuesen, B. H.; Mohanna, Salim; Ritti-Dias, R. M.; Shiri, R.; Zholdin, B.; Stronks, K.; Wilsgaard, T.; Biehl, A.; Tsugane, S.; Döring, A.; Qorbani, M.; Parnell, W. R.; Boehm, B. O.; Rosengren, A.; Htet, A. S.; Lopes, L.; Navarrete-Muñoz, E. M.; Ono, L. M.; Huisman, M.; Trinh, O. T. H.; Minderico, C. S.; Arlappa, N.; Tzotzas, T.; Iwasaki, M.; Savin, S.; Tammesoo, M. L.; Johansson, M.; Kolle, E.; Gonçalves, H.; Gupta, R.; Brian, G. R.; Pilotto, L.; Oehlers, G.; Price, J. F.; Marina, L. S.; Wang, Y. W.; McLean, S. B.; Uusitalo, H. M. T.; Rao, K. M.; Nieto-Martínez, R. E.; Toselli, S.; Zhou, B.; Cama, T.; Koirala, B.; Aris, T.; Kos, J.; Bao, K. L. N.; Killewo, J.; Pouraram, H.; Ferreccio, C.; Sein, A. A.; Wang, Y. X.; Xu, L.; Chiolero, A.; Majer, M.; Stevens, G. A.; Rito, A.; Bamoshmoosh, M.; Guessous, I.; Htike, M. M. T.; Beaglehole, R.; Salomaa, V.; Yamborisut, U.; Pudule, I.; Overvad, K.; Tai, E. S.; Flores, E. M.; Gutierrez, L.; Hobbs, M.; Yiallouros, P. K.; Björkelund, C.; Gupta, P. C.; Laid, Y.; Widyahening, I. S.; Plans-Rubió, P.; Doua, K.; Jørgensen, T.; McGarvey, S. T.; Pascanu, I. M.; Swinburn, B. A.; Wedderkopp, N.; Lissner, L.; Tuomilehto, J.; Lanska, V.; Mohammad, K.; Jackson, R. T.; Pitakaka, F.; Claessens, F.; Egbagbe, E. E.; Mohamed, M. K.; Lotufo, P. A.; Dhana, K.; Drygas, W.; Kujala, U. M.; Goltzman, D.; Eggertsen, R.; Lozano, J. E.; Lam, T. H.; Muc, M.; Galvano, F.; Dorosty, A. R.; Ramos, E.; Ho, S. Y.; Bo, S.; Pradeepa, R.; Torrent, M.; Guo, X.; Wu, F. C.; Motlagh, M. E.; Tchibindat, F.; Mensink, G. B. M.; Tan, E. J.; Mahaletchumy, A.; Olinto, M. T. A.; Vollenweider, P.; Marventano, S.; Branca, F.; Panda-Jonas, S.; Ueda, P.; Grammatikopoulou, M. G.; Rampal, L.; Oh, K.; Veronesi, G.; Schmidt, I. M.; Sarrafzadegan, N.; Wade, A. N.; Kelishadi, R.; Husseini, A.; Batyrbek, A.; Brinduse, L.; Markey, O.; Finn, J. D.; Keil, U.; Crujeiras, A. B.; González-Leon, M.; Donati, M. B.; Kolsteren, P.; Herter-Aeberli, I.; Chen, Z.; Senbanjo, I. O.; Damasceno, A.; Velika, B.; Cucu, A.; Zamrazilová, H.; Acosta-Cazares, B.; Gruden, G.; Graça, A. P.; Jasienska, G.; Giovannelli, J.; Radisauskas, R.; Djalalinia, S.; Van-Schoor, N. M.; Ramos, R.; Jeong, S. L.; Valvi, D.; Boker, L. K.; Meyer, H. E.; Boeing, H.; Stocks, T.; Morgan, K.; Staessen, J. A.; Hyska, J.; Kiechl-Kohlendorfer, U.; Soumare, A.; NCD Risk Factor Collaboration; Cho, B.; Fall, C. H.; Tang, X.; Jonas, J. B.; Stessman, J.; Duan, J. L.; Romdhane, H. B.; Korrovits, P.; Lee, J.; Dantoft, T. M.; Schultsz, C.; Veidebaum, T.; Theobald, H.; Bjerregaard, P.; Oliveira, I. O.; Vatten, L.; Pećin, I.; Andersen, L. B.; Chan, A. W.; Puder, J. J.; Bernabé Ortiz, Antonio; Clays, E.; Soric, M.; Zhou, M.; Aguilar-Salinas, C. A.; Skovbjerg, S.; Leclercq, C.; Wan-Mohamud, W. N.; Weber, A.; Can, G.; Ismail, A. A. S.; Francis, D. K.; Paccaud, F. M.; Zhu, A.; Key, T.; Breda, J.; Karki, K. B.; Voutilainen, S.; Taylor, A.; Markaki, A.; Burns, C.; Ninomiya, T.; Møller, N. C.; Rodriguez-Perez, M. C.; Oda, E.; Soekatri, M. Y. E.; Nang, E. E. K.; Starc, G.; Santos, O.; Christensen, K.; Dauchet, L.; Morejon, A.; De-Smedt, D.; Gurzkowska, B.; Manios, Y.; Kazakbaeva, G.; Concin, H.; Siani, A.; Ong, S. K.; Stamm, H.; Chirlaque, M. 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dc.contributor.author	NCD Risk Factor Collaboration
dc.contributor.author	Di-Cesare, M.
dc.contributor.author	Bilano, V.
dc.contributor.author	Bixby, H.
dc.contributor.author	Zhou, B.
dc.contributor.author	Stevens, G. A.
dc.contributor.author	Riley, L. M.
dc.contributor.author	Taddei, C.
dc.contributor.author	Hajifathalian, K.
dc.contributor.author	Lu, Y.
dc.contributor.author	Savin, S.
dc.contributor.author	Cowan, M. J.
dc.contributor.author	Paciorek, C. J.
dc.contributor.author	Chirita-Emandi, A.
dc.contributor.author	Hayes, A. J.
dc.contributor.author	Katz, J.
dc.contributor.author	Kelishadi, R.
dc.contributor.author	Kengne, A. P.
dc.contributor.author	Khang, Y. H.
dc.contributor.author	Laxmaiah, A.
dc.contributor.author	Li, Y.
dc.contributor.author	Ma, J.
dc.contributor.author	Miranda, J. Jaime
dc.contributor.author	Mostafa, A.
dc.contributor.author	Neovius, M.
dc.contributor.author	Padez, C.
dc.contributor.author	Rampal, L.
dc.contributor.author	Zhu, A.
dc.contributor.author	Bennett, J. E.
dc.contributor.author	Danaei, G.
dc.contributor.author	Bhutta, Z. A.
dc.contributor.author	Ezzati, M.
dc.contributor.author	Abarca-Gómez, L.
dc.contributor.author	Abdeen, Z. A.
dc.contributor.author	Hamid, Z. A.
dc.contributor.author	Abu-Rmeileh, N. M.
dc.contributor.author	Acosta-Cazares, B.
dc.contributor.author	Acuin, C.
dc.contributor.author	Adams, R. J.
dc.contributor.author	Aekplakorn, W.
dc.contributor.author	Afsana, K.
dc.contributor.author	Aguilar-Salinas, C. A.
dc.contributor.author	Agyemang, C.
dc.contributor.author	Ahmadvand, A.
dc.contributor.author	Ahrens, W.
dc.contributor.author	Ajlouni, K.
dc.contributor.author	Akhtaeva, N.
dc.contributor.author	Al-Hazzaa, H. M.
dc.contributor.author	Al-Othman, A. R.
dc.contributor.author	Al-Raddadi, R.
dc.contributor.author	Albuhairan, F.
dc.contributor.author	Aldhukair, S.
dc.contributor.author	Ali, M. M.
dc.contributor.author	Ali, O.
dc.contributor.author	Alkerwi, A.
dc.contributor.author	Alvarez-Pedrerol, M.
dc.contributor.author	Aly, E.
dc.contributor.author	Amarapurkar, D. N.
dc.contributor.author	Amouyel, P.
dc.contributor.author	Amuzu, A.
dc.contributor.author	Andersen, L. B.
dc.contributor.author	Anderssen, S. A.
dc.contributor.author	Andrade, Dolores S.
dc.contributor.author	Ängquist, L. H.
dc.contributor.author	Anjana, R. M.
dc.contributor.author	Aounallah-Skhiri, H.
dc.contributor.author	Araújo, J.
dc.contributor.author	Ariansen, I.
dc.contributor.author	Aris, T.
dc.contributor.author	Arlappa, N.
dc.contributor.author	Arveiler, D.
dc.contributor.author	Aryal, K. K.
dc.contributor.author	Aspelund, T.
dc.contributor.author	Assah, F. K.
dc.contributor.author	Assunção, M. C. F.
dc.contributor.author	Aung, M. S.
dc.contributor.author	Avdicová, M.
dc.contributor.author	Azevedo, A.
dc.contributor.author	Azizi, F.
dc.contributor.author	Babu, B. V.
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dc.date.accessioned	2019-01-25T16:20:57Z
dc.date.available	2019-01-25T16:20:57Z
dc.date.issued	2017
dc.identifier.uri	https://hdl.handle.net/20.500.12866/4803
dc.description.abstract	Background: Underweight, overweight, and obesity in childhood and adolescence are associated with adverse health consequences throughout the life-course. Our aim was to estimate worldwide trends in mean body-mass index (BMI) and a comprehensive set of BMI categories that cover underweight to obesity in children and adolescents, and to compare trends with those of adults. Methods: We pooled 2416 population-based studies with measurements of height and weight on 128·9 million participants aged 5 years and older, including 31·5 million aged 5–19 years. We used a Bayesian hierarchical model to estimate trends from 1975 to 2016 in 200 countries for mean BMI and for prevalence of BMI in the following categories for children and adolescents aged 5–19 years: more than 2 SD below the median of the WHO growth reference for children and adolescents (referred to as moderate and severe underweight hereafter), 2 SD to more than 1 SD below the median (mild underweight), 1 SD below the median to 1 SD above the median (healthy weight), more than 1 SD to 2 SD above the median (overweight but not obese), and more than 2 SD above the median (obesity). Findings: Regional change in age-standardised mean BMI in girls from 1975 to 2016 ranged from virtually no change (−0·01 kg/m2 per decade; 95% credible interval −0·42 to 0·39, posterior probability [PP] of the observed decrease being a true decrease=0·5098) in eastern Europe to an increase of 1·00 kg/m2 per decade (0·69–1·35, PP>0·9999) in central Latin America and an increase of 0·95 kg/m2 per decade (0·64–1·25, PP>0·9999) in Polynesia and Micronesia. The range for boys was from a non-significant increase of 0·09 kg/m2 per decade (−0·33 to 0·49, PP=0·6926) in eastern Europe to an increase of 0·77 kg/m2 per decade (0·50–1·06, PP>0·9999) in Polynesia and Micronesia. Trends in mean BMI have recently flattened in northwestern Europe and the high-income English-speaking and Asia-Pacific regions for both sexes, southwestern Europe for boys, and central and Andean Latin America for girls. By contrast, the rise in BMI has accelerated in east and south Asia for both sexes, and southeast Asia for boys. Global age-standardised prevalence of obesity increased from 0·7% (0·4–1·2) in 1975 to 5·6% (4·8–6·5) in 2016 in girls, and from 0·9% (0·5–1·3) in 1975 to 7·8% (6·7–9·1) in 2016 in boys; the prevalence of moderate and severe underweight decreased from 9·2% (6·0–12·9) in 1975 to 8·4% (6·8–10·1) in 2016 in girls and from 14·8% (10·4–19·5) in 1975 to 12·4% (10·3–14·5) in 2016 in boys. Prevalence of moderate and severe underweight was highest in India, at 22·7% (16·7–29·6) among girls and 30·7% (23·5–38·0) among boys. Prevalence of obesity was more than 30% in girls in Nauru, the Cook Islands, and Palau; and boys in the Cook Islands, Nauru, Palau, Niue, and American Samoa in 2016. Prevalence of obesity was about 20% or more in several countries in Polynesia and Micronesia, the Middle East and north Africa, the Caribbean, and the USA. In 2016, 75 (44–117) million girls and 117 (70–178) million boys worldwide were moderately or severely underweight. In the same year, 50 (24–89) million girls and 74 (39–125) million boys worldwide were obese. Interpretation: The rising trends in children's and adolescents' BMI have plateaued in many high-income countries, albeit at high levels, but have accelerated in parts of Asia, with trends no longer correlated with those of adults.	en_US
dc.language.iso	eng
dc.publisher	Elsevier
dc.relation.ispartofseries	Lancet
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.rights.uri	https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject	adolescent	en_US
dc.subject	Adolescent	en_US
dc.subject	adolescent obesity	en_US
dc.subject	adult	en_US
dc.subject	Adult	en_US
dc.subject	age	en_US
dc.subject	age distribution	en_US
dc.subject	Age Factors	en_US
dc.subject	American Samoa	en_US
dc.subject	Article	en_US
dc.subject	Bayes theorem	en_US
dc.subject	Bayes Theorem	en_US
dc.subject	body height	en_US
dc.subject	body mass	en_US
dc.subject	Body Mass Index	en_US
dc.subject	body weight	en_US
dc.subject	Caribbean	en_US
dc.subject	child	en_US
dc.subject	Child	en_US
dc.subject	Child, Preschool	en_US
dc.subject	childhood obesity	en_US
dc.subject	controlled study	en_US
dc.subject	Cook Islands	en_US
dc.subject	Eastern Europe	en_US
dc.subject	Federated States of Micronesia	en_US
dc.subject	female	en_US
dc.subject	Female	en_US
dc.subject	geographic distribution	en_US
dc.subject	global health	en_US
dc.subject	Global Health	en_US
dc.subject	human	en_US
dc.subject	Humans	en_US
dc.subject	major clinical study	en_US
dc.subject	male	en_US
dc.subject	Male	en_US
dc.subject	Nauru	en_US
dc.subject	Niue	en_US
dc.subject	North Africa	en_US
dc.subject	obesity	en_US
dc.subject	Obesity	en_US
dc.subject	Overweight	en_US
dc.subject	Palau	en_US
dc.subject	Pediatric Obesity	en_US
dc.subject	Polynesia	en_US
dc.subject	preschool child	en_US
dc.subject	prevalence	en_US
dc.subject	Prevalence	en_US
dc.subject	priority journal	en_US
dc.subject	sex difference	en_US
dc.subject	sex factor	en_US
dc.subject	Sex Factors	en_US
dc.subject	South and Central America	en_US
dc.subject	statistics and numerical data	en_US
dc.subject	Thinness	en_US
dc.subject	trend study	en_US
dc.subject	underweight	en_US
dc.subject	United States	en_US
dc.subject	young adult	en_US
dc.subject	Young Adult	en_US
dc.title	Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.1016/S0140-6736(17)32129-3
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.02.00
dc.relation.issn	1474-547X

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Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults

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Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults

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