Evidence map›Paper›PMID 39386160›Full record

ArticleEClinicalMedicine2024

Burden of disease attributable to high body mass index: an analysis of data from the Global Burden of Disease Study 2021.

Xiao-Dong Zhou, Qin-Fen Chen, Wah Yang, Mauricio Zuluaga, Giovanni Targher, Christopher D Byrne, Luca Valenti, Fei Luo, Christos S Katsouras, Omar Thaher and 41 more

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in EClinicalMedicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT07457515 (Analysis of the Transmission of Overweight/Obesity in the Mother-breastmilk-child Triad in Relation to Maternal Cardiometabolic Status and Diet), which is not on this map. Cited by 141 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
141citing papers in PubMed, 6 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.

NCT07457515 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Analysis of the Transmission of Overweight/Obesity in the Mother-breastmilk-child Triad in Relation to Maternal Cardiometabolic Status and Diet

TypeobservationalSponsorWarsaw University of Life SciencesRan2026 to 2029Enrolled165ConditionsBody Weight, Obesity & Overweight, Human Milk/Breastfeeding, Body Composition
3 · Its place in the literature

Who cites it

141 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. The Role of Fat-Free Mass in Weight-Related Complications: A Rapid Review and Meta-Analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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  12. From abdominal adiposity to liver fibrosis: Expanding promise of semaglutide for Asian Indians.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
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81 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

51 authors.

Xiao-Dong ZhouDepartment of Cardiovascular Medicine, the Heart Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Qin-Fen ChenMedical Care Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Wah YangDepartment of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China.
Mauricio ZuluagaDepartament of Surgery, Universidad del Valle, Cali, Valle del Cauca, Colombia, United States.
Giovanni TargherDepartment of Medicine, University of Verona, Verona, Italy.
Christopher D ByrneSouthampton National Institute for Health and Care Research Biomedical Research Centre, University Hospital Southampton, and University of Southampton, Southampton General Hospital, Southampton, UK.
Luca ValentiDepartment of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy.
Fei LuoDepartment of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, Changsha, China.
Christos S KatsourasFirst Department of Cardiology, University Hospital of Ioannina and Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, 45110, Greece.
Omar ThaherDepartment of Surgery, Marien Hospital Herne, University Hospitals of the Ruhr University of Bochum, Herne, NRW, Germany.
Anoop MisraFortis-CDOC Center of Excellence for Diabetes, Metabolic Diseases, and Endocrinology, National Diabetes Obesity and Cholesterol Foundation and Diabetes Foundation, New Delhi, India.
Karim AtayaDepartment of Bariatric Surgery, University of Montreal, Montreal, Quebec, Canada.
Rodolfo J OviedoNacogdoches Center for Metabolic & Weight Loss Surgery, Nacogdoches Medical Center, Nacogdoches, TX, United States.
Alice Pik-Shan KongDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China.
Khalid AlswatLiver Disease Research Center, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Amedeo LonardoDepartment of Internal Medicine, Ospedale Civile di Baggiovara (-2023), Azienda Ospedaliero-Universitaria di Modena, Modena, Italy.
Yu Jun WongDepartment of Gastroenterology & Hepatology, Changi General Hospital, Singapore.
Adam Abu-AbeidDivision of Surgery, Tel Aviv Sourasky Medical Center affiliated to Tel Aviv University, Tel Aviv, Israel.
Hazem Al MomaniWeight Management Unit, Royal NMC Hospital, Khalifa City, Abu Dhabi, United Arab Emirates.
Arshad AliMetabolic and Bariatric, Fatima8h hospital, Tehran, Iran.
Gabriel Alejandro MolinaDepartment of Surgery, USFQ (Universidad San Francisco), Quito, Pichincha, Ecuador.
Olivia SzepietowskiDepartment of Surgery, Ashford and St Peter's Hospital, Chertsey, Surrey, United Kingdom.
Nozim Adxamovich JumaevDepartment Surgical Diseases, Tashkent Medical Academy, Tashkent, Almazar, Uzbekistan.
Mehmet Celal KızılkayaDepartment of Metabolic and Bariatric Surgery, Acibadem Atakent University Hospital, Istanbul, Turkey.
Octavio ViveirosDepartment of Metabolic and Bariatric Surgery, Hospital Lusiadas Amadora, Amadora, Lisbon, Portugal.
Carlos Jesus Toro-HuamanchumoUniversidad San Ignacio de Loyola, Lima, Peru.
Kenneth Yuh Yen KokPengiran Anak Puteri Rashidah Sa'adatul Bolkiah Institute of Health Sciences, Universiti Brunei Darussalam, Bandar Seri Begawan, Brunei-Muara, Brunei.
Oral OspanovSurgical Disease and Bariatric Surgery, Astana Medical University, Astana, Aqmola, Kazakhstan.
Syed Imran AbbasDepartment of Metabolic and Bariatric Surgery, Iranian Hospital Dubai, Dubai, United Arab Emirates.
Andrew Gerard RobertsonDepartment of Upper Gastrointestinal Surgery, Royal Infirmary Edinburgh, Edinburgh, United Kingdom.
Yasser FouadDepartment of Gastroenterology, Hepatology and Endemic Medicine, Faculty of Medicine, Minia University, Minia, Egypt.
Christos S MantzorosDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Huijie ZhangDepartment of Endocrinology and Metabolism, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Nahum Méndez-SánchezLiver Research Unit, Medica Sur Clinic & Foundation, Mexico City, Mexico.
Silvia SookoianConsejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina.
Wah-Kheong ChanGastroenterology and Hepatology Unit, Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Sombat TreeprasertsukFaculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Leon AdamsDepartment of Hepatology, Sir Charles Gairdner Hospital, Perth, Australia.
Ponsiano OcamaDepartment of Medicine, Makerere University of College of Health Sciences, Kampala, Uganda.
John D RyanDepartment of Hepatology, RCSI School of Medicine and Medical Sciences, Dublin/Beaumont Hospital, Dublin, Ireland.
Nilanka PereraDepartment of Medicine, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
Ala I ShararaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Said A Al-BusafiDepartment of Medicine, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Christopher Kenneth OpioDepartment of Medicine, Aga Khan University, Nairobi, Kenya.
Manuel GarciaDepartament of Metabolic and Bariatric Surgery, Tu Opcion Bariatrica/Swiss Hospital, Monterrey, Mexico.
Michelle Ching Lim-LooDepartment of Surgery, Chinese General Hospital and Medical Center, Manila, Philippines.
Elena Ruiz-ÚcarDepartment of Metabolic, Bariatric and Endocrine Surgery, Fuenlabrada University Hospital, Madrid, Spain.
Arun PrasadSurgical Gastroenterology, Bariatric and Robotic Surgery, Indraprastha Apollo Hospital, New Delhi, India.
Anna CasajoanaDepartament of Esophagogastric and Bariatric Surgery, Hospital del Mar de Barcelona, Barcelona, Spain.
Tamer N AbdelbakiDepartment of General Surgery, Alexandria University Faculty of Medicine, Alexandria, Egypt.
Ming-Hua ZhengMAFLD Research Center, Department of Hepatology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Obesity represents a major global health challenge with important clinical implications. Despite its recognized importance, the global disease burden attributable to high body mass index (BMI) remains less well understood. Methods: We systematically analyzed global deaths and disability-adjusted life years (DALYs) attributable to high BMI using the methodology and analytical approaches of the Global Burden of Disease Study (GBD) 2021. High BMI was defined as a BMI over 25 kg/m Findings: From 1990 to 2021, the global deaths and DALYs attributable to high BMI increased more than 2.5-fold for females and males. However, the age-standardized death rates remained stable for females and increased by 15.0% for males. Similarly, the age-standardized DALY rates increased by 21.7% for females and 31.2% for males. In 2021, the six leading causes of high BMI-attributable DALYs were diabetes mellitus, ischemic heart disease, hypertensive heart disease, chronic kidney disease, low back pain and stroke. From 1990 to 2021, low-middle SDI countries exhibited the highest annual percentage changes in age-standardized DALY rates, whereas high SDI countries showed the lowest. Interpretation: The worldwide health burden attributable to high BMI has grown significantly between 1990 and 2021. The increasing global rates of high BMI and the associated disease burden highlight the urgent need for regular surveillance and monitoring of BMI. Funding: National Natural Science Foundation of China and National Key R&D Program of China.

Indexed as

Body mass indexGlobal Burden of Disease StudyMetabolic riskObesity

Identifiers

PMID39386160
PMCPMC11462227

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Registered trials

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.