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

Maria L.C. Iurilli; Bin Zhou; James E. Bennett; Rodrigo M. Carrillo-Larco; Marisa K. Sophiea; Andrea Rodriguez-Martinez; Honor Bixby; Bethlehem D. Solomon; Cristina Taddei; Goodarz Danaei; Mariachiara Di Cesare; Gretchen A. Stevens; Leanne M. Riley; Stefan Savin; Melanie J. Cowan; Pascal Bovet; Albertino Damasceno; Adela Chirita-Emandi; Alison J. Hayes; Nayu Ikeda; Rod T. Jackson; Young Ho Khang; Avula Laxmaiah; Jing Liu; J.J. Miranda; Olfa Saidi; Sylvain Sebert; Maroje Sorić; Gregor Starc; Edward W. Gregg; Leandra Abarca-Gómez; Ziad A. Abdeen; Shynar Abdrakhmanova; Suhaila Abdul Ghaffar; Hanan F.A. Rahim; Niveen M. Abu-Rmeileh; Jamila Abubakar Garba; Benjamin Acosta-Cazares; Robert J. Adams; Jean Ferrieres; Johanna M. Geleijnse; Yuan He; Yuna He; Jeremy M. Jacobs; Daan Kromhout; Guansheng Ma; Rob M. van Dam; Qian Wang; Ya Xing Wang; Ying Wei Wang; Majid Ezzati; Sarah Filippi

doi:10.7554/eLife.60060

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

Maria L.C. Iurilli, Bin Zhou, James E. Bennett, Rodrigo M. Carrillo-Larco, Marisa K. Sophiea, Andrea Rodriguez-Martinez, Honor Bixby, Bethlehem D. Solomon, Cristina Taddei, Goodarz Danaei, Mariachiara Di Cesare, Gretchen A. Stevens, Leanne M. Riley, Stefan Savin, Melanie J. Cowan, Pascal Bovet, Albertino Damasceno, Adela Chirita-Emandi, Alison J. Hayes, Nayu IkedaRod T. Jackson, Young Ho Khang, Avula Laxmaiah, Jing Liu, J.J. Miranda, Olfa Saidi, Sylvain Sebert, Maroje Sorić, Gregor Starc, Edward W. Gregg, Leandra Abarca-Gómez, Ziad A. Abdeen, Shynar Abdrakhmanova, Suhaila Abdul Ghaffar, Hanan F.A. Rahim, Niveen M. Abu-Rmeileh, Jamila Abubakar Garba, Benjamin Acosta-Cazares, Robert J. Adams, Jean Ferrieres, Johanna M. Geleijnse, Yuan He, Yuna He, Jeremy M. Jacobs, Daan Kromhout, Guansheng Ma, Rob M. van Dam, Qian Wang, Ya Xing Wang, Ying Wei Wang, Majid Ezzati^*, Sarah Filippi^*

^*Corresponding author for this work

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

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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
Journal	eLife
Volume	10
Early online date	9 Mar 2021
DOIs	https://doi.org/10.7554/eLife.60060
Publication status	Published - 2021

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Iurilli, M. L. C., Zhou, B., Bennett, J. E., Carrillo-Larco, R. M., Sophiea, M. K., Rodriguez-Martinez, A., Bixby, H., Solomon, B. D., Taddei, C., Danaei, G., Di Cesare, M., Stevens, G. A., Riley, L. M., Savin, S., Cowan, M. J., Bovet, P., Damasceno, A., Chirita-Emandi, A., Hayes, A. J., ... Filippi, S. (2021). Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight. eLife, 10, Article e60060. https://doi.org/10.7554/eLife.60060

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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 = "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 J.J. Miranda 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.A.} and Abu-Rmeileh, {Niveen M.} and Garba, {Jamila Abubakar} and Benjamin Acosta-Cazares and Adams, {Robert J.} and Jean Ferrieres and Geleijnse, {Johanna M.} and Yuan He and Yuna He and Jacobs, {Jeremy M.} and Daan Kromhout and Guansheng Ma and {van Dam}, {Rob M.} and Qian Wang and Wang, {Ya Xing} and Wang, {Ying Wei} and Majid Ezzati and Sarah Filippi",

year = "2021",

doi = "10.7554/eLife.60060",

language = "English",

volume = "10",

journal = "eLife",

issn = "2050-084X",

publisher = "eLife Sciences Publications",

}

Iurilli, MLC, Zhou, B, Bennett, JE, Carrillo-Larco, RM, Sophiea, MK, Rodriguez-Martinez, A, Bixby, H, Solomon, BD, Taddei, C, Danaei, G, Di Cesare, M, Stevens, GA, Riley, LM, Savin, S, Cowan, MJ, Bovet, P, Damasceno, A, Chirita-Emandi, A, Hayes, AJ, Ikeda, N, Jackson, RT, Khang, YH, Laxmaiah, A, Liu, J, Miranda, JJ, Saidi, O, Sebert, S, Sorić, M, Starc, G, Gregg, EW, Abarca-Gómez, L, Abdeen, ZA, Abdrakhmanova, S, Ghaffar, SA, Rahim, HFA, Abu-Rmeileh, NM, Garba, JA, Acosta-Cazares, B, Adams, RJ, Ferrieres, J, Geleijnse, JM, He, Y, He, Y, Jacobs, JM, Kromhout, D, Ma, G, van Dam, RM, Wang, Q, Wang, YX, Wang, YW, Ezzati, M & Filippi, S 2021, 'Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight', eLife, vol. 10, e60060. https://doi.org/10.7554/eLife.60060

TY - JOUR

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

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.J.

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.A.

AU - Abu-Rmeileh, Niveen M.

AU - Garba, Jamila Abubakar

AU - Acosta-Cazares, Benjamin

AU - Adams, Robert J.

AU - Ferrieres, Jean

AU - Geleijnse, Johanna M.

AU - He, Yuan

AU - He, Yuna

AU - Jacobs, Jeremy M.

AU - Kromhout, Daan

AU - Ma, Guansheng

AU - van Dam, Rob M.

AU - Wang, Qian

AU - Wang, Ya Xing

AU - Wang, Ying Wei

AU - Ezzati, Majid

AU - Filippi, Sarah

PY - 2021

Y1 - 2021

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.

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

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