Body mass index and mortality in elderly men and women: the Tromso and HUNT studies
Background The impact of body mass index (BMI; kg/m2) and waist circumference (WC) on mortality in elderly individuals is controversial and previous research has largely focused on obesity. Methods With special attention to the lower BMI categories, associations between BMI and both total and cause-...
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fthighwire:oai:open-archive.highwire.org:jech:66/7/611 2023-05-15T18:33:54+02:00 Body mass index and mortality in elderly men and women: the Tromso and HUNT studies Kvamme, Jan-Magnus Holmen, Jostein Wilsgaard, Tom Florholmen, Jon Midthjell, Kristian Jacobsen, Bjarne K 2012-07-01 00:00:00.0 text/html http://jech.bmj.com/cgi/content/short/66/7/611 https://doi.org/10.1136/jech.2010.123232 en eng BMJ Publishing Group Ltd http://jech.bmj.com/cgi/content/short/66/7/611 http://dx.doi.org/10.1136/jech.2010.123232 Copyright (C) 2012, BMJ Publishing Group Ltd Social and psychosocial factors and health TEXT 2012 fthighwire https://doi.org/10.1136/jech.2010.123232 2013-05-26T18:17:10Z Background The impact of body mass index (BMI; kg/m2) and waist circumference (WC) on mortality in elderly individuals is controversial and previous research has largely focused on obesity. Methods With special attention to the lower BMI categories, associations between BMI and both total and cause-specific mortality were explored in 7604 men and 9107 women aged ≥65 years who participated in the Tromsø Study (1994–1995) or the North-Trøndelag Health Study (1995–1997). A Cox proportional hazards model adjusted for age, marital status, education and smoking was used to estimate HRs for mortality in different BMI categories using the BMI range of 25–27.5 as a reference. The impact of each 2.5 kg/m2 difference in BMI on mortality in individuals with BMI<25.0 and BMI≥25.0 was also explored. Furthermore, the relations between WC and mortality were assessed. Results We identified 7474 deaths during a mean follow-up of 9.3 years. The lowest mortality was found in the BMI range 25–29.9 and 25–32.4 in men and women, respectively. Mortality was increased in all BMI categories below 25 and was moderately increased in obese individuals. U-shaped relationships were also found between WC and total mortality. About 40% of the excess mortality in the lower BMI range in men was explained by mortality from respiratory diseases. Conclusions BMI below 25 in elderly men and women was associated with increased mortality. A modest increase in mortality was found with increasing BMI among obese men and women. Overweight individuals (BMI 25–29.9) had the lowest mortality. Text Tromso Tromso Tromsø HighWire Press (Stanford University) Tromsø Tromso ENVELOPE(16.546,16.546,68.801,68.801) Journal of Epidemiology and Community Health 66 7 611 617 |
institution |
Open Polar |
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HighWire Press (Stanford University) |
op_collection_id |
fthighwire |
language |
English |
topic |
Social and psychosocial factors and health |
spellingShingle |
Social and psychosocial factors and health Kvamme, Jan-Magnus Holmen, Jostein Wilsgaard, Tom Florholmen, Jon Midthjell, Kristian Jacobsen, Bjarne K Body mass index and mortality in elderly men and women: the Tromso and HUNT studies |
topic_facet |
Social and psychosocial factors and health |
description |
Background The impact of body mass index (BMI; kg/m2) and waist circumference (WC) on mortality in elderly individuals is controversial and previous research has largely focused on obesity. Methods With special attention to the lower BMI categories, associations between BMI and both total and cause-specific mortality were explored in 7604 men and 9107 women aged ≥65 years who participated in the Tromsø Study (1994–1995) or the North-Trøndelag Health Study (1995–1997). A Cox proportional hazards model adjusted for age, marital status, education and smoking was used to estimate HRs for mortality in different BMI categories using the BMI range of 25–27.5 as a reference. The impact of each 2.5 kg/m2 difference in BMI on mortality in individuals with BMI<25.0 and BMI≥25.0 was also explored. Furthermore, the relations between WC and mortality were assessed. Results We identified 7474 deaths during a mean follow-up of 9.3 years. The lowest mortality was found in the BMI range 25–29.9 and 25–32.4 in men and women, respectively. Mortality was increased in all BMI categories below 25 and was moderately increased in obese individuals. U-shaped relationships were also found between WC and total mortality. About 40% of the excess mortality in the lower BMI range in men was explained by mortality from respiratory diseases. Conclusions BMI below 25 in elderly men and women was associated with increased mortality. A modest increase in mortality was found with increasing BMI among obese men and women. Overweight individuals (BMI 25–29.9) had the lowest mortality. |
format |
Text |
author |
Kvamme, Jan-Magnus Holmen, Jostein Wilsgaard, Tom Florholmen, Jon Midthjell, Kristian Jacobsen, Bjarne K |
author_facet |
Kvamme, Jan-Magnus Holmen, Jostein Wilsgaard, Tom Florholmen, Jon Midthjell, Kristian Jacobsen, Bjarne K |
author_sort |
Kvamme, Jan-Magnus |
title |
Body mass index and mortality in elderly men and women: the Tromso and HUNT studies |
title_short |
Body mass index and mortality in elderly men and women: the Tromso and HUNT studies |
title_full |
Body mass index and mortality in elderly men and women: the Tromso and HUNT studies |
title_fullStr |
Body mass index and mortality in elderly men and women: the Tromso and HUNT studies |
title_full_unstemmed |
Body mass index and mortality in elderly men and women: the Tromso and HUNT studies |
title_sort |
body mass index and mortality in elderly men and women: the tromso and hunt studies |
publisher |
BMJ Publishing Group Ltd |
publishDate |
2012 |
url |
http://jech.bmj.com/cgi/content/short/66/7/611 https://doi.org/10.1136/jech.2010.123232 |
long_lat |
ENVELOPE(16.546,16.546,68.801,68.801) |
geographic |
Tromsø Tromso |
geographic_facet |
Tromsø Tromso |
genre |
Tromso Tromso Tromsø |
genre_facet |
Tromso Tromso Tromsø |
op_relation |
http://jech.bmj.com/cgi/content/short/66/7/611 http://dx.doi.org/10.1136/jech.2010.123232 |
op_rights |
Copyright (C) 2012, BMJ Publishing Group Ltd |
op_doi |
https://doi.org/10.1136/jech.2010.123232 |
container_title |
Journal of Epidemiology and Community Health |
container_volume |
66 |
container_issue |
7 |
container_start_page |
611 |
op_container_end_page |
617 |
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1766218526582898688 |