Mosomi Leonida Nyarwaba, Aceves-Martins Magaly, Johnstone Alexandra M, de Roos Baukje
The Rowett Institute, University of Aberdeen, Aberdeen, UK.
Obes Rev. 2025 Jun;26(6):e13906. doi: 10.1111/obr.13906. Epub 2025 Feb 12.
We systematically assessed evidence of overweight and obesity prevalence, and possible determinants, in people who experience incarceration globally. We searched Embase, Medline, and Cochrane databases. Overweight and obesity proportions were pooled into a meta-analysis and compared with national prevalences. Seventy-one studies met the inclusion criteria; 38 were included in the meta-analysis. Studies in high-income countries reported higher proportions of overweight and obesity (73.3%, 95% CI 73.1, 73.5) than upper-middle-income countries (66.1%, 95% CI 64.1, 67.7) and lower-middle-income countries (52.8%, 95% CI 47.1, 58.1). The prevalence of overweight and obesity in female incarcerated individuals was higher than that in the general population (RD 11.7%, 95% CI 9.1, 14.3), especially in low and middle-income countries (RD 35.1%, 95% CI 29.4, 40.7). The prevalence of overweight and obesity in male incarcerated individuals was lower than that in the general population in all income categories (RD -10.8%, 95% CI -13.2, -8.4). Incarcerated individuals in low and lower-middle-income countries were less likely to achieve sufficient energy intake, fruit/vegetable intake, and sufficient physical activity, compared with high- and upper-middle-income countries. The prevalence of overweight and obesity in incarcerated populations differed between developed and developing countries. Future research should focus on female incarcerated individuals, especially in lower-middle-income countries.
我们系统地评估了全球范围内经历监禁的人群中超重和肥胖患病率及可能的决定因素的证据。我们检索了Embase、Medline和Cochrane数据库。将超重和肥胖比例汇总进行荟萃分析，并与各国患病率进行比较。71项研究符合纳入标准；38项纳入荟萃分析。高收入国家的研究报告超重和肥胖比例（73.3%，95%置信区间73.1, 73.5）高于中高收入国家（66.1%，95%置信区间64.1, 67.7）和中低收入国家（52.8%，95%置信区间47.1, 58.1）。被监禁女性个体中超重和肥胖的患病率高于一般人群（风险差异11.7%，95%置信区间9.1, 14.3），尤其是在低收入和中等收入国家（风险差异35.1%，95%置信区间29.4, 40.7）。在所有收入类别中，被监禁男性个体中超重和肥胖的患病率低于一般人群（风险差异-10.8%，95%置信区间-13.2, -8.4）。与高收入和中高收入国家相比，低收入和中低收入国家被监禁个体实现充足能量摄入、水果/蔬菜摄入以及充足身体活动的可能性较小。发达国家和发展中国家被监禁人群中超重和肥胖的患病率存在差异。未来研究应关注被监禁女性个体，尤其是在中低收入国家。
