Skip to main content

Global Obesity Patterns, an Introduction

  • Chapter
  • First Online:
International Handbook of the Demography of Obesity

Part of the book series: International Handbooks of Population ((IHOP,volume 12))

  • 338 Accesses

Abstract

A steady rise in obesity prevalence over several decades has led to considerable scholarly interest in its causes and consequences. Demographers have contributed a great deal to our understanding of obesity and its associated mechanisms via formal demographic analyses and population studies. Accordingly, demographers have examined variations within and across populations, established its link to mortality and morbidity, provided forecasts and projections of future levels, and studied how its presence is variable by demographic characteristics. This chapter begins with a discussion of how the demographic study of obesity has developed over time. Next, it describes key trends in global patterns of obesity. It also offers a summary of major contributions made by demographers and an overview of the topics covered in this Handbook. Finally, the chapter describes the tools and methodological approaches used by demographers of obesity.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Notes

  1. 1.

    Lambert Adolphe Jacques Quetelet (1796–1874) was an astronomer, mathematician, statistician, and sociologist. He is credited with the development of the science of anthropometry, or the measurement of the human individual, and the influential construction of life tables (Siegel & Swanson, 2004). The Quetelet Index was first described in 1832, and was later coined as the Body Mass Index in 1972 by Ancel Keys (Eknoyan, 2008).

  2. 2.

    Nationally representative datasets on obesity include: the Behavioral Risk Factor Surveillance System (BRFSS), the National Health and Nutrition Examination Survey (NHANES), the Youth Risk Behavior Surveillance System (YRBSS), and the National Health Interview Survey (NHIS). The National Collaborative on Childhood Obesity also maintains information on publicly available data sets (Catalogue of Surveillance Systems, 2022).

References

  • Abdullah, A., Wolfe, R., Stoelwinder, J. U., De Courten, M., Stevenson, C., Walls, H. L., & Peeters, A. (2011). The number of years lived with obesity and the risk of all-cause and cause-specific mortality. International Journal of Epidemiology, 40(4), 985–996.

    Article  Google Scholar 

  • Antecol, H., & Bedard, K. (2006). Unhealthy assimilation: Why do immigrants converge to American health status levels? Demography, 43(2), 337–360.

    Article  Google Scholar 

  • Boero, N. (2007). All the news that’s fat to print: The American “obesity epidemic” and the media. Qualitative Sociology, 30(1), 41–60.

    Article  Google Scholar 

  • Burkhauser, R. V., & Cawley, J. (2008). Beyond BMI: The value of more accurate measures of fatness and obesity in social science research. Journal of Health Economics, 27(2), 519–529.

    Article  Google Scholar 

  • Calle, E. E., Rodriguez, C., Walker-Thurmond, K., & Thun, M. J. (2003). Overweight, obesity, and mortality from cancer in a prospectively studied cohort of US adults. New England Journal of Medicine, 348(17), 1625–1638.

    Article  Google Scholar 

  • Cao, B. (2016). Future healthy life expectancy among older adults in the US: A forecast based on cohort smoking and obesity history. Population Health Metrics, 14(1). https://doi.org/10.1186/s12963-016-0092-2

  • Catalogue of Surveillance Systems. (2022). National Collaborative on Childhood Obesity Research. Retrieved 1 June 2022 from https://www.nccor.org/nccor-tools/catalogue/

  • Cawley, J. (2015). An economy of scales: A selective review of obesity’s economic causes, consequences, and solutions. Journal of Health Economics, 43, 244–268. https://doi.org/10.1016/j.jhealeco.2015.03.001

    Article  Google Scholar 

  • Centers for Disease Control (CDC). (2022). Overweight & obesity. Retrieved 1 June 2022 from https://www.cdc.gov/obesity/index.html

  • Chang, V. W., Alley, D. E., & Dowd, J. B. (2015). Is obesity becoming more disabling over time? Evidence from the NHANES 1988–2012. Population Association of America, 2015 Annual Meetings, San Diego, CA.

    Google Scholar 

  • Cohen, R. M., Rehkopf, D. H., & Abrams, B. (2013). Educational attainment and obesity: A systematic review: Educational attainment and obesity. Obesity Reviews, 14(12), 989–1005. https://doi.org/10.1111/obr.12062

    Article  Google Scholar 

  • Cunningham, S. A., Ruben, J. D., & Venkat Narayan, K. M. (2008). Health of foreign-born people in the United States: A review. Health & Place, 14(4), 623–635. https://doi.org/10.1016/j.healthplace.2007.12.002

    Article  Google Scholar 

  • De Onis, M., Blössner, M., & Borghi, E. (2010). Global prevalence and trends of overweight and obesity among preschool children. The American Journal of Clinical Nutrition, 92(5), 1257–1264.

    Article  Google Scholar 

  • Eknoyan, G. (2008). Adolphe Quetelet (1796–1874) – The average man and indices of obesity. Nephrology, Dialysis, Transplantation, 23(1), 47–51. https://doi.org/10.1093/ndt/gfm517

    Article  Google Scholar 

  • Flegal, K. M., & Graubard, B. I. (2009). Estimates of excess deaths associated with body mass index and other anthropometric variables. American Journal of Clinical Nutrition, 89(4), 1213–1219.

    Article  Google Scholar 

  • Flegal, K. M., Graubard, B. I., Williamson, D. F., & Gail, M. H. (2005). Excess deaths associated with underweight, overweight, and obesity. JAMA, 293(15), 1861–1867.

    Article  Google Scholar 

  • Flegal, K. M., Kit, B. K., Orpana, H., & Graubard, B. I. (2013). Association of all-cause mortality with overweight and obesity using standard body mass index categories: A systematic review and meta-analysis. Journal of the American Medical Association, 309(1), 71–82.

    Article  Google Scholar 

  • Frank, R., & Akresh, I. R. (2013). Social patterning in body mass index (BMI) among contemporary immigrant groups: The emergence of a gradient. Demography, 50(3), 993–1012.

    Article  Google Scholar 

  • Frisco, M. L., Quiros, S., & Van Hook, J. (2016). One size may not fit all: How obesity among Mexican-origin youth varies by generation, gender, and age. Demography, 53(6), 2031–2043.

    Article  Google Scholar 

  • Gao, M., Piernas, C., Astbury, N. M., Hippisley-Cox, J., O'Rahilly, S., Aveyard, P., & Jebb, S. A. (2021). Associations between body-mass index and COVID-19 severity in 6.9 million people in England: A prospective, community-based, cohort study. The Lancet Diabetes and Endocrinology, 9(6), 350–359. https://doi.org/10.1016/S2213-8587(21)00089-9

    Article  Google Scholar 

  • Grol-Prokopczyk, H. (2010). Who says obesity is an epidemic? How excess weight became an American health crisis. In Understanding emerging epidemics: Social and political approaches (pp. 343–358). Emerald Group Publishing Limited.

    Chapter  Google Scholar 

  • Hales, C. M., Carroll, M. D., Fryar, C. D., & Ogden, C. L. (2020). Prevalence of obesity and severe obesity among adults: United States, 2017–2018. National Center for Health Statistics.

    Google Scholar 

  • Harvard School of Public Health (HSPH). (2018). Obesity prevention source. Retrieved July 2018 from https://www.hsph.harvard.edu/obesity-prevention-source/

  • Health Implications of Obesity. (1985). NIH Consensus Statement Online, 5(9), 1–7. Retrieved 27 August 2018 from https://consensus.nih.gov/1985/1985Obesity049html.htm

  • Himes, C. L. (2000). Obesity, disease, and functional limitation in later life. Demography, 37(1), 73–82.

    Article  Google Scholar 

  • Himes, C. L. (2011). The demography of obesity. In J. Cawley (Ed.), The Oxford handbook of the social science of obesity (pp. 35–47). Oxford University Press.

    Google Scholar 

  • Jarrett, R. J. (1986). Is there an ideal body weight? British Medical Journal (Clinical Research Ed.), 293(6545), 493–495.

    Article  Google Scholar 

  • Kawachi, I., & Subramian, S. V. (2005). Health demography. In D. L. Poston Jr. & M. Micklin (Eds.), Handbook of population (pp. 787–808). Kluwer Academic/Plenum Publisher.

    Chapter  Google Scholar 

  • Lamb, V. L., & Siegel, J. S. (2004). Health demography. In J. S. Siegel & D. S. Swanson (Eds.), The methods and materials of demography (pp. 341–370). Elsevier/Academic.

    Google Scholar 

  • Lee, J. M., Pilli, S., Gebremariam, A., Keirns, C. C., Davis, M. M., Vijan, S., et al. (2010). Getting heavier, younger: Trajectories of obesity over the life course. International Journal of Obesity, 34, 614. Retrieved from https://link-gale-com.libweb.lib.utsa.edu/apps/doc/A224334948/HRCA?u=txshracd2604&sid=bookmark-HRCA&xid=b91a68dd

  • Masters, R. (2018). Estimating mortality risks associated with overweight and obesity in the U.S. adult population. Population Association of America 2018 Annual Meetings, Denver, CO.

    Google Scholar 

  • Mehta, N. K., & Chang, V. W. (2009). Mortality attributable to obesity among middle-aged adults in the United States. Demography, 46(4), 851–872.

    Article  Google Scholar 

  • Mehta, T., Fontaine, K. R., Keith, S. W., Bangalore, S. S., de los Campos, G., Bartolucci, A., et al. (2014). Obesity and mortality: Are the risks declining? Evidence from multiple prospective studies in the United States. Obesity Reviews, 15(8), 619–629. https://doi.org/10.1111/obr.12191

    Article  Google Scholar 

  • Mokdad, A. H., Marks, J. S., Stroup, D. F., & Gerberding, J. L. (2004). Actual causes of death in the United States, 2000. Journal of the American Medical Association, 291(10), 1238–1245. https://doi.org/10.1001/jama.291.10.1238

    Article  Google Scholar 

  • Mokdad, A. H., Marks, J. S., Stroup, D. F., & Gerberding, J. L. (2005). Correction: Actual causes of death in the United States, 2000. Journal of the American Medical Association, 291, 293–294. https://doi.org/10.1001/jama.291.10.1238

    Article  Google Scholar 

  • National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). (2021). Overweight and obesity statistics. Retrieved 1 June 2022 from https://www.niddk.nih.gov/health-information/health-statistics/overweight-obesity

  • National Institutes of Health (NIH). (2018). Obesity. Retrieved 1 June 2022 from https://medlineplus.gov/obesity.html

  • NCD Risk Factor Collaboration (NCD-RisC). (2022). National Adult Body-Mass Index. Retrieved 1 June 2022 from https://ncdrisc.org/data-downloads-adiposity.html

  • NCD Risk Factor Collaboration NCD. (2016). Trends in adult body-mass index in 200 countries from 1975 to 2014: A pooled analysis of 1698 population-based measurement studies with 19.2 million participants. Lancet, 387(10026), 1377–1396.

    Article  Google Scholar 

  • Ng, S. W., Zaghloul, S., Ali, H. I., Harrison, G., & Popkin, B. M. (2011). The prevalence and trends of overweight, obesity and nutrition-related non-communicable diseases in the Arabian Gulf States. Obesity Reviews, 12(1), 1–13. https://doi.org/10.1111/j.1467-789X.2010.00750.x

    Article  Google Scholar 

  • Oliver, J. E. (2005). Fat politics: The real story behind America’s obesity epidemic. Oxford University Press.

    Google Scholar 

  • Olshansky, S. J., Passaro, D. J., Hershow, R. C., Layden, J., Carnes, B. A., Brody, J., et al. (2005). A potential decline in life expectancy in the United States in the 21st century. New England Journal of Medicine, 352(11), 1138–1145.

    Article  Google Scholar 

  • Pampel, F. C., Denney, J. T., & Krueger, P. M. (2012). Obesity, SES, and economic development: A test of the reversal hypothesis. Social Science & Medicine, 74(7), 1073–1081.

    Article  Google Scholar 

  • Peeters, A., & Backholer, K. (2012). Is the health burden associated with obesity changing? American Journal of Epidemiology, 176(10), 840–845. https://doi.org/10.1093/aje/kws328

    Article  Google Scholar 

  • Peeters, A., Barendregt, J. J., Willekens, F., Mackenbach, J. P., Al Mamun, A., & Bonneux, L. (2003). Obesity in adulthood and its consequences for life expectancy: A life-table analysis. Annals of Internal Medicine, 138(1), 24–32.

    Article  Google Scholar 

  • Popkin, B. M. (2006). Global nutrition dynamics: The world is shifting rapidly toward a diet linked with noncommunicable diseases. The American Journal of Clinical Nutrition, 84(2), 289–298. https://doi.org/10.1093/ajcn/84.2.289

    Article  Google Scholar 

  • Popkin, B. M., Adair, L. S., & Ng, S. W. (2012). Global nutrition transition and the pandemic of obesity in developing countries. Nutrition Reviews, 70(1), 3–21. https://doi.org/10.1111/j.1753-4887.2011.00456.x

    Article  Google Scholar 

  • Popkin, B. M., Corvalan, C., & Grummer-Strawn, L. (2020). Dynamics of the double burden of malnutrition and the changing nutrition reality. The Lancet, 395(10217), 65–74. https://doi.org/10.1016/S0140-6736(19)32497-3

    Article  Google Scholar 

  • Prentice, A. M. (2006). The emerging epidemic of obesity in developing countries. International Journal of Epidemiology, 35(1), 93–99.

    Article  Google Scholar 

  • Preston, S., Mehta, N., & Stokes, A. (2013). Modeling obesity histories in cohort analyses of health and mortality. Epidemiology, 24, 1–9. https://doi.org/10.1097/EDE.0b013e3182770217

    Article  Google Scholar 

  • Preston, S. H., Stokes, A., Mehta, N. K., & Cao, B. (2014). Projecting the effect of changes in smoking and obesity on future life expectancy in the United States. Demography, 51(1), 27–49.

    Article  Google Scholar 

  • Prospective Studies Collaboration. (2009). Body-mass index and cause-specific mortality in 900,000 adults: Collaborative analyses of 57 prospective studies. Lancet, 373, 1083–1096. https://doi.org/10.1016/S0140-6736(09)60318-4

    Article  Google Scholar 

  • Siegel, J. S., & Swanson, D. S. (2004). The methods and materials of demography. Elsevier/Academic.

    Google Scholar 

  • Sobal, J. (1995). The medicalization and demedicalization of obesity. In D. Maurer & J. Sobal (Eds.), Eating agendas: Food and nutrition as social problems (pp. 67–90). Aldine de Gruyter.

    Google Scholar 

  • Statistics Canada. (2019). Overweight and obese adults, 2018. Retrieved 1 June 2022 from https://www150.statcan.gc.ca/n1/pub/82-625-x/2019001/article/00005-eng.htm

  • Stewart, S. T., Cutler, D. M., & Rosen, A. B. (2009). Forecasting the effects of obesity and smoking on US life expectancy. New England Journal of Medicine, 361(23), 2252–2260.

    Article  Google Scholar 

  • Swinburn, B. A., Kraak, V. I., Allender, S., Atkins, V. J., Baker, P. I., Bogard, J. R., et al. (2019). The global syndemic of obesity, undernutrition, and climate change: The Lancet Commission report. The Lancet, 393(10173), 791–846. https://doi.org/10.1016/S0140-6736(18)32822-8

    Article  Google Scholar 

  • Tian, X., & von Cramon-Taubadel, S. (2020). Are only children in China more likely to be obese/overweight than their counterparts with siblings? Economics and Human Biology, 37, 100847.

    Article  Google Scholar 

  • Trogdon, J. G., Finkelstein, E. A., Hylands, T., Dellea, P. S., & Kamal-Bahl, S. J. (2008). Indirect costs of obesity: A review of the current literature. Obesity Reviews, 9(5), 489–500.

    Article  Google Scholar 

  • Troiano, R. P., Frongillo, J. E., Sobal, J., & Levitsky, D. A. (1996). The relationship between body weight and mortality: A quantitative analysis of combined information from existing studies. International Journal of Obesity and Related Disorders, 20(1), 63–75.

    Google Scholar 

  • Van Hook, J., Baker, E., Altman, C. E., & Frisco, M. L. (2012). Canaries in a coalmine: Immigration and overweight among Mexican-origin children in the US and Mexico. Social Science & Medicine (1982), 74(2), 125–134. https://doi.org/10.1016/j.socscimed.2011.10.007

    Article  Google Scholar 

  • Visscher, T. L., & Seidell, J. C. (2001). The public health impact of obesity. Annual Review of Public Health, 22(1), 355–375.

    Article  Google Scholar 

  • World Health Organization (WHO). (2018). Controlling the global obesity epidemic. Retrieved from http://www.who.int/nutrition/topics/obesity/en/

  • World Health Organization (WHO). (2021). Obesity and overweight fact sheet. Retrieved 1 June 2022 from http://www.who.int/en/news-room/fact-sheets/detail/obesity-and-overweight

  • World Obesity Federation. (2021). The economic impact of overweight & obesity in 8 countries. Summary report. Retrieved from https://data.worldobesity.org/publications/

  • World Obesity Federation. (2022). World Obesity Atlas 2022. Retrieved from https://data.worldobesity.org/publications/World-Obesity-Atlas-2022.pdf

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ginny Garcia-Alexander .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Garcia-Alexander, G., Poston, D.L. (2022). Global Obesity Patterns, an Introduction. In: Garcia-Alexander, G., Poston, Jr., D.L. (eds) International Handbook of the Demography of Obesity. International Handbooks of Population, vol 12. Springer, Cham. https://doi.org/10.1007/978-3-031-10936-2_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-10936-2_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-10935-5

  • Online ISBN: 978-3-031-10936-2

  • eBook Packages: Social SciencesSocial Sciences (R0)

Publish with us

Policies and ethics