Waaler revisited: The anthropometrics of mortality
Waaler revisited: The anthropometrics of mortality
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DOI：
10.1016/j.ehb.2010.04.001
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发表时间：
2011-01-01
影响因子：
2.5
通讯作者：
Koch, Daniel
中科院分区：
文献类型：
--
作者：
Koch, Daniel
尽管已经有许多关于体重指数和人类身高与死亡率之间关系的研究，但社会经济地位作为混杂变量的问题有时却很少受到重视。本研究分析了教育和收入对BMI与死亡率以及身高与死亡率之间关系的影响。它基于挪威国家健康筛查服务中心 1963 年至 1975 年间收集的数据。记录了 170 万受试者。挪威统计局将这些数据与国家死亡记录和社会经济信息联系起来。我们应用 Cox 比例风险回归来确定将收入和教育作为协变量添加是否会影响 BMI、身高和死亡率之间的关系。先前的研究结果和见解要么不存在，要么含糊不清。我们的结论是，省略 SES 并不会显着影响 BMI 对大多数死因的影响，但有一个例外：2 型糖尿病，在根据教育程度进行调整后，BMI 对成人和青少年的影响要低得多。 (C) 2010 Elsevier B.V. 保留所有权利。
Although many studies have been written about the relationship between BMI and human height on the one hand and mortality on the other, the issue of socio-economic status as confounding variable has been at times less emphasized. This study analyzes the influence of education and income on the relationship between BMI and mortality and between height and mortality. It is based on data collected between 1963 and 1975 by the Norwegian National Health Screening Service. 1.7 million subjects were recorded. The Norwegian statistics bureau linked these data to the national death records and to socioeconomic information. We apply Cox proportional hazards regressions in order to determine whether adding income and education as covariates affects the relations among BMI, height, and mortality. Previous findings and insights are either not present or ambiguous.We conclude that the omission of SES does not significantly bias the effect of BMI on most causes of death, with one exception: type 2 diabetes mellitus, where the effect of BMI is substantially lower for both adults and adolescents when adjusted for education. (C) 2010 Elsevier B.V. All rights reserved.