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A comparison of body mass index, waist-hip ratio and waist circumference as predictors of all-cause mortality among the elderly: the Rotterdam study.
Int J Obes Relat Metab Disord. 2001 Nov; 25(11):1730-5.IJ

Abstract

OBJECTIVE

To compare body mass index (BMI), waist-hip ratio (WHR) and waist circumference as predictors of all-cause mortality among the elderly.

DESIGN

Population-based cohort study; mean follow-up was 5.4 y.

SETTING

The Rotterdam Study.

PARTICIPANTS

A total of 6296 men and women; baseline age 55-102 y.

MEASUREMENTS

Sex-specific all-cause mortality was compared between quintiles of BMI, WHR and waist circumference and between predefined categories of BMI and waist circumference, stratified for smoking category.

RESULTS

High quintiles of waist circumference, but not high quintiles of BMI and WHR were related to increased mortality among never smoking men, without reaching statistical significance. Only the highest category of BMI (BMI>30 kg/m2) among never smoking men was related to increased mortality, compared to normal BMI (hazard ratio 2.6 (95% confidence interval: 1.3-5.3)). Waist circumference between 94 and 102 cm and waist circumference 102 cm and larger were related to increased mortality, compared to normal waist circumference (hazard ratios 1.7 (95% confidence interval 1.1-2.8) and 1.6 (95% confidence interval 1.0-2.8), respectively). The proportion of mortality attributable to large waist circumference among never smoking men was three-fold the proportion attributable to high BMI. Among never smoking women and ex- and current smokers, categories of large body fatness did not predict increased mortality.

CONCLUSION

Among never smoking elderly men waist circumference may have more potential for detecting overweight than the BMI.

Authors+Show Affiliations

Department of Epidemiology and Biostatistics, Erasmus University Medical School, Rotterdam, The Netherlands. tommy.visscher@rivm.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11753597

Citation

Visscher, T L., et al. "A Comparison of Body Mass Index, Waist-hip Ratio and Waist Circumference as Predictors of All-cause Mortality Among the Elderly: the Rotterdam Study." International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity, vol. 25, no. 11, 2001, pp. 1730-5.
Visscher TL, Seidell JC, Molarius A, et al. A comparison of body mass index, waist-hip ratio and waist circumference as predictors of all-cause mortality among the elderly: the Rotterdam study. Int J Obes Relat Metab Disord. 2001;25(11):1730-5.
Visscher, T. L., Seidell, J. C., Molarius, A., van der Kuip, D., Hofman, A., & Witteman, J. C. (2001). A comparison of body mass index, waist-hip ratio and waist circumference as predictors of all-cause mortality among the elderly: the Rotterdam study. International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity, 25(11), 1730-5.
Visscher TL, et al. A Comparison of Body Mass Index, Waist-hip Ratio and Waist Circumference as Predictors of All-cause Mortality Among the Elderly: the Rotterdam Study. Int J Obes Relat Metab Disord. 2001;25(11):1730-5. PubMed PMID: 11753597.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A comparison of body mass index, waist-hip ratio and waist circumference as predictors of all-cause mortality among the elderly: the Rotterdam study. AU - Visscher,T L, AU - Seidell,J C, AU - Molarius,A, AU - van der Kuip,D, AU - Hofman,A, AU - Witteman,J C, PY - 2000/07/13/received PY - 2001/04/10/revised PY - 2001/04/20/accepted PY - 2001/12/26/pubmed PY - 2002/1/11/medline PY - 2001/12/26/entrez SP - 1730 EP - 5 JF - International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity JO - Int. J. Obes. Relat. Metab. Disord. VL - 25 IS - 11 N2 - OBJECTIVE: To compare body mass index (BMI), waist-hip ratio (WHR) and waist circumference as predictors of all-cause mortality among the elderly. DESIGN: Population-based cohort study; mean follow-up was 5.4 y. SETTING: The Rotterdam Study. PARTICIPANTS: A total of 6296 men and women; baseline age 55-102 y. MEASUREMENTS: Sex-specific all-cause mortality was compared between quintiles of BMI, WHR and waist circumference and between predefined categories of BMI and waist circumference, stratified for smoking category. RESULTS: High quintiles of waist circumference, but not high quintiles of BMI and WHR were related to increased mortality among never smoking men, without reaching statistical significance. Only the highest category of BMI (BMI>30 kg/m2) among never smoking men was related to increased mortality, compared to normal BMI (hazard ratio 2.6 (95% confidence interval: 1.3-5.3)). Waist circumference between 94 and 102 cm and waist circumference 102 cm and larger were related to increased mortality, compared to normal waist circumference (hazard ratios 1.7 (95% confidence interval 1.1-2.8) and 1.6 (95% confidence interval 1.0-2.8), respectively). The proportion of mortality attributable to large waist circumference among never smoking men was three-fold the proportion attributable to high BMI. Among never smoking women and ex- and current smokers, categories of large body fatness did not predict increased mortality. CONCLUSION: Among never smoking elderly men waist circumference may have more potential for detecting overweight than the BMI. UR - https://www.unboundmedicine.com/medline/citation/11753597/A_comparison_of_body_mass_index_waist_hip_ratio_and_waist_circumference_as_predictors_of_all_cause_mortality_among_the_elderly:_the_Rotterdam_study_ L2 - https://medlineplus.gov/obesity.html DB - PRIME DP - Unbound Medicine ER -