BACKGROUND: The association between extremes of relative body weight and mortality has not been well characterized in developing countries. A prospective cohort study was conducted in Mumbai (India) to study the association of relative body weight, as estimated by body mass index [BMI = weight (kg)/height(2) (m(2))], with mortality. METHODS: Using the voters' list as the selection frame, 148 173 men and women aged >/=35 years were recruited during 1991-97 in Mumbai city and were followed-up during 1997-2003. RESULTS: During 774 129 person-years of follow-up, 13 261 deaths were observed. After adjusting for the potential confounders, increased mortality was observed in all under-weight categories [relative risk (RR) = 1.94 for BMI < 16.0 kg/m(2), 1.38 for BMI 16.0 to <17.0 and 1.24 for BMI 17.0 to <18.5 among women; the corresponding values for men were 2.24, 1.45 and 1.27, respectively] when compared with the rate in the normal weight category (BMI 18.5 to <25.0). Extremely thin (BMI < 16.0 kg/m(2)) cohort members were at highest risk for death due to tuberculosis (TB) (RR = 7.20 and 14.94 in women and men, respectively), cancer (RR = 1.87 and 2.44, respectively) and respiratory diseases (RR = 3.46 and 4.35, respectively). Subjects with above normal BMI had lower mortality risk than those with normal BMI values. Over-weight (BMI 25.0 to <30.0) women (RR = 0.89) and men (RR = 0.87) were at a lower risk; however, obese (BMI >/= 30.0) men <60 years of age had an increased mortality risk (RR = 1.22). CONCLUSION: In Mumbai, under-weight was associated with an increased risk of pre-mature death. Despite the growing concerns regarding the gradual transition toward increasing rates of obesity, under-nutrition remains a major health problem in India. This study suggests the need for public health policies focusing on reducing under-nutrition.
BACKGROUND: The association between extremes of relative body weight and mortality has not been well characterized in developing countries. A prospective cohort study was conducted in Mumbai (India) to study the association of relative body weight, as estimated by body mass index [BMI = weight (kg)/height(2) (m(2))], with mortality. METHODS: Using the voters' list as the selection frame, 148 173 men and women aged >/=35 years were recruited during 1991-97 in Mumbai city and were followed-up during 1997-2003. RESULTS: During 774 129 person-years of follow-up, 13 261 deaths were observed. After adjusting for the potential confounders, increased mortality was observed in all under-weight categories [relative risk (RR) = 1.94 for BMI < 16.0 kg/m(2), 1.38 for BMI 16.0 to <17.0 and 1.24 for BMI 17.0 to <18.5 among women; the corresponding values for men were 2.24, 1.45 and 1.27, respectively] when compared with the rate in the normal weight category (BMI 18.5 to <25.0). Extremely thin (BMI < 16.0 kg/m(2)) cohort members were at highest risk for death due to tuberculosis (TB) (RR = 7.20 and 14.94 in women and men, respectively), cancer (RR = 1.87 and 2.44, respectively) and respiratory diseases (RR = 3.46 and 4.35, respectively). Subjects with above normal BMI had lower mortality risk than those with normal BMI values. Over-weight (BMI 25.0 to <30.0) women (RR = 0.89) and men (RR = 0.87) were at a lower risk; however, obese (BMI >/= 30.0) men <60 years of age had an increased mortality risk (RR = 1.22). CONCLUSION: In Mumbai, under-weight was associated with an increased risk of pre-mature death. Despite the growing concerns regarding the gradual transition toward increasing rates of obesity, under-nutrition remains a major health problem in India. This study suggests the need for public health policies focusing on reducing under-nutrition.
Authors: Colleen F Hanrahan; Jonathan E Golub; Lerato Mohapi; Nkeko Tshabangu; Tebogo Modisenyane; Richard E Chaisson; Glenda E Gray; James A McIntyre; Neil A Martinson Journal: AIDS Date: 2010-06-19 Impact factor: 4.177
Authors: Yikyung Park; Sophia Wang; Cari M Kitahara; Steven C Moore; Amy Berrington de Gonzalez; Leslie Bernstein; Ellen T Chang; Alan J Flint; D Michal Freedman; J Michael Gaziano; Robert N Hoover; Martha S Linet; Mark Purdue; Kim Robien; Catherine Schairer; Howard D Sesso; Emily White; Bradley J Willcox; Michael J Thun; Patricia Hartge; Walter C Willett Journal: Am J Public Health Date: 2014-01-16 Impact factor: 9.308
Authors: Anna E Arthur; Karen E Peterson; Laura S Rozek; Jeremy M G Taylor; Emily Light; Douglas B Chepeha; James R Hébert; Jeffrey E Terrell; Gregory T Wolf; Sonia A Duffy Journal: Am J Clin Nutr Date: 2012-12-26 Impact factor: 7.045