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Without immediate and effective policy changes, projections indicate that over half of the adult population globally, approximately 3.8 billion individuals, and one-third of children and adolescents, around 746 million, will be classified as overweight or obese by the year 2050. This alarming trend presents a significant public health crisis, likely leading to increased rates of premature diseases and fatalities on local, national, and global scales, as highlighted by a comprehensive analysis conducted by the Global Burden of Disease Study BMI Collaborators and published in The Lancet.
The research emphasizes that inadequate responses to the escalating obesity epidemic over the last three decades have resulted in a dramatic rise in the number of individuals with overweight and obesity. Since 1990, the figures have surged from 731 million adults to 2.11 billion and from 198 million children and adolescents to 493 million by 2021.
Forecasts suggest a staggering 121% increase in obesity rates among youth, with the total number of affected children and adolescents expected to reach 360 million by 2050. The analysis underscores the urgency for proactive measures as significant increases in obesity are anticipated between 2022 and 2030.
Professor Emmanuela Gakidou, the lead researcher, describes the global obesity epidemic as a tragic societal failure. The data can help governments and public health officials identify populations at the highest risk and implement targeted interventions.
The study compiled data on the prevalence of overweight and obesity across various age groups and regions, utilizing approximately 1,350 data sources to provide a robust forecast extending to 2050. Definitions of overweight and obesity were based on body mass index (BMI) measurements.
By 2050, it is estimated that nearly 60% of adults will experience overweight or obesity. The prevalence of obesity has more than doubled among adult men and women since 1990. Regions such as Oceania and North Africa are currently facing the highest obesity rates, with countries like Nauru and Tonga showing particularly alarming statistics. The United States also ranks high, with obesity rates affecting about 42% of men and 46% of women.
If trends continue as projected, the rate of overweight and obesity among adults is expected to rise significantly by 2050, particularly in Asia and sub-Saharan Africa. Notably, Nigeria is anticipated to experience a dramatic increase, with projections indicating that the number of adults facing overweight and obesity could exceed 141 million by 2050.
One in three adults globally is projected to be impacted by obesity by the designated year, with concerning trends observed in older populations. The study further details the rising obesity rates in sub-Saharan Africa, where both adults and young people are expected to face significant health challenges as a result.
The analysis also reveals that younger generations are gaining weight at a faster rate than their predecessors, leading to higher risks of health complications at earlier ages. For instance, the percentage of men in high-income countries living with obesity by age 25 has seen a notable increase over generations.
Among children and adolescents, the prevalence of obesity has seen a troubling rise, with rates doubling since 1990. The forecast indicates that by 2050, a substantial shift from being overweight to being classified as obese is anticipated, particularly in North Africa and Latin America.
To address the looming crisis, the authors advocate for 5-year action plans aimed at curbing obesity rates and setting new goals for the future. A comprehensive approach is necessary, tailored to the unique challenges of each region, particularly in low- and middle-income countries.
Effective policy changes must encompass a range of interventions, including marketing regulations for unhealthy foods and promoting physical activity in communities. The authors emphasize that urgent action is imperative to prevent a significant rise in obesity rates and associated health conditions.
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