Cause-specific excess deaths associated with underweight, overweight, and obesity.
paper
Cited
Public
Unavailable
- Authors
- Flegal, Katherine M; Graubard, Barry I; Williamson, David F; Gail, Mitchell H
- Year
- 2007
- Journal
- JAMA
- PMID
- 17986696
- DOI
- 10.1001/jama.298.17.2028
CONTEXT: The association of body mass index (BMI) with cause-specific mortality has not been reported for the US population. OBJECTIVE: To estimate cause-specific excess deaths associated with underweight (BMI <18.5), overweight (BMI 25-<30), and obesity (BMI > or =30). DESIGN, SETTING, AND PARTICIPANTS: Cause-specific relative risks of mortality from the National Health and Nutrition Examination Survey (NHANES) I, 1971-1975; II, 1976-1980; and III, 1988-1994, with mortality follow-up through 2000 (571,042 person-years of follow-up) were combined with data on BMI and other covariates from NHANES 1999-2002 with underlying cause of death information for 2.3 million adults 25 years and older from 2004 vital statistics data for the United States. MAIN OUTCOME MEASURES: Cause-specific excess deaths in 2004 by BMI levels for categories of cardiovascular disease (CVD), cancer, and all other causes (noncancer, non-CVD causes). RESULTS: Based on total follow-up, underweight was associated with significantly increased mortality from noncancer, non-CVD causes (23,455 excess deaths; 95% confidence interval [CI], 11,848 to 35,061) but not associated with cancer or CVD mortality. Overweight was associated with significantly decreased mortality from noncancer, non-CVD causes (-69 299 excess deaths; 95% CI, -100 702 to -37 897) but not associated with cancer or CVD mortality. Obesity was associated with significantly increased CVD mortality (112,159 excess deaths; 95% CI, 87,842 to 136,476) but not associated with cancer mortality or with noncancer, non-CVD mortality. In further analyses, overweight and obesity combined were associated with increased mortality from diabetes and kidney disease (61 248 excess deaths; 95% CI, 49 685 to 72,811) and decreased mortality from other noncancer, non-CVD causes (-105,572 excess deaths; 95% CI, -161 816 to -49,328). Obesity was associated with increased mortality from cancers considered obesity-related (13,839 excess deaths; 95% CI, 1920 to 25,758) but not associated with mortality from other cancers. Comparisons across surveys suggested a decrease in the association of obesity with CVD mortality over time. CONCLUSIONS: The BMI-mortality association varies by cause of death. These results help to clarify the associations of BMI with all-cause mortality.
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| Human omental adipose-derived stem cells from donors with different body mass index had similar effects on proliferation and migration of endometrial cancer cells in vitro. | Li M et al. | β | 2019 | β |
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| Impact of sarcopenic obesity on outcomes in patients undergoing living donor liver transplantation. | Kamo N et al. | β | 2019 | β |
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| Presence of obesity is associated with lower mortality in elderly patients with implantable cardioverter defibrillator. | Jahangir A et al. | β | 2018 | β |
| Prevalence and Predictors of Diabetes Mellitus and Hypertension in Armenian Americans in Los Angeles. | Naccashian Z et al. | β | 2018 | β |
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| The Association of Body Mass Index with Postoperative Outcomes After Elective Paraesophageal Hernia Repair. | Landa ST et al. | β | 2018 | β |
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| Comparative Evaluation of Sulfur Compounds Contents and Antiobesity Properties of <i>Allium hookeri</i> Prepared by Different Drying Methods. | Yang MH et al. | β | 2017 | β |
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| Interleukin-1 Antagonism Decreases Cortisol Levels in Obese Individuals. | Urwyler SA et al. | β | 2017 | β |
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| Obesity is inversely related to the risks of dental caries in Korean adults. | Song IS et al. | β | 2017 | β |
| Obesity-related mortality in France, Italy, and the United States: a comparison using multiple cause-of-death analysis. | Barbieri M et al. | β | 2017 | β |
| Patient-reported outcomes (PRO) focused on adverse events (PRO-AEs) in adjuvant and metastatic breast cancer: clinical and translational implications. | Stefanovic S et al. | β | 2017 | β |
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| Prevalence of overweight, obesity, abdominal obesity and obesity-related risk factors in southern China. | Hu L et al. | β | 2017 | β |
| Prevalence of overweight, obesity, underweight and normal weight in French youth from 2009 to 2013. | Vanhelst J et al. | β | 2017 | β |
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| Purple Sweet Potato Attenuate Weight Gain in High Fat Diet Induced Obese Mice. | Ju R et al. | β | 2017 | β |
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| Risk factors for underweight and overweight in cats in metropolitan Sydney, Australia. | Teng KT et al. | β | 2017 | β |
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| Visceral Adiposity and Sarcopenic Visceral Obesity are Associated with Poor Prognosis After Resection of Pancreatic Cancer. | Okumura S et al. | β | 2017 | β |
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| Allomyrina Dichotoma Larvae Regulate Food Intake and Body Weight in High Fat Diet-Induced Obese Mice Through mTOR and Mapk Signaling Pathways. | Kim J et al. | β | 2016 | β |
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| A novel cutoff for the waist-to-height ratio predicting metabolic syndrome in young American adults. | Bohr AD et al. | β | 2016 | β |
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| Body Mass Index and Locoregional Recurrence in Women with Early-Stage Breast Cancer. | Warren LE et al. | β | 2016 | β |
| Body Mass Index Is an Important Predictor for Suicide: Results from a Systematic Review and Meta-Analysis. | Perera S et al. | β | 2016 | β |
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| Burden of stroke attributable to selected lifestyle risk factors in rural South Africa. | Maredza M et al. | β | 2016 | β |
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| Clinical Impact of Abdominal Fat Distribution on Prognosis After Esophagectomy for Esophageal Squamous Cell Carcinoma. | Okamura A et al. | β | 2016 | β |
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| Development of a new outcome prediction model for Chinese patients with penile squamous cell carcinoma based on preoperative serum C-reactive protein, body mass index, and standard pathological risk factors: the TNCB score group system. | Li ZS et al. | β | 2016 | β |
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| Did the 1918 influenza cause the twentieth century cardiovascular mortality epidemic in the United States? | Tate S et al. | β | 2016 | β |
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| First incident hospitalisation for Australian women aged 70 and beyond: A 10 year examination using competing risks. | Harris ML et al. | β | 2016 | β |
| Gender-modulated risk of coronary heart disease, diabetes and coronary mortality among Turks for three major risk factors, and residual adiposity risk. | Can G et al. | β | 2016 | β |
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| Heavy Smoking Is More Strongly Associated with General Unhealthy Lifestyle than Obesity and Underweight. | Lohse T et al. | β | 2016 | β |
| Identification, expression and variation of the GNPDA2 gene, and its association with body weight and fatness traits in chicken. | Ouyang H et al. | β | 2016 | β |
| Increasing body fat mass reverses bone loss in osteopenia as detected by dual-energy X-ray absorptiometry scans. | Hedges WP et al. | β | 2016 | β |
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| Low Body Mass Index, Serum Creatinine, and Cause of Death in Patients Undergoing Percutaneous Coronary Intervention. | Goel K et al. | β | 2016 | β |
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| Movers and stayers: how residential selection contributes to the association between female body mass index and neighborhood characteristics. | Smith KR et al. | β | 2016 | β |
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| Obesogenic memory can confer long-term increases in adipose tissue but not liver inflammation and insulin resistance after weight loss. | Schmitz J et al. | β | 2016 | β |
| Of mice (dogs) and men: getting to the heart of obesity-associated cardiac dysfunction. | Haggerty CM et al. | β | 2016 | β |
| Overweight, but not obesity, paradox on mortality following coronary artery bypass grafting. | Takagi H et al. | β | 2016 | β |
| Pomegranate extract and exercise provide additive benefits on improvement of immune function by inhibiting inflammation and oxidative stress in high-fat-diet-induced obesity in rats. | Zhao F et al. | β | 2016 | β |
| Population-Based Estimates of Decreases in Quality-Adjusted Life Expectancy Associated with Unhealthy Body Mass Index. | Jia H et al. | β | 2016 | β |
| Primary Care Patients' Willingness to Participate in Comprehensive Weight Loss Programs: From the WWAMI Region Practice and Research Network. | Cole AM et al. | β | 2016 | β |
| Promoting Physical Activity and Exercise in Daily Practice: Current Practices, Barriers, and Training Needs of Physiotherapists in Eastern Nigeria. | Abaraogu UO et al. | β | 2016 | β |
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| Serum Adiponectin Level May be an Independent Predictor of Clear Cell Renal Cell Carcinoma. | Wang H et al. | β | 2016 | β |
| Study on correlation of obesity with short-term prognosis in acute myocardial infarction. | Haridasan V et al. | β | 2016 | β |
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| A dose-response meta-analysis of the impact of body mass index on stroke and all-cause mortality in stroke patients: a paradox within a paradox. | Bagheri M et al. | β | 2015 | β |
| All-Cause and Cardiovascular Mortality Among Koreans: Effects of Obesity and Metabolic Health. | Sung KC et al. | β | 2015 | β |
| Androgen receptor (AR) gene CAG trinucleotide repeat length associated with body composition measures in non-syndromic obese, non-obese and Prader-Willi syndrome individuals. | Butler MG et al. | β | 2015 | β |
| Android and gynoid fat percentages and serum lipid levels in United States adults. | Min KB et al. | β | 2015 | β |
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| Association Between Tooth Loss, Body Mass Index, and All-Cause Mortality Among Elderly Patients in Taiwan. | Hu HY et al. | β | 2015 | β |
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