Global burden of noncommunicable disease attributable to high body mass index in 195 countries and territories, 1990-2017

doi:10.1007/s12020-020-02352-y

. 2020 Aug;69(2):310-320.

doi: 10.1007/s12020-020-02352-y. Epub 2020 Jun 2.

Global burden of noncommunicable disease attributable to high body mass index in 195 countries and territories, 1990-2017

Xiling Lin^#¹, Yufeng Xu^#², Jingya Xu^#¹, Xiaowen Pan¹, Xiaoxiao Song¹, Lizhen Shan¹, Yiming Zhao¹, Peng-Fei Shan³

Affiliations

¹ Department of Endocrinology and Metabolism, the Second Affiliated Hospital of ZheJiang University School of Medicine, 88 Jiefang Road, Hangzhou, Zhejiang, 310009, China.
² Department of Ophthalmology, the Second Affiliated Hospital of ZheJiang University School of Medicine, 88 Jiefang Road, Hangzhou, Zhejiang, 310009, China.
³ Department of Endocrinology and Metabolism, the Second Affiliated Hospital of ZheJiang University School of Medicine, 88 Jiefang Road, Hangzhou, Zhejiang, 310009, China. pengfeishan@zju.edu.cn.

^# Contributed equally.

PMID: 32488838
DOI: 10.1007/s12020-020-02352-y

Global burden of noncommunicable disease attributable to high body mass index in 195 countries and territories, 1990-2017

Xiling Lin et al. Endocrine. 2020 Aug.

. 2020 Aug;69(2):310-320.

doi: 10.1007/s12020-020-02352-y. Epub 2020 Jun 2.

Authors

Xiling Lin^#¹, Yufeng Xu^#², Jingya Xu^#¹, Xiaowen Pan¹, Xiaoxiao Song¹, Lizhen Shan¹, Yiming Zhao¹, Peng-Fei Shan³

Affiliations

¹ Department of Endocrinology and Metabolism, the Second Affiliated Hospital of ZheJiang University School of Medicine, 88 Jiefang Road, Hangzhou, Zhejiang, 310009, China.
² Department of Ophthalmology, the Second Affiliated Hospital of ZheJiang University School of Medicine, 88 Jiefang Road, Hangzhou, Zhejiang, 310009, China.
³ Department of Endocrinology and Metabolism, the Second Affiliated Hospital of ZheJiang University School of Medicine, 88 Jiefang Road, Hangzhou, Zhejiang, 310009, China. pengfeishan@zju.edu.cn.

^# Contributed equally.

PMID: 32488838
DOI: 10.1007/s12020-020-02352-y

Abstract

Purpose: The increasing burden of noncommunicable diseases (NCDs) attributable to high body mass index (BMI) represents both a threat and an opportunity for intervention. Estimates of the global latest trend of high BMI-related NCDs and its association with socioeconomic status can facilitate strategic intervention and inform further research.

Methods: This global burden of disease study extracted global, regional, and national data on death and disability-adjusted life years (DALYs) attributable to high BMI-related NCDs from the GBD Study 2017. Secondary analyses were performed by year, age, sex, and specific causes of death and DALYs. The 2017 Socio-demographic Index (SDI) was used as an indicator of national socioeconomic status. The association between age-standardized death or DALYs rate and socioeconomic status were analyzed.

Results: Worldwide, 4.7 million deaths and 147.7 million DALYs of NCDs were related to high BMI in 2017, with a projection to 5.5 million deaths and 176.9 million DALYs in 2025. Globally, high BMI-related burden showed an increasing trend with males being more heavily impacted overall. The trend and magnitude of high BMI-related disease burden varied substantially in different geographical and socioeconomic regions. Specifically, the low-middle, middle, and high-middle SDI countries were associated with a higher burden. The leading three causes of DALYs attributable to high BMI in 2017 were ischemic heart diseases, stroke, and diabetes mellitus.

Conclusions: High BMI-related burden of NCDs is worsening, particularly in developing countries. Our findings may enhance public awareness of interventions to reduce the diseases burden caused by high BMI.

Keywords: Disability-adjusted life years; High body mass index; Mortality; Noncommunicable diseases.

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References

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1. S. Kent, J. Green, G. Reeves, V. Beral, A. Gray, S.A. Jebb et al. Hospital costs in relation to body-mass index in 1.1 million women in England: a prospective cohort study. Lancet Public Health 2(5), e214–e222 (2017). https://doi.org/10.1016/S2468-2667(17)30062-2 - DOI - PubMed - PMC
1. D.T. Chu, N.T. Minh Nguyet, T.C. Dinh, N.V. Thai Lien, K.H. Nguyen, V.T. Nhu Ngoc et al. An update on physical health and economic consequences of overweight and obesity. Diabetes Metab. Syndr. Clin. Res. Rev 12(6), 1095–1100 (2018). https://doi.org/10.1016/j.dsx.2018.05.004 - DOI
1. L. Yang, G.A. Colditz, Prevalence of overweight and obesity in the United States, 2007–2012. JAMA Intern. Med. 175(8), 1412–1413 (2015). https://doi.org/10.1001/jamainternmed.2015.2405 - DOI - PubMed - PMC

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[1] M. Ng, T. Fleming, M. Robinson, B. Thomson, N. Graetz, C. Margono et al. Global, regional and national prevalence of overweight and obesity in children and adults 1980–2013: a systematic analysis. Lancet 384(9945), 766–781 (2014). https://doi.org/10.1016/S0140-6736(14)60460-8 - DOI - PubMed - PMC

[2] M. Ng, T. Fleming, M. Robinson, B. Thomson, N. Graetz, C. Margono et al. Global, regional and national prevalence of overweight and obesity in children and adults 1980–2013: a systematic analysis. Lancet 384(9945), 766–781 (2014). https://doi.org/10.1016/S0140-6736(14)60460-8 - DOI - PubMed - PMC

[3] WHO expert consultation., Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363(9412), 157–163 (2004). https://doi.org/10.1016/S0140-6736(03)15268-3 - DOI

[4] WHO expert consultation., Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363(9412), 157–163 (2004). https://doi.org/10.1016/S0140-6736(03)15268-3 - DOI

[5] S. Kent, J. Green, G. Reeves, V. Beral, A. Gray, S.A. Jebb et al. Hospital costs in relation to body-mass index in 1.1 million women in England: a prospective cohort study. Lancet Public Health 2(5), e214–e222 (2017). https://doi.org/10.1016/S2468-2667(17)30062-2 - DOI - PubMed - PMC

[6] S. Kent, J. Green, G. Reeves, V. Beral, A. Gray, S.A. Jebb et al. Hospital costs in relation to body-mass index in 1.1 million women in England: a prospective cohort study. Lancet Public Health 2(5), e214–e222 (2017). https://doi.org/10.1016/S2468-2667(17)30062-2 - DOI - PubMed - PMC

[7] D.T. Chu, N.T. Minh Nguyet, T.C. Dinh, N.V. Thai Lien, K.H. Nguyen, V.T. Nhu Ngoc et al. An update on physical health and economic consequences of overweight and obesity. Diabetes Metab. Syndr. Clin. Res. Rev 12(6), 1095–1100 (2018). https://doi.org/10.1016/j.dsx.2018.05.004 - DOI

[8] D.T. Chu, N.T. Minh Nguyet, T.C. Dinh, N.V. Thai Lien, K.H. Nguyen, V.T. Nhu Ngoc et al. An update on physical health and economic consequences of overweight and obesity. Diabetes Metab. Syndr. Clin. Res. Rev 12(6), 1095–1100 (2018). https://doi.org/10.1016/j.dsx.2018.05.004 - DOI

[9] L. Yang, G.A. Colditz, Prevalence of overweight and obesity in the United States, 2007–2012. JAMA Intern. Med. 175(8), 1412–1413 (2015). https://doi.org/10.1001/jamainternmed.2015.2405 - DOI - PubMed - PMC

[10] L. Yang, G.A. Colditz, Prevalence of overweight and obesity in the United States, 2007–2012. JAMA Intern. Med. 175(8), 1412–1413 (2015). https://doi.org/10.1001/jamainternmed.2015.2405 - DOI - PubMed - PMC

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Global burden of noncommunicable disease attributable to high body mass index in 195 countries and territories, 1990-2017

Affiliations

Global burden of noncommunicable disease attributable to high body mass index in 195 countries and territories, 1990-2017

Authors

Affiliations

Abstract

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