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Rising rural body-mass index is the main driver of the global obesity epidemic in adults

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Názov: Rising rural body-mass index is the main driver of the global obesity epidemic in adults
Autori: NCD Risk Factor Collaboration (NCD-RisC), Plans-Rubió, Pedro
Prispievatelia: [Plans-Rubió P] Agència de Salut Pública de Catalunya, Departament de Salut, Generalitat de Catalunya, Barcelona, Spain, Departament de Salut
Zdroj: Scientia
Informácie o vydavateľovi: Nature Publishing Group, 2024.
Rok vydania: 2024
Predmety: NAMED GROUPS::Persons::Age Groups::Adult, Otros calificadores::Otros calificadores::Otros calificadores::/epidemiología, PUBLIC HEALTH::Nutrition, Public Health::Nutrition Disorders::Obesity, SALUD PÚBLICA::nutrición en salud pública::trastornos nutricionales::obesidad, Adults, Obesitat - Epidemiologia, SALUD PÚBLICA::atención a la salud (salud pública)::salud de grupos específicos::salud rural, Other subheadings::Other subheadings::Other subheadings::/epidemiology, Medi rural - Estadístiques demogràfiques, PUBLIC HEALTH::Health Care (Public Health)::Health of Specific Groups::Rural Health, DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adulto
Popis: Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities1,2. This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity3-6. Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to 2017. We show that, contrary to the dominant paradigm, more than 55% of the global rise in mean BMI from 1985 to 2017-and more than 80% in some low- and middle-income regions-was due to increases in BMI in rural areas. This large contribution stems from the fact that, with the exception of women in sub-Saharan Africa, BMI is increasing at the same rate or faster in rural areas than in cities in low- and middle-income regions. These trends have in turn resulted in a closing-and in some countries reversal-of the gap in BMI between urban and rural areas in low- and middle-income countries, especially for women. In high-income and industrialized countries, we noted a persistently higher rural BMI, especially for women. There is an urgent need for an integrated approach to rural nutrition that enhances financial and physical access to healthy foods, to avoid replacing the rural undernutrition disadvantage in poor countries with a more general malnutrition disadvantage that entails excessive consumption of low-quality calories.
This study was funded by the Wellcome Trust. H.B. was supported by a Medical Research Council Doctoral Training Partnership Studentship, J.B. by a Royal Society Research Grant, and M.D.C. by an Academy of Medical Sciences Springboard Award. We thank L. Jaacks, B. Popkin, S. Sundberg and W. Willett for recommendations of relevant citations. The authors are responsible for the views expressed in this Letter and they do not necessarily represent the views, decisions, or policies of the institutions with which they are affiliated.
Índice de masa corporal rural; Epidemia mundial de obesidad; Adultos
Índex de massa corporal rural; Epidèmia mundial d'obesitat; Adults
Rural body-mass index; Global obesity epidemic; Adults
Druh dokumentu: Article
Popis súboru: application/pdf
Jazyk: English
Prístupová URL adresa: https://hdl.handle.net/11351/11408
Rights: CC BY
Prístupové číslo: edsair.od......3991..b866b456bb6b8b32383c5aca9c28e780
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  Data: Rising rural body-mass index is the main driver of the global obesity epidemic in adults
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  Data: Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities1,2. This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity3-6. Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to 2017. We show that, contrary to the dominant paradigm, more than 55% of the global rise in mean BMI from 1985 to 2017-and more than 80% in some low- and middle-income regions-was due to increases in BMI in rural areas. This large contribution stems from the fact that, with the exception of women in sub-Saharan Africa, BMI is increasing at the same rate or faster in rural areas than in cities in low- and middle-income regions. These trends have in turn resulted in a closing-and in some countries reversal-of the gap in BMI between urban and rural areas in low- and middle-income countries, especially for women. In high-income and industrialized countries, we noted a persistently higher rural BMI, especially for women. There is an urgent need for an integrated approach to rural nutrition that enhances financial and physical access to healthy foods, to avoid replacing the rural undernutrition disadvantage in poor countries with a more general malnutrition disadvantage that entails excessive consumption of low-quality calories.<br />This study was funded by the Wellcome Trust. H.B. was supported by a Medical Research Council Doctoral Training Partnership Studentship, J.B. by a Royal Society Research Grant, and M.D.C. by an Academy of Medical Sciences Springboard Award. We thank L. Jaacks, B. Popkin, S. Sundberg and W. Willett for recommendations of relevant citations. The authors are responsible for the views expressed in this Letter and they do not necessarily represent the views, decisions, or policies of the institutions with which they are affiliated.<br />Índice de masa corporal rural; Epidemia mundial de obesidad; Adultos<br />Índex de massa corporal rural; Epidèmia mundial d'obesitat; Adults<br />Rural body-mass index; Global obesity epidemic; Adults
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      – Text: English
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      – SubjectFull: NAMED GROUPS::Persons::Age Groups::Adult
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