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Body mass index categories and mortality risk in US adults: the effect of overweight and obesity on advancing death.

Abstract

OBJECTIVES

We examined the association of body mass index with all-cause and cardiovascular disease (CVD)-specific mortality risks among US adults and calculated the rate advancement period by which death is advanced among the exposed groups.

METHODS

We used data from the Third National Health and Nutrition Examination Survey (1988-1994) linked to the National Death Index mortality file with follow-up to 2006 (n = 16 868). We used Cox proportional hazards regression to estimate the rate of dying and rate advancement period for all-cause and CVD-specific mortality for overweight and obese adults relative to their normal-weight counterparts.

RESULTS

Compared with normal-weight adults, obese adults had at least 20% significantly higher rate of dying of all-cause or CVD. These rates advanced death by 3.7 years (grades II and III obesity) for all-cause mortality and between 1.6 (grade I obesity) and 5.0 years (grade III obesity) for CVD-specific mortality. The burden of obesity was greatest among adults aged 45 to 64 years for all-cause and CVD-specific mortality and among women for all-cause mortality.

CONCLUSIONS

These findings highlight the impact of the obesity epidemic on mortality risk and premature deaths among US adults.

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  • Authors+Show Affiliations

    ,

    Luisa N. Borrell is with the Department of Health Sciences, Graduate Program in Public Health, Lehman College, City University of New York, Bronx, NY. Lalitha Samuel is with the Department of Health Sciences, City University of New York.

    Source

    American journal of public health 104:3 2014 Mar pg 512-9

    MeSH

    Adolescent
    Adult
    Age Distribution
    Aged
    Body Mass Index
    Cardiovascular Diseases
    Cause of Death
    Confidence Intervals
    Databases, Factual
    Female
    Health Surveys
    Humans
    Male
    Middle Aged
    Mortality, Premature
    Nutrition Surveys
    Obesity
    Overweight
    Proportional Hazards Models
    Risk Assessment
    United States
    Young Adult

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    24432921

    Citation

    Borrell, Luisa N., and Lalitha Samuel. "Body Mass Index Categories and Mortality Risk in US Adults: the Effect of Overweight and Obesity On Advancing Death." American Journal of Public Health, vol. 104, no. 3, 2014, pp. 512-9.
    Borrell LN, Samuel L. Body mass index categories and mortality risk in US adults: the effect of overweight and obesity on advancing death. Am J Public Health. 2014;104(3):512-9.
    Borrell, L. N., & Samuel, L. (2014). Body mass index categories and mortality risk in US adults: the effect of overweight and obesity on advancing death. American Journal of Public Health, 104(3), pp. 512-9. doi:10.2105/AJPH.2013.301597.
    Borrell LN, Samuel L. Body Mass Index Categories and Mortality Risk in US Adults: the Effect of Overweight and Obesity On Advancing Death. Am J Public Health. 2014;104(3):512-9. PubMed PMID: 24432921.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Body mass index categories and mortality risk in US adults: the effect of overweight and obesity on advancing death. AU - Borrell,Luisa N, AU - Samuel,Lalitha, Y1 - 2014/01/16/ PY - 2014/1/18/entrez PY - 2014/1/18/pubmed PY - 2014/4/18/medline SP - 512 EP - 9 JF - American journal of public health JO - Am J Public Health VL - 104 IS - 3 N2 - OBJECTIVES: We examined the association of body mass index with all-cause and cardiovascular disease (CVD)-specific mortality risks among US adults and calculated the rate advancement period by which death is advanced among the exposed groups. METHODS: We used data from the Third National Health and Nutrition Examination Survey (1988-1994) linked to the National Death Index mortality file with follow-up to 2006 (n = 16 868). We used Cox proportional hazards regression to estimate the rate of dying and rate advancement period for all-cause and CVD-specific mortality for overweight and obese adults relative to their normal-weight counterparts. RESULTS: Compared with normal-weight adults, obese adults had at least 20% significantly higher rate of dying of all-cause or CVD. These rates advanced death by 3.7 years (grades II and III obesity) for all-cause mortality and between 1.6 (grade I obesity) and 5.0 years (grade III obesity) for CVD-specific mortality. The burden of obesity was greatest among adults aged 45 to 64 years for all-cause and CVD-specific mortality and among women for all-cause mortality. CONCLUSIONS: These findings highlight the impact of the obesity epidemic on mortality risk and premature deaths among US adults. SN - 1541-0048 UR - https://www.unboundmedicine.com/medline/citation/24432921/Body_Mass_Index_Categories_and_Mortality_Risk_in_US_Adults:_The_Effect_of_Overweight_and_Obesity_on_Advancing_Death_ L2 - http://www.ajph.org/doi/full/10.2105/AJPH.2013.301597?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -