Evidence map›Paper›PMID 28152059›Full record

ArticlePloS one2017

Morbid obesity in Taiwan: Prevalence, trends, associated social demographics, and lifestyle factors.

Heng-Cheng Chang, Hsin-Chou Yang, Hsing-Yi Chang, Chih-Jung Yeh, Hsin-Hung Chen, Kuo-Chin Huang, Wen-Harn Pan

Abstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 1 synthesis or guideline pooled it.

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18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Heng-Cheng ChangGraduate Institute of Life Sciences, National Defense Medical Center, Taipei, Taiwan.
Hsin-Chou YangInstitute of Statistical Science, Academia Sinica, Taipei, Taiwan.
Hsing-Yi ChangInstitute of Population Health Sciences, National Health Research Institutes, Miaoli County, Taiwan.
Chih-Jung YehSchool of Public Health, Chung Shan Medical University, Taichung, Taiwan.
Hsin-Hung ChenDepartment of Nutrition and Health Science, Chang Jung Christian University, Tainan, Taiwan.
Kuo-Chin HuangDepartment of Family Medicine, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan.
Wen-Harn PanGraduate Institute of Life Sciences, National Defense Medical Center, Taipei, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveObesity is one of the most important public health issues worldwide. Moreover, an extreme phenotype, morbid obesity (MO) has insidiously become a global problem. Therefore, we aimed to document the prevalence trend and to unveil the epidemiological characteristics of MO in Taiwan.

methodsNationally representative samples aged 19 years and above from three consecutive waves of Nutrition and Health survey in Taiwan: 1993-1996, 2005-2008, and 2013-2014 (n = 3,071; 1,673; and 1,440; respectively) were analyzed for prevalence trend. And 39 MO (BMI ≥35 kg/m2) cases from the two recent surveys compared with 156 age, gender, and survey-matched normal weight controls (BMI: 18.5-24 kg/m2) for epidemiological characteristics study. The reduced rank regression analysis was used to find dietary pattern associated with MO.

resultsThe prevalence of overweight and obesity together (BMI ≥24 kg/m2) was stabilized in the recent two surveys, but that of MO (0.4%, 0.6%, to 1.4%) and obesity (BMI ≥27 kg/m2) (11.8%, 17.9%, to 22.0%) increased sharply. MO cases tended to have lower levels of education, personal income, and physical activity. Furthermore, their dietary pattern featured with a higher consumption frequency of red meat, processed animal products, and sweets/sweetened beverage, but lower frequencies of fresh fruits, nuts, breakfast cereal, and dairy products.

conclusionThis study documents a polarization phenomenon with smaller proportion of overweight people at the center and higher proportions of normal weight and obesity subjects at two extremes. MO was associated with low socioeconomic status and poor dietary pattern. The obesogenic dietary pattern became more prevalent in later time.

Indexed as

AdultAgedDietEnergy IntakeFemaleHumansLife StyleMaleMiddle AgedNutrition SurveysObesity, MorbidPrevalenceSocial ClassTaiwanYoung Adult

Identifiers

PMID28152059
PMCPMC5289420

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.