Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Dec 2;19(23):16173.
doi: 10.3390/ijerph192316173.

Health Impacts of High BMI in China: Terrible Present and Future

Hong Xiang  1 , Runjuan Yang  2 , Jiaxin Tu  2 , Xi Guan  1 , Xufeng Tao  2
Affiliations

Health Impacts of High BMI in China: Terrible Present and Future

Hong Xiang et al. Int J Environ Res Public Health. .

Abstract

Temporal trends and future expectations of health effects due to high body mass index (BMI) remain uncertain in China. The trends of high-BMI-related death in China were evaluated and predicted until 2040 using data and methods from the Global Burden of Disease study. The absolute numbers and age-standardized rates of death and disability-adjusted life years (DALYs) were also calculated by age, gender, and cause. From 1990 to 2019, the high-BMI-related death percent, number and rate were all significantly increased in China, and death rate may exceed that globally in the next 10 years. High BMI caused more deaths and DALYs for men than for women, and the gap appeared to increase over time. In 2019, the burden of high BMI among ages 0−14 and 15−19 for children and adolescents were lower than that among adults (>20 years). The most common cause of death associated with high BMI was stroke, followed by ischemic heart disease and hypertensive heart disease. High BMI burden is a significant public health challenges in China. BMI surveillance and evaluation of evidence-based preventive strategies should be immediately initiated in Chinese residents due to the rapid increase in the burden of high BMI.

Keywords: China; global burden of disease study; health effects; high body mass index; projection; temporal trend.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Death trends of high BMI globally and in China from 1990 to 2040. (A) Death percentage attributed to high BMI globally and in China from 1990 to 2040. (B) Death numbers attributed to high BMI globally and in China from 1990 to 2040. (C) Death rate attributed to high BMI globally and in China from 1990 to 2040.
Figure 2
Figure 2
Burden of deaths and DALYs due to high BMI in both sexes in China. (A) Deaths, ASDRs, DALYs and ASR-DALYs due to high BMI in men and women in China from 1990 to 2019. (B) The percentage changes in deaths, ASDRs, DALYs and ASR-DALYs due to high BMI in men and women between 1990 and 2019. (C) Male-to-female ratios of ASDRs and ASR-DALYs due to high BMI in men and women from 1990 to 2019.
Figure 3
Figure 3
Burden of high BMI in various age groups in China. (A) The rate of deaths and DALYs in various age groups in China between 1990 and 2019. (B) The rate of deaths and DALYs in adults, children and adolescents between 1990 and 2019 in China.
Figure 4
Figure 4
The top 5 high-BMI-related diseases by absolute number of deaths and DLAYs in 1990 and 2019.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Caballero B. Humans against Obesity: Who Will Win? Adv. Nutr. 2019;10:S4–S9. doi: 10.1093/advances/nmy055. - DOI - PMC - PubMed
    1. Dikaiou P., Björck L., Adiels M., Lundberg C.E., Mandalenakis Z., Manhem K., Rosengren A. Obesity, overweight and risk for cardiovascular disease and mortality in young women. Eur. J. Prev. Cardiol. 2021;28:1351–1359. doi: 10.1177/2047487320908983. - DOI - PubMed
    1. Yang Y., Shields G.S., Guo C., Liu Y. Executive function performance in obesity and overweight individuals: A meta-analysis and review. Neurosci. Biobehav. Rev. 2018;84:225–244. doi: 10.1016/j.neubiorev.2017.11.020. - DOI - PubMed
    1. Yu K.M., Liu X., Alhamzawi R., Becker F., Lord J. Statistical methods for body mass index: A selective review. Stat. Methods Med. Res. 2018;27:798–811. doi: 10.1177/0962280216643117. - DOI - PubMed
    1. Bode E.D., Mathias K.C., Stewart D.F., Moffatt S.M., Jack K., Smith D.L. Cardiovascular Disease Risk Factors by BMI and Age in United States Firefighters. Obesity. 2021;29:1186–1194. doi: 10.1002/oby.23175. - DOI - PMC - PubMed