Global, regional and time-trend prevalence of central obesity: a systematic review and meta-analysis of 13.2 million subjects

We aimed to examine the global prevalences of central obesity according to age, sex, race, place of residence, geographical region, national income level, and the definitions of central obesity. MEDLINE and Embase were searched. Studies with sample size of ≥ 500 and investigated individuals aged ≥ 1...

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Published inEuropean journal of epidemiology Vol. 35; no. 7; pp. 673 - 683
Main Authors Wong, Martin C. S., Huang, Junjie, Wang, Jingxuan, Chan, Paul S. F., Lok, Veeleah, Chen, Xiao, Leung, Colette, Wang, Harry H. X., Lao, Xiang Qian, Zheng, Zhi-Jie
Format Journal Article
LanguageEnglish
Published Dordrecht Springer Netherlands 01.07.2020
Springer Nature B.V
Subjects
Cardiology
Confidence intervals
Epidemiology
Income
Infectious Diseases
Medicine
Medicine & Public Health
Meta-Analysis
Obesity
Oncology
Public Health
Subgroups
Systematic review
Urban populations
Waist circumference
Prevalence
Epidemiology
Central obesity
Temporal trend
Online AccessGet full text
ISSN0393-2990
1573-7284
1573-7284
DOI10.1007/s10654-020-00650-3

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Abstract We aimed to examine the global prevalences of central obesity according to age, sex, race, place of residence, geographical region, national income level, and the definitions of central obesity. MEDLINE and Embase were searched. Studies with sample size of ≥ 500 and investigated individuals aged ≥ 15 years were included. Metaprop (a Stata command) was adopted to conduct a meta-analysis of prevalence, and the Freeman-Tukey Double Arcsine Transformation was used to stabilize the variances. A random-effects model was used to evaluate the prevalence and 95% confidence intervals (CI) of central obesity. There were 288 studies involving 13,233,675 individuals in this analysis. The overall prevalence of central obesity was 41.5% (95% CI 39.9–43.2%). A higher prevalence was found in older individuals, female subjects, urban residents, Caucasians, and populations of higher income level countries. Regarding regional variations, the highest prevalence was found in Sothern America (55.1%, 95% CI 45.8–64.3%) and Central American (52.9%, 95% CI 32.7–72.7%). Its prevalence was rapidly rising from 1985 to 2014. From 1985–1999 to 2010–2014, younger subjects aged 15–40 years showed a more drastic rise in prevalence (16.3 to 33.9%) than subjects aged > 40 years (43.6 to 57.9%). Male individuals have a more drastic rise (25.3 to 41.6%) than females (38.6 to 49.7%). Major increasing in prevalence of the condition in the past three decades, particularly in certain subgroups. These findings could act as a useful reference to inform public health strategies to minimize the impact of central obesity on population health.
AbstractList We aimed to examine the global prevalences of central obesity according to age, sex, race, place of residence, geographical region, national income level, and the definitions of central obesity. MEDLINE and Embase were searched. Studies with sample size of ≥ 500 and investigated individuals aged ≥ 15 years were included. Metaprop (a Stata command) was adopted to conduct a meta-analysis of prevalence, and the Freeman-Tukey Double Arcsine Transformation was used to stabilize the variances. A random-effects model was used to evaluate the prevalence and 95% confidence intervals (CI) of central obesity. There were 288 studies involving 13,233,675 individuals in this analysis. The overall prevalence of central obesity was 41.5% (95% CI 39.9-43.2%). A higher prevalence was found in older individuals, female subjects, urban residents, Caucasians, and populations of higher income level countries. Regarding regional variations, the highest prevalence was found in Sothern America (55.1%, 95% CI 45.8-64.3%) and Central American (52.9%, 95% CI 32.7-72.7%). Its prevalence was rapidly rising from 1985 to 2014. From 1985-1999 to 2010-2014, younger subjects aged 15-40 years showed a more drastic rise in prevalence (16.3 to 33.9%) than subjects aged > 40 years (43.6 to 57.9%). Male individuals have a more drastic rise (25.3 to 41.6%) than females (38.6 to 49.7%). Major increasing in prevalence of the condition in the past three decades, particularly in certain subgroups. These findings could act as a useful reference to inform public health strategies to minimize the impact of central obesity on population health.
We aimed to examine the global prevalences of central obesity according to age, sex, race, place of residence, geographical region, national income level, and the definitions of central obesity. MEDLINE and Embase were searched. Studies with sample size of ≥ 500 and investigated individuals aged ≥ 15 years were included. Metaprop (a Stata command) was adopted to conduct a meta-analysis of prevalence, and the Freeman-Tukey Double Arcsine Transformation was used to stabilize the variances. A random-effects model was used to evaluate the prevalence and 95% confidence intervals (CI) of central obesity. There were 288 studies involving 13,233,675 individuals in this analysis. The overall prevalence of central obesity was 41.5% (95% CI 39.9-43.2%). A higher prevalence was found in older individuals, female subjects, urban residents, Caucasians, and populations of higher income level countries. Regarding regional variations, the highest prevalence was found in Sothern America (55.1%, 95% CI 45.8-64.3%) and Central American (52.9%, 95% CI 32.7-72.7%). Its prevalence was rapidly rising from 1985 to 2014. From 1985-1999 to 2010-2014, younger subjects aged 15-40 years showed a more drastic rise in prevalence (16.3 to 33.9%) than subjects aged > 40 years (43.6 to 57.9%). Male individuals have a more drastic rise (25.3 to 41.6%) than females (38.6 to 49.7%). Major increasing in prevalence of the condition in the past three decades, particularly in certain subgroups. These findings could act as a useful reference to inform public health strategies to minimize the impact of central obesity on population health.We aimed to examine the global prevalences of central obesity according to age, sex, race, place of residence, geographical region, national income level, and the definitions of central obesity. MEDLINE and Embase were searched. Studies with sample size of ≥ 500 and investigated individuals aged ≥ 15 years were included. Metaprop (a Stata command) was adopted to conduct a meta-analysis of prevalence, and the Freeman-Tukey Double Arcsine Transformation was used to stabilize the variances. A random-effects model was used to evaluate the prevalence and 95% confidence intervals (CI) of central obesity. There were 288 studies involving 13,233,675 individuals in this analysis. The overall prevalence of central obesity was 41.5% (95% CI 39.9-43.2%). A higher prevalence was found in older individuals, female subjects, urban residents, Caucasians, and populations of higher income level countries. Regarding regional variations, the highest prevalence was found in Sothern America (55.1%, 95% CI 45.8-64.3%) and Central American (52.9%, 95% CI 32.7-72.7%). Its prevalence was rapidly rising from 1985 to 2014. From 1985-1999 to 2010-2014, younger subjects aged 15-40 years showed a more drastic rise in prevalence (16.3 to 33.9%) than subjects aged > 40 years (43.6 to 57.9%). Male individuals have a more drastic rise (25.3 to 41.6%) than females (38.6 to 49.7%). Major increasing in prevalence of the condition in the past three decades, particularly in certain subgroups. These findings could act as a useful reference to inform public health strategies to minimize the impact of central obesity on population health.
We aimed to examine the global prevalences of central obesity according to age, sex, race, place of residence, geographical region, national income level, and the definitions of central obesity. MEDLINE and Embase were searched. Studies with sample size of ≥ 500 and investigated individuals aged ≥ 15 years were included. Metaprop (a Stata command) was adopted to conduct a meta-analysis of prevalence, and the Freeman-Tukey Double Arcsine Transformation was used to stabilize the variances. A random-effects model was used to evaluate the prevalence and 95% confidence intervals (CI) of central obesity. There were 288 studies involving 13,233,675 individuals in this analysis. The overall prevalence of central obesity was 41.5% (95% CI 39.9–43.2%). A higher prevalence was found in older individuals, female subjects, urban residents, Caucasians, and populations of higher income level countries. Regarding regional variations, the highest prevalence was found in Sothern America (55.1%, 95% CI 45.8–64.3%) and Central American (52.9%, 95% CI 32.7–72.7%). Its prevalence was rapidly rising from 1985 to 2014. From 1985–1999 to 2010–2014, younger subjects aged 15–40 years showed a more drastic rise in prevalence (16.3 to 33.9%) than subjects aged > 40 years (43.6 to 57.9%). Male individuals have a more drastic rise (25.3 to 41.6%) than females (38.6 to 49.7%). Major increasing in prevalence of the condition in the past three decades, particularly in certain subgroups. These findings could act as a useful reference to inform public health strategies to minimize the impact of central obesity on population health.
Author Wang, Jingxuan
Wang, Harry H. X.
Wong, Martin C. S.
Leung, Colette
Chan, Paul S. F.
Zheng, Zhi-Jie
Chen, Xiao
Huang, Junjie
Lao, Xiang Qian
Lok, Veeleah
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  givenname: Martin C. S.
  orcidid: 0000-0001-7706-9370
  surname: Wong
  fullname: Wong, Martin C. S.
  email: wong_martin@cuhk.edu.hk
  organization: Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong
– sequence: 2
  givenname: Junjie
  surname: Huang
  fullname: Huang, Junjie
  organization: Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong
– sequence: 3
  givenname: Jingxuan
  surname: Wang
  fullname: Wang, Jingxuan
  organization: Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong
– sequence: 4
  givenname: Paul S. F.
  surname: Chan
  fullname: Chan, Paul S. F.
  organization: Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong
– sequence: 5
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  surname: Lok
  fullname: Lok, Veeleah
  organization: Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong
– sequence: 6
  givenname: Xiao
  surname: Chen
  fullname: Chen, Xiao
  organization: Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong
– sequence: 7
  givenname: Colette
  surname: Leung
  fullname: Leung, Colette
  organization: Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong
– sequence: 8
  givenname: Harry H. X.
  surname: Wang
  fullname: Wang, Harry H. X.
  organization: School of Public Health, Sun Yat-Sen University
– sequence: 9
  givenname: Xiang Qian
  surname: Lao
  fullname: Lao, Xiang Qian
  organization: Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong
– sequence: 10
  givenname: Zhi-Jie
  surname: Zheng
  fullname: Zheng, Zhi-Jie
  email: zhengzj@bjmu.edu.cn
  organization: Department of Global Health, School of Public Health, Peking University
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32448986$$D View this record in MEDLINE/PubMed
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Issue 7
Keywords Waist circumference
Prevalence
Epidemiology
Central obesity
Temporal trend
Language English
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References_xml – reference: CareyDGPAbdominal obesityCurr Opin Lipidol19989135401:CAS:528:DyaK1cXhtFGhtrY%3D9502333
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– reference: ChenXRJiangYWangLMLeisure-time physical activity and sedentary behaviors among Chinese adults in 2010Zhonghua yu fang yi xue za zhi [Chin J Prevent Med]2012465399403
– reference: LukAOLauESSoWYProspective study on the incidences of cardiovascular-renal complications in Chinese patients with young-onset type 1 and type 2 diabetesDiabetes Care20143711491571:CAS:528:DC%2BC2cXjt1yrurw%3D24356598
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Snippet We aimed to examine the global prevalences of central obesity according to age, sex, race, place of residence, geographical region, national income level, and...
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SubjectTerms Cardiology
Confidence intervals
Epidemiology
Income
Infectious Diseases
Medicine
Medicine & Public Health
Meta-Analysis
Obesity
Oncology
Public Health
Subgroups
Systematic review
Urban populations
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Title Global, regional and time-trend prevalence of central obesity: a systematic review and meta-analysis of 13.2 million subjects
URI https://link.springer.com/article/10.1007/s10654-020-00650-3
https://www.ncbi.nlm.nih.gov/pubmed/32448986
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Volume 35
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