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

机译:农村体重指数上升是成人全球肥胖症流行病的主要驱动因素

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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(.)(1,2) This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity(3-6). 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.
机译:体重指数(BMI)在大多数国家的大多数国家都稳步增长,同时居住在城市的人口比例(1,2),这导致了广泛报道的观点,即城市化是其中之一全球肥胖崛起的最重要驱动因素(3-6)。在这里,我们使用基于2,009名人口的研究,超过11200多万人的身高和体重测量,以1985年到2017年由居住地(农村或城市区域)的平均BMI分离的国家,区域和全球趋势。我们表明,与主导范式相反,超过1985年至2017年的平均BMI的全球崛起的55%以上 - 在一些低收入和中等收入地区超过80% - 是由于农村BMI增加。这一大贡献源于撒哈拉以南非洲妇女外,农村地区的妇女在撒哈拉以南非洲的情况下越来越多,而不是低收入和中等收入地区的城市。这些趋势反过来又导致了一些国家,一些国家逆转了低收入和中等收入国家的城乡之间的BMI差距,特别是女性。在高收入和工业化国家,我们注意到一个持续更高的农村BMI,特别是女性。迫切需要综合营养综合方法,以提高对健康食品的财务和身体进入,以避免更换贫穷国家的农村缺点,具有更普遍的营养不良劣势,需要过度消耗低质量的卡路里。

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