Obesity and risk of nonfatal unintentional injuries.
Obesity and risk of nonfatal unintentional injuries.
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肥胖和非致命意外伤害的风险。
DOI：
10.1016/j.amepre.2005.03.013
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发表时间：
2005
影响因子：
5.5
通讯作者：
Stallones,Lorann
中科院分区：
文献类型：
--
作者：
Xiang,Huiyun;Smith,GaryA;Wilkins3rd,JR;Chen,Guanmin;Hostetler,SarahGrim;Stallones,Lorann
背景肥胖被认为是多种慢性疾病的危险因素。然而，目前尚不清楚肥胖是否也与非致命性意外伤害的风险增加。METHODSA人群为基础的调查中，年龄≥18岁的成年人从1999年1月至2000年10月。通过比较肥胖和非肥胖受访者之间受伤的成年人百分比，研究了2575名年龄≥20岁的受访者的体重指数（BMI）（定义为体重（kg）除以身高（m）的平方（kg/m2））与非致命性意外伤害风险之间的关系。多元逻辑回归进一步研究了这种关系，通过控制混杂人口统计学。我们在女性中观察到线性剂量反应趋势。据估计，7.0%的体重不足者（BMI <18.5）报告受伤。相比之下，BMI ≥35.0的男性和女性中有26.0%和21.7%报告受伤。在控制了性别、年龄、教育水平、婚姻状况、家庭贫困状况和居住地区后，BMI ≥35.0的个体发生伤害的优势比为2.00（95%置信区间=1.07-3.74，p<0.05）。努力促进最佳体重不仅可以降低慢性疾病的风险，还可以降低超重和肥胖个体的意外伤害风险。
BACKGROUNDObesity is recognized as a risk factor for multiple chronic diseases. Yet, it is unclear whether obesity is also associated with an increased risk of nonfatal unintentional injury.METHODSA population-based survey was conducted among adults aged ≥18 years from January 1999 through October 2000. The relationship was investigated between body mass index (BMI), defined as weight in kilograms divided by the square of the height in meters (kg/m2), and risk of nonfatal unintentional injuries among 2575 respondents aged ≥20 years by comparing percentage of adults between obese and nonobese respondents who had injuries. Multivariate logistic regression further examined this relationship by controlling for confounding demographics.RESULTSA total of 370 respondents reported injuries in the previous year. We observed a linear dose-response trend among women. An estimated 7.0% of underweight individuals (BMI <18.5) reported injuries. In contrast, 26.0% of men and 21.7% of women with a BMI ≥35.0 reported injuries. The odds ratio of injuries for individuals with a BMI ≥35.0 was 2.00 (95% confidence interval=1.07–3.74, p<0.05) after controlling for gender, age, education level, marital status, family poverty status, and area of residence.CONCLUSIONSA marginally significant association between extreme obesity and elevated risk of injuries was observed. Efforts to promote optimal body weight may reduce not only the risk of chronic diseases but also the risk of unintentional injury among overweight and obese individuals.