Aging, obesity, and mortality - Misplaced concern about obese older people?
Aging, obesity, and mortality - Misplaced concern about obese older people?
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DOI：
10.1177/0164027503258738
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发表时间：
2004-01-01
影响因子：
2.6
通讯作者：
Ferraro, KF
中科院分区：
文献类型：
--
作者：
Thorpe, RJ;Ferraro, KF
尽管人们普遍认为肥胖（体重指数 [BMI] 大于或等于 30 kg/m(2)）会增加健康风险，但关于肥胖老年人是否也面临更大风险的争论仍存在。这项研究探讨了肥胖对年轻人和老年人死亡率的影响，以确定晚年肥胖的风险是否会降低。使用对全国成年人样本进行 20 年随访的数据来检查肥胖对死亡率的风险（N = 6,767）。 Cox 模型显示，肥胖会增加所有年龄段成年人的死亡风险，但这种关系对于 50 岁以下的人来说几乎是其两倍。晚年稍微超重与较低的死亡风险相关，但肥胖会增加死亡风险，尤其是缺血性心脏病。中年肥胖是一个严重的公共卫生问题，但晚年肥胖也值得关注。
Although there is widespread agreement that obesity (body mass index [BMI] greater than or equal to 30 kg/m(2)) raises health risks, debate has ensued on whether obese older adults are also at greater risk. This study examines the effect of obesity on mortality for younger and older adults to determine whether the risk of obesity is lessened in later life. Data from a 20-year follow-up of a national sample of adults were used to examine the risk of obesity on mortality (N = 6,767). Cox models reveal that obesity raises mortality risk for adults of all ages, but this relationship is nearly twice as strong for persons younger than 50 years of age. Being slightly overweight in later life is associated with lower mortality risk, but obesity raises mortality risk, especially for ischemic heart disease. Obesity in middle age is a grave public health concern, but obesity in later life also merits attention.