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Body mass index and disability pension in middle-aged men--non-linear relations

Månsson, Nils-Ove LU ; Eriksson, Karl-Fredrik LU ; Israelsson, Bo LU ; Ranstam, Jonas LU ; Melander, Arne LU and Råstam, Lennart LU (1996) In International Journal of Epidemiology 25(1). p.80-85
Abstract
BACKGROUND: Obesity has, in a number of studies, been found to correlate to disability and mortality, primarily due to diseases of the circulatory and musculoskeletal systems. In addition, an excess mortality among underweight subjects has been observed in previous studies. METHODS: Five complete birth-year cohorts (1926-1930) of male residents in Malmo (n = 7697) were invited to the survey at the Department of Preventive Medicine, Malmo General Hospital, and 5926 (77%) attended with complete data. Each subject was followed from inclusion, defined by the date of examination, until the end of the calendar year when he turned 58, a total study period of approximately 11 years. Data on about 300 questionnaire items and laboratory tests were... (More)
BACKGROUND: Obesity has, in a number of studies, been found to correlate to disability and mortality, primarily due to diseases of the circulatory and musculoskeletal systems. In addition, an excess mortality among underweight subjects has been observed in previous studies. METHODS: Five complete birth-year cohorts (1926-1930) of male residents in Malmo (n = 7697) were invited to the survey at the Department of Preventive Medicine, Malmo General Hospital, and 5926 (77%) attended with complete data. Each subject was followed from inclusion, defined by the date of examination, until the end of the calendar year when he turned 58, a total study period of approximately 11 years. Data on about 300 questionnaire items and laboratory tests were determined at the health survey visit. Nationwide Swedish data registers were used for surveillance. RESULTS: Of the participants, 4.7% were underweight, 37.7% overweight, 7.3% obese and 50.3% normal weight; 849 (14.3%) had been granted disability pension at the end of follow-up, 717 after screening. After adjustment for smoking there was a J-shaped relation between body mass index (BMI) and incidence of disability pension, the relative risk ( with the normal group as reference) among underweight men being 1.9. For the overweight subjects it was 1.3 and for the obese 2.8, all differences were significant. Disease of the musculoskeletal and circulatory systems and mental disorders accounted for 67.2% of all main diagnoses resulting in disability pensions during follow-up. A total of 377 (6.4%) men died during follow-up. Diseases of the circulatory system, neoplasms, injury/poisoning and diseases of the respiratory system accounted for 91.8% of the deaths. CONCLUSIONS: Both underweight, overweight and obesity were related to risk of disability pension, with a J-shaped risk relationship. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
body mass index, disability pension, obesity, overweight, underweight
in
International Journal of Epidemiology
volume
25
issue
1
pages
80 - 85
publisher
Oxford University Press
external identifiers
  • pmid:8666508
  • scopus:0030052298
ISSN
1464-3685
DOI
10.1093/ije/25.1.80
language
English
LU publication?
yes
id
6b134a4d-ad07-4e93-bced-fd8dcff126ab (old id 1109916)
date added to LUP
2008-07-28 08:27:51
date last changed
2017-01-01 04:40:38
@article{6b134a4d-ad07-4e93-bced-fd8dcff126ab,
  abstract     = {BACKGROUND: Obesity has, in a number of studies, been found to correlate to disability and mortality, primarily due to diseases of the circulatory and musculoskeletal systems. In addition, an excess mortality among underweight subjects has been observed in previous studies. METHODS: Five complete birth-year cohorts (1926-1930) of male residents in Malmo (n = 7697) were invited to the survey at the Department of Preventive Medicine, Malmo General Hospital, and 5926 (77%) attended with complete data. Each subject was followed from inclusion, defined by the date of examination, until the end of the calendar year when he turned 58, a total study period of approximately 11 years. Data on about 300 questionnaire items and laboratory tests were determined at the health survey visit. Nationwide Swedish data registers were used for surveillance. RESULTS: Of the participants, 4.7% were underweight, 37.7% overweight, 7.3% obese and 50.3% normal weight; 849 (14.3%) had been granted disability pension at the end of follow-up, 717 after screening. After adjustment for smoking there was a J-shaped relation between body mass index (BMI) and incidence of disability pension, the relative risk ( with the normal group as reference) among underweight men being 1.9. For the overweight subjects it was 1.3 and for the obese 2.8, all differences were significant. Disease of the musculoskeletal and circulatory systems and mental disorders accounted for 67.2% of all main diagnoses resulting in disability pensions during follow-up. A total of 377 (6.4%) men died during follow-up. Diseases of the circulatory system, neoplasms, injury/poisoning and diseases of the respiratory system accounted for 91.8% of the deaths. CONCLUSIONS: Both underweight, overweight and obesity were related to risk of disability pension, with a J-shaped risk relationship.},
  author       = {Månsson, Nils-Ove and Eriksson, Karl-Fredrik and Israelsson, Bo and Ranstam, Jonas and Melander, Arne and Råstam, Lennart},
  issn         = {1464-3685},
  keyword      = {body mass index,disability pension,obesity,overweight,underweight},
  language     = {eng},
  number       = {1},
  pages        = {80--85},
  publisher    = {Oxford University Press},
  series       = {International Journal of Epidemiology},
  title        = {Body mass index and disability pension in middle-aged men--non-linear relations},
  url          = {http://dx.doi.org/10.1093/ije/25.1.80},
  volume       = {25},
  year         = {1996},
}