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• W2552159279 abstract "A mean-centric view of populations, whereby a change in the mean of a health variable at the population level is assumed to result in uniform change across the distribution, is a core component of Geoffrey Rose’s concept of the “population strategy” to disease prevention. This idea also has a critical role in Rose’s observation that individuals who are considered abnormal or sick (the rightward tail of the distribution) and those who are considered normal (the center) are very closely related, and that true preventive medicine must focus on shifting the normal or average. In this Perspective, we revisit these core tenets of Rose’s concept of preventive medicine after providing an overview of the key concepts that he developed. We examine whether these assumptions apply to population changes in body mass index (BMI) and show that there is considerable evidence of a widening of the BMI distribution in populations over time. We argue that, with respect to BMI, the idea of using statistical measures of a population solely on the basis of means and the assumption that populations are coherent entities that change uniformly over time may not fully capture the true nature of changes in the population. These issues have important implications for how we assess and interpret the health of populations over time with implications for the balance between universal and targeted strategies aimed at improving health." @default.
• W2552159279 created "2016-11-30" @default.
• W2552159279 creator A5002722096 @default.
• W2552159279 creator A5013184354 @default.
• W2552159279 creator A5083923676 @default.
• W2552159279 date "2016-12-01" @default.
• W2552159279 modified "2023-10-18" @default.
• W2552159279 title "The idea of uniform change: is it time to revisit a central tenet of Rose’s “Strategy of Preventive Medicine”?" @default.
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• W2552159279 doi "https://doi.org/10.3945/ajcn.115.127357" @default.
• W2552159279 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/27935518" @default.
• W2552159279 hasPublicationYear "2016" @default.
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