Body mass, smoking, and overall and cause-specific mortality among older US adults
Body mass, smoking, and overall and cause-specific mortality among older US adults
复制标题
DOI：
10.1177/0164027503258518
复制
发表时间：
2004-01-01
影响因子：
2.6
通讯作者：
Boardman, JD
中科院分区：
文献类型：
--
作者：
Krueger, PM;Rogers, RG;Boardman, JD
作者使用与多死因文件和考克斯比例风险模型相关的国家健康访谈调查数据，研究了美国60岁及以上成年人的体重、吸烟与总体死亡率和死因特异性死亡率之间的关系。作者发现，与体重正常的人相比，肥胖者患循环系统疾病和糖尿病死亡率的风险更高。此外，吸烟状态抑制肥胖与总体、循环系统疾病和癌症死亡率之间的关系，并与低体重相互作用，增加死亡风险。最后，体重不足的人在随访期间最初面临的死亡风险增加，但随着时间的推移，他们的死亡风险降低到正常体重的人，可能是由于未观察到的疾病的存在。研究人员和健康从业者必须考虑吸烟状况，体重和死亡的具体原因，以了解和改善我们日益肥胖的老年人口的健康状况。
The authors examine the relationships between body mass, smoking, and overall and cause-specific mortality among U.S. adults aged 60 and older, using data from the National Health Interview Survey linked to the Multiple Cause of Death file and Cox proportional hazard models. The authors find that, compared to those who are normal weight, obese individuals have higher risks of overall, circulatory disease, and diabetes mortality. Furthermore, smoking status suppresses the relationships between obesity and overall, circulatory disease, and cancer mortality, and interacts with low body weight to increase mortality risks. Finally, underweight individuals initially face increased risks of death over the follow-up period, although over time their mortality risks diminish to those of normal-weight individuals, likely due to the presence of unobserved illness. Researchers and health practitioners must account for smoking status, body mass, and specific causes of death to understand and improve the health of our increasingly obese elderly population.