Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults

Background Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. Methods We used data from 3663 population-based studies with 222 million participants that measured height and weight in representative samples of the general population. We used a Bayesian hierarchical model to estimate trends in the prevalence of different BMI categories, separately for adults (age ≥20 years) and school-aged children and adolescents (age 5–19 years), from 1990 to 2022 for 200 countries and territories. For adults, we report the individual and combined prevalence of underweight (BMI <18·5 kg/m2) and obesity (BMI ≥30 kg/m2). For schoolaged children and adolescents, we report thinness (BMI <2 SD below the median of the WHO growth reference) and obesity (BMI >2 SD above the median). Findings From 1990 to 2022, the combined prevalence of underweight and obesity in adults decreased in 11 countries (6%) for women and 17 (9%) for men with a posterior probability of at least 0·80 that the observed changes were true decreases. The combined prevalence increased in 162 countries (81%) for women and 140 countries (70%) for men with a posterior probability of at least 0·80. In 2022, the combined prevalence of underweight and obesity was highest in island nations in the Caribbean and Polynesia and Micronesia, and countries in the Middle East and north Africa. Obesity prevalence was higher than underweight with posterior probability of at least 0·80 in 177 countries (89%) for women and 145 (73%) for men in 2022, whereas the converse was true in 16 countries (8%) for women, and 39 (20%) for men. From 1990 to 2022, the combined prevalence of thinness and obesity decreased among girls in five countries (3%) and among boys in 15 countries (8%) with a posterior probability of at least 0·80, and increased among girls in 140 countries (70%) and boys in 137 countries (69%) with a posterior probability of at least 0·80. The countries with highest combined prevalence of thinness and obesity in school-aged children and adolescents in 2022 were in Polynesia and Micronesia and the Caribbean for both sexes, and Chile and Qatar for boys. Combined prevalence was also high in some countries in south Asia, such as India and Pakistan, where thinness remained prevalent despite having declined. In 2022, obesity in school-aged children and adolescents was more prevalent than thinness with a posterior probability of at least 0·80 among girls in 133 countries (67%) and boys in 125 countries (63%), whereas the converse was true in 35 countries (18%) and 42 countries (21%), respectively. In almost all countries for both adults and school-aged children and adolescents, the increases in double burden were driven by increases in obesity, and decreases in double burden by declining underweight or thinness. Interpretation The combined burden of underweight and obesity has increased in most countries, driven by an increase in obesity, while underweight and thinness remain prevalent in south Asia and parts of Africa. A healthy nutrition transition that enhances access to nutritious foods is needed to address the remaining burden of underweight while curbing and reversing the increase in obesit

Worldwide trends in underweight and obesity from 1990 to 2022 : a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults

A list of authors and their affiliations appears online. A supplementary appendix is herewith attached.Background: Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. Methods: We used data from 3663 population-based studies with 222 million participants that measured height and weight in representative samples of the general population. We used a Bayesian hierarchical model to estimate trends in the prevalence of different BMI categories, separately for adults (age ≥20 years) and school-aged children and adolescents (age 5–19 years), from 1990 to 2022 for 200 countries and territories. For adults, we report the individual and combined prevalence of underweight (BMI 2 SD above the median). Findings: From 1990 to 2022, the combined prevalence of underweight and obesity in adults decreased in 11 countries (6%) for women and 17 (9%) for men with a posterior probability of at least 0·80 that the observed changes were true decreases. The combined prevalence increased in 162 countries (81%) for women and 140 countries (70%) for men with a posterior probability of at least 0·80. In 2022, the combined prevalence of underweight and obesity was highest in island nations in the Caribbean and Polynesia and Micronesia, and countries in the Middle East and north Africa. Obesity prevalence was higher than underweight with posterior probability of at least 0·80 in 177 countries (89%) for women and 145 (73%) for men in 2022, whereas the converse was true in 16 countries (8%) for women, and 39 (20%) for men. From 1990 to 2022, the combined prevalence of thinness and obesity decreased among girls in five countries (3%) and among boys in 15 countries (8%) with a posterior probability of at least 0·80, and increased among girls in 140 countries (70%) and boys in 137 countries (69%) with a posterior probability of at least 0·80. The countries with highest combined prevalence of thinness and obesity in school-aged children and adolescents in 2022 were in Polynesia and Micronesia and the Caribbean for both sexes, and Chile and Qatar for boys. Combined prevalence was also high in some countries in south Asia, such as India and Pakistan, where thinness remained prevalent despite having declined. In 2022, obesity in school-aged children and adolescents was more prevalent than thinness with a posterior probability of at least 0·80 among girls in 133 countries (67%) and boys in 125 countries (63%), whereas the converse was true in 35 countries (18%) and 42 countries (21%), respectively. In almost all countries for both adults and school-aged children and adolescents, the increases in double burden were driven by increases in obesity, and decreases in double burden by declining underweight or thinness. Interpretation: The combined burden of underweight and obesity has increased in most countries, driven by an increase in obesity, while underweight and thinness remain prevalent in south Asia and parts of Africa. A healthy nutrition transition that enhances access to nutritious foods is needed to address the remaining burden of underweight while curbing and reversing the increase in obesity.peer-reviewe

Comprehensive assessment of the comfort (quality) of the urban multifunctional level of parking in the north of Moscow

The article discusses the issues and methods for assessing the level of parking comfort for five years, the use in the northern and central administrative districts of Moscow. The main characteristics have been identified, an expert assessment of multifunctional parking lots has been carried out in dynamics over several years. Get involved and referrals. Keywords: COMPARATIVE ASSESSMENT, CITY PARK, METHODOLOGY, LANDSCAPING, MONITORING, URBAN ENVIRONMENT, RESIDENT INVOLVEMENT, COMFORT INDICATORS, EVALUATION CRITERIA</jats:p

Primary incidence of cervical cancer in the population living in ecologically disadvantaged areas (2000–2020)

Introduction. Thirty six years after the Chernobyl disaster about 5 million people live in the radioactively contaminated territories of Ukraine, Belarus and Russia, and the density of radioactive contamination, determined mainly by long-lived Cesium-137 and Strontium-90, will remain radiologically significant for several decades. Purpose of the study. Based on official statistics for 2000-2020, to analyze the trend in the incidence of cervical cancer in females living in conditions of radioactive, chemical, and combined environmental contamination in the Bryansk region. Materials and methods. Poisson regression, Shapiro-Wilk test, Mann-Whitney U-test, Spearman test. Data sources - Bryansk Regional Oncological Dispensary, Rospotrebnadzor, Rostekhnadzor, Bryanskstat. Results. There were no statistically significant differences in the incidence of the cervical cancer, regardless of the level of radioactive, chemical, and combined environmental contamination. Also, we have found no significant correlations between the frequency of primary morbidity of the cervical cancer with neither the density of 137Cs and 90Sr contamination, nor air pollution with gaseous pollutants (VOCs, SO2, CO and NOx). A statistically significant (p&lt;0.00001) gain in the long-term trend in the incidence of the cervical cancer over 2000-2019 was revealed in all the studied groups, regardless of the environmental conditions of the residence. The forecast for the incidence of the cervical cancer on average in the Bryansk region during 2020 shows a decrease by 20.7% in real values compared to the forecast data. Limitations. Incidence of the cervical cancer without regard to age groups, distribution at the stage of the disease, histological, and immunohistochemical profile. Conclusion. The obtained results indicate to the need for further work to understand the trends in the presence/absence of independent and combined effects of pollutants on the growth of oncogynecological pathology from the standpoint of assessing distant and regional metastasis, the histological, and immunohistichemical profile of a specific cervical cancer with levels of radioactive, chemical, and combined environmental contamination.</jats:p

Cervical and Endometrial Cancer Incidence in the Female Population from the Bryansk Region Living in Conditions of Chemical, Radioactive and Combined Environmental Contamination (2000&ndash;2020)

At the end of 36 years after the Chernobyl disaster, about 5 million people still live in the radioactively contaminated territories of Russia, Ukraine, and Belarus, and the density of radioactive contamination by Cesium-137 and Strontium-90 will remain radiologically significant for decades. We assessed cervical and endometrial cancer primary incidence (new cases) in the female population from the Bryansk region living in conditions of chemical, radioactive, and combined environmental contamination for 2000&ndash;2020. We found a significant increase in the long-term trend in the primary incidence of cervical and endometrial cancer in all the studied groups, regardless of the environmental conditions of residence (p &lt; 0.00001). We did not find statistically significant differences in the incidence of cervical and endometrial cancer in women, regardless of the level of chemical, radioactive, and combined environmental contamination. However, women living in environmentally unfavorable areas (in total, in the territories of chemical, radioactive, and combined contamination) are statistically significantly more likely to develop endometrial cancer in terms of relative risk compared to environmentally safe (control) areas (RR 1.17 (1.08&ndash;1.27)). No such pattern was found for cervix cancer. It should be noted, since environmentally safe (control) areas have a certain level of contamination (albeit low), RR is underestimated

Behavioral health risks for students during distance education

Introduction. The modern development of information and communication technologiesand the current epidemiological situation have led to the widespread use of distance educational technologies. The article presents the results of a statistical analysis of the data obtained during the hygienic assessment of the characteristics of the lifestyle and activity of students in the period of active introduction of forms and methods of distance education.Material and methods. An online survey of 498 students in 2019 during the period of traditional education and 1587 students in April 2020 during the implementation of the educational process in the distance format was conducted. The coordinator of the work was the Department of Hygiene of the Pediatric Faculty of the N.I. Pirogov Russian National Research Medical University, Moscow.Results. The obtained data allows talking about the negative impact of electronic devices on the lifestyle of students. A significant increase in the time of the use of gadgets (almost twice) and their number (2-4) when transferring the educational process to a remote format is proved. In general, the use of stationary and mobile electronic devices in more than 50% of respondents amounted to five hours or more. A decrease in the quality characteristics of the lifestyle of students in higher education during the transition to distant education has been established, while more than a third of them do not realize this. As risk factors, a decrease in motor activity, visual impairment, neuropsychic stress, poor nutrition, etc. In the absence of direct contact with university teachers, the opportunities for creating healthy lifestyle skills within the university are reduced and the importance of teachers as an authoritarian influence and a personal example for students is reduced.Conclusion. Informatization and the introduction of distance learning technologies in the higher education system require comprehensive studies of the advantages and disadvantages of such a learning format. The forced mass introduction of distance learning technologies in the educational process has exposed many problems that have not yet been given sufficient attention and, in the future, they can become the basis for promising research in the field of educational hygiene. The results obtained suggest that modern students do not pay enough attention to their lifestyle in the period of the distant education.</jats:p

Comparative Characteristics of Physical Development of Schoolchildren in Moscow and Kiev

The aim of this study was to find peculiarities in processes of growth and development of the child and adolescent in different megalopolises, Moscow and Kiev, on the background of various social and economic changes in society and standards of living of the child population. Comparison analysis of physical development of Moscow and Kiev children did not show statistically significant differences in body length except in boys aged between 10 and 16 years and in girls aged between 12 and 17 years. The changes in physical development of Kiev children demonstrate a domination of gracilization, accompanied by significant low values of body mass with high values of body length, especially in girls. The study showed that modern adolescents of both cities exceed their peers from previous generation in body length. Chest circumference in all ages of both sexes and body mass starting from 10 years of age were higher in adolescents from Moscow. We found a negative trend to the increase in the number of overweight Moscow children in the studied dynamics

From traditional to distance learning: hygienic problems of vision protection of students

Introduction. Electronic devices (ED) are widespread among adolescents, filling their daily lives. The trend towards digitalization of all aspects of life is a global trend with the inevitable involvement of young people. The lack of existing preventive measures necessitates scientific research and intensification of work to promote a healthy lifestyle. Materials and methods. In 2019, an online survey was conducted of 200 schoolchildren in grades 9-11, 498 students in 1-6 courses, and 251 parents. In April 2020, an online survey was conducted of 1587 students of 1-6 classes and 500 parents. Measurements of physical factors were carried out at the Dolgoprudnenskaya gymnasium and the N.I. Pirogov Russian National Research Medical University. One thousand sixty-six schoolchildren and students were examined by an ophthalmologist with the help of the device “ARMISm”. Results. Negative tendencies in the state of the organ of vision, observed by students, are primarily associated with increased use of stationary and mobile ED in all age groups. Students use various ED in places with insufficient artificial illumination. In educational institutions, such places are corridors, halls, recreation, where students use their electronic devices. There are currently no separate requirements for artificial lighting by using information and communication technologies outside of classrooms or work premises. During the period of distance learning, schoolchildren and students have been established to use one more ED in comparison with the period of traditional education. The long-term effect of using mobile ED is still unknown. Conclusions. As a preventive hygienic measure for the protection of vision, it is recommended to use ED only in places with a good level of illumination, including artificial, with limited duration of continuous use of ED, with gymnastics for the eyes during breaks.</jats:p

Risks of developing diseases of an eye and its adnexa in students in conditions of the violation of hygienic rules for the use of electronic devices

Introduction. The process of involving children, adolescents and youth in the constantly developing information space is an objective reality. At the same time, the lack of monitored indices of the safety of electronic devices (ED) for the health of children and adolescents, the lack of a clearly built system of preventive measures require its development and improvement, which will reduce the risk of the digital information environment impact on the health of the younger generation. Materials and methods. The survey using a questionnaire, developed by specialists from the Research Institute of Hygiene and Health Protection of Children and Adolescents in 2017-2020, was used to collect data on the nature of ED using by schoolchildren and students in educational and leisure activities (1218 questionnaires). In 2017-2020, 805 schoolchildren and students from the Moscow gymnasium №12 and the Pirogov Russian National Research Medical University underwent an ophthalmological examination. Results. All the surveyed schoolchildren and students used ED. Analysis of the questionnaire data allowed us to determine the duration of continuous use of ED (computer, laptop, tablet, smartphone, etc.) by children, adolescents, and young people during school and vacation time. All categories of respondents both during the academic period and during holidays showed a high duration of continuous use of ED. Thus, the presence of a behavioral risk factor for the uncontrolled use of ED (long duration of continuous work with ED) was shown among all categories of respondents, which may cause the development of eye diseases. The analysis of the results obtained revealed significant negative values of the correlation coefficients between students’ visual acuity and the duration of their continuous use of both stationary (computer) and mobile (smartphone, tablet) ED. Discussion. The introduction of these preventive measures into the daily routine and lifestyle of children, adolescents, and young people will help prevent visual acuity disorders. Conclusion. It is necessary to introduce hygienic rationing of the frequency and duration of the possible influence of ED not only during the educational process but also in leisure time to increase the awareness of parents and the degree of their control over the use of ED. To elevate awareness of all ED users’ categories it is necessary to intensify work to promote the rules for the safe use of ED and related foundations of a healthy lifestyle and self-control over ED use. In connection with the development of the digital educational environment, it is advisable to improve the hygienic standardization of text information in electronic publications for children, adolescents, and students. To prevent the symptoms of eye fatigue, it is advisable to limit continuous work with a bright screen (no more than 60 minutes), followed by a break of at least 15-20 minutes, not related to viewing the illuminated screen, in compliance with the recommendations for relieving stress from the visual analyzer.</jats:p