Trends and predictions of malnutrition and obesity in 204 countries and territories: an analysis of the Global Burden of Disease Study 2019

Chong, Bryan; Jayabaskaran, Jayanth; Kong, Gwyneth; Chan, Yiong Huak; Chin, Yip Han; Goh, Rachel; Kannan, Shankar; Ng, Cheng Han; Loong, Shaun Seh Ern; Kueh, Martin Tze Wah; Lin, Chaoxing; Anand, Vickram Vijay; Lee, Ethan Cheng Zhe; Chew, H.S. Jocelyn; Tan, Darren Jun Hao; Chan, Kai En; Wang, Jiong‐Wei; Muthiah, Mark; Dimitriadis, Georgios K.; Hausenloy, Derek J; Mehta, Anurag; Foo, Roger; Lip, Gregory Y. H.; Chan, Mark Y; Mamas, Mamas A.; Roux, Carel W. le; Chew, Nicholas

doi:10.1016/j.eclinm.2023.101850

Cited by 130 publications

(68 citation statements)

References 26 publications

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“…67 There was further inter-regional variability in the predictive value of EAT, with increasing EAT measurements conferring greater risk of MI within the European than Asian-based populations. 12…”

Section: Discussionmentioning

confidence: 99%

“…11 However, it remains controversial whether EAT per se has a direct association with incident CVD or whether these associations are confounded by the shared drivers of metabolic risk. 1,[12][13][14][15][16][17][18] Moreover, the difference in prognostic utility of EAT determined by either transthoracic echocardiography (TTE) or CT, as well as the heterogenous thresholds of EAT measurements, remains unclear. Thus, we sought to examine the associations between EAT thickness and volume with the spectrum of cardiovascular outcomes.…”

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confidence: 99%

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Epicardial Adipose Tissue Assessed by Computed Tomography and Echocardiography Are Associated With Adverse Cardiovascular Outcomes: A Systematic Review and Meta-Analysis

Chong

Jayabaskaran

Ruban

et al. 2023

Circ: Cardiovascular Imaging

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Background: Epicardial adipose tissue (EAT) has garnered attention as a prognostic and risk stratification factor for cardiovascular disease. This study, via meta-analyses, evaluates the associations between EAT and cardiovascular outcomes stratified across imaging modalities, ethnic groups, and study protocols. Methods: Medline and Embase databases were searched without date restriction on May 2022 for articles that examined EAT and cardiovascular outcomes. The inclusion criteria were (1) studies measuring EAT of adult patients at baseline and (2) reporting follow-up data on study outcomes of interest. The primary study outcome was major adverse cardiovascular events. Secondary study outcomes included cardiac death, myocardial infarction, coronary revascularization, and atrial fibrillation. Results: Twenty-nine articles published between 2012 and 2022, comprising 19 709 patients, were included in our analysis. Increased EAT thickness and volume were associated with higher risks of cardiac death (odds ratio, 2.53 [95% CI, 1.17–5.44]; P =0.020; n=4), myocardial infarction (odds ratio, 2.63 [95% CI, 1.39–4.96]; P =0.003; n=5), coronary revascularization (odds ratio, 2.99 [95% CI, 1.64–5.44]; P <0.001; n=5), and atrial fibrillation (adjusted odds ratio, 4.04 [95% CI, 3.06–5.32]; P <0.001; n=3). For 1 unit increment in the continuous measure of EAT, computed tomography volumetric quantification (adjusted hazard ratio, 1.74 [95% CI, 1.42–2.13]; P <0.001) and echocardiographic thickness quantification (adjusted hazard ratio, 1.20 [95% CI, 1.09–1.32]; P <0.001) conferred an increased risk of major adverse cardiovascular events. Conclusions: The utility of EAT as an imaging biomarker for predicting and prognosticating cardiovascular disease is promising, with increased EAT thickness and volume being identified as independent predictors of major adverse cardiovascular events. Registration: URL: https://www.crd.york.ac.uk/prospero ; Unique identifier: CRD42022338075.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Epicardial Adipose Tissue Assessed by Computed Tomography and Echocardiography Are Associated With Adverse Cardiovascular Outcomes: A Systematic Review and Meta-Analysis

Chong

Jayabaskaran

Ruban

et al. 2023

Circ: Cardiovascular Imaging

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“…Such high economic and social impact result in increase in poverty 4 and reduced quality of life 5 . In 2019, obesity contributed to about five million deaths from cardiovascular diseases, diabetes, cancers, neurological disorders, respiratory diseases, and so forth 6 . Other publication by Oladoyinbo et al 7 corroborate this finding of the effect of obesity and overweight to complicate diseases and result in death.…”

Section: Introductionmentioning

confidence: 93%

The influence of nutrition knowledge, attitude, practices, and dietary diversity on obesity among market women in the Cape Coast Metropolis, Ghana: A cross‐sectional study

Apprey,

Mensah,

Agyarko

et al. 2023

Health Science Reports

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Background and AimsObesity and overweight are major public health threat affecting many people globally. This study aimed to examine the role of nutrition knowledge (NK), attitude, practices, and dietary diversity (DD) on the prevalence of obesity among market women in Cape Coast, Ghana.MethodsThis cross‐sectional study was conducted at Abura and Kotokuraba markets in the Cape Coast Metropolis of Ghana. Apparently healthy female traders (n = 402) aged ≥18 years were selected randomly from the markets. DD was assessed with dietary diversity score (DDS) using a 24h dietary recall method. NK, dietary practices, and attitudes were assessed using validated semistructured questionnaires. Body composition parameters were assessed using appropriate tools. Descriptive and binary logistic regression analysis were performed. Statistical significance was considered at p < 0.05.ResultsThe prevalence of overweight was 31.84% and obesity was 39.30%. Majority of respondents had poor DD as about 91% had DDS <5. About 75% of the market women had no knowledge in nutrition. About 57% eat thrice daily and 82% take supper from 7 p.m. Knowledge in nutrition was significantly associated with body fat (OR = 0.45, 95% CI = 0.26–0.78, p = 0.004), body mass index (OR = 0.40, 95% CI = 0.28–0.71, p = 0.001), and waist‐to‐hip ratio (OR = 0.32, 95% CI = 0.19–0.56, p < 0.001)ConclusionThe prevalence of obesity and overweight was high among the market women. Poor NK and poor DD may have influenced this. A campaign on better dietary practices and delivery of nutrition education may help to minimize the prevalence of obesity among market women.

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“…People with obesity are at increased risk of cardiovascular diseases, type 2 diabetes, certain cancers, and premature death [3,4]. The Global Burden of Disease Study reported that obesity accounted for 5.02 million deaths and 160 million disability-adjusted life-years worldwide in 2019 [5]. As obesity has emerged, the burden of disease attributed to this condition increases accordingly.…”

Section: Introductionmentioning

confidence: 99%

Impact of body mass index on mortality in middle-aged Koreans: A prospective cohort study based on a Health Examinees study

Cho

Shin

Choi

et al. 2023

Preprint

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Background Obesity is the major cause of chronic diseases and the leading cause of mortality. We aimed to assess the impact of obesity on mortality in middle-aged Koreans using data from a Health Examinees study.Methods We used data from 39,689 men and 76,272 women who had complete information on body size and gave informed consent for the linkage of their data with the national death certificate data. Cox proportional hazard model was used to estimate the hazard ratios (HRs) and 95% confidence intervals (CIs) of body mass index (BMI) for all-cause, cardiovascular, and cancer mortality. The educational level and habits of cigarette smoking, alcohol consumption, and regular physical activity were adjusted. The menopausal status was additionally adjusted in women.Results We found increased risks of all-cause mortality among those with a BMI of < 18.5 kg/m2 (adjusted HRs [95% CIs]: men, 2.24 [1.73–2.91]; women, 1.47 [0.98–2.22]) and 18.0–< 21 kg/m2 (men, 1.18 [1.00–1]; women, 1.23 [1.01–1.50]) than in those with a BMI of 21–< 23 kg/m2. We also observed that men with BMIs of 23–< 25 kg/m2 (0.85 [0.74–0.97]) and 25.0–26.9 kg/m2 (0.87 [0.75-1.00]) had decreased risks of all-cause mortality.Conclusion This large prospective study found significant associations between BMI and mortality. Especially, being underweight was associated with an increased risk of mortality in both sexes.

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Trends and predictions of malnutrition and obesity in 204 countries and territories: an analysis of the Global Burden of Disease Study 2019

Cited by 130 publications

References 26 publications

Epicardial Adipose Tissue Assessed by Computed Tomography and Echocardiography Are Associated With Adverse Cardiovascular Outcomes: A Systematic Review and Meta-Analysis

Epicardial Adipose Tissue Assessed by Computed Tomography and Echocardiography Are Associated With Adverse Cardiovascular Outcomes: A Systematic Review and Meta-Analysis

The influence of nutrition knowledge, attitude, practices, and dietary diversity on obesity among market women in the Cape Coast Metropolis, Ghana: A cross‐sectional study

Impact of body mass index on mortality in middle-aged Koreans: A prospective cohort study based on a Health Examinees study

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