肥満率は多くの国で横ばいまたは減少傾向にあるとの国際報告 (Obesity rates levelling off and even declining in many nations, says global progress report)

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2026-05-13 インペリアル・カレッジ・ロンドン(ICL)

インペリアル・カレッジ・ロンドン主導の国際研究チームは、1980~2024年における世界200カ国超の肥満率推移を解析し、肥満増加が一律に拡大し続けているわけではなく、多くの高所得国では増加速度が鈍化、横ばい、あるいは減少傾向に転じていることを明らかにした。研究はNature誌に掲載され、約2,000人の研究者と2億3,200万人分のデータを用いた大規模解析に基づく。米国や英国では成人肥満率は依然高水準ながら増加ペースが低下し、フランスやポルトガルでは減少兆候も確認された。一方、低・中所得国では肥満率が依然急増しており、特にアジア、アフリカ、中南米で顕著だった。また、子どもの肥満率は成人より早く安定化傾向を示していた。研究チームは、超加工食品の普及、都市化、運動不足に加え、健康政策や学校給食制度、食料アクセス格差など各国固有の社会経済要因が肥満動向を左右していると指摘した。さらに、GLP-1系抗肥満薬の普及が今後の肥満率低下に影響する可能性も示唆されている。

肥満率は多くの国で横ばいまたは減少傾向にあるとの国際報告 (Obesity rates levelling off and even declining in many nations, says global progress report)

<関連情報>

先進国では肥満の増加が横ばいとなり、発展途上国では加速している Obesity rise plateaus in developed nations and accelerates in developing nations

NCD Risk Factor Collaboration (NCD-RisC)
Nature  Published:13 May 2026
DOI:https://doi.org/10.1038/s41586-026-10383-0

Abstract

Global reporting of obesity is commonly based on comparisons over multiple decades1 and lacks a granular and systematic analysis of its dynamics. We used 4,050 population-based studies with measured height and weight data on 232 million participants to assess the worldwide dynamics of obesity from 1980 to 2024. The rise in obesity decelerated in school-aged children and adolescents throughout the 1990s in many high-income countries, and subsequently plateaued in most at age-standardized prevalences spanning 20 percentage points, from 3–4% for girls in Japan, Denmark and France to 23% for boys in the USA. There were indications of a small decline in obesity in children and adolescents in some high-income western countries (for example, Italy, Portugal and France) since the 2000s. Similar trends were seen in some countries in Central and Eastern Europe. In adults, the rise in obesity slowed down in high-income western countries about a decade after children, followed by a plateau or possibly a small reversal of the rise in some countries (for example, Spain). In most low-income and middle-income countries, the annual absolute change in prevalence has remained stable or increased over time, even though prevalence has surpassed that of high-income countries. These highly varied dynamics suggest that the social, economic and technological trends that influence the availability, affordability and use of different foods may have helped control the rise in obesity in high-income countries, but require policy interventions in low-income and middle-income countries.

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