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Open Access Highly Accessed Research

National, regional, and global trends in adult overweight and obesity prevalences

Gretchen A Stevens1, Gitanjali M Singh2, Yuan Lu2, Goodarz Danaei3, John K Lin2, Mariel M Finucane2, Adil N Bahalim4, Russell K McIntire4, Hialy R Gutierrez4, Melanie Cowan5, Christopher J Paciorek6, Farshad Farzadfar7, Leanne Riley5, Majid Ezzati8* and the Global Burden of Metabolic Risk Factors of Chronic Diseases Collaborating Group (Body Mass Index)

Author Affiliations

1 Department of Health Statistics and Information Systems, World Health Organization, Geneva, Switzerland

2 Department of Global Health and Population, Harvard School of Public Health, Boston, USA

3 Department of Epidemiology, Harvard School of Public Health, Boston, USA

4 Independent consultant, Geneva, Switzerland

5 Department of Chronic Diseases and Health Promotion, World Health Organization, Geneva, Switzerland

6 Department of Statistics, University of California, Berkeley, USA

7 Noncommunicable Diseases Research Centre, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran

8 Department of Epidemiology and Biostatistics, MRC-HPA Center for Environment and Health, School of Public Health, Imperial College London, London, UK

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Population Health Metrics 2012, 10:22  doi:10.1186/1478-7954-10-22

Published: 20 November 2012

Abstract

Background

Overweight and obesity prevalence are commonly used for public and policy communication of the extent of the obesity epidemic, yet comparable estimates of trends in overweight and obesity prevalence by country are not available.

Methods

We estimated trends between 1980 and 2008 in overweight and obesity prevalence and their uncertainty for adults 20 years of age and older in 199 countries and territories. Data were from a previous study, which used a Bayesian hierarchical model to estimate mean body mass index (BMI) based on published and unpublished health examination surveys and epidemiologic studies. Here, we used the estimated mean BMIs in a regression model to predict overweight and obesity prevalence by age, country, year, and sex. The uncertainty of the estimates included both those of the Bayesian hierarchical model and the uncertainty due to cross-walking from mean BMI to overweight and obesity prevalence.

Results

The global age-standardized prevalence of obesity nearly doubled from 6.4% (95% uncertainty interval 5.7-7.2%) in 1980 to 12.0% (11.5-12.5%) in 2008. Half of this rise occurred in the 20 years between 1980 and 2000, and half occurred in the 8 years between 2000 and 2008. The age-standardized prevalence of overweight increased from 24.6% (22.7-26.7%) to 34.4% (33.2-35.5%) during the same 28-year period. In 2008, female obesity prevalence ranged from 1.4% (0.7-2.2%) in Bangladesh and 1.5% (0.9-2.4%) in Madagascar to 70.4% (61.9-78.9%) in Tonga and 74.8% (66.7-82.1%) in Nauru. Male obesity was below 1% in Bangladesh, Democratic Republic of the Congo, and Ethiopia, and was highest in Cook Islands (60.1%, 52.6-67.6%) and Nauru (67.9%, 60.5-75.0%).

Conclusions

Globally, the prevalence of overweight and obesity has increased since 1980, and the increase has accelerated. Although obesity increased in most countries, levels and trends varied substantially. These data on trends in overweight and obesity may be used to set targets for obesity prevalence as requested at the United Nations high-level meeting on Prevention and Control of NCDs.

Keywords:
Overweight; Obesity; Prevalence; Population health; Risk transition; Global health; Noncommunicable diseases