Global Trend in Overweight and Obesity and Its Association With Cardiovascular Disease Incidence

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  • Yatsuya Hiroshi
    Department of Public Health, Fujita Health University School of Medicine Department of Cardiology, Fujita Health University School of Medicine Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine
  • Li Yuanying
    Department of Public Health, Fujita Health University School of Medicine
  • Hilawe Esayas Haregot
    Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine Department of Public Health, School of Medicine, Mekelle University
  • Ota Atsuhiko
    Department of Public Health, Fujita Health University School of Medicine
  • Wang Chaochen
    Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine
  • Chiang Chifa
    Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine
  • Zhang Yan
    Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine
  • Uemura Mayu
    Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine
  • Osako Ayaka
    Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine
  • Ozaki Yukio
    Department of Cardiology, Fujita Health University School of Medicine
  • Aoyama Atsuko
    Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine

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Although the global prevalence of both the overweight and obese is on the rise, there are variations among regions or countries, and sexes. Approximately half or more than half of the population are overweight/obese defined as body mass index ≥25 kg/m2in the Americas (61.1%), Europe (54.8%), and Eastern Mediterranean (46.0%) according to the World Health Organization, while a much lower prevalence is observed in Africa (26.9%), South-East Asia (13.7%), and the Western Pacific (25.4%). Females are more likely to be overweight/obese in the Eastern Mediterranean, Africa, South-East Asia and the majority of countries in the Americas and Western Pacific but not in the most of the countries in Europe. These region-sex-ethnicity differences in prevalence may be a clue to the causes of the obesity epidemic. Epidemiological studies done in the USA, Europe, and Asia found that higher BMI was significantly associated with increased incidence of coronary artery disease (CAD) and ischemic stroke, but the association with hemorrhagic stroke incidence was not always consistent. The association of BMI with CAD and ischemic stroke was generally independent of known mediators, which would indicate the importance of controlling or preventing overweight/obesity for the prevention of cardiovascular disease. (Circ J 2014; 78: 2807–2818)

収録刊行物

  • Circulation Journal

    Circulation Journal 78 (12), 2807-2818, 2014

    一般社団法人 日本循環器学会

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