ArticleObesity facts2019
Socioeconomic Inequalities in the Rise of Adult Obesity: A Time-Trend Analysis of National Examination Data from Germany, 1990-2011.
Article in Obesity facts, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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34 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mobile health (m-health) smartphone interventions for adolescents and adults with overweight or obesity.The Cochrane database of systematic reviews · 2024Pooled it
- Article
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- The life expectancy gap: Socioeconomic differences in life expectancy between areas in Germany.Journal of health monitoring · 2025Article
- Prevalence of obesity and smoking among adults in Germany - trends from 2003 to 2023.Journal of health monitoring · 2025Article
- Exploring the multifaceted factors influencing overweight and obesity: a scoping review.Frontiers in public health · 2025Article
- A Scoping Review of the Social Determinants of Pediatric and Adolescent Obesity.International journal of pediatrics · 2025Review
- Prevalence and Factors Related to Physical Activity in Spanish Adults with Obesity and Overweight: Analysis of the European Health Surveys for the Years 2014 and 2020.Healthcare (Basel, Switzerland) · 2024Article
- [Healthier at work for longer? Trends in life years free of cardiovascular and musculoskeletal diseases in the employed and general population based on health insurance claims data].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024Article
- Prevalence of gestational diabetes mellitus in Germany: Temporal trend and differences by regional socioeconomic deprivation.Journal of health monitoring · 2024Article
- SARS-CoV-2 Infection Alters the Phenotype and Gene Expression of Adipocytes.International journal of molecular sciences · 2024Article
- Widening Educational Inequalities in Physical Health Due to the Obesity Trend?-A Mediation Analysis Using the German Socio-Economic Panel Study.International journal of public health · 2024Article
- Predicting the prevalence of type 2 diabetes in Brazil: a modeling study.Frontiers in public health · 2024Article
- Increasing social disparities in obesity among 15 000 pre-schoolers in a German district from 2009 to 2019.European journal of public health · 2023Article
- Patients with body mass index ≥25 kg/mJournal of vascular surgery. Venous and lymphatic disorders · 2023Article
- Socio-economic accounting of inequalities in excess weight: a population-based analysis.BMC public health · 2023Article
- Training medical students in motivational interviewing using a blended learning approach: a proof-of-concept study.Frontiers in psychology · 2023Article
- Socioeconomic Status, Overweight, and Obesity in Childhood and Adolescence—Secular Trends From the Nationwide German Kiggs StudyDeutsches Arzteblatt international · 2022Article
- SARS-CoV-2 infection drives an inflammatory response in human adipose tissue through infection of adipocytes and macrophages.Science translational medicine · 2022Article
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Abstract
objectiveDespite extensive study of the obesity epidemic, research on whether obesity has risen faster in lower or in higher socioeconomic groups is inconsistent. This study examined secular trends in obesity prevalence by socioeconomic position and the resulting obesity inequalities in the German adult population.
methodsData were drawn from three national examination surveys conducted in 1990-1992, 1997-1999 and 2008-2011 (n = 18,541; age range: 25-69 years). Obesity was defined by a body mass index ≥30 kg/m2 using standardised measurements of body height and weight. Education and equivalised household disposable income were used as indicators of socioeconomic position. Time trends in socioeconomic inequalities in obesity were examined using linear probability and log-binomial regression models.
resultsIn each survey period, the highest socioeconomic groups had the lowest prevalence of obesity. The low and medium socioeconomic groups showed increases in obesity prevalence, whereas no such trend was observed in the high socioeconomic groups. Absolute inequalities in obesity by income increased by an average of 0.53 percentage points per year (95% confidence interval [CI] 0.01-1.05, p = 0.047) among men and 0.47 percentage points per year (95% CI 0.05-0.90, p = 0.029) among women. Absolute inequalities in obesity by education increased on average by 0.64 percentage points per year (95% CI 0.19-1.08, p = 0.005) among women but not among men (0.33 percentage points, 95% CI -0.27 to 0.92, p = 0.283).
conclusionsThese findings suggest a widening obesity gap between the top and the bottom of the socioeconomic spectrum. This has the potential to have adverse consequences for population health and health inequalities in coming decades. Interventions that are effective in preventing and reducing obesity in socially disadvantaged groups are needed.
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