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

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  • Borrell, L.N.
  • Samuel, L.

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.

Suggested Citation

  • 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, American Public Health Association, vol. 104(3), pages 512-519.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301597_9
    DOI: 10.2105/AJPH.2013.301597
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    Cited by:

    1. Elena Bernabéu & Carlos Marchena & María Teresa Iglesias, 2020. "Factor Structure and Psychometric Properties of Emotional Eater Questionnaire (EEQ) in Spanish Colleges," IJERPH, MDPI, vol. 17(23), pages 1-15, December.
    2. Daniel Puciato & Michał Rozpara, 2020. "Demographic and Socioeconomic Determinants of Body Mass Index in People of Working Age," IJERPH, MDPI, vol. 17(21), pages 1-12, November.
    3. Cahya Utamie Pujilestari & Lennarth Nyström & Margareta Norberg & Nawi Ng, 2019. "Waist Circumference and All-Cause Mortality among Older Adults in Rural Indonesia," IJERPH, MDPI, vol. 16(1), pages 1-13, January.
    4. Christy Brady, 2016. "Decreasing Obesity and Obesity Stigma: Socio-Demographic Differences in Beliefs about Causes of and Responsibility for Obesity," Social Sciences, MDPI, vol. 5(1), pages 1-10, March.
    5. Kim, Jinho, 2016. "Personality traits and body weight: Evidence using sibling comparisons," Social Science & Medicine, Elsevier, vol. 163(C), pages 54-62.
    6. Małgorzata Obara-Gołębiowska & Hanna Brycz & Małgorzata Lipowska & Mariusz Lipowski, 2018. "The Role of Motivation to Reduce Obesity among Elderly People: Response to Priming Temptation in Obese Individuals," IJERPH, MDPI, vol. 15(2), pages 1-13, February.
    7. Christine L Gray & Lynne C Messer & Kristen M Rappazzo & Jyotsna S Jagai & Shannon C Grabich & Danelle T Lobdell, 2018. "The association between physical inactivity and obesity is modified by five domains of environmental quality in U.S. adults: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-14, August.

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