1,721,263 research outputs found

    A century of trends in adult human height

    Full text link
    Being taller is associated with enhanced longevity, and higher education and earnings. We reanalysed 1472 population-based studies, with measurement of height on more than 18.6 million participants to estimate mean height for people born between 1896 and 1996 in 200 countries. The largest gain in adult height over the past century has occurred in South Korean women and Iranian men, who became 20.2 cm (95% credible interval 17.5–22.7) and 16.5 cm (13.3–19.7) taller, respectively. In contrast, there was little change in adult height in some sub-Saharan African countries and in South Asia over the century of analysis. The tallest people over these 100 years are men born in the Netherlands in the last quarter of 20th century, whose average heights surpassed 182.5 cm, and the shortest were women born in Guatemala in 1896 (140.3 cm; 135.8–144.8). The height differential between the tallest and shortest populations was 19-20 cm a century ago, and has remained the same for women and increased for men a century later despite substantial changes in the ranking of countries.peer-reviewe

    Repositioning of the global epicentre of non-optimal cholesterol

    Full text link
    High blood cholesterol is typically considered a feature of wealthy western countries. However, dietary and behavioural determinants of blood cholesterol are changing rapidly throughout the world and countries are using lipid-lowering medications at varying rates. These changes can have distinct effects on the levels of high-density lipoprotein (HDL) cholesterol and non-HDL cholesterol, which have different effects on human health4,5. However, the trends ofHDL and non-HDL cholesterol levels over time have not been previously reported in a global analysis. Here we pooled 1,127 population-based studies that measured blood lipids in 102.6 million individuals aged 18 years and older to estimate trends from 1980 to 2018 in mean total, non-HDL and HDL cholesterol levels for 200 countries. Globally, there was little change in total or non-HDL cholesterol from 1980 to 2018. This was a net effect of increases in low- and middle-income countries, especially in east and southeast Asia, and decreases in high-income western countries, especially those in northwestern Europe, and in central and eastern Europe. As a result, countries with the highest level of non-HDL cholesterol-which is a marker of cardiovascular risk-changed from those in western Europe such as Belgium, Finland, Greenland, Iceland, Norway, Sweden, Switzerland and Malta in 1980 to those in Asia and the Pacific, such as Tokelau, Malaysia, The Philippines and Thailand. In 2017, high non-HDL cholesterol was responsible for an estimated 3.9 million (95% credible interval 3.7 million-4.2 million) worldwide deaths, half of which occurred in east, southeast and south Asia. The global repositioning of lipid-related risk, with non-optimal cholesterol shifting from a distinct feature of high-income countries in northwestern Europe, north America and Australasia to one that affects countries in east and southeast Asia and Oceania should motivate the use of population-based policies and personal interventions to improve nutrition and enhance access to treatment throughout the world.This study was funded by a Wellcome Trust (Biomedical Resource & Multi-User Equipment grant 01506/Z/13/Z) and the British Heart Foundation (Centre of Research Excellence grant RE/18/4/34215). C.T. was supported by a Wellcome Trust Research Training Fellowship (203616/Z/16/Z).peer-reviewe

    Contributions of mean and shape of blood pressure distribution to worldwide trends and variations in raised blood pressure : a pooled analysis of 1018 population-based measurement studies with 88.6 million participants

    Full text link
    BACKGROUND: Change in the prevalence of raised blood pressure could be due to both shifts in the entire distribution of blood pressure (representing the combined effects of public health interventions and secular trends) and changes in its high-blood-pressure tail (representing successful clinical interventions to control blood pressure in the hypertensive population). Our aim was to quantify the contributions of these two phenomena to the worldwide trends in the prevalence of raised blood pressure.METHODS: We pooled 1018 population-based studies with blood pressure measurements on 88.6 million participants from 1985 to 2016. We first calculated mean systolic blood pressure (SBP), mean diastolic blood pressure (DBP) and prevalence of raised blood pressure by sex and 10-year age group from 20–29 years to 70–79 years in each study, taking into account complex survey design and survey sample weights, where relevant. We used a linear mixed effect model to quantify the association between (probit-transformed) prevalence of raised blood pressure and age-group- and sex-specific mean blood pressure. We calculated the contributions of change in mean SBP and DBP, and of change in the prevalence-mean association, to the change in prevalence of raised blood pressure.RESULTS: In 2005–16, at the same level of population mean SBP and DBP, men and women in South Asia and in Central Asia, the Middle East and North Africa would have the highest prevalence of raised blood pressure, and men and women in the high-income Asia Pacific and high-income Western regions would have the lowest. In most region-sex-age groups where the prevalence of raised blood pressure declined, one half or more of the decline was due to the decline in mean blood pressure. Where prevalence of raised blood pressure has increased, the change was entirely driven by increasing mean blood pressure, offset partly by the change in the prevalence-mean association.CONCLUSIONS: Change in mean blood pressure is the main driver of the worldwide change in the prevalence of raised blood pressure, but change in the high-blood-pressure tail of the distribution has also contributed to the change in prevalence, especially in older age groups.This work was supported by the Wellcome Trust [101506/Z/13/Z].peer-reviewe

    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

    No full text
    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

    Global variation in diabetes diagnosis and prevalence based on fasting glucose and haemoglobin A1c

    No full text
    NCD Risk Factor Collaboration (NCD-RisC) Code and Data Sharing This repository will contain code and data used in the paper "Global variation in diabetes diagnosis and prevalence based on fasting glucose and haemoglobin A1c" [1]. Contents Guide NCD_RisC_Nature_Medicine_2023_input_data.xlsx The list of data sources used in the study, together with contact information for data access. multi-bugs-logbin-model.odc BUGS model code for log-binomial regressions to examine what individual and study level factors were associated with whether participants with screen-detected diabetes were identified by elevated FPG, elevated HbA1c or elevated levels of both. See methods section of the publication [1] for details. Contact For more information about the paper or the NCD Risk Factor Collaboration, please see www.ncdrisc.org or contact [email protected]. Reference NCD Risk Factor Collaboration (NCD-RisC). Global variation in diabetes diagnosis and prevalence based on fasting glucose and haemoglobin A1c. Nature Medicine. 2023.The research was additionally funded by UKRI Research England Policy Support and US Centers for Disease Control and Prevention

    Diminishing benefits of urban living for children and adolescents' growth and development

    Full text link
    NCD Risk Factor Collaboration (NCD-RisC) Code and Data Sharing This repository contains code and data for generating estimates of mean height and mean body-mass index (BMI) of children and adolescents aged 5 to 19 years living in rural and urban areas in 200 countries and territories from 1990 to 2020, as reported in the publication "Diminishing benefits of urban living for children and adolescents’ growth and development" [1]. Contents Guide data/ The list of data sources used in the study, together with input data used in the model from publicly available sources and contact information for other data sources. model/ R code for the Bayesian hierarchical model used to analyse the data to estimate mean height and mean BMI by country, year, age and rural and urban place of residence. See methods section of publication [1] for details of the statistical methods. figures/ R code to produce figures as appeared in publication [1]. utils/ Essential covariate files; functions for producing figures. Contact For more information about the paper or the NCD Risk Factor Collaboration, please see www.ncdrisc.org or contact [email protected]. Codes for producing publication figures are provided for transparency and in the spirit of scientific collaboration. We will not be able to answer questions about the details of these codes. Acknowledgements The shape file of the maps was based on Natural Earth [2]. Population data used in this analysis were obtained from the 2019 revision to the United Nations' World Population Prospects [3]. Data on percent national population living in urbanisation areas were obtained from the 2018 revision to the United Nations' World Urbanization Prospects [4]. References NCD Risk Factor Collaboration (NCD-RisC). Diminishing benefits of urban living for children and adolescents’ growth and development. Nature, 2023. https://www.naturalearthdata.com/ United Nations, Department of Economic and Social Affairs, Population Division (2019). World Population Prospects 2019: Highlights (ST/ESA/SER.A/423) United Nations, Department of Economic and Social Affairs, Population Division (2018). World Urbanization Prospects: The 2018 Revision, Online Editio

    Repositioning of the global epicentre of non-optimal cholesterol

    No full text
    Bin Zhou Imperial College London, London, UK/NCD Risk Factor Collaboration Honor Bixby Imperial College London, London, UK/NCD Risk Factor Collaboration Rodrigo M. Carrillo-Larco Imperial College London, London, UK/NCD Risk Factor Collaboration Marisa K. Sophiea Imperial College London, London, UK/NCD Risk Factor Collaboration Maria Laura Caminia Iurilli Imperial College London, London, UK/NCD Risk Factor Collaboration Andrea Rodriguez Martinez Imperial College London, London, UK/NCD Risk Factor Collaboration James E. Bennett Imperial College London, London, UK/NCD Risk Factor Collaboration Gretchen A. Stevens Imperial College London, London, UK/Independent researcher, Los Angeles, CA, USA/NCD Risk Factor Collaboration Abbas Dehghan Imperial College London, London, UK/NCD Risk Factor Collaboration Ilpo Tapani Huhtaniemi Imperial College London, London, UK/NCD Risk Factor Collaboration Marjo-Riitta Jarvelin Imperial College London, London, UK/University of Oulu, Oulu, Finland Edward W. Gregg Imperial College London, London, UK/NCD Risk Factor Collaboration Majid Ezzati Imperial College London, London, UK/NCD Risk Factor Collaboration Goodarz Danaei Harvard T. H. Chan School of Public Health, Boston, MA, USA Yanping Li Harvard T. H. Chan School of Public Health, Boston, MA, USA/NCD Risk Factor Collaboration Rod T. Jackson University of Auckland, Auckland, New Zealand/NCD Risk Factor Collaboration/NCD Risk Factor Collaboration Robert Beaglehole University of Auckland, Auckland, New Zealand Patricia Metcalf University of Auckland, Auckland, New Zealand/NCD Risk Factor Collaboration/NCD Risk Factor Collaboration Farshad Farzadfar Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Naser Ahmadi Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Mehrdad Azmin, Sareh Eghtesad Tehran University of Medical Sciences, Tehran, Iran Ali Ghanbari, Erfan Ghasemi Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Rosa Haghshenas Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Reza Malekzadeh Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Parinaz Mehdipour Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Shahin Merat Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Sahar Saeedi Moghaddam Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Bahram Mohajer Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Kazem Mohammad Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Zahra Mohammadi Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Farnam Mohebi Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Shohreh Naderimagham Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Afshin Ostovar Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Hossein Poustchi Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Alireza Sadjadi Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Sadaf G. Sepanlou Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Ramin Shakeri Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Maryam Sharafkhah Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Amaneh Shayanrad Tehran University of Medical Sciences, Tehran, Iran Moein Yoosefi Tehran University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Mariachiara Di Cesare Middlesex University, London, UK/NCD Risk Factor Collaboration Golaleh Asghari Shahid Beheshti University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Davood Khalili Shahid Beheshti University of Medical Sciences, Tehran, Iran/NCD Risk Factor Collaboration Amirabbas Momenan Shahid Beheshti University of Medical Sciences, Tehran, Iran Mohammad Reza Zali Shahid Beheshti University of Medical Sciences, Tehran, Iran Klodian Dhana Rush University Medical Center, Chicago, IL, USA/NCD Risk Factor Collaboration Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina Pablo Gulayin Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina/NCD Risk Factor Collaboration Marilina Santero Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina/NCD Risk Factor Collaboration Laura Gutierrez Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina/NCD Risk Factor Collaboration Vilma E. Irazola Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina/NCD Risk Factor Collaboration Adolfo Rubinstein Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina/NCD Risk Factor Collaboration Sujay Kakarmath Harvard Medical School, Boston, MA, USA/NCD Risk Factor Collaboration Trudy Voortman Erasmus Medical Center Rotterdam, Rotterdam, The Netherlands/NCD Risk Factor Collaboration Oscar H. Franco Erasmus Medical Center Rotterdam, Rotterdam, The Netherlands/NCD Risk Factor Collaboration Albert Hofman Erasmus Medical Center Rotterdam, Rotterdam, The Netherlands/NCD Risk Factor Collaboration M. Arfan Ikram Erasmus Medical Center Rotterdam, Rotterdam, The Netherlands/NCD Risk Factor Collaboration Maryam Kavousi Erasmus Medical Center Rotterdam, Rotterdam, The Netherlands Marileen L. P. Portegies Erasmus Medical Center Rotterdam, Rotterdam, The Netherlands/NCD Risk Factor Collaboration Leanne M. Riley World Health Organization, Geneva, Switzerland/NCD Risk Factor Collaboration Melanie J. Cowan World Health Organization, Geneva, Switzerland/NCD Risk Factor Collaboration Stefan Savin World Health Organization, Geneva, Switzerland/NCD Risk Factor Collaboration Mohamed M. Ali World Health Organization, Geneva, Switzerland/NCD Risk Factor Collaboration Gretchen A. Stevens Independent researcher, Los Angeles, CA, USA/NCD Risk Factor Collaboration Christopher J. Paciorek University of California Berkeley, Berkeley, CA, USA/NCD Risk Factor Collaboration Wichai Aekplakorn Mahidol University, Nakhon Pathom, Thailand Paibul Suriyawongpaisal Mahidol University, Nakhon Pathom, Thailand/NCD Risk Factor Collaboration Renata Cifkova Charles University in Prague, Prague, Czech Republic/Thomayer Hospital, Prague, Czech Republic/NCD Risk Factor Collaboration Simona Giampaoli Istituto Superiore di Sanità, Rome, Italy/NCD Risk Factor Collaboration Chiara Donfrancesco Istituto Superiore di Sanità, Rome, Italy Luigi Palmieri Istituto Superiore di Sanità, Rome, Italy/NCD Risk Factor Collaboration Andre Pascal Kengne South African Medical Research Council, Cape Town, South Africa/NCD Risk Factor Collaboration Young-Ho Khang Seoul National University, Seoul, Republic of Korea/NCD Risk Factor Collaboration Kari Kuulasmaa Finnish Institute for Health and Welfare, Helsinki, Finland/NCD Risk Factor Collaboration Anne Juolevi Finnish Institute for Health and Welfare, Helsinki, Finland/NCD Risk Factor Collaboration Eero O. Kajantie Finnish Institute for Health and Welfare, Helsinki, Finland/NCD Risk Factor Collaboration Seppo Koskinen Finnish Institute for Health and Welfare, Helsinki, Finland/NCD Risk Factor Collaboration Tiina Laatikainen Finnish Institute for Health and Welfare, Helsinki, Finland/NCD Risk Factor Collaboration Annamari Lundqvist Finnish Institute for Health and Welfare, Helsinki, Finland/NCD Risk Factor Collaboration Teemu J. Niiranen Finnish Institute for Health and Welfare, Helsinki, Finland/NCD Risk Factor Collaboration Markku Peltonen Finnish Institute for Health and Welfare, Helsinki, Finland/NCD Risk Factor Collaboration Veikko Salomaa Finnish Institute for Health and Welfare, Helsinki, Finland/NCD Risk Factor Collaboration Hanna K. Tolonen Finnish Institute for Health and Welfare, Helsinki, Finland/NCD Risk Factor Collaboration Jaakko Tuomilehto Finnish Institute for Health and Welfare, Helsinki, Finland/NCD Risk Factor Collaboration Avula Laxmaiah ICMR–National Institute of Nutrition, Hyderabad, India/NCD Risk Factor Collaboration Nimmathota Arlappa ICMR–National Institute of Nutrition, Hyderabad, India/NCD Risk Factor Collaboration Nagalla Balakrishna ICMR–National Institute of Nutrition, Hyderabad, India/NCD Risk Factor Collaboration Rachakulla Hari Kumar ICMR–National Institute of Nutrition, Hyderabad, India/NCD Risk Factor Collaboration Kodavanti Mallikharjuna Rao ICMR–National Institute of Nutrition, Hyderabad, India Indrapal I. Meshram ICMR–National Institute of Nutrition, Hyderabad, India/NCD Risk Factor Collaboration Paula Margozzini Pontificia Universidad Católica de Chile, Santiago, Chile/NCD Risk Factor Collaboration Catterina Ferreccio Pontificia Universidad Católica de Chile, Santiago, Chile/NCD Risk Factor Collaboration Juan Francisco Miquel Pontificia Universidad Católica de Chile, Santiago, Chile/NCD Risk Factor Collaboration Flavio Nervi Pontificia Universidad Católica de Chile, Santiago, Chile Gonzalo Valdivia Pontificia Universidad Católica de Chile, Santiago, Chile/NCD Risk Factor Collaboration Prashant Mathur ICMR–National Centre for Disease Informatics and Research, Bengaluru, India/NCD Risk Factor Collaboration Børge G. Nordestgaard Copenhagen University Hospital, Copenhagen, Denmark/NCD Risk Factor Collaboration Marianne Benn Copenhagen University Hospital, Copenhagen, Denmark/NCD Risk Factor Collaboration Gorm B. Jensen Copenhagen University Hospital, Copenhagen, Denmark/NCD Risk Factor Collaboration Pia R. Kamstrup Copenhagen University Hospital, Copenhagen, Denmark/NCD Risk Factor Collaboration Anne Tybjaerg-Hansen Copenhagen University Hospital, Copenhagen, Denmark Anette Varbo Copenhagen University Hospital, Copenhagen, Denmark/NCD Risk Factor Collaboration Dong Zhao Capital Medical University Beijing An Zhen Hospital, Beijing, China Jing Liu Capital Medical University Beijing An Zhen Hospital, Beijing, China Mette Aadahl Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark/NCD Risk Factor Collaboration Thomas M. Dantoft Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark/NCD Risk Factor Collaboration Marie Eliasen Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark/NCD Risk Factor Collaboration Torben Jørgensen Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark/NCD Risk Factor Collaboration Allan Linneberg Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark/NCD Risk Factor Collaboration Line T. Møllehave, Betina H. Thuesen Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark Ulla Toft Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark/NCD Risk Factor Collaboration Leandra Abarca-Gómez Caja Costarricense de Seguro Social, San José, Costa Rica Roy A. Wong-McClure Caja Costarricense de Seguro Social, San José, Costa Rica/NCD Risk Factor Collaboration Hanan Abdul Rahim Qatar University, Doha, Qatar Zumin Shi Qatar University, Doha, Qatar/NCD Risk Factor Collaboration Niveen M. Abu-Rmeileh Birzeit University, Birzeit, Palestine Abdullatif S. Husseini Birzeit University, Birzeit, Palestine Benjamin Acosta-Cazares Instituto Mexicano del Seguro Social, Mexico City, Mexico Jorge Escobedo-de la Peña Instituto Mexicano del Seguro Social, Mexico City, Mexico Blanca Sandra Ruiz-Betancourt Instituto Mexicano del Seguro Social, Mexico City, Mexico/NCD Risk Factor Collaboration Robert J. Adams Flinders University, Adelaide, South Australia, Australia/NCD Risk Factor Collaboration Imelda A. Agdeppa Food and Nutrition Research Institute, Taguig, The Philippines Mario V. Capanzana Food and Nutrition Research Institute, Taguig, The Philippines Charmaine A. Duante Food and Nutrition Research Institute, Taguig, The Philippines Glen Gironella Food and Nutrition Research Institute, Taguig, The Philippines/NCD Risk Factor Collaboration Javad Aghazadeh-Attari Urmia University of Medical Sciences, Urmia, Iran/NCD Risk Factor Collaboration Iraj Mohebbi Urmia University of Medical Sciences, Urmia, Iran/NCD Risk Factor Collaboration Carlos A. Aguilar-Salinas Instituto Nacional de Ciencias Médicas y Nutricion, Mexico City, Mexico/NCD Risk Factor Collaboration Charles Agyemang University of Amsterdam, Amsterdam, The Netherlands/NCD Risk Factor Collaboration Lizzy M. Brewster University of Amsterdam, Amsterdam, The Netherlands/NCD Risk Factor Collaboration Marieke B. Snijder University of Amsterdam, Amsterdam, The Netherlands/NCD Risk Factor Collaboration Karien Stronks University of Amsterdam, Amsterdam, The Netherlands/NCD Risk Factor Collaboration Irene G. M. van Valkengoed University of Amsterdam, Amsterdam, The Netherlands/NCD Risk Factor Collaboration Tarunveer S. Ahluwalia Steno Diabetes Center Copenhagen, Gentofte, Denmark/NCD Risk Factor Collaboration Noor Ani Ahmad Ministry of Health Malaysia, Kuala Lumpur, Malaysia/NCD Risk Factor Collaboration Tahir Aris Ministry of Health Malaysia, Kuala Lumpur, Malaysia/NCD Risk Factor Collaboration Norazizah Ibrahim Wong Ministry of Health Malaysia, Kuala Lumpur, Malaysia/NCD Risk Factor Collaboration Muhammad Fadhli Mohd Yusoff Ministry of Health Malaysia, Kuala Lumpur, Malaysia/NCD Risk Factor Collaboration Balkish M. Naidu Ministry of Health Malaysia, Kuala Lumpur, Malaysia/NCD Risk Factor Collaboration Mohd Azahadi Omar Ministry of Health Malaysia, Kuala Lumpur, Malaysia/NCD Risk Factor Collaboration Ahmad Faudzi Yusoff Ministry of Health Malaysia, Kuala Lumpur, Malaysia Ahmad A. Zainuddin Ministry of Health Malaysia, Kuala Lumpur, Malaysia/NCD Risk Factor Collaboration Ali Ahmadi Shahrekord University of Medical Sciences, Shahrekord, Iran Majid Shirani Shahrekord University of Medical Sciences, Shahrekord, Iran/NCD Risk Factor Collaboration Soheir H. Ahmed University of Oslo, Oslo, Norway/NCD Risk Factor Collaboration Espen Bjertness University of Oslo, Oslo, Norway/NCD Risk Factor Collaboration Marius B. Bjertness University of Oslo, Oslo, Norway/NCD Risk Factor Collaboration Ahmed A. Madar University of Oslo, Oslo, Norway Haakon E. Meyer University of Oslo, Oslo, Norway Wolfgang Ahrens University of Bremen, Bremen, Germany/NCD Risk Factor Collaboration Kamel Ajlouni & National Center for Diabetes, Endocrinology and Genetics, Amman, Jordan Mohammad Khateeb National Center for Diabetes, Endocrinology and Genetics, Amman, Jordan Monira Alarouj Dasman Diabetes Institute, Kuwait City, Kuwait Abdullah Alkandari Dasman Diabetes Institute, Kuwait City, Kuwait Fadia AlBuhairan Aldara Hospital and Medical Center, Riyadh, Saudi Arabia/NCD Risk Factor Collaboration Shahla AlDhukair King Abdullah International Medical Research Center, Riyadh, Saudi Arabia/NCD Risk Factor Collaboration Ala’a Alkerwi Luxembourg Institute of Health, Strassen, Luxembourg NCD Risk Factor Collaboration Eman Aly World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt NCD Risk Factor Collaboration Heba M. Fouad World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt NCD Risk Factor Collaboration Deepak N. Amarapurkar Bombay Hospital and Medical Research Centre, Mumbai, India NCD Risk Factor Collaboration Philippe Amouyel University of Lille, Lille, France NCD Risk Factor Collaboration Luc Dauchet University of Lille, Lille, France/ Lille University Hospital, Lille, France Jonathan Giovannelli University of Lille, Lille, France/ Lille University Hospital, Lille, France Frederic Gottrand University of Lille, Lille, France NCD Risk Factor Collaboration Philippe Amouyel Lille University Hospital, Lille, France Lars Bo Andersen Western Norway University of Applied Sciences, Sogndal, Norway NCD Risk Factor Collaboration Sigmund A. Anderssen Norwegian School of Sport Sciences, Oslo, Norway NCD Risk Factor Collaboration Ulf Ekelund Norwegian School of Sport Sciences, Oslo, Norway NCD Risk Factor Collaboration Elin Kolle Norwegian School of Sport Sciences, Oslo, Norway Jostein Steene-Johannessen Norwegian School of Sport Sciences, Oslo, Norway NCD Risk Factor Collaboration Ranjit Mohan Anjana Madras Diabetes Research Foundation, Chennai, India Mohan Deepa Madras Diabetes Research Foundation, Chennai, India Viswanathan Mohan Madras Diabetes Research Foundation, Chennai, India Rajendra Pradeepa Madras Diabetes Research Foundation, Chennai, India NCD Risk Factor Collaboration Alireza Ansari-Moghaddam Zahedan University of Medical Sciences, Zahedan, Iran Seyed Mohammad Hashemi-Shahri Zahedan University of Medical Sciences, Zahedan, Iran NCD Risk Factor Collaboration Hajer Aounallah-Skhiri National Institute of Public Health, Tunis, Tunisia Nada Zoghlami National Institute of Public Health, Tunis, Tunisia Joana Araújo Institute of Public Health of the University of Porto, Porto, Portugal Ana Henriques Institute of Public Health of the University of Porto, Porto, Portugal/NCD Risk Factor Collaboration Inger Ariansen Norwegian Institute of Public Health, Oslo, Norway Sidsel Graff-Iversen Norwegian Institute of Public Health, Oslo, Norway Raphael E. Arku University of Massachusetts, Amherst, MA, USA/NCD Risk Factor Collaboration Krishna K. Aryal Abt Associates, Kathmandu, Nepal/NCD Risk Factor Collaboration Thor Aspelund University of Iceland, Reykjavik, Iceland Vilmundur Gudnason University of Iceland, Reykjavik, Iceland/NCD Risk Factor Collaboration Maria Cecília F. Assunção Federal University of Pelotas, Pelotas, Brazil Paula Duarte de Oliveira Federal University of Pelotas, Pelotas, Brazil Helen Gonçalves Federal University of Pelotas, Pelotas, Brazil Bernardo L. Horta Federal University of Pelotas, Pelotas, Brazil Ana Maria B. Menezes Federal University of Pelotas, Pelotas, Brazil Isabel O. Oliveira Federal University of Pelotas, Pelotas, Brazil Cesar G. Victora Federal University of Pelotas, Pelotas, Brazil/NCD Risk Factor Collaboration Juha Auvinen University of Oulu, Oulu, Finland Marjo-Riitta Jarvelin University of Oulu, Oulu, Finland Raija Korpelainen University of Oulu, Oulu, Finland/Oulu Deaconess Institute Foundation, Oulu, Finland Soile E. Puhakka University of Oulu, Oulu, Finland/ Oulu Deaconess Institute Foundation, Oulu, Finland Sylvain Sebert University of Oulu, Oulu, Finland/NCD Risk Factor Collaboration Juha Auvinen Oulu University Hospital, Oulu, Finland/Oulu University Hospital, Oulu, Finland Sauli Herrala Oulu University Hospital, Oulu, Finland/NCD Risk Factor Collaboration Marjo-Riitta Jarvelin Oulu University Hospital, Oulu, Finland/NCD Risk Factor Collaboration Jari J. Jokelainen Oulu University Hospital, Oulu, Finland Sirkka Keinänen-Kiukaanniemi Oulu University Hospital, Oulu, Finland/NCD Risk Factor Collaboration Mária Avdicová Regional Authority of Public Health, Banska Bystrica, Slovakia Jana Námešná Regional Authority of Public Health, Banska Bystrica, Slovakia/NCD Risk Factor Collaboration Ana Azevedo University of Porto Medical School, Porto, Portugal/NCD Risk Factor Collaboration Elisabete Ramos University of Porto Medical School, Porto, Portugal/NCD Risk Factor Collaboration Fereidoun Azizi Research Institute for Endocrine Sciences, Tehran, Iran/NCD Risk Factor Collaboration Mohamed Bamoshmoosh University of Science and Technology, Sana’a, Yemen/NCD Risk Factor Collaboration Medical University of Lodz, Lodz, Poland Maciej Banach Medical University of Lodz, Lodz, Poland/NCD Risk Factor Collaboration Wojciech Drygas Medical University of Lodz, Lodz, Poland/National Institute of Cardiology, Warsaw, Poland/NCD Risk Factor Collaboration Elzbieta Dziankowska-Zaborszczyk Medical University of Lodz, Lodz, Poland/NCD Risk Factor Collaboration Jolanta Slowikowska-Hilczer Medical University of Lodz, Lodz, Poland/NCD Risk Factor Collaboration Piotr Bandosz Medical University of Gdansk, Gdansk, Poland/NCD Risk Factor Collaboration Marcin Rutkowski Medical University of Gdansk, Gdansk, Poland Tomasz Zdrojewski Medical University of Gdansk, Gdansk, Poland José R. Banegas Universidad Autónoma de Madrid/CIBERESP, Madrid, Spain/NCD Risk Factor Collaboration Pilar Guallar-Castillón Universidad Autónoma de Madrid/CIBERESP, Madrid, Spain/NCD Risk Factor Collaboration Esther Lopez-Garcia Universidad Autónoma de Madrid/CIBERESP, Madrid, Spain/NCD Risk Factor Collaboration Fernando Rodríguez-Artalejo Universidad Autónoma de Madrid/CIBERESP, Madrid, Spain/NCD Risk Factor Collaboration Carlo M. Barbagallo University of Palermo, Palermo, Italy/NCD Risk Factor Collaboration Davide Noto University of Palermo, Palermo, Italy/NCD Risk Factor Collaboration Alberto Barceló Pan American Health Organization, Washington, DC, USA Pedro Ordunez Pan American Health Organization, Washington, DC, USA/NCD Risk Factor Collaboration Amina Barkat Mohammed V University de Rabat, Rabat, Morocco Iqbal Bata Dalhousie University, Halifax, Nova Scotia, Canada Ronald D. Gregor Dalhousie University, Halifax, Nova Scotia, Canada/NCD Risk Factor Collaboration Anwar M. Batieha Jordan University of Science and Technology, Irbid, Jordan/NCD Risk Factor Collaboration Hashem Y. J

    Diminishing benefits of urban living for children and adolescents’ growth and development

    Full text link
    A list of authors and their affiliations appears online.Optimal growth and development in childhood and adolescence is crucial for lifelong health and well-being. Here we used data from 2,325 population-based studies, with measurements of height and weight from 71 million participants, to report the height and body-mass index (BMI) of children and adolescents aged 5–19 years on the basis of rural and urban place of residence in 200 countries and territories from 1990 to 2020. In 1990, children and adolescents residing in cities were taller than their rural counterparts in all but a few high-income countries. By 2020, the urban height advantage became smaller in most countries, and in many high-income western countries it reversed into a small urban-based disadvantage. The exception was for boys in most countries in sub-Saharan Africa and in some countries in Oceania, south Asia and the region of central Asia, Middle East and north Africa. In these countries, successive cohorts of boys from rural places either did not gain height or possibly became shorter, and hence fell further behind their urban peers. The difference between the age-standardized mean BMI of children in urban and rural areas was <1.1 kg m–2 in the vast majority of countries. Within this small range, BMI increased slightly more in cities than in rural areas, except in south Asia, sub-Saharan Africa and some countries in central and eastern Europe. Our results show that in much of the world, the growth and developmental advantages of living in cities have diminished in the twenty-first century, whereas in much of sub-Saharan Africa they have amplified.peer-reviewe

    Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants

    No full text
    Background Underweight and severe and morbid obesity are associated with highly elevated risks of adverse health outcomes. We estimated trends in mean body-mass index (BMI), which characterises its population distribution, and in the prevalences of a complete set of BMI categories for adults in all countries. Methods We analysed, with use of a consistent protocol, population-based studies that had measured height and weight in adults aged 18 years and older. We applied a Bayesian hierarchical model to these data to estimate trends from 1975 to 2014 in mean BMI and in the prevalences of BMI categories ( LT 18.5 kg/m(2) [underweight], 18.5 kg/m(2) to LT 20 kg/m(2), 20 kg/m(2) to LT 25 kg/m(2), 25 kg/m(2) to LT 30 kg/m(2), 30 kg/m(2) to LT 35 kg/m(2), 35 kg/m(2) to LT 40 kg/m(2), = 40 kg/m(2) [morbid obesity]), by sex in 200 countries and territories, organised in 21 regions. We calculated the posterior probability of meeting the target of halting by 2025 the rise in obesity at its 2010 levels, if post-2000 trends continue. Findings We used 1698 population-based data sources, with more than 19.2 million adult participants (9.9 million men and 9.3 million women) in 186 of 200 countries for which estimates were made. Global age-standardised mean BMI increased from 21.7 kg/m(2) (95% credible interval 21.3-22.1) in 1975 to 24.2 kg/m(2) (24.0-24.4) in 2014 in men, and from 22.1 kg/m(2) (21.7-22.5) in 1975 to 24.4 kg/m(2) (24.2-24.6) in 2014 in women. Regional mean BMIs in 2014 for men ranged from 21.4 kg/m(2) in central Africa and south Asia to 29.2 kg/m(2) (28.6-29.8) in Polynesia and Micronesia; for women the range was from 21.8 kg/m(2) (21.4-22.3) in south Asia to 32.2 kg/m(2) (31.5-32.8) in Polynesia and Micronesia. Over these four decades, age-standardised global prevalence of underweight decreased from 13.8% (10.5-17.4) to 8.8% (7.4-10.3) in men and from 14.6% (11.6-17.9) to 9.7% (8.3-11.1) in women. South Asia had the highest prevalence of underweight in 2014, 23.4% (17.8-29.2) in men and 24.0% (18.9-29.3) in women. Age-standardised prevalence of obesity increased from 3.2% (2.4-4.1) in 1975 to 10.8% (9.7-12.0) in 2014 in men, and from 6.4% (5.1-7.8) to 14.9% (13.6-16.1) in women. 2.3% (2.0-2.7) of the worlds men and 5.0% (4.4-5.6) of women were severely obese (ie, have BMI = 35 kg/m(2)). Globally, prevalence of morbid obesity was 0.64% (0.46-0.86) in men and 1.6% (1.3-1.9) in women. Interpretation If post-2000 trends continue, the probability of meeting the global obesity target is virtually zero. Rather, if these trends continue, by 2025, global obesity prevalence will reach 18% in men and surpass 21% in women; severe obesity will surpass 6% in men and 9% in women. Nonetheless, underweight remains prevalent in the worlds poorest regions, especially in south Asia. Copyright (C) NCD Risk Factor Collaboration. Open Access article distributed under the terms of CC BY
    corecore