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Mortality Attributable to Obesity Among Middle-Aged Adults in the United States /

개인저자
Mehta, Neil K ;, Chang, Virginia W.
수록페이지
851-872 p.
발행일자
2009.11.26
출판사
Population Association of America
초록
[영문]Abstract:Obesity is considered a major cause of premature mortality and a potential threat to the longstanding secular decline in mortality in the United States. We measure relative and attributable risks associated with obesity among middle-aged adults using data from the Health and Retirement Study (1992?2004). Although class II/III obesity (BMI = 35.0 kg/m2) increases mortality by 40% in females and 62% in males compared with normal BMI (BMI = 18.5?24.9), class I obesity (BMI = 30.0?34.9) and being overweight (BMI = 25.0?29.9) are not associated with excess mortality. With respect to attributable mortality, class II/III obesity (BMI = 35.0) is responsible for approximately 4% of deaths among females and 3% of deaths among males. Obesity is often compared with cigarette smoking as a major source of avoidable mortality. Smoking-attributable mortality is much larger in this cohort: about 36% in females and 50% in males. Results are robust to confounding by preexisting diseases, multiple dimensions of socioeconomic status (SES), smoking, and other correlates. These findings challenge the viewpoint that obesity will stem the long-term secular decline in U.S. mortality.