Low anthropometric measures and mortality—results from the Malmö Diet and Cancer Study. (June 2015)

• Record Type: Journal Article
• Authors: Wierup, Ia; Carlsson, Axel C.; Wändell, Per; Riserus, Ulf; Ärnlöv, Johan; Borné, Yan
• Is Part Of: Annals of medicine. Volume 47:Number 4(2015)
• Page Start: 325
• Page End: 331
• Publication Date: 2015-06
• Subjects: Medicine -- Periodicals; 610
• DOI: 10.3109/07853890.2015.1042029
• Languages: English
• ISSNs: 0785-3890

Abstract

<abstract> <title>Abstract</title> <p> <italic>Aim.</italic> To study the association between anthropometric measures: body mass index (BMI), percent body fat, waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), waist-to-hip-to-height ratio (WHHR), and A Body Shape Index (ABSI); to see if individuals in the lowest 5 percentiles for these measures have an increased risk of mortality.</p> <p> <italic>Methods.</italic> A population-based prospective cohort study (10, 304 men and 16, 549 women), the Malmö Diet and Cancer study (MDC), aged 45–73 years.</p> <p> <italic>Results.</italic> During a mean follow-up of 14 ± 3 years, 2, 224 men and 1, 983 women died. There was a significant increased mortality risk after adjustments for potential confounders in the group with the 5% lowest BMI (referent 25%–75%); hazard ratios (HR) with 95% confidence intervals were 1.33 (1.10–1.61) for women and 1.27 (1.07–1.52) for men. A similar significant increased mortality risk was seen with the 5% lowest percent body fat, HR 1.31 (1.07–1.60) for women and 1.25 (1.04–1.50) for men. Women with an ABSI in the lowest 5 percentiles had a lower mortality risk HR 0.64 (0.48–0.85).</p> <p> <italic>Conclusion.</italic> These results imply that BMI or percent body fat could be used to identify lean individuals at increased mortality risk.</p> </abstract>