Home > Review Articles > Obesity > 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

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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Authors:
Summary:

These researchers pooled data from 2,426 population-based studies presenting height and weight measurements of 128.9 million children aged ≥5 years, including 31.5 million aged 5–19 years. Bayesian analysis estimated trends in mean BMI among these children and adolescents from 1975 to 2016 in 200 countries, as well as prevalence of BMI from underweight to obesity: moderate and severe underweight was defined as >2 SD below the median of the WHO growth reference for children and adolescents; mild underweight was defined as 2 SD to >1 SD below the median; healthy weight was defined as 1 SD below the median to 1 SD above the median; overweight but not obese was defined as >1 SD to 2 SD above the median; obesity was defined as >2 SD above the median. From 1975 to 2016, mean BMI and obesity increased in children and adolescents in most countries. These rising trends have recently plateaued at high levels in many high-income countries, but have accelerated in parts of Asia.

Comment:
I’ve paired these two papers to highlight the vast differences in thinking about, and therefore tackling, obesity. There is no doubt that being overweight and having obesity as a child and young person has long-term impacts and that the number of children who are obese is expected to outnumber those who are underweight in the next 10 years. I do worry that the ‘gene is the problem’ stance takes the focus from the structures, systems and environments that promote poor nutrition. As the authors of the Lancet article suggest: “efforts in population-based prevention of overweight and obesity in children and adolescents should be matched with enhancing access to health-care interventions for weight management and for reducing the adverse effects of obesity”. In essence, our focus should be on the development of effective policy that delivers equitable outcomes in addition to the provision of quality care for those young people living with obesity, not on genes.
Reference: Lancet. 2017;390(10113):2627-42
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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