National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.
Dan Med J. 2023 Sep 19;70(10):A03230139.
INTRODUCTION: The epidemic increase in obesity is well documented and of intensive public health interest. Attention has almost entirely focused on a dichotomous measure of obesity such as how the prevalence of BMI ≥ 30 kg/m2 has changed over time. Less consideration has been given to how the general distribution of BMI has evolved. METHODS: We used data from the National Health and Morbidity Surveys, which are surveys of the adult Danish population (16 years or above) conducted in 1987, 2000, 2005, 2010, 2013, 2017 and 2021. Participants reported height and weight from which BMI was calculated following correction for systematic bias in self-reported data and non-response. RESULTS: The prevalence of obesity in Denmark increased from 6.1% in 1987 to 18.4% in 2021. A right shift in BMI distribution was observed with positive linear slopes for high and low BMI percentiles and for all socioeconomic groups, although with steeper slopes for high BMI percentiles and for short education. CONCLUSIONS: The right shift in the distribution curve of BMI from 1987 to 2021 with gradually higher values in all BMI percentiles and in all socioeconomic strata show that the increasing obesity prevalence may, to some extent, be attributed to a generally higher BMI in the entire Danish population. FUNDING: None. TRIAL REGISTRATION: Not relevant.
简介:肥胖症的流行呈指数级增长,这是有充分文献记录的,也是公众健康的重点关注领域。人们几乎完全关注肥胖的二分法衡量标准,例如 BMI≥30kg/m2 的患病率随时间的变化。但对于 BMI 的总体分布如何演变,关注较少。
方法:我们使用了来自国家健康和发病率调查的数据,这是对丹麦成年人口(16 岁及以上)进行的调查,分别于 1987 年、2000 年、2005 年、2010 年、2013 年、2017 年和 2021 年进行。参与者报告了身高和体重,随后根据自我报告数据和无应答的系统偏差对 BMI 进行了校正。
结果:丹麦肥胖症的患病率从 1987 年的 6.1%上升到 2021 年的 18.4%。观察到 BMI 分布曲线的右移,高和低 BMI 百分位数以及所有社会经济群体的线性斜率均为正,尽管高 BMI 百分位数和短期教育的斜率更陡峭。
结论:从 1987 年到 2021 年,BMI 分布曲线的右移,所有 BMI 百分位数和所有社会经济阶层的 BMI 值逐渐升高,这表明肥胖症的患病率增加可能在一定程度上归因于丹麦整个人口的 BMI 普遍升高。
资金:无。
试验注册:不相关。
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