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Overall obesity and abdominal adiposity as predictors of mortality in u.s. White and black adults.
Ann Epidemiol. 2009 Feb; 19(2):134-42.AE

Abstract

PURPOSE

The association of overall obesity and abdominal adiposity in predicting risk of all-cause mortality in white and black adults was compared.

METHODS

This prospective study included a national sample of 3219 non-Hispanic white and 2,561 non-Hispanic black adults 30 to 64 years of age enrolled in the third National Health and Nutrition Examination Survey during 1988-1994. Multiple measures of adiposity were measured and calculated, including body mass index (BMI), waist circumference, waist-to-hip ratio (WHR), and waist-to-thigh ratio (WTR). Vital status was ascertained with the National Death Index through 2000.

RESULTS

During 12 years of follow-up (51,133 person-years), 188 white and 222 black adults died. After adjustment for age, education, smoking, and existing disease, positive dose-response associations between WTR and mortality in both sexes and races, and WHR in white and black women were observed (p(trend) < 0.05 for all). These results were unchanged after additional adjustment for BMI. In contrast, BMI and waist circumference alone exhibited curvilinear-shaped associations with mortality. A higher WTR was associated with a higher risk of mortality among normal weight (BMI: 18.5-24.9 kg/m(2)) and obese (BMI: > or =30.0 kg/m(2)) white and black adults.

CONCLUSIONS

These results suggest ratio measures of abdominal adiposity, particularly WTR in both sexes and WHR in women, strongly and positively predict mortality, independent of BMI, among white and black adults. Furthermore, WTR offers additional prognostic information beyond that provided by BMI alone.

Authors+Show Affiliations

Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. jreis@jhsph.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

19185808

Citation

Reis, Jared P., et al. "Overall Obesity and Abdominal Adiposity as Predictors of Mortality in U.s. White and Black Adults." Annals of Epidemiology, vol. 19, no. 2, 2009, pp. 134-42.
Reis JP, Araneta MR, Wingard DL, et al. Overall obesity and abdominal adiposity as predictors of mortality in u.s. White and black adults. Ann Epidemiol. 2009;19(2):134-42.
Reis, J. P., Araneta, M. R., Wingard, D. L., Macera, C. A., Lindsay, S. P., & Marshall, S. J. (2009). Overall obesity and abdominal adiposity as predictors of mortality in u.s. White and black adults. Annals of Epidemiology, 19(2), 134-42. https://doi.org/10.1016/j.annepidem.2008.10.008
Reis JP, et al. Overall Obesity and Abdominal Adiposity as Predictors of Mortality in U.s. White and Black Adults. Ann Epidemiol. 2009;19(2):134-42. PubMed PMID: 19185808.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Overall obesity and abdominal adiposity as predictors of mortality in u.s. White and black adults. AU - Reis,Jared P, AU - Araneta,Maria R, AU - Wingard,Deborah L, AU - Macera,Caroline A, AU - Lindsay,Suzanne P, AU - Marshall,Simon J, PY - 2008/06/01/received PY - 2008/10/02/revised PY - 2008/10/21/accepted PY - 2009/2/3/entrez PY - 2009/2/3/pubmed PY - 2009/4/29/medline SP - 134 EP - 42 JF - Annals of epidemiology JO - Ann Epidemiol VL - 19 IS - 2 N2 - PURPOSE: The association of overall obesity and abdominal adiposity in predicting risk of all-cause mortality in white and black adults was compared. METHODS: This prospective study included a national sample of 3219 non-Hispanic white and 2,561 non-Hispanic black adults 30 to 64 years of age enrolled in the third National Health and Nutrition Examination Survey during 1988-1994. Multiple measures of adiposity were measured and calculated, including body mass index (BMI), waist circumference, waist-to-hip ratio (WHR), and waist-to-thigh ratio (WTR). Vital status was ascertained with the National Death Index through 2000. RESULTS: During 12 years of follow-up (51,133 person-years), 188 white and 222 black adults died. After adjustment for age, education, smoking, and existing disease, positive dose-response associations between WTR and mortality in both sexes and races, and WHR in white and black women were observed (p(trend) < 0.05 for all). These results were unchanged after additional adjustment for BMI. In contrast, BMI and waist circumference alone exhibited curvilinear-shaped associations with mortality. A higher WTR was associated with a higher risk of mortality among normal weight (BMI: 18.5-24.9 kg/m(2)) and obese (BMI: > or =30.0 kg/m(2)) white and black adults. CONCLUSIONS: These results suggest ratio measures of abdominal adiposity, particularly WTR in both sexes and WHR in women, strongly and positively predict mortality, independent of BMI, among white and black adults. Furthermore, WTR offers additional prognostic information beyond that provided by BMI alone. SN - 1873-2585 UR - https://www.unboundmedicine.com/medline/citation/19185808/Overall_obesity_and_abdominal_adiposity_as_predictors_of_mortality_in_u_s__White_and_black_adults_ DB - PRIME DP - Unbound Medicine ER -