20 18

Cited 0 times in

Associations of changes in body mass index with all-cause and cardiovascular mortality in healthy middle-aged adults.

Authors
 In-Jeong Cho  ;  Hyuk-Jae Chang  ;  Ji Min Sung  ;  Young Mi Yun  ;  Hyeon Chang Kim  ;  Namsik Chung 
Citation
 PLoS One, Vol.12(12) : e0189180, 2017 
Journal Title
 PLoS One 
Issue Date
2017
MeSH
Body Mass Index* ; Cardiovascular Diseases/mortality* ; Cardiovascular Diseases/pathology* ; Cause of Death* ; Female ; Humans ; Male ; Middle Aged
Abstract
BACKGROUND: Conflicting data exist regarding the association of body mass index (BMI) changes with all-cause and cardiovascular (CV) mortality. The current study investigated the association between changes in BMI and all-cause, CV, and non-CV mortality in a large cohort of middle-aged adults. METHODS: A total of 379,535 adults over 40 years of age without pre-existing CV disease or cancer at baseline were enrolled to undergo a series of at least three health examinations of biennial intervals. Changes in BMI between baseline, midpoint follow-up, and final health examination during mean 9.3 years were defined according to the pattern of BMI change as follows: stable, sustained gain, sustained loss, and fluctuation. The relationship between BMI change category and mortality was assessed by multivariate Cox regression reporting hazard ratio (HR) with 95% confidence interval (95% CI). RESULTS: During a mean follow-up of 10.7 years for mortality, 12,378 deaths occurred from all causes, of which 2,114 were CV and 10,264 were non-CV deaths. Sustained BMI gain was associated with the lower risk of all-cause (HR 0.89, 95% CI: 0.83-0.95), CV (HR 0.84, 95% CI 0.72-0.98), and non-CV mortality (HR 0.90, 95% CI 0.84-0.96) compared with stable BMI. Conversely, sustained BMI loss (HR 1.25, 95% CI 1.19-1.32) and fluctuation (HR 1.13, 95% CI 1.08-1.19) displayed a higher risk of all-cause mortality compared with stable BMI, which was mainly attributable to the increase in non-CV mortality. CONCLUSION: Sustained BMI gains were associated with reduced risk of all-cause, CV, and non-CV mortality in middle-aged healthy adults.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/161534
DOI
10.1371/journal.pone.0189180
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실)
1. Journal Papers (연구논문) > 5. Research Institutes (연구소) > Yonsei Cardiovascular Research Institute (심혈관연구소)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
김현창(Kim, Hyeon Chang) ; 성지민(Sung, Ji Min) ; 장혁재(Chang, Hyuck Jae) ; 정남식(Chung, Nam Sik) ; 조인정(Cho, In Jeong)
사서에게 알리기
  feedback
Files in This Item:
T201705094.pdf Download
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse