Document Detail

The global obesity pandemic: shaped by global drivers and local environments.
MedLine Citation:
PMID:  21872749     Owner:  NLM     Status:  MEDLINE    
The simultaneous increases in obesity in almost all countries seem to be driven mainly by changes in the global food system, which is producing more processed, affordable, and effectively marketed food than ever before. This passive overconsumption of energy leading to obesity is a predictable outcome of market economies predicated on consumption-based growth. The global food system drivers interact with local environmental factors to create a wide variation in obesity prevalence between populations. Within populations, the interactions between environmental and individual factors, including genetic makeup, explain variability in body size between individuals. However, even with this individual variation, the epidemic has predictable patterns in subpopulations. In low-income countries, obesity mostly affects middle-aged adults (especially women) from wealthy, urban environments; whereas in high-income countries it affects both sexes and all ages, but is disproportionately greater in disadvantaged groups. Unlike other major causes of preventable death and disability, such as tobacco use, injuries, and infectious diseases, there are no exemplar populations in which the obesity epidemic has been reversed by public health measures. This absence increases the urgency for evidence-creating policy action, with a priority on reduction of the supply-side drivers.
Boyd A Swinburn; Gary Sacks; Kevin D Hall; Klim McPherson; Diane T Finegood; Marjory L Moodie; Steven L Gortmaker
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Publication Detail:
Type:  Comment; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Lancet     Volume:  378     ISSN:  1474-547X     ISO Abbreviation:  Lancet     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-08-29     Completed Date:  2011-09-15     Revised Date:  2012-03-26    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  England    
Other Details:
Languages:  eng     Pagination:  804-14     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2011 Elsevier Ltd. All rights reserved.
WHO Collaborating Centre for Obesity Prevention, Deakin University, Melbourne, VIC, Australia.
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MeSH Terms
Developed Countries*
Energy Intake
Energy Metabolism
Food Supply
Obesity / epidemiology*,  etiology*
Social Change
Grant Support
Comment On:
Lancet. 2011 Aug 27;378(9793):746-7   [PMID:  21872736 ]
Lancet. 2011 Aug 27;378(9793):761   [PMID:  21872738 ]
Lancet. 2011 Aug 27;378(9793):744-6   [PMID:  21872735 ]
Lancet. 2011 Aug 27;378(9793):743-4   [PMID:  21872734 ]
Comment In:
Lancet. 2012 Mar 24;379(9821):1100; author reply 1100-1   [PMID:  22444395 ]
Lancet. 2012 Mar 24;379(9821):1100; author reply 1100-1   [PMID:  22444397 ]

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