Bin Zhou, Nowell H Phelps, Agnese Galeazzi, Olivia N. O’Driscoll, James E. Bennett, Lakshya Jain, Yse D'Ailhaud De Brisis, Ana Barradas‐Pires, Fulvio Deo, Gretchen A. Stevens, Vasilis Kontis, Christopher J. Paciorek, Rodrigo M. Carrillo-Larco, Anu Mishra, 范晔峰, Andrea Rodriguez‐Martinez, Vishwa Nath, A. Rayner, Annalise Zouein, Natalie Evans, Jennifer L. Baker, Günther Fink, Maroje Sorić, Carlos A. Aguilar-Salinas, Ranjit Mohan Anjana, Zulfiqar A. Bhutta, Pascal Bovet, Goodarz Danaei, Kairat Davletov, Shubash Ganapathy, Edward W. Gregg, Nayu Ikeda, André Pascal Kengne, Young‐Ho Khang, K Khunti, Tiina Laatikainen, Avula Laxmaiah, Lee‐Ling Lim, H Y Lin, J Mbanya, J Jaime Miranda, Anja Schienkiewitz, Sylvain Sebert, Namuna Shrestha, Yi Song, Luis Adrián Soto-Mota, Gregor Starc, L L Wang, Novie O. Younger-Coleman, Francesco Zaccardi, Julie Aarestrup, Leandra Abarca-Gómez, Mohsen Abbasi‐Kangevari, Ziad Abdeen, Shynar Abdrakhmanova, Suhaila Abdul Ghaffar, Hanan F. Abdul Rahim, Zulfiya Abdurahmnova, Niveen M. Abu-Rmeileh, Jamila Abubakar Garba, Benjamín Acosta-Cázares, Ishag Adam, Marzena Adamczyk, Robert J. Adams, Seth Adu-Afarwuah, Wichai Aekplakorn, Tin Afifah, Kaosar Afsana, Shoaib Afzal, Imelda A. Agdeppa, Javad Aghazadeh-Attari, Åsa Ågren, Hassan Aguenaou, Charles Agyemang, Mohamad Hasnan Ahmad, Noor Ani Ahmad, Ali Ahmadi, Naser Ahmadi, Nastaran Ahmadi, Imran Ahmed, Soheir H. Ahmed, Wolfgang Ahrens, Gulmira Aitmurzaeva, Kamel Ajlouni, Дилором Ахмедова, Nilufar Akhmedova, Nasser Al-Daghri, Sarah F. Al-Hamli, Hazzaa M. Al-Hazzaa, Halima Al-Hinai, Jawad A. Al-Lawati, Rajaa Al‐Raddadi, Islam K. Al-Shami, Deena Al Asfoor, Huda M. Al Hourani, Nawal M. Al Qaoud, Monira Alarouj, Fadia AlBuhairan, Shahla AlDhukair, M. Aldwairji
and lacks a granular and systematic analysis of its dynamics. We used 4,050 population-based studies with measured height and weight data on 232 million participants to assess the worldwide dynamics of obesity from 1980 to 2024. The rise in obesity decelerated in school-aged children and adolescents throughout the 1990s in many high-income countries, and subsequently plateaued in most at age-standardized prevalences spanning 20 percentage points, from 3-4% for girls in Japan, Denmark and France to 23% for boys in the USA. There were indications of a small decline in obesity in children and adolescents in some high-income western countries (for example, Italy, Portugal and France) since the 2000s. Similar trends were seen in some countries in Central and Eastern Europe. In adults, the rise in obesity slowed down in high-income western countries about a decade after children, followed by a plateau or possibly a small reversal of the rise in some countries (for example, Spain). In most low-income and middle-income countries, the annual absolute change in prevalence has remained stable or increased over time, even though prevalence has surpassed that of high-income countries. These highly varied dynamics suggest that the social, economic and technological trends that influence the availability, affordability and use of different foods may have helped control the rise in obesity in high-income countries, but require policy interventions in low-income and middle-income countries.