An age-period-cohort approach to studying long-term trends in obesity and overweight in England (1992-2019).
An age-period-cohort approach to studying long-term trends in obesity and overweight in England (1992-2019).
复制标题
研究英格兰肥胖和超重长期趋势的年龄阶段队列方法（1992-2019）。
DOI：
10.1002/oby.23657
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Opazo Breton M
中科院分区：
文献类型：
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作者：
Opazo Breton M
目的本研究旨在通过估计儿童和成人的生命历程转变以及历史和出生队列趋势来了解英国肥胖和超重的长期趋势。方法使用了英国健康调查中 5 至 85 岁个体的数据，涵盖 1992 年至 2019 年期间以及 1909 年至 2013 年之间出生的出生队列。个体 BMI 值被分为健康体重、超重或肥胖。比较了趋势，并使用逻辑回归和分类年龄、时期和队列组来估计年龄-时期-队列模型。结果出生队列的健康体重和肥胖患病率的年龄轨迹存在显着差异。与健康体重相比，肥胖的几率随着年龄的增长而持续增加，在整个研究期间增加（但在 1992 年至 2001 年期间增加得更快），并且在 1989 年至 2008 年出生的出生队列中更高。超重的几率在儿童中呈倒 U 形，随着成年期的增加，自 2012 年以来一直稳定，并且对于最小的出生队列来说要高得多（2009-2013）。结论年轻一代超重患病率较高，加上肥胖患病率随年龄增长而增加，表明肥胖仍应是英国公共卫生政策制定者的高度优先事项。
ObjectiveThis study aims to understand long‐term trends in obesity and overweight in England by estimating life‐course transitions as well as historical and birth cohort trends for both children and adults.MethodsData on individuals aged 5 to 85 years old from the Health Survey for England were used, covering the period 1992 to 2019 and birth cohorts born between 1909 and 2013. Individual BMI values were classified as healthy weight, overweight, or obesity. Trends were compared, and an age‐period‐cohort model was estimated using logistic regression and categorical age, period, and cohort groups.ResultsThere was significant variation in age trajectories by birth cohorts for healthy weight and obesity prevalence. The odds of having obesity compared with a healthy weight increased consistently with age, increased throughout the study period (but faster between 1992 and 2001), and were higher for birth cohorts born between 1989 and 2008. The odds of having overweight showed an inverted U‐shape among children, increased through adulthood, have been stable since 2012, and were considerably higher for the youngest birth cohort (2009–2013).ConclusionsYounger generations with higher overweight prevalence coupled with increasing obesity prevalence with age suggest that obesity should remain a high priority for public health policy makers in England.