Trends in obesity and energy supply in the WHO MONICA Project
Trends in obesity and energy supply in the WHO MONICA Project
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DOI：
10.1038/sj.ijo.0802614
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发表时间：
2004-05-01
影响因子：
4.9
通讯作者：
Tuomilehto, J
中科院分区：
文献类型：
--
作者：
Silventoinen, K;Sans, S;Tuomilehto, J
目的：为了研究能源供应和身体质量指数（BMI）的长期趋势之间的关系在几个countries.DESIGN：汇总水平分析每年报告的国家食品数据对人体测量数据收集在独立的横断面样本从21个国家的34个人口从20世纪80年代初到20世纪90年代中期。受试者：人口随机选择的参与者年龄在35-64岁。测量：BMI数据来自WHO MONICA项目。食物能量供应数据来自联合国粮农组织的食物平衡表。结果：在几乎所有的西欧国家、澳大利亚、美国和中国，平均BMI和超重（BMI大于或等于25 kg/m2）的患病率都增加了。中欧和东欧国家的BMI呈下降趋势。大多数高收入国家和中国的人均能源供应总量呈上升趋势，而东欧国家则呈下降趋势。国家之间人均总能量供应的时间趋势差异解释了平均BMI趋势变化的41%;对超重和肥胖患病率的影响相似。从人均总脂肪的能量供应的百分比的趋势有轻微的影响，平均BMI的趋势（+7%的增量R-2）时，调整人均总能量供应，而从人均总甜味剂的能量供应没有额外的effect.CONCLUSION：增加能量供应与西方国家超重和肥胖的增加密切相关。这强调了在应对肥胖流行病时饮食问题的重要性。
OBJECTIVE: To examine the relationship between secular trends in energy supply and body mass index (BMI) among several countries.DESIGN: Aggregate level analyses of annually reported country food data against anthropometric data collected in independent cross-sectional samples from 34 populations in 21 countries from the early 1980s to the mid-1990s. SUBJECTS: Population randomly selected participants aged 35-64 y.MEASUREMENTS: BMI data were obtained from the WHO MONICA Project. Food energy supply data were derived from the Food Balance Sheet of the Food and Agriculture Organization of the United Nations.RESULTS: Mean BMI as well as the prevalence of overweight (BMI greater than or equal to25 kg/m(2)) increased in virtually all Western European countries, Australia, the USA, and China. Decreasing trends in BMI were seen in Central and Eastern European countries. Increasing trends in total energy supply per capita were found in most high-income countries and China while decreasing trends existed in Eastern European countries. Between country differences in temporal trends of total energy supply per capita explained 41% of the variation of trends in mean BMI; the effect was similar upon the prevalence of overweight and obesity. Trends in percent of energy supply from total fat per capita had a slight effect on the trends in mean BMI (+ 7% increment in R-2) when the total energy supply per capita was adjusted for, while energy supply from total sweeteners per capita had no additional effect.CONCLUSION: Increasing energy supply is closely associated with the increase of overweight and obesity in western countries. This emphasizes the importance of dietary issues when coping with the obesity epidemic.