Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight
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March 2021eLife Sciences Publications Ltd
eLife
2021#10
From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions.
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Imperial College London, London, United Kingdom
Harvard TH Chan School of Public Health, Boston, United States
Middlesex University, London, United Kingdom
Los Angeles, United States
World Health Organization, Geneva, Switzerland
Ministry of Health, Victoria, Seychelles
University of Lausanne, Lausanne, Switzerland
Eduardo Mondlane University, Maputo, Mozambique
Victor Babes University of Medicine and Pharmacy Timisoara, Timisoara, Romania
University of Sydney, Sydney, Australia
National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan
University of Auckland, Auckland, New Zealand
Seoul National University, Seoul, South Korea
ICMR - National Institute of Nutrition, Hyderabad, India
Capital Medical University Beijing An Zhen Hospital, Beijing, China
Universidad Peruana Cayetano Heredia, Lima, Peru
University Tunis El Manar, Tunis, Tunisia
University of Oulu, Oulu, Finland
University of Zagreb, Zagreb, Croatia
University of Ljubljana, Ljubljana, Slovenia
Caja Costarricense de Seguro Social, San José, Costa Rica
Al-Quds University, East Jerusalem, Palestine
National Center of Public Healthcare, Nur-Sultan, Kazakhstan
Ministry of Health, Kuala Lumpur, Malaysia
Qatar University, Doha, Qatar
Birzeit University, Birzeit, Palestine
Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
Instituto Mexicano del Seguro Social, Mexico City, Mexico
Flinders University, Adelaide, Australia
Mahidol University, Nakhon Pathom, Thailand
BRAC James P Grant School of Public Health, Dhaka, Bangladesh
University of Copenhagen, Copenhagen, Denmark
Copenhagen University Hospital, Copenhagen, Denmark
Food and Nutrition Research Institute, Taguig, Philippines
Urmia University of Medical Sciences, Urmia, Iran
Instituto Nacional de Ciencias Médicas y Nutrición, Mexico City, Mexico
University of Amsterdam, Amsterdam, Netherlands
Shahrekord University of Medical Sciences, Shahrekord, Iran
Non-Communicable Diseases Research Center, Tehran, Iran
University of Oslo, Oslo, Norway
University of Bremen, Bremen, Germany
Republican Center for Health Promotion, Bishkek, Kyrgyzstan
National Center for Diabetes, Endocrinology and Genetics, Amman, Jordan
Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
Kuwait Institute for Scientific Research, Kuwait City, Kuwait
King Abdulaziz University, Jeddah, Saudi Arabia
Dasman Diabetes Institute, Kuwait City, Kuwait
Aldara Hospital and Medical Center, Riyadh, Saudi Arabia
King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
Luxembourg Institute of Health, Strassen, Luxembourg
Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark
Barcelona Institute for Global Health CIBERESP, Barcelona, Spain
World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt
Bombay Hospital and Medical Research Centre, Mumbai, India
Research Center for Social Determinants of Health, Tehran, Iran
UMR CNRS-MNHN 7206 Eco-anthropologie, Paris, France
University of Lille, France
Lille University Hospital, Lille, France
Western Norway University of Applied Sciences, Sogndal, Norway
Norwegian School of Sport Sciences, Oslo, Norway
Madras Diabetes Research Foundation, Chennai, India
Zahedan University of Medical Sciences, Zahedan, Iran
National Institute of Public Health, Tunis, Tunisia
Institute of Public Health of the University of Porto, Porto, Portugal
Norwegian Institute of Public Health, Oslo, Norway
University of Massachusetts Amherst, Amherst, United States
Abt Associates, Kathmandu, Nepal
University of Iceland, Reykjavik, Iceland
University of Yaoundé1, Yaoundé, Cameroon
Federal University of Pelotas, Pelotas, Brazil
University of Medicine 1, Yangon, Myanmar
Oulu University Hospital, Oulu, Finland
Banska Bystrica Regional Authority of Public Health, Banska Bystrica, Slovakia
Tel- Aviv University, Tel-Aviv, Israel
Hebrew University of Jerusalem, Jerusalem, Israel
University of Porto Medical School, Porto, Portugal
Neyshabur University of Medical Sciences, Neyshabur, Iran
Research Institute for Endocrine Sciences, Tehran, Iran
Non- Communicable Diseases Research Center, Tehran, Iran
Indian Council of Medical Research, New Delhi, India
National Institute of Public Health, Copenhagen, Denmark
University of Science and Technology, Sana’a, Yemen
Medical University of Lodz, Lodz, Poland
Medical University of Gdansk, Gdansk, Poland
Universidad Autónoma de Madrid CIBERESP, Madrid, Spain
University of Rzeszów, Rzeszów, Poland
University of Palermo, Palermo, Italy
Pan American Health Organization, Washington, DC, United States
Mohammed V University de Rabat, Rabat, Morocco
University of Pernambuco, Recife, Brazil
Baqai Institute of Diabetology and Endocrinology, Karachi, Pakistan
Federal University of Santa Catarina, Florianópolis, Brazil
Dalhousie University, Halifax, Canada
Jordan University of Science and Technology, Irbid, Jordan
Federal University of Maranhao, Sao Luís, Brazil
Al-Farabi Kazakh National University, Almaty, Kazakhstan
University College Dublin, Dublin, Ireland
Christian Medical College, Vellore, India
Federal Ministry of Social Affairs, Health, Care and Consumer Protection, Vienna, Austria
Cafam University Foundation, Bogota, Colombia
Kazakh National Medical University, Almaty, Kazakhstan
Lithuanian University of Health Sciences, Kaunas, Lithuania
University of Saõ Paulo, Saõ Paulo, Brazil
B J Medical College, Ahmedabad, India
Chirayu Medical College, New Delhi, India
Sunder Lal Jain Hospital, Delhi, India
The Hospital for Sick Children, Toronto, Canada
Aga Khan University, Karachi, Pakistan
Shandong University of Traditional Chinese Medicine, Jinan, China
Jiao-Tong University School of Medicine, Shanghai, China
Universidad de la República, Montevideo, Uruguay
Institute of Medical Research and Medicinal Plant Studies, Yaoundé, Cameroon
Ufa Eye Research Institute, Ufa, Russian Federation
Nepal Health Research Council, Kathmandu, Nepal
University of Montenegro, Niksic, Montenegro
University of Southern Denmark, Copenhagen, Denmark
University of Gothenburg, Gothenburg, Sweden
Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
National Institute for Public Health and the Environment, Bilthoven, Netherlands
University of Turin, Turin, Italy
University College London, London, United Kingdom
Liverpool John Moores University, Liverpool, United Kingdom
Nanyang Technological University Singapore, Singapore, Singapore
German Institute of Human Nutrition, Potsdam, Germany
Endocrinology Research Centre, Moscow, Russian Federation
Centro de Educación Médica e Investigaciones Clínicas, Buenos Aires, Argentina
IRCCS Neuromed, Pozzilli, Italy
Toulouse University School of Medicine, Toulouse, France
University of Zurich, Zurich, Switzerland
University Hospital KU Leuven, Leuven, Belgium
Flemish Agency for Care and Health, Brussels, Belgium
Ghent University, Ghent, Belgium
FrieslandCampina, Amersfoort, Netherlands
Universidad Central de Venezuela, Caracas, Venezuela
Bielefeld University, Bielefeld, Germany
World Health Organization Regional Office for Europe, Moscow, Russian Federation
German Cancer Research Center, Heidelberg, Germany
The Fred Hollows Foundation, Auckland, New Zealand
University of Medicine and Pharmacy Bucharest, Bucharest, Romania
Swansea University, Swansea, United Kingdom
University College Copenhagen, Copenhagen, Denmark
Institute of Public Health, Tirana, Albania
Munster Technological University, Cork, Ireland
Universidad de La Laguna, Tenerife, Spain
University of Malta, Msida, Malta
Vanderbilt University, Nashville, United States
Ministry of Health, Tongatapu, Tonga
Canadian Fitness and Lifestyle Research Institute, Ottawa, Canada
Hospital Santa Maria, Lisbon, Portugal
Istanbul University - Cerrahpasa, Istanbul, Turkey
Universidade Federal de Juiz de Fora, Juiz de Fora, Brazil
Ministry of Public Health, Asunción, Paraguay
National Institute of Public Health, Prague, Czech Republic
Gaetano Fucito Hospital, Mercato San Severino, Italy
University of Groningen, Groningen, Netherlands
Karolinska Institutet, Huddinge, Sweden
Centro de Estudios sobre Nutrición Infantil, Buenos Aires, Argentina
University of Porto, Porto, Portugal
University of Zaragoza, Zaragoza, Spain
Santiago de Compostela University, Santiago de Compostela, Spain
Ministry of Health, Ankara, Turkey
Council for Agricultural Research and Economics, Rome, Italy
Federal University of Rio Grande, Rio Grande, Brazil
India Diabetes Research Foundation, Chennai, India
Duke-NUS Medical School, Singapore, Singapore
ICMR - National Institute of Medical Statistics, New Delhi, India
Singapore Eye Research Institute, Singapore, Singapore
Academia Sinica, Taipei, Taiwan
Capital Institute of Pediatrics, Beijing, China
Duke University, Durham, United States
Kailuan General Hospital, Tangshan, China
University of Oxford, Oxford, United Kingdom
Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
The Gertner Institute for Epidemiology and Health Policy Research, Ramat Gan, Israel
National Centre of Public Health and Analyses, Sofia, Bulgaria
University of Fribourg, Fribourg, Switzerland
Ministry of Health and Welfare, Taipei, Taiwan
CIBER Epidemiología y Salud Pública, Murcia, Spain
University of Southern Denmark, Odense, Denmark
Universidade Estadual Paulista, Presidente Prudente, Brazil
Medical University of Silesia, Katowice, Poland
Charles University, Prague, Czech Republic
Thomayer Hospital, Prague, Czech Republic
Primary Health Care, Floriana, Malta
Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Katholieke Universiteit Leuven, Leuven, Belgium
Statistics Canada, Ottawa, Canada
UMR CNRS- MNHN 7206 Eco-anthropologie, Marseille, France
Agency for Preventive and Social Medicine, Bregenz, Austria
University of Southampton, Southampton, United Kingdom
Institut Pasteur de Lille, Lille, France
Malawi Epidemiology and Intervention Research Unit, Lilongwe, Malawi
CIBEROBN, Madrid, Spain
University of Debrecen, Debrecen, Hungary
University of Medicine and Pharmacy Carol Davila, Bucharest, Romania
Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
National Research Council, Reggio Calabria, Italy
Eftimie Murgu University Resita, Resita, Romania
Spanish Agency for Food Safety and Nutrition, Madrid, Spain
Indian Statistical Institute, Kolkata, India
Tabriz Health Services Management Research Center, Tabriz, Iran
Geneva University Hospitals, Geneva, Switzerland
Sciensano, Brussels, Belgium
University Medical Centers, Groningen, Netherlands
National Research Centre for Preventive Medicine, Moscow, Russian Federation
Innovating Health International, Port-au-Prince, Haiti
University of Montreal, Montreal, Canada
French National Research Institute for Sustainable Development, Montpellier, France
French Public Health Agency, St Maurice, France
Mediterranea Cardiocentro, Naples, Italy
Universidade do Vale do Rio dos Sinos, Saõ Leopoldo, Brazil
National Institute of Hygiene, Epidemiology and Microbiology, Havana, Cuba
National Council of Scientific and Technical Research, Buenos Aires, Argentina
Ministry of Health and Medical Education, Tehran, Iran
University of Novi Sad, Novi Sad, Serbia
National Institute of Nutrition, Hanoi, Viet Nam
University of Queensland, Brisbane, Australia
Istituto Superiore di Sanita`, Rome, Italy
Universidad de Cuenca, Cuenca, Ecuador
Helmholtz Zentrum München, Munich, Germany
Tehran University of Medical Sciences, Tehran, Iran
Ministere de la Santéet de l’Hygiene Publique, Abidjan, Cote dIvoire
University Hospital Düsseldorf, Düsseldorf, Germany
National Institute of Cardiology, Warsaw, Poland
Medical University of Lod, Lodz, Poland
Beijing Center for Disease Prevention and Control, Beijing, China
UMI 3189 ESS, Marseille, France
Beth Israel Deaconess Medical Center, Boston, United States
Harvard Medical School, Boston, United States
Scuola Superiore Sant’Anna, Pisa, Italy
Al-Farabi Kazakh National University, Almaty, Kazakhstan
University of Latvia, Riga, Latvia
Ministry of Health and Medical Services, Gizo, Solomon Islands
Hormozgan University of Medical Sciences, Bandar Abbas, Iran
University of Benin, Benin City, Nigeria
University of Skövde, Skövde, Sweden
National Institute of Nutrition and Food Technology, Tunis, Tunisia
The University of the West Indies, Kingston, Jamaica
University of California Davis, Davis, United States
University of Stellenbosch, Cape Town, South Africa
University of Duisburg- Essen, Duisburg, Germany
Karadeniz Technical University, Trabzon, Turkey
University of Helsinki, Helsinki, Finland
Mashhad University of Medical Sciences, Mashhad, Iran
Rafsanjan University of Medical Sciences, Rafsanjan, Iran
Queen’s University of Belfast, Belfast, United Kingdom
Tabriz University of Medical Sciences, Tabriz, Iran
Fasa University of Medical Sciences, Fasa, Iran
Shiraz University of Medical Sciences, Shiraz, Iran
Baqai Medical University, Karachi, Pakistan
Centro de Salud Villanueva Norte, Badajoz, Spain
Hospital Don Benito-Villanueva de la Serena, Badajoz, Spain
Ministry of Health, Buenos Aires, Argentina
University of Insubria, Varese, Italy
Pontificia Universidad Católica de Chile, Santiago, Chile
Institute of Mother and Child, Warsaw, Poland
Swiss Tropical and Public Health Institute, Basel, Switzerland
University of Basel, Basel, Switzerland
University of Tartu, Tartu, Estonia
Universiti Sains Malaysia, Kelantan, Malaysia
Umeå University, Umeå, Sweden
Federal University of Saõ Paulo, Saõ Paulo, Brazil
Hospital Universitario Son Espases, Palma, Spain
Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
Universitas Sumatera Utara, Medan, Indonesia
Kindai University, Osaka-Sayama, Japan
Kyoto University, Kyoto, Japan
Medical University of Warsaw, Warsaw, Poland
Jagiellonian University Medical College, Kraków, Poland
Ministero della Salute DG Prevenzione Sanitaria, Rome, Italy
University of Catania, Catania, Italy
CIBER en Epidemiología y Salud Pública, Alicante, Spain
Africa Health Research Institute, Mtubatuba, South Africa
Geneva University Medical School, Geneva, Switzerland
CIBER en Epidemiología y Salud Pública, Barcelona, Spain
Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
Utrecht University, Utrecht, Netherlands
Wageningen University, Wageningen, Netherlands
University of Adelaide, Adelaide, Australia
Lund University, Lund, Sweden
Aristotle University of Thessaloniki, Thessaloniki, Greece
Institut National de la Santéet de la Recherche Médicale, Villejuif, France
Paris University, Paris, France
Ministry of Health, Jerusalem, Israel
McGill University, Montreal, Canada
Gasol Foundation, Barcelona, Spain
University of Lleida, Sant Boi de Llobregat, Spain
PASs Hirszfeld Institute of Immunology and Experimental Therapy, Wroclaw, Poland
Universidad Politécnica de Madrid, Madrid, Spain
St Anne’s University Hospital, Brno, Czech Republic
National Institute of Public Health, Cuernavaca, Mexico
Centro de Estudios en Diabetes A.C, Mexico City, Mexico
Universidad Autónoma de Santo Domingo, Santo Domingo, Dominican Republic
Ministry of Health, Lisbon, Portugal
Institute for Clinical and Experimental Medicine, Prague, Czech Republic
Children’s Memorial Health Institute, Warsaw, Poland
National Center of Cardiovascular Diseases, Beijing, China
University of Ferrara, Ferrara, Italy
Authority Sanitaria San Marino, San Marino, San Marino
Icelandic Heart Association, Kopavogur, Iceland
Universidad Icesi, Cali, Colombia
State University of Montes Claros, Montes Claros, Brazil
King’s College London, London, United Kingdom
International Agency for Research on Cancer, Lyon, France
Capital Medical University, Beijing, China
Capital Medical University Beijing Tongren Hospital, Beijing, China
Healis-Sekhsaria Institute for Public Health, Navi Mumbai, India
Eternal Heart Care Centre and Research Institute, Jaipur, India
University of Ibadan, Ibadan, Nigeria
Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina
National Health Insurance Service, Wonju, South Korea
Prevention of Metabolic Disorders Research Center, Tehran, Iran
Research and Education Institute of Child Health, Nicosia, Cyprus
Danish Cancer Society Research Center, Copenhagen, Denmark
The University of the West Indies, Cave Hill, Barbados
Kermanshah University of Medical Sciences, Kermanshah, Iran
University of Eastern Finland, Kuopio, Finland
Beijing Institute of Ophthalmology, Beijing, China
International Hellenic University, Thessaloniki, Greece
Kyushu University, Fukuoka, Japan
University of Bergen, Bergen, Norway
Tulane University, New Orleans, United States
National Research Institute for Health and Family Planning, Beijing, China
Chinese Center for Disease Control and Prevention, Beijing, China
University of Pécs, Pécs, Hungary
Danish Health Authority, Copenhagen, Denmark
Joep Lange Institute, Amsterdam, Netherlands
Federal University of Pernambuco, Recife, Brazil
Universidad Autónoma de Bucaramanga, Bucaramanga, Colombia
ETH Zurich, Zurich, Switzerland
Chronic Diseases Research Center, Tehran, Iran
University of Hong Kong, Hong Kong
The Chinese University of Hong Kong, Hong Kong
University of Western Australia, Perth, Australia
Gasol Foundation, Spain
University Ramon Llull, Sant Boi de Llobregat, Spain
Kingston Health Sciences Centre, Kingston, Canada
Fundación Oftalmológica de Santander, Bucaramanga, Colombia
University Oran 1, Oran, Algeria
Nay Pyi Taw, Myanmar
Ministry of Health and Sports, Nay Pyi Taw, Myanmar
Peking University, Beijing, China
CIBER en Epidemiología y Salud Pública, Murcia, Spain
Luxembourg Institute of Health, Luxembourg, Luxembourg
National Institute of Public Health, Bucharest, Romania
VU University Medical Center, Amsterdam, Netherlands
American University of Beirut, Beirut, Lebanon
CIBER en Epidemiología y Salud Pública, San Sebastian, Spain
Cairo University, Cairo, Egypt
Erasmus Medical Center Rotterdam, Rotterdam, Netherlands
Medical University Varna, Varna, Bulgaria
The University of Tokyo, Tokyo, Japan
Deakin University, Geelong, Australia
Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
Hadassah University Medical Center, Jerusalem, Israel
Kuwait Institute for Scientific Research, Safat, Kuwait
Norwegian University of Science and Technology, Trondheim, Norway
University of Melbourne, Melbourne, Australia
Sports University of Tirana, Tirana, Albania
University Hospital Center Zagreb, Zagreb, Croatia
University of Zagreb School of Medicine, Zagreb, Croatia
Heart Foundation, Melbourne, Australia
Guangzhou 12th Hospital, Guangzhou, China
Universidad Eugenio Maria de Hostos, Santo Domingo, Dominican Republic
University of Duisburg-Essen, Duisburg, Germany
Simon Fraser University, Burnaby, Canada
Institute of Molecular and Clinical Ophthalmology Basel, Basel, Switzerland
University of New South Wales, Sydney, Australia
World Health Organization Country Office, Delhi, India
Guilan University of Medical Sciences, Rasht, Iran
Institute of Public Health, Belgrade, Serbia
University of Opole, Opole, Poland
Finnish Institute for Health and Welfare, Helsinki, Finland
Gulu University, Gulu, Uganda
University of Crete, Heraklion, Greece
Sri Venkateswara University, Tirupati, India
Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
Hellenic Medical Association for Obesity, Athens, Greece
National and Kapodistrian University of Athens, Athens, Greece
Maharajgunj Medical Campus, Kathmandu, Nepal
Aarhus University, Aarhus, Denmark
Johns Hopkins Bloomberg School of Public Health, Baltimore, United States
Pennington Biomedical Research Center, Baton Rouge, United States
National Institute of Epidemiology, Chennai, India
University of Münster, Münster, Germany
Israel Center for Disease Control, Ramat Gan, Israel
Research Institute for Primordial Prevention of Non- communicable Disease, Isfahan, Iran
Amsterdam UMC Public Health Research Institute, Amsterdam, Netherlands
South African Medical Research Council, Cape Town, South Africa
Kyrgyz State Medical Academy, Bishkek, Kyrgyzstan
Research Institute of Child Nutrition, Dortmund, Germany
Shahid Beheshti University of Medical Sciences, Tehran, Iran
University of Cambridge, Cambridge, United Kingdom
Mazandaran University of Medical Sciences, Sari, Iran
Hypertension Research Center, Isfahan, Iran
Medical University of Innsbruck, Innsbruck, Austria
VASCage, Innsbruck, Austria
Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
Yonsei University College of Medicine, Seoul, South Korea
National Cancer Center, Goyang-si, South Korea
Sahlgrenska University Hospital, Gothenburg, Sweden
University College South Denmark, Haderslev, Denmark
Statistics Austria, Vienna, Austria
B P Koirala Institute of Health Sciences, Dharan, Nepal
University of Vienna, Vienna, Austria
Oulu Deaconess Institute Foundation, Oulu, Finland
Tartu University Clinics, Tartu, Estonia
Kansai Medical University, Hirakata, Japan
Hungarian School Sport Federation, Budapest, Hungary
Ministry of Health and Quality of Life, Port Louis, Mauritius
University Hospital Ulm, Ulm, Germany
North-West University, Potchefstroom, South Africa
University of Jyväskylä, Jyväskylä, Finland
Institute of Public Health, Podgorica, Montenegro
Amrita Institute of Medical Sciences, Cochin, India
Institute of Endocrinology, Prague, Czech Republic
All India Institute of Medical Sciences, New Delhi, India
African Population and Health Research Center, Nairobi, Kenya
Hanoi University of Public Health, Hanoi, Viet Nam
Hassan First University of Settat, Settat, Morocco
Ministry of Health, Algiers, Algeria
Harokopio University, Athens, Greece
Sahlgrenska Academy, Gothenburg, Sweden
Endocrinology and Metabolism Research Center, Tehran, Iran
University of Public Health, Yangon, Myanmar
International Food Policy Research Institute, Dakar, Senegal
National University of Singapore, Singapore, Singapore
Hong Kong Polytechnic University, Hong Kong
Tampere University Hospital, Tampere, Finland
Tampere University, Tampere, Finland
University of Douala, Douala, Cameroon
University of Cape Town, Cape Town, South Africa
National Institute for Health Development, Tallinn, Estonia
West Virginia University, Morgantown, United States
Oswaldo Cruz Foundation Rene Rachou Research Institute, Belo Horizonte, Brazil
National Taiwan University, Taipei, Taiwan
University of Chinese Academy of Sciences, Shanghai, China
Uppsala University, Uppsala, Sweden
Taipei Medical University, Taipei, Taiwan
Sports Medical Center of Minho, Braga, Portugal
Universidad San Martín de Porres, Lima, Peru
Consejería de Sanidad Junta de Castilla y León, Valladolid, Spain
Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil
Norrbotten County Council, Luleå, Sweden
Ilembula Lutheran Hospital, Ilembula, Tanzania
Universidade Federal de Ouro Preto, Ouro Preto, Brazil
University of Coimbra, Coimbra, Portugal
Coimbra University Hospital Center, Coimbra, Portugal
Institute of Neuroscience of the National Research Council, Padua, Italy
Baker Heart and Diabetes Institute, Melbourne, Australia
Agricultural University of Athens, Athens, Greece
Hospital Israelita Albert Einstein, Saõ Paulo, Brazil
SB RAS Federal Research Center Institute of Cytology and Genetics, Novosibirsk, Russian Federation
University of Otago, Dunedin, New Zealand
University of Padua, Padua, Italy
Hellenic Mediterranean University, Siteia, Greece
Loughborough University, Loughborough, United Kingdom
Ministry of Health, Nicosia, Cyprus
Lausanne University Hospital, Lausanne, Switzerland
Escola Nacional de Saúde Pública Sergio Arouca, Rio de Janeiro, Brazil
CIBERCV, Madrid, Spain
Institut Hospital del Mar d’Investigacions Mediques, Barcelona, Spain
Mary Immaculate College, Limerick, Ireland
Emory University, Atlanta, United States
Hungarian Society of Sports Medicine, Budapest, Hungary
Paracelsus Medical University, Salzburg, Austria
Universidade Estadual do Centro-Oeste, Guarapuava, Brazil
Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India
UiT The Arctic University of Norway, Tromsø, Norway
ICMR - National Centre for Disease Informatics and Research, Bengaluru, India
Cape Peninsula University of Technology, Cape Town, South Africa
Brown University, Providence, United States
London School of Hygiene & Tropical Medicine, London, United Kingdom
University of Edinburgh, Edinburgh, United Kingdom
Shahid Sadoughi University of Medical Sciences, Tehran, Iran
Institut National de la Santéet de la Recherche Médicale, Lille, France
Robert Koch Institute, Berlin, Germany
Universidade de Lisboa, Lisbon, Portugal
Women’s Social and Health Studies Foundation, Trivandrum, India
Democritus University, Alexandroupolis, Greece
Grigore T Popa University of Medicine and Pharmacy, Iasi, Romania
Universita` degli Studi di Firenze, Florence, Italy
Ain Shams University, Cairo, Egypt
Isfahan Cardiovascular Research Center, Isfahan, Iran
University of Strasbourg, Strasbourg, France
Strasbourg University Hospital, Strasbourg, France
Mulago Hospital, Kampala, Uganda
University of San Carlos of Guatemala, Guatemala City, Guatemala
University of Limpopo, Sovenga, South Africa
University of Medical Sciences of Cienfuegos, Cienfuegos, Cuba
CIBEROBN, Zaragoza, Spain
Royal College of Surgeons in Ireland, Dublin, Ireland
La Trobe University, Melbourne, Australia
International Institute of Molecular and Cell Biology, Warsaw, Poland
Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama City, Panama
World Health Organization Country Office, Lilongwe, Malawi
Department of Public Health, Nay Pyi Taw, Myanmar
University of Brescia, Brescia, Italy
Ministry of Health and Social Protection, Dushanbe, Tajikistan
University of Limerick, Limerick, Ireland
Croatian Institute of Public Health, Zagreb, Croatia
Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
Bushehr University of Medical Sciences, Bushehr, Iran
Ulm University, Ulm, Germany
Department of Statistics, Kuala Lumpur, Malaysia
Kobe University, Kobe, Japan
Banska Bystrica Regional Authority of Public Health, Banska Bystrica, Slovakia
Suraj Eye Institute, Nagpur, India
UNICEF, Yaoundé, Cameroon
University Medicine Greifswald, Greifswald, Germany
Karolinska Institutet, Stockholm, Sweden
National Institute of Hygiene and Epidemiology, Hanoi, Viet Nam
University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Viet Nam
Hanoi Medical University, Hanoi, Viet Nam
LifeDoc Health, Memphis, United States
Heartfile, Islamabad, Pakistan
Eastern Mediterranean Public Health Network, Amman, Jordan
University of Manchester, Manchester, United Kingdom
State University of Medicine and Pharmacy, Chisinau, Moldova
Tachikawa General Hospital, Nagaoka, Japan
Korea Centers for Disease Control and Prevention, Cheongju-si, South Korea
Japan Wildlife Research Center, Tokyo, Japan
Istanbul University, Istanbul, Turkey
Ministry of Health, Bandar Seri Begawan, Brunei Darussalam
Universidade Federal do Paraná, Curitiba, Brazil
University of Madeira, Funchal, Portugal
University of Puerto Rico, San Juan, Puerto Rico
Center for Clinical Research and Prevention, Glostrup, Denmark
MRC Lifecourse Epidemiology Unit, Southampton, United Kingdom
Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
UniSanté, Lausanne, Switzerland
Institute for Cancer Research, Prevention and Clinical Network, Florence, Italy
University of Wisconsin-Madison, Madison, United States
Ruprecht-Karls-University of Heidelberg, Heidelberg, Germany
IRCCS Ente Ospedaliero Specializzato in Gastroenterologia S. de Bellis, Bari, Italy
Zayed University, Abu Dhabi, United Arab Emirates
Catholic University of Daegu, Daegu, South Korea
University of Medicine, Pharmacy, Science and Technology of Târgu Mures, Târgu Mures, Romania
Jivandeep Hospital, Anand, India
Healis- Sekhsaria Institute for Public Health, Navi Mumbai, India
South African Medical Research Council, Durban, South Africa
National Dental Care Centre Singapore, Singapore, Singapore
Universidad de Málaga, Malaga, Spain
University Hospital of Varese, Varese, Italy
Vietnam National Heart Institute, Hanoi, Viet Nam
Clínica de Medicina Avanzada Dr. Abel González, Santo Domingo, Dominican Republic
Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
University of Sarajevo, Sarajevo, Bosnia and Herzegovina
Cardiovascular Prevention Centre Udine, Udine, Italy
Pisa University Hospital, Pisa, Italy
Ministry of Health and Medical Services, Honiara, Solomon Islands
Public Health Agency of Catalonia, Barcelona, Spain
Ardabil University of Medical Sciences, Ardabil, Iran
Centre for Disease Prevention and Control, Riga, Latvia
Alborz University of Medical Sciences, Karaj, Iran
Ministry of Health, Hanoi, Viet Nam
Pure Earth, Dhaka, Bangladesh
Institute of Epidemiology Disease Control and Research, Dhaka, Bangladesh
University of Turku, Tu
Imperial College London
Harvard TH Chan School of Public Health
Middlesex University
Los Angeles
World Health Organization
Ministry of Health
University of Lausanne
Eduardo Mondlane University
Victor Babes University of Medicine and Pharmacy Timisoara
University of Sydney
National Institutes of Biomedical Innovation
University of Auckland
Seoul National University
ICMR - National Institute of Nutrition
Capital Medical University Beijing An Zhen Hospital
Universidad Peruana Cayetano Heredia
University Tunis El Manar
University of Oulu
University of Zagreb
University of Ljubljana
Caja Costarricense de Seguro Social
Al-Quds University
National Center of Public Healthcare
Ministry of Health
Qatar University
Birzeit University
Usmanu Danfodiyo University Teaching Hospital
Instituto Mexicano del Seguro Social
Flinders University
Mahidol University
BRAC James P Grant School of Public Health
University of Copenhagen
Copenhagen University Hospital
Food and Nutrition Research Institute
Urmia University of Medical Sciences
Instituto Nacional de Ciencias Médicas y Nutrición
University of Amsterdam
Shahrekord University of Medical Sciences
Non-Communicable Diseases Research Center
University of Oslo
University of Bremen
Republican Center for Health Promotion
National Center for Diabetes
Princess Nourah bint Abdulrahman University
Kuwait Institute for Scientific Research
King Abdulaziz University
Dasman Diabetes Institute
Aldara Hospital and Medical Center
King Abdullah International Medical Research Center
Luxembourg Institute of Health
Bispebjerg and Frederiksberg Hospital
Barcelona Institute for Global Health CIBERESP
World Health Organization Regional Office for the Eastern Mediterranean
Bombay Hospital and Medical Research Centre
Research Center for Social Determinants of Health
UMR CNRS-MNHN 7206 Eco-anthropologie
University of Lille
Lille University Hospital
Western Norway University of Applied Sciences
Norwegian School of Sport Sciences
Madras Diabetes Research Foundation
Zahedan University of Medical Sciences
National Institute of Public Health
Institute of Public Health of the University of Porto
Norwegian Institute of Public Health
University of Massachusetts Amherst
Abt Associates
University of Iceland
University of Yaoundé1
Federal University of Pelotas
University of Medicine 1
Oulu University Hospital
Banska Bystrica Regional Authority of Public Health
Tel- Aviv University
Hebrew University of Jerusalem
University of Porto Medical School
Neyshabur University of Medical Sciences
Research Institute for Endocrine Sciences
Non- Communicable Diseases Research Center
Indian Council of Medical Research
National Institute of Public Health
University of Science and Technology
Medical University of Lodz
Medical University of Gdansk
Universidad Autónoma de Madrid CIBERESP
University of Rzeszów
University of Palermo
Pan American Health Organization
Mohammed V University de Rabat
University of Pernambuco
Baqai Institute of Diabetology and Endocrinology
Federal University of Santa Catarina
Dalhousie University
Jordan University of Science and Technology
Federal University of Maranhao
Al-Farabi Kazakh National University
University College Dublin
Christian Medical College
Federal Ministry of Social Affairs
Cafam University Foundation
Kazakh National Medical University
Lithuanian University of Health Sciences
University of Saõ Paulo
B J Medical College
Chirayu Medical College
Sunder Lal Jain Hospital
The Hospital for Sick Children
Aga Khan University
Shandong University of Traditional Chinese Medicine
Jiao-Tong University School of Medicine
Universidad de la República
Institute of Medical Research and Medicinal Plant Studies
Ufa Eye Research Institute
Nepal Health Research Council
University of Montenegro
University of Southern Denmark
University of Gothenburg
Universidade Federal do Rio de Janeiro
National Institute for Public Health and the Environment
University of Turin
University College London
Liverpool John Moores University
Nanyang Technological University Singapore
German Institute of Human Nutrition
Endocrinology Research Centre
Centro de Educación Médica e Investigaciones Clínicas
IRCCS Neuromed
Toulouse University School of Medicine
University of Zurich
University Hospital KU Leuven
Flemish Agency for Care and Health
Ghent University
FrieslandCampina
Universidad Central de Venezuela
Bielefeld University
World Health Organization Regional Office for Europe
German Cancer Research Center
The Fred Hollows Foundation
University of Medicine and Pharmacy Bucharest
Swansea University
University College Copenhagen
Institute of Public Health
Munster Technological University
Universidad de La Laguna
University of Malta
Vanderbilt University
Ministry of Health
Canadian Fitness and Lifestyle Research Institute
Hospital Santa Maria
Istanbul University - Cerrahpasa
Universidade Federal de Juiz de Fora
Ministry of Public Health
National Institute of Public Health
Gaetano Fucito Hospital
University of Groningen
Karolinska Institutet
Centro de Estudios sobre Nutrición Infantil
University of Porto
University of Zaragoza
Santiago de Compostela University
Ministry of Health
Council for Agricultural Research and Economics
Federal University of Rio Grande
India Diabetes Research Foundation
Duke-NUS Medical School
ICMR - National Institute of Medical Statistics
Singapore Eye Research Institute
Academia Sinica
Capital Institute of Pediatrics
Duke University
Kailuan General Hospital
University of Oxford
Ahvaz Jundishapur University of Medical Sciences
The Gertner Institute for Epidemiology and Health Policy Research
National Centre of Public Health and Analyses
University of Fribourg
Ministry of Health and Welfare
CIBER Epidemiología y Salud Pública
University of Southern Denmark
Universidade Estadual Paulista
Medical University of Silesia
Charles University
Thomayer Hospital
Primary Health Care
Carol Davila University of Medicine and Pharmacy
Katholieke Universiteit Leuven
Statistics Canada
UMR CNRS- MNHN 7206 Eco-anthropologie
Agency for Preventive and Social Medicine
University of Southampton
Institut Pasteur de Lille
Malawi Epidemiology and Intervention Research Unit
CIBEROBN
University of Debrecen
University of Medicine and Pharmacy Carol Davila
Universidade Federal do Rio Grande do Sul
National Research Council
Eftimie Murgu University Resita
Spanish Agency for Food Safety and Nutrition
Indian Statistical Institute
Tabriz Health Services Management Research Center
Geneva University Hospitals
Sciensano
University Medical Centers
National Research Centre for Preventive Medicine
Innovating Health International
University of Montreal
French National Research Institute for Sustainable Development
French Public Health Agency
Mediterranea Cardiocentro
Universidade do Vale do Rio dos Sinos
National Institute of Hygiene
National Council of Scientific and Technical Research
Ministry of Health and Medical Education
University of Novi Sad
National Institute of Nutrition
University of Queensland
Istituto Superiore di Sanita`
Universidad de Cuenca
Helmholtz Zentrum München
Tehran University of Medical Sciences
Ministere de la Santéet de l’Hygiene Publique
University Hospital Düsseldorf
National Institute of Cardiology
Medical University of Lod
Beijing Center for Disease Prevention and Control
UMI 3189 ESS
Beth Israel Deaconess Medical Center
Harvard Medical School
Scuola Superiore Sant’Anna
Al-Farabi Kazakh National University
University of Latvia
Ministry of Health and Medical Services
Hormozgan University of Medical Sciences
University of Benin
University of Skövde
National Institute of Nutrition and Food Technology
The University of the West Indies
University of California Davis
University of Stellenbosch
University of Duisburg- Essen
Karadeniz Technical University
University of Helsinki
Mashhad University of Medical Sciences
Rafsanjan University of Medical Sciences
Queen’s University of Belfast
Tabriz University of Medical Sciences
Fasa University of Medical Sciences
Shiraz University of Medical Sciences
Baqai Medical University
Centro de Salud Villanueva Norte
Hospital Don Benito-Villanueva de la Serena
Ministry of Health
University of Insubria
Pontificia Universidad Católica de Chile
Institute of Mother and Child
Swiss Tropical and Public Health Institute
University of Basel
University of Tartu
Universiti Sains Malaysia
Umeå University
Federal University of Saõ Paulo
Hospital Universitario Son Espases
Hospital de Clinicas de Porto Alegre
Universitas Sumatera Utara
Kindai University
Kyoto University
Medical University of Warsaw
Jagiellonian University Medical College
Ministero della Salute DG Prevenzione Sanitaria
University of Catania
CIBER en Epidemiología y Salud Pública
Africa Health Research Institute
Geneva University Medical School
CIBER en Epidemiología y Salud Pública
Universidade Federal de Minas Gerais
Utrecht University
Wageningen University
University of Adelaide
Lund University
Aristotle University of Thessaloniki
Institut National de la Santéet de la Recherche Médicale
Paris University
Ministry of Health
McGill University
Gasol Foundation
University of Lleida
PASs Hirszfeld Institute of Immunology and Experimental Therapy
Universidad Politécnica de Madrid
St Anne’s University Hospital
National Institute of Public Health
Centro de Estudios en Diabetes A.C
Universidad Autónoma de Santo Domingo
Ministry of Health
Institute for Clinical and Experimental Medicine
Children’s Memorial Health Institute
National Center of Cardiovascular Diseases
University of Ferrara
Authority Sanitaria San Marino
Icelandic Heart Association
Universidad Icesi
State University of Montes Claros
King’s College London
International Agency for Research on Cancer
Capital Medical University
Capital Medical University Beijing Tongren Hospital
Healis-Sekhsaria Institute for Public Health
Eternal Heart Care Centre and Research Institute
University of Ibadan
Institute for Clinical Effectiveness and Health Policy
National Health Insurance Service
Prevention of Metabolic Disorders Research Center
Research and Education Institute of Child Health
Danish Cancer Society Research Center
The University of the West Indies
Kermanshah University of Medical Sciences
University of Eastern Finland
Beijing Institute of Ophthalmology
International Hellenic University
Kyushu University
University of Bergen
Tulane University
National Research Institute for Health and Family Planning
Chinese Center for Disease Control and Prevention
University of Pécs
Danish Health Authority
Joep Lange Institute
Federal University of Pernambuco
Universidad Autónoma de Bucaramanga
ETH Zurich
Chronic Diseases Research Center
University of Hong Kong
The Chinese University of Hong Kong
University of Western Australia
Gasol Foundation
University Ramon Llull
Kingston Health Sciences Centre
Fundación Oftalmológica de Santander
University Oran 1
Nay Pyi Taw
Ministry of Health and Sports
Peking University
CIBER en Epidemiología y Salud Pública
Luxembourg Institute of Health
National Institute of Public Health
VU University Medical Center
American University of Beirut
CIBER en Epidemiología y Salud Pública
Cairo University
Erasmus Medical Center Rotterdam
Medical University Varna
The University of Tokyo
Deakin University
Tokyo Metropolitan Institute of Gerontology
Hadassah University Medical Center
Kuwait Institute for Scientific Research
Norwegian University of Science and Technology
University of Melbourne
Sports University of Tirana
University Hospital Center Zagreb
University of Zagreb School of Medicine
Heart Foundation
Guangzhou 12th Hospital
Universidad Eugenio Maria de Hostos
University of Duisburg-Essen
Simon Fraser University
Institute of Molecular and Clinical Ophthalmology Basel
University of New South Wales
World Health Organization Country Office
Guilan University of Medical Sciences
Institute of Public Health
University of Opole
Finnish Institute for Health and Welfare
Gulu University
University of Crete
Sri Venkateswara University
Sree Chitra Tirunal Institute for Medical Sciences and Technology
Hellenic Medical Association for Obesity
National and Kapodistrian University of Athens
Maharajgunj Medical Campus
Aarhus University
Johns Hopkins Bloomberg School of Public Health
Pennington Biomedical Research Center
National Institute of Epidemiology
University of Münster
Israel Center for Disease Control
Research Institute for Primordial Prevention of Non- communicable Disease
Amsterdam UMC Public Health Research Institute
South African Medical Research Council
Kyrgyz State Medical Academy
Research Institute of Child Nutrition
Shahid Beheshti University of Medical Sciences
University of Cambridge
Mazandaran University of Medical Sciences
Hypertension Research Center
Medical University of Innsbruck
VASCage
Muhimbili University of Health and Allied Sciences
Yonsei University College of Medicine
National Cancer Center
Sahlgrenska University Hospital
University College South Denmark
Statistics Austria
B P Koirala Institute of Health Sciences
University of Vienna
Oulu Deaconess Institute Foundation
Tartu University Clinics
Kansai Medical University
Hungarian School Sport Federation
Ministry of Health and Quality of Life
University Hospital Ulm
North-West University
University of Jyväskylä
Institute of Public Health
Amrita Institute of Medical Sciences
Institute of Endocrinology
All India Institute of Medical Sciences
African Population and Health Research Center
Hanoi University of Public Health
Hassan First University of Settat
Ministry of Health
Harokopio University
Sahlgrenska Academy
Endocrinology and Metabolism Research Center
University of Public Health
International Food Policy Research Institute
National University of Singapore
Hong Kong Polytechnic University
Tampere University Hospital
Tampere University
University of Douala
University of Cape Town
National Institute for Health Development
West Virginia University
Oswaldo Cruz Foundation Rene Rachou Research Institute
National Taiwan University
University of Chinese Academy of Sciences
Uppsala University
Taipei Medical University
Sports Medical Center of Minho
Universidad San Martín de Porres
Consejería de Sanidad Junta de Castilla y León
Universidade Federal de Ciências da Saúde de Porto Alegre
Norrbotten County Council
Ilembula Lutheran Hospital
Universidade Federal de Ouro Preto
University of Coimbra
Coimbra University Hospital Center
Institute of Neuroscience of the National Research Council
Baker Heart and Diabetes Institute
Agricultural University of Athens
Hospital Israelita Albert Einstein
SB RAS Federal Research Center Institute of Cytology and Genetics
University of Otago
University of Padua
Hellenic Mediterranean University
Loughborough University
Ministry of Health
Lausanne University Hospital
Escola Nacional de Saúde Pública Sergio Arouca
CIBERCV
Institut Hospital del Mar d’Investigacions Mediques
Mary Immaculate College
Emory University
Hungarian Society of Sports Medicine
Paracelsus Medical University
Universidade Estadual do Centro-Oeste
Sher-i-Kashmir Institute of Medical Sciences
UiT The Arctic University of Norway
ICMR - National Centre for Disease Informatics and Research
Cape Peninsula University of Technology
Brown University
London School of Hygiene & Tropical Medicine
University of Edinburgh
Shahid Sadoughi University of Medical Sciences
Institut National de la Santéet de la Recherche Médicale
Robert Koch Institute
Universidade de Lisboa
Women’s Social and Health Studies Foundation
Democritus University
Grigore T Popa University of Medicine and Pharmacy
Universita` degli Studi di Firenze
Ain Shams University
Isfahan Cardiovascular Research Center
University of Strasbourg
Strasbourg University Hospital
Mulago Hospital
University of San Carlos of Guatemala
University of Limpopo
University of Medical Sciences of Cienfuegos
CIBEROBN
Royal College of Surgeons in Ireland
La Trobe University
International Institute of Molecular and Cell Biology
Instituto Conmemorativo Gorgas de Estudios de la Salud
World Health Organization Country Office
Department of Public Health
University of Brescia
Ministry of Health and Social Protection
University of Limerick
Croatian Institute of Public Health
Universiti Kebangsaan Malaysia
Bushehr University of Medical Sciences
Ulm University
Department of Statistics
Kobe University
Banska Bystrica Regional Authority of Public Health
Suraj Eye Institute
UNICEF
University Medicine Greifswald
Karolinska Institutet
National Institute of Hygiene and Epidemiology
University of Medicine and Pharmacy at Ho Chi Minh City
Hanoi Medical University
LifeDoc Health
Heartfile
Eastern Mediterranean Public Health Network
University of Manchester
State University of Medicine and Pharmacy
Tachikawa General Hospital
Korea Centers for Disease Control and Prevention
Japan Wildlife Research Center
Istanbul University
Ministry of Health
Universidade Federal do Paraná
University of Madeira
University of Puerto Rico
Center for Clinical Research and Prevention
MRC Lifecourse Epidemiology Unit
Kwame Nkrumah University of Science and Technology
UniSanté
Institute for Cancer Research
University of Wisconsin-Madison
Ruprecht-Karls-University of Heidelberg
IRCCS Ente Ospedaliero Specializzato in Gastroenterologia S. de Bellis
Zayed University
Catholic University of Daegu
University of Medicine
Jivandeep Hospital
Healis- Sekhsaria Institute for Public Health
South African Medical Research Council
National Dental Care Centre Singapore
Universidad de Málaga
University Hospital of Varese
Vietnam National Heart Institute
Clínica de Medicina Avanzada Dr. Abel González
Leibniz Institute for Prevention Research and Epidemiology - BIPS
University of Sarajevo
Cardiovascular Prevention Centre Udine
Pisa University Hospital
Ministry of Health and Medical Services
Public Health Agency of Catalonia
Ardabil University of Medical Sciences
Centre for Disease Prevention and Control
Alborz University of Medical Sciences
Ministry of Health
Pure Earth
Institute of Epidemiology Disease Control and Research
University of Turku
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