Population attributable fractions of modifiable risk factors for dementia: a systematic review and meta-analysis DOI Creative Commons
Blossom C. M. Stephan,

Louie Cochrane,

Aysegul Humeyra Kafadar

et al.

The Lancet Healthy Longevity, Journal Year: 2024, Volume and Issue: 5(6), P. e406 - e421

Published: May 30, 2024

More than 57 million people have dementia worldwide. Evidence indicates a change in prevalence and incidence high-income countries, which is likely to be due improved life-course population health. Identifying key modifiable risk factors for essential informing reduction prevention strategies. We therefore aimed estimate the attributable fraction (PAF) associated with factors.

Language: Английский

National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022: a pooled analysis of 507 population-based surveys with 5·7 million participants DOI Creative Commons
Tessa Strain, Seth Flaxman, Regina Guthold

et al.

The Lancet Global Health, Journal Year: 2024, Volume and Issue: 12(8), P. e1232 - e1243

Published: June 25, 2024

BackgroundInsufficient physical activity increases the risk of non-communicable diseases, poor and cognitive function, weight gain, mental ill-health. Global prevalence adult insufficient was last published for 2016, with limited trend data. We aimed to estimate 197 countries territories, from 2000 2022.MethodsWe collated reported by adults (aged ≥18 years) in population-based surveys. Insufficient defined as not doing 150 minutes moderate-intensity activity, 75 vigorous-intensity or an equivalent combination per week. used a Bayesian hierarchical model compute estimates country territory, year, age, sex. assessed whether regions, world would meet global target 15% relative reduction 2030 if 2010–22 trends continue.FindingsWe included 507 surveys across 163 territories. The age-standardised 31·3% (95% uncertainty interval 28·6–34·0) 2022, increase 23·4% (21·1–26·0) 26·4% (24·8–27·9) 2010. Prevalence increasing 103 (52%) territories six (67%) nine declining remainder. 5 percentage points higher among female (33·8% [29·9–37·7]) than male (28·7% [25·0–32·6]) individuals. increased people aged 60 years older all regions both sexes, but age patterns differed those younger years. If continue, between 2010 will be met (posterior probability <0·01); however, two Oceania sub-Saharan Africa, were on track considerable probabilities 0·70–0·74).InterpretationConcerted multi-sectoral efforts reduce levels are needed target. Physical promotion should exacerbate sex, geographical inequalities.FundingMinistry Public Health, Qatar, World Health Organization.TranslationsFor Spanish Portuguese translations abstract see Supplementary Materials section.

Language: Английский

Citations

159

Worldwide trends in diabetes prevalence and treatment from 1990 to 2022: a pooled analysis of 1108 population-representative studies with 141 million participants DOI Creative Commons
Bin Zhou,

A. Rayner,

Edward W. Gregg

et al.

The Lancet, Journal Year: 2024, Volume and Issue: 404(10467), P. 2077 - 2093

Published: Nov. 1, 2024

Diabetes can be detected at the primary health-care level, and effective treatments lower risk of complications. There are insufficient data on coverage treatment for diabetes how it has changed. We estimated trends from 1990 to 2022 in prevalence 200 countries territories.

Language: Английский

Citations

55

Medications for Obesity DOI
Kimberly A. Gudzune,

Robert F. Kushner

JAMA, Journal Year: 2024, Volume and Issue: 332(7), P. 571 - 571

Published: Aug. 20, 2024

Obesity affects approximately 19% of women and 14% men worldwide is associated with increased morbidity. Antiobesity medications (AOMs) modify biological processes that affect appetite significantly improve outcomes, such as type 2 diabetes, hypertension, dyslipidemia.

Language: Английский

Citations

48

Obesity and cardiovascular disease: an ESC clinical consensus statement DOI Creative Commons
Konstantinos C. Koskinas, Emeline M. Van Craenenbroeck, Charalambos Antoniades

et al.

European Heart Journal, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 30, 2024

The global prevalence of obesity has more than doubled over the past four decades, currently affecting a billion individuals. Beyond its recognition as high-risk condition that is causally linked to many chronic illnesses, been declared disease per se results in impaired quality life and reduced expectancy. Notably, two-thirds obesity-related excess mortality attributable cardiovascular disease. Despite increasingly appreciated link between broad range manifestations including atherosclerotic disease, heart failure, thromboembolic arrhythmias, sudden cardiac death, underrecognized sub-optimally addressed compared with other modifiable risk factors. In view major repercussions epidemic on public health, attention focused population-based personalized approaches prevent weight gain maintain healthy body from early childhood throughout adult life, well comprehensive loss interventions for persons established obesity. This clinical consensus statement by European Society Cardiology discusses current evidence epidemiology aetiology obesity; interplay obesity, factors conditions; management patients strategies lifestyle changes, interventional procedures, anti-obesity medications particular focus their impact cardiometabolic outcomes. document aims raise awareness factor provide guidance implementing evidence-based practices prevention optimal within context primary secondary prevention.

Language: Английский

Citations

46

Tirzepatide for Obesity Treatment and Diabetes Prevention DOI
Ania M. Jastreboff, Carel W. le Roux, Adam Stefański

et al.

New England Journal of Medicine, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 13, 2024

BackgroundObesity is chronic disease and causal precursor to myriad other conditions, including type 2 diabetes. In an earlier analysis of the SURMOUNT-1 trial, tirzepatide was shown provide substantial sustained reductions in body weight persons with obesity over a 72-week period. Here, we report 3-year safety outcomes its efficacy reducing delaying progression diabetes both prediabetes.MethodsWe performed phase 3, double-blind, randomized, controlled trial which 2539 participants obesity, whom 1032 also had prediabetes, were assigned 1:1:1:1 ratio receive at once-weekly dose 5 mg, 10 or 15 mg placebo. The current involved who received their placebo for total 176 weeks, followed by 17-week off-treatment three key secondary end points, I error, percent change from baseline week onset during 176-week 193-week periods.ResultsAt mean among −12.3% 5-mg dose, −18.7% 10-mg −19.7% 15-mg as compared −1.3% those (P<0.001 all comparisons placebo). Fewer diagnosis groups than group (1.3% vs. 13.3%; hazard ratio, 0.07; 95% confidence interval [CI], 0.0 0.1; P<0.001). After 17 weeks off treatment placebo, 2.4% 13.7% (hazard 0.12; CI, 0.1 0.2; Other coronavirus 2019, most common adverse events gastrointestinal, mild moderate severity occurred primarily dose-escalation period first 20 trial. No new signals identified.ConclusionsThree years prediabetes resulted reduction markedly lower risk that (Funded Eli Lilly; ClinicalTrials.gov number, NCT04184622.)

Language: Английский

Citations

45

Epidemiology of Metabolic Dysfunction Associated Steatotic Liver Disease DOI Creative Commons
Zobair M. Younossi,

Markos Kalligeros,

Linda Henry

et al.

Clinical and Molecular Hepatology, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 19, 2024

As the rates of obesity and type 2 diabetes (T2D) continue to increase globally, so does prevalence metabolic dysfunction associated steatotic liver disease (MASLD). Currently, 38% all adults 7-14% children adolescents have MASLD. By 2040, MASLD rate for is projected over 55%. Although many with will not develop progressive disease, given vast number patients MASLD, it has now become top indication transplant in United States those hepatocellular carcinoma (HCC) women. However, most common cause mortality among remains death cardiovascular diseases. In addition outcomes (cirrhosis HCC), increased risk developing de-novo T2D, chronic kidney sarcopenia extrahepatic cancers. Furthermore, decreased health related quality life, work productivity, fatigue healthcare resource utilization substantial economic burden. Similar other lifestyle interventions heathy diet physical activity remain cornerstone managing these patients. a T2D drugs are available treat co-morbid Resmetirom only MASH-targeted medication that was recently approved by Federal Drug Administration use stage 2-3 fibrosis. The following review provides an overview epidemiology, its factors demonstrates without further global initiatives, may increase.

Language: Английский

Citations

36

DCRM 2.0: Multispecialty practice recommendations for the management of diabetes, cardiorenal, and metabolic diseases DOI Creative Commons
Yehuda Handelsman,

John E. Anderson,

George L. Bakris

et al.

Metabolism, Journal Year: 2024, Volume and Issue: 159, P. 155931 - 155931

Published: June 7, 2024

Language: Английский

Citations

20

Sex- and Gender-Related Differences in Obesity: From Pathophysiological Mechanisms to Clinical Implications DOI Open Access

Andrijana Koceva,

Rok Herman, Andrej Janež

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(13), P. 7342 - 7342

Published: July 4, 2024

Obesity, primarily characterized by excessive fat accumulation, is a multifactorial chronic disease with an increasing global prevalence. Despite the well-documented epidemiology and significant advances in understanding its pathophysiology clinical implications, impact of sex typically overlooked obesity research. Worldwide, women have higher likelihood to become obese compared men. Although are offered weight loss interventions more often at earlier stages than men, they vulnerable psychopathology. Men, on other hand, less likely pursue intervention susceptible metabolic implications obesity. In this narrative review, we comprehensively explored sex- gender-specific differences development obesity, focusing variety biological variables, such as body composition, distribution energy partitioning, steroid hormones gut microbiota diversity, chromosomal genetic behavioural sociocultural variables influencing men women. Sex obesity-related comorbidities varying effectiveness different also extensively discussed.

Language: Английский

Citations

18

2025 ACSM Worldwide Fitness Trends: Future Directions of the Health and Fitness Industry DOI
A’Naja M. Newsome, Alexios Batrakoulis, Sarah M. Camhi

et al.

ACSMʼs Health & Fitness Journal, Journal Year: 2024, Volume and Issue: 28(6), P. 11 - 25

Published: Oct. 30, 2024

Apply It! • Identify predictions for the top 20 fitness trends in United States and across globe 2025. Utilize data informed decision making to promote physical activity commercial, clinical, corporate, community sectors. Evaluate trend themes regions support consumer health fitness.

Language: Английский

Citations

17

Obesity and cardiovascular disease: an ESC clinical consensus statement DOI Creative Commons
Konstantinos C. Koskinas, Emeline M. Van Craenenbroeck, Charalambos Antoniades

et al.

European Journal of Preventive Cardiology, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 30, 2024

The global prevalence of obesity has more than doubled over the past four decades, currently affecting a billion individuals. Beyond its recognition as high-risk condition that is causally linked to many chronic illnesses, been declared disease per se results in impaired quality life and reduced expectancy. Notably, two-thirds obesity-related excess mortality attributable cardiovascular disease. Despite increasingly appreciated link between broad range manifestations including atherosclerotic disease, heart failure, thromboembolic arrhythmias, sudden cardiac death, underrecognized sub-optimally addressed compared with other modifiable risk factors. In view major repercussions epidemic on public health, attention focused population-based personalized approaches prevent weight gain maintain healthy body from early childhood throughout adult life, well comprehensive loss interventions for persons established obesity. This clinical consensus statement by European Society Cardiology discusses current evidence epidemiology aetiology obesity; interplay obesity, factors conditions; management patients strategies lifestyle changes, interventional procedures, anti-obesity medications particular focus their impact cardiometabolic outcomes. document aims raise awareness factor provide guidance implementing evidence-based practices prevention optimal within context primary secondary prevention.

Language: Английский

Citations

16