Estimating deaths attributable to obesity in the United States

Estimating deaths attributable to obesity in the United States
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DOI:
10.2105/ajph.94.9.1486
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发表时间:
2004-09-01
影响因子:
12.7
通讯作者:
Rosenberg, HM
Rosenberg, HM
中科院分区:
医学2区
文献类型:
--
作者:
Flegal, KM;Williamson, DF;Rosenberg, HM

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在美国,对肥胖所致死亡的估计依赖于流行病学队列对肥胖相关死亡相对风险的估计。然而,这些相对风险估计不一定适用于美国总人口,部分原因是为了控制基线健康状况而排除老年人,以及排除或代表性不足。大多数死亡发生在老年人中;肥胖导致的死亡估计值可能会因对老年人肥胖相关死亡率相对风险的假设而存在很大差异。因此,可能难以足够准确和精确地估计肥胖导致的死亡。我们敦促努力改进估计这一统计数字的数据和方法。
Estimates of deaths attributable to obesity in the United States rely on estimates from epidemiological cohorts of the relative risk of mortality associated with obesity. However, these relative risk estimates are not necessarily appropriate for the total US population, in part because of exclusions to control for baseline health status and exclusion or underrepresentation of older adults.Most deaths occur among older adults; estimates of deaths attributable to obesity can vary widely depending on the assumptions about the relative risks of mortality associated with obesity among the elderly. Thus, it may be difficult to estimate deaths attributable to obesity with adequate accuracy and precision. We urge efforts to improve the data and methods for estimating this statistic.