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dc.contributor.author
NCD Risk Factor Collaboration (NCD-RisC)
dc.contributor.author
Bixby, Honor
dc.contributor.author
Bentham, James
dc.contributor.author
Zhou, Bin
dc.contributor.author
Herter-Aeberli, Isabelle
dc.contributor.author
et al.
dc.date.accessioned
2019-05-23T10:37:19Z
dc.date.available
2019-05-23T04:37:48Z
dc.date.available
2019-05-23T10:37:19Z
dc.date.issued
2019-05-09
dc.identifier.issn
0028-0836
dc.identifier.issn
1476-4687
dc.identifier.other
10.1038/s41586-019-1171-x
en_US
dc.identifier.uri
http://hdl.handle.net/20.500.11850/343610
dc.identifier.doi
10.3929/ethz-b-000343610
dc.description.abstract
Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities1,2. This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity3,4,5,6. Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to 2017. We show that, contrary to the dominant paradigm, more than 55% of the global rise in mean BMI from 1985 to 2017—and more than 80% in some low- and middle-income regions—was due to increases in BMI in rural areas. This large contribution stems from the fact that, with the exception of women in sub-Saharan Africa, BMI is increasing at the same rate or faster in rural areas than in cities in low- and middle-income regions. These trends have in turn resulted in a closing—and in some countries reversal—of the gap in BMI between urban and rural areas in low- and middle-income countries, especially for women. In high-income and industrialized countries, we noted a persistently higher rural BMI, especially for women. There is an urgent need for an integrated approach to rural nutrition that enhances financial and physical access to healthy foods, to avoid replacing the rural undernutrition disadvantage in poor countries with a more general malnutrition disadvantage that entails excessive consumption of low-quality calories.
en_US
dc.format
application/pdf
en_US
dc.language.iso
en
en_US
dc.publisher
Nature Publishing Group
en_US
dc.rights.uri
http://creativecommons.org/licenses/by/4.0/
dc.title
Rising rural body-mass index is the main driver of the global obesity epidemic in adults
en_US
dc.type
Other Journal Item
dc.rights.license
Creative Commons Attribution 4.0 International
dc.date.published
2019-05-08
ethz.journal.title
Nature
ethz.journal.volume
569
en_US
ethz.journal.issue
7755
en_US
ethz.pages.start
260
en_US
ethz.pages.end
264
en_US
ethz.version.deposit
publishedVersion
en_US
ethz.identifier.wos
ethz.identifier.scopus
ethz.publication.place
London
en_US
ethz.publication.status
published
en_US
ethz.leitzahl
ETH Zürich::00002 - ETH Zürich::00012 - Lehre und Forschung::00007 - Departemente::02070 - Dep. Gesundheitswiss. und Technologie / Dep. of Health Sciences and Technology::02701 - Inst.f. Lebensmittelwiss.,Ernährung,Ges. / Institute of Food, Nutrition, and Health::03957 - Zimmermann, Michael Bruce / Zimmermann, Michael Bruce
ethz.leitzahl.certified
ETH Zürich::00002 - ETH Zürich::00012 - Lehre und Forschung::00007 - Departemente::02070 - Dep. Gesundheitswiss. und Technologie / Dep. of Health Sciences and Technology::02701 - Inst.f. Lebensmittelwiss.,Ernährung,Ges. / Institute of Food, Nutrition, and Health::03957 - Zimmermann, Michael Bruce / Zimmermann, Michael Bruce
ethz.date.deposited
2019-05-23T04:37:55Z
ethz.source
SCOPUS
ethz.eth
yes
en_US
ethz.availability
Open access
en_US
ethz.rosetta.installDate
2019-05-23T10:38:27Z
ethz.rosetta.lastUpdated
2021-02-15T04:37:48Z
ethz.rosetta.versionExported
true
ethz.COinS
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