A pooled analysis of body mass index and mortality among African Americans
Pooled analyses among whites and East Asians have demonstrated positive associations between all-cause mortality and body mass index (BMI), but studies of African Americans have yielded less consistent results. We examined the association between BMI and all-cause mortality in a sample of African Am...
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| Veröffentlicht in: | PloS one 2014-11, Vol.9 (11), p.e111980-e111980 |
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| creator | Cohen, Sarah S Park, Yikyung Signorello, Lisa B Patel, Alpa V Boggs, Deborah A Kolonel, Laurence N Kitahara, Cari M Knutsen, Synnove F Gillanders, Elizabeth Monroe, Kristine R Berrington de Gonzalez, Amy Bethea, Traci N Black, Amanda Fraser, Gary Gapstur, Susan Hartge, Patricia Matthews, Charles E Park, Song-Yi Purdue, Mark P Singh, Pramil Harvey, Chinonye Blot, William J Palmer, Julie R |
| description | Pooled analyses among whites and East Asians have demonstrated positive associations between all-cause mortality and body mass index (BMI), but studies of African Americans have yielded less consistent results. We examined the association between BMI and all-cause mortality in a sample of African Americans pooled from seven prospective cohort studies: NIH-AARP, 1995-2009; Adventist Health Study 2, 2002-2008; Black Women's Health Study, 1995-2009; Cancer Prevention Study II, 1982-2008; Multiethnic Cohort Study, 1993-2007; Prostate, Lung, Colorectal and Ovarian Screening Trial, 1993-2009; Southern Community Cohort Study, 2002-2009. 239,526 African Americans (including 100,175 never smokers without baseline heart disease, stroke, or cancer), age 30-104 (mean 52) and 71% female, were followed up to 26.5 years (mean 11.7). Hazard ratios (HR) and 95% confidence intervals (CI) for mortality were derived from multivariate Cox proportional hazards models. Among healthy, never smokers (11,386 deaths), HRs (CI) for BMI 25-27.4, 27.5-29.9, 30-34.9, 35-39.9, 40-49.9, and 50-60 kg/m(2) were 1.02 (0.92-1.12), 1.06 (0.95-1.18), 1.32 (1.18-1.47), 1.54 (1.29-1.83), 1.93 (1.46-2.56), and 1.93 (0.80-4.69), respectively among men and 1.06 (0.99-1.15), 1.15 (1.06-1.25), 1.24 (1.15-1.34), 1.58 (1.43-1.74), 1.80 (1.60-2.02), and 2.31 (1.74-3.07) respectively among women (reference category 22.5-24.9). HRs were highest among those with the highest educational attainment, longest follow-up, and for cardiovascular disease mortality. Obesity was associated with a higher risk of mortality in African Americans, similar to that observed in pooled analyses of whites and East Asians. This study provides compelling evidence to support public health efforts to prevent excess weight gain and obesity in African Americans. |
| doi_str_mv | 10.1371/journal.pone.0111980 |
| format | Article |
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We examined the association between BMI and all-cause mortality in a sample of African Americans pooled from seven prospective cohort studies: NIH-AARP, 1995-2009; Adventist Health Study 2, 2002-2008; Black Women's Health Study, 1995-2009; Cancer Prevention Study II, 1982-2008; Multiethnic Cohort Study, 1993-2007; Prostate, Lung, Colorectal and Ovarian Screening Trial, 1993-2009; Southern Community Cohort Study, 2002-2009. 239,526 African Americans (including 100,175 never smokers without baseline heart disease, stroke, or cancer), age 30-104 (mean 52) and 71% female, were followed up to 26.5 years (mean 11.7). Hazard ratios (HR) and 95% confidence intervals (CI) for mortality were derived from multivariate Cox proportional hazards models. Among healthy, never smokers (11,386 deaths), HRs (CI) for BMI 25-27.4, 27.5-29.9, 30-34.9, 35-39.9, 40-49.9, and 50-60 kg/m(2) were 1.02 (0.92-1.12), 1.06 (0.95-1.18), 1.32 (1.18-1.47), 1.54 (1.29-1.83), 1.93 (1.46-2.56), and 1.93 (0.80-4.69), respectively among men and 1.06 (0.99-1.15), 1.15 (1.06-1.25), 1.24 (1.15-1.34), 1.58 (1.43-1.74), 1.80 (1.60-2.02), and 2.31 (1.74-3.07) respectively among women (reference category 22.5-24.9). HRs were highest among those with the highest educational attainment, longest follow-up, and for cardiovascular disease mortality. Obesity was associated with a higher risk of mortality in African Americans, similar to that observed in pooled analyses of whites and East Asians. This study provides compelling evidence to support public health efforts to prevent excess weight gain and obesity in African Americans.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0111980</identifier><identifier>PMID: 25401742</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; African Americans ; African Americans - statistics & numerical data ; Aged ; Aged, 80 and over ; Analysis ; Biology and Life Sciences ; Body mass ; Body Mass Index ; Body size ; Body weight gain ; Cancer ; Cardiovascular diseases ; Cause of Death ; Cohort Studies ; Confidence intervals ; Coronary artery disease ; Exercise ; Female ; Follow-Up Studies ; Hazards ; Health risk assessment ; Heart ; Heart diseases ; Humans ; Lungs ; Male ; Medicine and Health Sciences ; Middle Aged ; Minority & ethnic groups ; Mortality ; Mortality risk ; Obesity ; Obesity - epidemiology ; People and places ; Proportional Hazards Models ; Prospective Studies ; Prostate ; Public health ; Public Health Surveillance ; Review boards ; Risk Factors ; Smokers ; Smoking ; Statistical models ; Studies ; Womens health ; Young Adult</subject><ispartof>PloS one, 2014-11, Vol.9 (11), p.e111980-e111980</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014. This is an open-access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-7f77b2c26f82d632dc9245672a996e8a197309baae708a0feb5b09040112b36b3</citedby><cites>FETCH-LOGICAL-c692t-7f77b2c26f82d632dc9245672a996e8a197309baae708a0feb5b09040112b36b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4234271/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4234271/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25401742$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Blachier, François</contributor><creatorcontrib>Cohen, Sarah S</creatorcontrib><creatorcontrib>Park, Yikyung</creatorcontrib><creatorcontrib>Signorello, Lisa B</creatorcontrib><creatorcontrib>Patel, Alpa V</creatorcontrib><creatorcontrib>Boggs, Deborah A</creatorcontrib><creatorcontrib>Kolonel, Laurence N</creatorcontrib><creatorcontrib>Kitahara, Cari M</creatorcontrib><creatorcontrib>Knutsen, Synnove F</creatorcontrib><creatorcontrib>Gillanders, Elizabeth</creatorcontrib><creatorcontrib>Monroe, Kristine R</creatorcontrib><creatorcontrib>Berrington de Gonzalez, Amy</creatorcontrib><creatorcontrib>Bethea, Traci N</creatorcontrib><creatorcontrib>Black, Amanda</creatorcontrib><creatorcontrib>Fraser, Gary</creatorcontrib><creatorcontrib>Gapstur, Susan</creatorcontrib><creatorcontrib>Hartge, Patricia</creatorcontrib><creatorcontrib>Matthews, Charles E</creatorcontrib><creatorcontrib>Park, Song-Yi</creatorcontrib><creatorcontrib>Purdue, Mark P</creatorcontrib><creatorcontrib>Singh, Pramil</creatorcontrib><creatorcontrib>Harvey, Chinonye</creatorcontrib><creatorcontrib>Blot, William J</creatorcontrib><creatorcontrib>Palmer, Julie R</creatorcontrib><title>A pooled analysis of body mass index and mortality among African Americans</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Pooled analyses among whites and East Asians have demonstrated positive associations between all-cause mortality and body mass index (BMI), but studies of African Americans have yielded less consistent results. We examined the association between BMI and all-cause mortality in a sample of African Americans pooled from seven prospective cohort studies: NIH-AARP, 1995-2009; Adventist Health Study 2, 2002-2008; Black Women's Health Study, 1995-2009; Cancer Prevention Study II, 1982-2008; Multiethnic Cohort Study, 1993-2007; Prostate, Lung, Colorectal and Ovarian Screening Trial, 1993-2009; Southern Community Cohort Study, 2002-2009. 239,526 African Americans (including 100,175 never smokers without baseline heart disease, stroke, or cancer), age 30-104 (mean 52) and 71% female, were followed up to 26.5 years (mean 11.7). Hazard ratios (HR) and 95% confidence intervals (CI) for mortality were derived from multivariate Cox proportional hazards models. Among healthy, never smokers (11,386 deaths), HRs (CI) for BMI 25-27.4, 27.5-29.9, 30-34.9, 35-39.9, 40-49.9, and 50-60 kg/m(2) were 1.02 (0.92-1.12), 1.06 (0.95-1.18), 1.32 (1.18-1.47), 1.54 (1.29-1.83), 1.93 (1.46-2.56), and 1.93 (0.80-4.69), respectively among men and 1.06 (0.99-1.15), 1.15 (1.06-1.25), 1.24 (1.15-1.34), 1.58 (1.43-1.74), 1.80 (1.60-2.02), and 2.31 (1.74-3.07) respectively among women (reference category 22.5-24.9). HRs were highest among those with the highest educational attainment, longest follow-up, and for cardiovascular disease mortality. Obesity was associated with a higher risk of mortality in African Americans, similar to that observed in pooled analyses of whites and East Asians. This study provides compelling evidence to support public health efforts to prevent excess weight gain and obesity in African Americans.</description><subject>Adult</subject><subject>African Americans</subject><subject>African Americans - statistics & numerical data</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis</subject><subject>Biology and Life Sciences</subject><subject>Body mass</subject><subject>Body Mass Index</subject><subject>Body size</subject><subject>Body weight gain</subject><subject>Cancer</subject><subject>Cardiovascular diseases</subject><subject>Cause of Death</subject><subject>Cohort Studies</subject><subject>Confidence intervals</subject><subject>Coronary artery disease</subject><subject>Exercise</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hazards</subject><subject>Health risk assessment</subject><subject>Heart</subject><subject>Heart diseases</subject><subject>Humans</subject><subject>Lungs</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Minority & ethnic groups</subject><subject>Mortality</subject><subject>Mortality risk</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>People and places</subject><subject>Proportional Hazards Models</subject><subject>Prospective Studies</subject><subject>Prostate</subject><subject>Public health</subject><subject>Public Health Surveillance</subject><subject>Review boards</subject><subject>Risk Factors</subject><subject>Smokers</subject><subject>Smoking</subject><subject>Statistical models</subject><subject>Studies</subject><subject>Womens health</subject><subject>Young 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pooled analysis of body mass index and mortality among African Americans</title><author>Cohen, Sarah S ; Park, Yikyung ; Signorello, Lisa B ; Patel, Alpa V ; Boggs, Deborah A ; Kolonel, Laurence N ; Kitahara, Cari M ; Knutsen, Synnove F ; Gillanders, Elizabeth ; Monroe, Kristine R ; Berrington de Gonzalez, Amy ; Bethea, Traci N ; Black, Amanda ; Fraser, Gary ; Gapstur, Susan ; Hartge, Patricia ; Matthews, Charles E ; Park, Song-Yi ; Purdue, Mark P ; Singh, Pramil ; Harvey, Chinonye ; Blot, William J ; Palmer, Julie R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-7f77b2c26f82d632dc9245672a996e8a197309baae708a0feb5b09040112b36b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>African Americans</topic><topic>African Americans - statistics & numerical data</topic><topic>Aged</topic><topic>Aged, 80 and 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Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cohen, Sarah S</au><au>Park, Yikyung</au><au>Signorello, Lisa B</au><au>Patel, Alpa V</au><au>Boggs, Deborah A</au><au>Kolonel, Laurence N</au><au>Kitahara, Cari M</au><au>Knutsen, Synnove F</au><au>Gillanders, Elizabeth</au><au>Monroe, Kristine R</au><au>Berrington de Gonzalez, Amy</au><au>Bethea, Traci N</au><au>Black, Amanda</au><au>Fraser, Gary</au><au>Gapstur, Susan</au><au>Hartge, Patricia</au><au>Matthews, Charles E</au><au>Park, Song-Yi</au><au>Purdue, Mark P</au><au>Singh, Pramil</au><au>Harvey, Chinonye</au><au>Blot, William J</au><au>Palmer, Julie R</au><au>Blachier, François</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A pooled analysis of body mass index and mortality among African Americans</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-11-17</date><risdate>2014</risdate><volume>9</volume><issue>11</issue><spage>e111980</spage><epage>e111980</epage><pages>e111980-e111980</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Pooled analyses among whites and East Asians have demonstrated positive associations between all-cause mortality and body mass index (BMI), but studies of African Americans have yielded less consistent results. We examined the association between BMI and all-cause mortality in a sample of African Americans pooled from seven prospective cohort studies: NIH-AARP, 1995-2009; Adventist Health Study 2, 2002-2008; Black Women's Health Study, 1995-2009; Cancer Prevention Study II, 1982-2008; Multiethnic Cohort Study, 1993-2007; Prostate, Lung, Colorectal and Ovarian Screening Trial, 1993-2009; Southern Community Cohort Study, 2002-2009. 239,526 African Americans (including 100,175 never smokers without baseline heart disease, stroke, or cancer), age 30-104 (mean 52) and 71% female, were followed up to 26.5 years (mean 11.7). Hazard ratios (HR) and 95% confidence intervals (CI) for mortality were derived from multivariate Cox proportional hazards models. Among healthy, never smokers (11,386 deaths), HRs (CI) for BMI 25-27.4, 27.5-29.9, 30-34.9, 35-39.9, 40-49.9, and 50-60 kg/m(2) were 1.02 (0.92-1.12), 1.06 (0.95-1.18), 1.32 (1.18-1.47), 1.54 (1.29-1.83), 1.93 (1.46-2.56), and 1.93 (0.80-4.69), respectively among men and 1.06 (0.99-1.15), 1.15 (1.06-1.25), 1.24 (1.15-1.34), 1.58 (1.43-1.74), 1.80 (1.60-2.02), and 2.31 (1.74-3.07) respectively among women (reference category 22.5-24.9). HRs were highest among those with the highest educational attainment, longest follow-up, and for cardiovascular disease mortality. Obesity was associated with a higher risk of mortality in African Americans, similar to that observed in pooled analyses of whites and East Asians. This study provides compelling evidence to support public health efforts to prevent excess weight gain and obesity in African Americans.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25401742</pmid><doi>10.1371/journal.pone.0111980</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2014-11, Vol.9 (11), p.e111980-e111980 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1625576681 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS) Journals Open Access; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult African Americans African Americans - statistics & numerical data Aged Aged, 80 and over Analysis Biology and Life Sciences Body mass Body Mass Index Body size Body weight gain Cancer Cardiovascular diseases Cause of Death Cohort Studies Confidence intervals Coronary artery disease Exercise Female Follow-Up Studies Hazards Health risk assessment Heart Heart diseases Humans Lungs Male Medicine and Health Sciences Middle Aged Minority & ethnic groups Mortality Mortality risk Obesity Obesity - epidemiology People and places Proportional Hazards Models Prospective Studies Prostate Public health Public Health Surveillance Review boards Risk Factors Smokers Smoking Statistical models Studies Womens health Young Adult |
| title | A pooled analysis of body mass index and mortality among African Americans |
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