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BMI and all-cause mortality among middle-aged and older adults in Taiwan

A population-based cohort study

Bibliographic Data

ID15097332
AuthorsWei-Sheng Chung, Wei‐Sheng Chung (0000-0003-4240-5690, Ministry of Health and Welfare, corresponding author), Feng-Ming Ho, Feng‐Ming Ho (Ministry of Health and Welfare), Nan-Cheng Cheng (Ministry of Health and Welfare), Meng-Chih Lee, Meng‐Chih Lee (0000-0003-4650-395X, Taichung Hospital), Chih-Jung Yeh, Chih‐Jung Yeh (Chung Shan Medical University, corresponding author)
Year2015
Volume18
Issue10
Pages1839-1846
Publication date2015-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s136898001400281x
PMID25482035
OpenAlexW2170803866
LanguageEN
Citations received2
References cited26

Objective The present study investigates the relationship between BMI and all-cause mortality among middle-aged and older adults with or without pre-existing diseases. Design A population-based cohort study. Setting The Taiwan Longitudinal Study on Aging is a nationwide prospective cohort study comprising a representative random sample of middle-aged and older adults. The study period was 1996–2007. Subjects We followed 4145 middle-aged and older adults, totalling 42 353 person-years. Results Overweight and mildly obese participants showed a 16 % and 30 % decrease in the risk of death, respectively, compared with those of normal weight after adjusting for potential covariates (e.g. demographic characteristics, health behaviour, co-morbidities and physical function). Underweight adults showed a 1·36-fold increased adjusted hazard ratio of death compared with normal-weight adults. Adults with a BMI of 27·0–28·0 kg/m 2 showed a significantly lower adjusted hazard ratio of all-cause mortality rate compared with adults who had normal BMI values when they had coexisting hypertension or diabetes (adjusted hazard ratio=0·50; 95 % CI 0·30, 0·81 for hypertension and adjusted hazard ratio=0·41; 95 % CI 0·18, 0·89 for diabetes). Conclusions The study demonstrates that underweight people have a higher risk of death, and overweight and mildly obese people have a lower risk of death, compared with people of normal weight among middle-aged and older adults. An optimal BMI may be based on the individual, who exhibits pre-existing diseases or not

Body mass index · Cause of death · Cohort · Cohort study · Confidence interval · Diabetes mellitus · Disease · Environmental health · Hazard ratio · Middle age · Obesity · Overweight · Population · Prospective cohort study · Underweight · Bariatric Surgery and Outcomes · Demography · Medicine · Nutritional Studies and Diet · Obesity, Physical Activity, Diet · Endocrinology · Gerontology · Internal Medicine

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Unique citing works2
Citations per year0,22
Citation span2017 - 2021 (5)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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