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Low anthropometric measures and mortality-results from the Malmo Diet and Cancer Study

Wierup, Ia ; Carlsson, Axel C. ; Wandell, Per ; Riserus, Ulf ; Arnlov, Johan and Borné, Yan LU (2015) In Annals of Medicine 47(4). p.325-331
Abstract
Aim. To study the association between anthropometric measures: body mass index (BMI), percent body fat, waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), waist-to-hip-to-height ratio (WHHR), and A Body Shape Index (ABSI); to see if individuals in the lowest 5 percentiles for these measures have an increased risk of mortality. Methods. A population-based prospective cohort study ( 10,304 men and 16,549 women), the Malmo Diet and Cancer study (MDC), aged 45-73 years. Results. During a mean follow-up of 14 +/- 3 years, 2,224 men and 1,983 women died. There was a significant increased mortality risk after adjustments for potential confounders in the group with the 5% lowest BMI ( referent 25%-75%); hazard ratios... (More)
Aim. To study the association between anthropometric measures: body mass index (BMI), percent body fat, waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), waist-to-hip-to-height ratio (WHHR), and A Body Shape Index (ABSI); to see if individuals in the lowest 5 percentiles for these measures have an increased risk of mortality. Methods. A population-based prospective cohort study ( 10,304 men and 16,549 women), the Malmo Diet and Cancer study (MDC), aged 45-73 years. Results. During a mean follow-up of 14 +/- 3 years, 2,224 men and 1,983 women died. There was a significant increased mortality risk after adjustments for potential confounders in the group with the 5% lowest BMI ( referent 25%-75%); hazard ratios (HR) with 95% confidence intervals were 1.33 (1.10-1.61) for women and 1.27 (1.07-1.52) for men. A similar significant increased mortality risk was seen with the 5% lowest percent body fat, HR 1.31 (1.07-1.60) for women and 1.25 (1.04-1.50) for men. Women with an ABSI in the lowest 5 percentiles had a lower mortality risk HR 0.64 (0.48-0.85). Conclusion. These results imply that BMI or percent body fat could be used to identify lean individuals at increased mortality risk. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Obesity, underweight, waist-hip-height ratio (WHHR), waist-hip ratio, (WHR)
in
Annals of Medicine
volume
47
issue
4
pages
325 - 331
publisher
Taylor & Francis
external identifiers
  • wos:000355562800006
  • scopus:84930516518
  • pmid:25982798
ISSN
1365-2060
DOI
10.3109/07853890.2015.1042029
language
English
LU publication?
yes
id
d5e5d505-061a-4847-a5d5-6767a8b6170b (old id 7612509)
date added to LUP
2016-04-01 10:15:56
date last changed
2022-02-02 08:09:00
@article{d5e5d505-061a-4847-a5d5-6767a8b6170b,
  abstract     = {{Aim. To study the association between anthropometric measures: body mass index (BMI), percent body fat, waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), waist-to-hip-to-height ratio (WHHR), and A Body Shape Index (ABSI); to see if individuals in the lowest 5 percentiles for these measures have an increased risk of mortality. Methods. A population-based prospective cohort study ( 10,304 men and 16,549 women), the Malmo Diet and Cancer study (MDC), aged 45-73 years. Results. During a mean follow-up of 14 +/- 3 years, 2,224 men and 1,983 women died. There was a significant increased mortality risk after adjustments for potential confounders in the group with the 5% lowest BMI ( referent 25%-75%); hazard ratios (HR) with 95% confidence intervals were 1.33 (1.10-1.61) for women and 1.27 (1.07-1.52) for men. A similar significant increased mortality risk was seen with the 5% lowest percent body fat, HR 1.31 (1.07-1.60) for women and 1.25 (1.04-1.50) for men. Women with an ABSI in the lowest 5 percentiles had a lower mortality risk HR 0.64 (0.48-0.85). Conclusion. These results imply that BMI or percent body fat could be used to identify lean individuals at increased mortality risk.}},
  author       = {{Wierup, Ia and Carlsson, Axel C. and Wandell, Per and Riserus, Ulf and Arnlov, Johan and Borné, Yan}},
  issn         = {{1365-2060}},
  keywords     = {{Obesity; underweight; waist-hip-height ratio (WHHR); waist-hip ratio; (WHR)}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{325--331}},
  publisher    = {{Taylor & Francis}},
  series       = {{Annals of Medicine}},
  title        = {{Low anthropometric measures and mortality-results from the Malmo Diet and Cancer Study}},
  url          = {{http://dx.doi.org/10.3109/07853890.2015.1042029}},
  doi          = {{10.3109/07853890.2015.1042029}},
  volume       = {{47}},
  year         = {{2015}},
}