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The association bet...
The association between waist circumference and risk of mortality considering body mass index in 65-74 year olds: a meta-analysis of 29 cohorts involving more than 58 000 elderly.
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de Hollander, Ellen L (author)
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Bemelmans, Wanda JE (author)
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Boshuizen, Hendriek C (author)
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Friedrich, Nele (author)
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Wallaschofski, Henri (author)
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Guallar-Castillón, Pilar (author)
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Walter, Stefan (author)
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Zillikens, M Carola (author)
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Rosengren, Annika, 1951 (author)
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- Lissner, Lauren, 1956 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
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Bassett, Julie K (author)
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Giles, Graham G (author)
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Heim, Noor (author)
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Visser, Marjolein (author)
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de Groot, Lisette CPGM (author)
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(creator_code:org_t)
- 2012-03-31
- 2012
- English.
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In: International journal of Epidemiology. - : Oxford University Press (OUP). - 0300-5771 .- 1464-3685. ; 41:3, s. 805-17
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https://academic.oup...
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
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- BACKGROUND: For the elderly, the association between waist circumference (WC) and mortality considering body mass index (BMI) remains unclear, and thereby also the evidence base for using these anthropometric measures in clinical practice. This meta-analysis examined the association between WC categories and (cause-specific) mortality within BMI categories. Furthermore, the association of continuous WC with lowest and increased mortality risks was examined. METHODS: Age- and smoking-adjusted relative risks (RRs) of mortality associated with WC-BMI categories and continuous WC (including WC and WC(2)) were calculated by the investigators and pooled by means of random-effects models. RESULTS: During a 5-year-follow-up of 32678 men and 25931 women, we ascertained 3318 and 1480 deaths, respectively. A large WC (men: ≥102cm, women: ≥88cm) was associated with increased all-cause mortality RRs for those in the 'healthy' weight {1.7 [95% confidence interval (CI): 1.2-2.2], 1.7 (95% CI: 1.3-2.3)}, overweight [1.1(95% CI: 1.0-1.3), 1.4 (95%: 1.1-1.7)] and obese [1.1 (95% CI: 1.0-1.3), 1.6 (95% CI: 1.3-1.9)] BMI category compared with the 'healthy' weight (20-24.9kg/m(2)) and a small WC (<94cm, men; <80cm, women) category. Underweight was associated with highest all-cause mortality RRs in men [2.2 (95% CI: 1.8-2.8)] and women [2.3 (95% CI: 1.8-3.1]. We found a J-shaped association for continuous WC with all-cause, cardiovascular (CVD) and cancer, and a U-shaped association with respiratory disease mortality (P<0.05). An all-cause (CVD) mortality RR of 2.0 was associated with a WC of 132cm (123cm) in men and 116cm (105cm) in women. CONCLUSIONS: Our results showed increased mortality risks for elderly people with an increased WC-even across BMI categories- and for those who were classified as 'underweight' using BMI. The results provide a solid basis for re-evaluation of WC cut-points in ageing populations.
Subject headings
- 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)
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de Hollander, El ...
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Bemelmans, Wanda ...
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Boshuizen, Hendr ...
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Friedrich, Nele
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Wallaschofski, H ...
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Guallar-Castilló ...
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Walter, Stefan
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Zillikens, M Car ...
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Rosengren, Annik ...
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Lissner, Lauren, ...
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Bassett, Julie K
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Giles, Graham G
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Heim, Noor
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Visser, Marjolei ...
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de Groot, Lisett ...
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University of Gothenburg