Int J Public Health. 2018 May;63(Suppl 1):165-176. doi: 10.1007/s00038-017-1002-5. Epub 2017 Aug 3.
We used the Global Burden of Disease (GBD) 2015 study results to explore the burden of high body mass index (BMI) in the Eastern Mediterranean Region (EMR).
We estimated the prevalence of overweight and obesity among children (2-19 years) and adults (≥20 years) in 1980 and 2015. The burden of disease related to high BMI was calculated using the GBD comparative risk assessment approach.
The prevalence of obesity increased for adults from 15.1% (95% UI 13.4-16.9) in 1980 to 20.7% (95% UI 18.8-22.8) in 2015. It increased from 4.1% (95% UI 2.9-5.5) to 4.9% (95% UI 3.6-6.4) for the same period among children. In 2015, there were 417,115 deaths and 14,448,548 disability-adjusted life years (DALYs) attributable to high BMI in EMR, which constitute about 10 and 6.3% of total deaths and DALYs, respectively, for all ages.
This is the first study to estimate trends in obesity burden for the EMR from 1980 to 2015. We call for EMR countries to invest more resources in prevention and health promotion efforts to reduce this burden.
我们利用全球疾病负担（GBD）2015 年研究结果，探讨东地中海地区（EMR）高体重指数（BMI）的负担。
我们估计了 1980 年和 2015 年儿童（2-19 岁）和成人（≥20 岁）超重和肥胖的患病率。采用 GBD 比较风险评估方法计算与高 BMI 相关的疾病负担。
成人肥胖的患病率从 1980 年的 15.1%（95%UI 13.4-16.9）上升至 2015 年的 20.7%（95%UI 18.8-22.8）。同期儿童肥胖的患病率从 4.1%（95%UI 2.9-5.5）上升至 4.9%（95%UI 3.6-6.4）。2015 年，EMR 地区有 417115 人死亡和 14448548 残疾调整生命年（DALY）归因于高 BMI，分别占所有年龄组总死亡人数和 DALY 的 10%和 6.3%左右。
这是第一项从 1980 年到 2015 年估计 EMR 地区肥胖负担趋势的研究。我们呼吁 EMR 国家投入更多资源用于预防和健康促进工作，以减轻这一负担。
