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The global obesity pandemic: shaped by global drivers and local environments.
Lancet. 2011 Aug 27; 378(9793):804-14.Lct

Abstract

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.

Authors+Show Affiliations

WHO Collaborating Centre for Obesity Prevention, Deakin University, Melbourne, VIC, Australia. boyd.swinburn@deakin.edu.auNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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.

Language

eng

PubMed ID

21872749

Citation

Swinburn, Boyd A., et al. "The Global Obesity Pandemic: Shaped By Global Drivers and Local Environments." Lancet (London, England), vol. 378, no. 9793, 2011, pp. 804-14.
Swinburn BA, Sacks G, Hall KD, et al. The global obesity pandemic: shaped by global drivers and local environments. Lancet. 2011;378(9793):804-14.
Swinburn, B. A., Sacks, G., Hall, K. D., McPherson, K., Finegood, D. T., Moodie, M. L., & Gortmaker, S. L. (2011). The global obesity pandemic: shaped by global drivers and local environments. Lancet (London, England), 378(9793), 804-14. https://doi.org/10.1016/S0140-6736(11)60813-1
Swinburn BA, et al. The Global Obesity Pandemic: Shaped By Global Drivers and Local Environments. Lancet. 2011 Aug 27;378(9793):804-14. PubMed PMID: 21872749.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The global obesity pandemic: shaped by global drivers and local environments. AU - Swinburn,Boyd A, AU - Sacks,Gary, AU - Hall,Kevin D, AU - McPherson,Klim, AU - Finegood,Diane T, AU - Moodie,Marjory L, AU - Gortmaker,Steven L, PY - 2011/8/30/entrez PY - 2011/8/30/pubmed PY - 2011/9/16/medline SP - 804 EP - 14 JF - Lancet (London, England) JO - Lancet VL - 378 IS - 9793 N2 - 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. SN - 1474-547X UR - https://www.unboundmedicine.com/medline/citation/21872749/The_global_obesity_pandemic:_shaped_by_global_drivers_and_local_environments_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0140-6736(11)60813-1 DB - PRIME DP - Unbound Medicine ER -