Obesity and loss of disease-free years owing to major non-communicable diseases: a multicohort study

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Obesity and loss of disease-free years owing to major non-communicable diseases : a multicohort study

Theorell, Töres (författare): Karolinska Institutet,Stockholms universitet,Stressforskningsinstitutet

Batty, George David (författare): Department of Epidemiology and Public Health, University College London, London, UK,UCL, London, England

Pentti, Jaana (författare): Clinicum, Department of Public Health, Faculty of Medicine, University of Helsinki, Finland / Department of Public Health, University of Turku and Turku University Hospital, Turku, Finland,Univ Helsinki, Helsinki, Finland; Univ Turku, Turku, Finland; Turku Univ Hosp, Turku, Finland

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Virtanen, Marianna (författare): Uppsala universitet,Stockholms universitet,Stressforskningsinstitutet,Finnish Institute of Occupational Health, Finland; Uppsala University, Sweden,Folkhälsovetenskap

Suominen, Sakari (författare): Högskolan i Skövde,Institutionen för hälsa och lärande,Forskningsspecialiseringen Hälsa och Lärande,Department of Public Health, University of Turku and Turku University Hospital, Turku, Finland,Individ och samhälle VIDSOC

Fransson, Eleonor I., 1971- (författare): Stockholms universitet,Jönköping University,HHJ, Avdelningen för naturvetenskap och biomedicin,HHJ. ADULT,HHJ. ARN-J (Aging Research Network - Jönköping),Stress Research Institute, University of Stockholm, Sweden / School of Health and Welfare, Jönköping University, Jönköping, Sweden,Stressforskningsinstitutet

Goldberg, Marcel (författare): Paris Descartes University, Paris, France / Inserm UMS 011, Population-Based Epidemiological Cohorts Unit, Villejuif, France

Heikkilä, Katriina V. (författare): Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom / Clinical Effectiveness Unit, The Royal College of Surgeons, London, United Kingdom,London Sch Hyg & Trop Med, London, England; Royal Coll Surgeons England, London, England

Jokela, Markus (författare): Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland,Univ Helsinki, Helsinki, Finland,Uppsala Univ, Uppsala; Univ Stockholm, Stockholm,Department of Medical Sciences, Uppsala University, Uppsala, Sweden,Clinicum, Department of Public Health, Faculty of Medicine, University of Helsinki, Finland

Knutsson, Anders, 1942- (författare): Mittuniversitetet,Avdelningen för hälsovetenskap,Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden

Koskenvuo, Markku J. (författare): Clinicum, Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland,Univ Helsinki, Helsinki, Finland

Lallukka, Tea (författare): Clinicum, Department of Public Health, Faculty of Medicine, University of Helsinki, Finland / Finnish Institute of Occupational Health, Finland,Univ Helsinki, Helsinki, Finland; Finnish Inst Occupat Hlth, Helsinki, Finland

Leineweber, Constanze (författare): Stockholms universitet,Stressforskningsinstitutet

Lindbohm, Joni Valdemar (författare): Clinicum, Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland,Univ Helsinki, Helsinki, Finland

Madsen, Ida E. H. (författare): National Research Centre for the Working Environment, Copenhagen, Denmark,Natl Res Ctr Working Environm, Copenhagen, Denmark

Magnusson Hanson, Linda L. (författare): Stockholms universitet,Stressforskningsinstitutet

Nordin, Maria (författare): Stockholms universitet,Umeå universitet,Institutionen för psykologi,Univ Stockholm, Stockholm; Umeå Univ, Umeå,Stress Research Institute, University of Stockholm, Sweden / Department of Psychology, Umeå University, Umeå, Sweden,Stressforskningsinstitutet

Oksanen, Tuula (författare): Finnish Institute of Occupational Health, Helsinki, Finland,Finnish Inst Occupat Hlth, Helsinki, Finland

Pietiläinen, Olli (författare): Clinicum, Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland,Univ Helsinki, Helsinki, Finland

Rahkonen, Ossi (författare): Clinicum, Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland,Univ Helsinki, Helsinki, Finland

Rugulies, Reiner (författare): National Research Centre for the Working Environment, Copenhagen, Denmark; Department of Public Health and Department of Psychology, University of Copenhagen, Denmark,Natl Res Ctr Working Environm, Copenhagen, Denmark; Univ Copenhagen, Copenhagen, Denmark

Shipley, Martin J. (författare): Department of Epidemiology and Public Health, University College London, London, UK,UCL, London, England; INSERM, Villejuif, France

Stenholm, Sari (författare): Department of Public Health, University of Turku and Turku University Hospital, Turku, Finland; Faculty of Social Sciences (Health Sciences), University of Tampere, Finland

Suominen, Sakari (författare): Högskolan i Skövde,Institutionen för hälsa och lärande,Forskningsspecialiseringen Hälsa och Lärande,Department of Public Health, University of Turku and Turku University Hospital, Turku, Finland,Individ och samhälle VIDSOC

Theorell, Töres (författare): Stress Research Institute, University of Stockholm, Sweden

Vahtera, Jussi (författare): Department of Public Health, University of Turku and Turku University Hospital, Turku, Finland,Univ Turku, Turku, Finland; Turku Univ Hosp, Turku, Finland

Westerholm, Peter (författare): Uppsala universitet,Arbets- och miljömedicin

Westerlund, Hugo (författare): Stockholms universitet,Stressforskningsinstitutet

Zins, Marie (författare): Paris Descartes University, Paris, France / Inserm UMS 011, Population-Based Epidemiological Cohorts Unit, Villejuif, France

Hamer, Mark (författare): National Centre for Sport and Exercise Medicine, Loughborough University, Loughborough, UK,Loughborough Univ Technol, Loughborough, Leics, England

Singh-Manoux, Archana (författare): Department of Epidemiology and Public Health, University College London, London, UK / Inserm U1018, Centre for Research in Epidemiology and Population Health, Villejuif, France,UCL, London, England

Bell, Jousha A. (författare): MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK,Univ Bristol, MRC, Bristol, Avon, England

Ferrie, Jane E. (författare): Department of Epidemiology and Public Health, University College London, London, UK / Bristol Medical School: Population Health Sciences, University of Bristol, UK,UCL, London, England; Univ Bristol, Bristol, Avon, England

Kivimäki, Mika (författare): Clinicum, Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland / Department of Epidemiology and Public Health, University College London, UK,Univ Helsinki, Helsinki, Finland; UCL, London, England

Alfredsson, Lars (författare): Karolinska Institutet

Nyberg, Solja (författare)

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(creator_code:org_t)

Elsevier Ltd, 2018
2018
Engelska.
Ingår i: The Lancet Public Health. - : Elsevier Ltd. - 2468-2667. ; 3:10, s. e490-e497

Relaterad länk:: https://doi.org/10.1...; visa fler...; https://his.diva-por... (primary) (Raw object); https://umu.diva-por... (primary) (Raw object); https://miun.diva-po... (primary) (Raw object); https://uu.diva-port... (primary) (Raw object); https://urn.kb.se/re...; https://doi.org/10.1...; https://urn.kb.se/re...; https://urn.kb.se/re...; https://urn.kb.se/re...; https://urn.kb.se/re...; http://kipublication...; https://urn.kb.se/re...; visa färre...

Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

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Background: Obesity increases the risk of several chronic diseases, but the extent to which the obesity-related loss of disease-free years varies by lifestyle category and across socioeconomic groups is unclear. We estimated the number of years free from major non-communicable diseases in adults who are overweight and obese, compared with those who are normal weight. Methods: We pooled individual-level data on body-mass index (BMI) and non-communicable diseases from men and women with no initial evidence of these diseases in European cohort studies from the Individual-Participant-Data Meta-Analysis in Working Populations consortium. BMI was assessed at baseline (1991–2008) and non-communicable diseases (incident type 2 diabetes, coronary heart disease, stroke, cancer, asthma, and chronic obstructive pulmonary disease) were ascertained via linkage to records from national health registries, repeated medical examinations, or self-report. Disease-free years from age 40 years to 75 years associated with underweight (BMI <18·5 kg/m2), overweight (≥25 kg/m2 to <30 kg/m2), and obesity (class I [mild] ≥30 kg/m2 to <35 kg/m2; class II–III [severe] ≥35 kg/m2) compared with normal weight (≥18·5 kg/m2 to <25 kg/m2) were estimated. Findings: Of 137 503 participants from ten studies, we excluded 6973 owing to missing data and 10 349 with prevalent disease at baseline, resulting in an analytic sample of 120 181 participants. Of 47 127 men, 211 (0·4%) were underweight, 21 468 (45·6%) normal weight, 20 738 (44·0%) overweight, 3982 (8·4%) class I obese, and 728 (1·5%) class II–III obese. The corresponding numbers among the 73 054 women were 1493 (2·0%), 44 760 (61·3%), 19 553 (26·8%), 5670 (7·8%), and 1578 (2·2%), respectively. During 1 328 873 person-years at risk (mean follow-up 11·5 years [range 6·3–18·6]), 8159 men and 8100 women developed at least one non-communicable disease. Between 40 years and 75 years, the estimated number of disease-free years was 29·3 (95% CI 28·8–29·8) in normal-weight men and 29·4 (28·7–30·0) in normal-weight women. Compared with normal weight, the loss of disease-free years in men was 1·8 (95% CI −1·3 to 4·9) for underweight, 1·1 (0·7 to 1·5) for overweight, 3·9 (2·9 to 4·9) for class I obese, and 8·5 (7·1 to 9·8) for class II–III obese. The corresponding estimates for women were 0·0 (−1·4 to 1·4) for underweight, 1·1 (0·6 to 1·5) for overweight, 2·7 (1·5 to 3·9) for class I obese, and 7·3 (6·1 to 8·6) for class II–III obese. The loss of disease-free years associated with class II–III obesity varied between 7·1 and 10·0 years in subgroups of participants of different socioeconomic level, physical activity level, and smoking habit. Interpretation: Mild obesity was associated with the loss of one in ten, and severe obesity the loss of one in four potential disease-free years during middle and later adulthood. This increasing loss of disease-free years as obesity becomes more severe occurred in both sexes, among smokers and non-smokers, the physically active and inactive, and across the socioeconomic hierarchy. Funding: NordForsk, UK Medical Research Council, US National Institute on Aging, Academy of Finland, Helsinki Institute of Life Science, and Cancer Research UK.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)

Nyckelord

body-mass index
individual-participant-data
coronary-heart-disease
cardiovascular-disease
life expectancy
risk-factors
4 continents
job strain
metaanalysis
mechanisms
Individual and Society VIDSOC
Individ och samhälle VIDSOC

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