Rising rural body-mass index is the main driver of the global obesity epidemic in adults

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,4,5,6. Here we use 2,009 populati...

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Main Authors: NCD Risk Factor Collaboration, Le Port, Agnès
Format: Journal Article
Language:Inglés
Published: Springer 2019
Subjects:
Online Access:https://hdl.handle.net/10568/145701
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author NCD Risk Factor Collaboration
Le Port, Agnès
author_browse Le Port, Agnès
NCD Risk Factor Collaboration
author_facet NCD Risk Factor Collaboration
Le Port, Agnès
author_sort NCD Risk Factor Collaboration
collection Repository of Agricultural Research Outputs (CGSpace)
description 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,4,5,6. 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.
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spelling CGSpace1457012025-12-08T10:29:22Z Rising rural body-mass index is the main driver of the global obesity epidemic in adults NCD Risk Factor Collaboration Le Port, Agnès body mass index adults health nutrition rural areas overweight trends 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,4,5,6. 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. 2019-05-28 2024-06-21T09:04:54Z 2024-06-21T09:04:54Z Journal Article https://hdl.handle.net/10568/145701 en Open Access Springer NCD Risk Factor Collaboration (NCD-RisC). 2019. Rising rural body-mass index is the main driver of the global obesity epidemic in adults. Nature 569: 260–264. https://doi.org/10.1038/s41586-019-1171-x
spellingShingle body mass index
adults
health
nutrition
rural areas
overweight
trends
NCD Risk Factor Collaboration
Le Port, Agnès
Rising rural body-mass index is the main driver of the global obesity epidemic in adults
title Rising rural body-mass index is the main driver of the global obesity epidemic in adults
title_full Rising rural body-mass index is the main driver of the global obesity epidemic in adults
title_fullStr Rising rural body-mass index is the main driver of the global obesity epidemic in adults
title_full_unstemmed Rising rural body-mass index is the main driver of the global obesity epidemic in adults
title_short Rising rural body-mass index is the main driver of the global obesity epidemic in adults
title_sort rising rural body mass index is the main driver of the global obesity epidemic in adults
topic body mass index
adults
health
nutrition
rural areas
overweight
trends
url https://hdl.handle.net/10568/145701
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