Rising rural body-mass index is the main driver of the global obesity epidemic in adults
NCD Risk Factor Collaboration. (2019). Rising rural body-mass index is the main driver of the global obesity epidemic in adults. Nature, 569 (7755), 260-264. doi:10.1038/s41586-019-1171-x
© The Authors, 2019.
Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities. This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity. 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. ...
PublisherNature Publishing Group
MetadataShow full item record
- Liikuntatieteiden tiedekunta 
Showing items with similar title or keywords.
Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight NCD Risk Factor Collaboration (eLife Sciences Publications, Ltd, 2021)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 ...
Effects of a weight management program delivered by social media on weight and metabolic syndrome risk factors in overweight and obese adults : A randomised controlled trial Jane, Monica; Hagger, Martin; Foster, Jonathan; Ho, Suleen; Kane, Robert; Pal, Sebely (Public Library of Science, 2017)Introduction The aim of this project was to evaluate the effectiveness of using social media to augment the delivery of, and provide support for, a weight management program delivered to overweight and obese individuals ...
Bhurtun, Hanish (2012)In older people’s falls often lead to hospitalisation and lengthy recovery in health care institutions and this may be conducive to financial strain on health care systems. The propensity or risk of falling rises as the ...
The effect of physical exercise on body fat, metabolic health indicators and cardiorespiratory fitness in overweight sedentary women Kolunsarka, Iiris (2020)Introduction. Physical activity, sedentary behavior and overweight have been widely studied in health-related research. The guidelines for physical activity were updated in 2018, emphasizing the need for the reduction of ...
Overweight and obesity are associated with cardiac adverse structure remodeling in Chinese elderly with hypertension Liu, Cheng; Li, Gang; Laukkanen, Jari A.; Hao, Lan; Zhao, Qianping; Zhang, Jing; Zhang, Xu (Nature Publishing Group, 2019)There is limited information on the association of overweight and obesity with cardiac remodeling in elderly population. Therefore, we investigated whether overweight and obesity are associated with cardiac geometric ...