Cited by 1,694Obesity, Physical Activity, DietDiabetes, Cardiovascular Risks, and LipoproteinsCancer Risks and Factors

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Impact of Overweight on the Risk of Developing Common Chronic Diseases During a 10-Year Period

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Field, Alison E., Coakley, Eugenie H., Must, Aviva, Spadano, Jennifer L., Laird, Nan, Dietz, William H., Rimm, Eric, Colditz, Graham A.·2001·Archives of Internal Medicine

DOI 10.1001/archinte.161.13.1581

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Abstract

BACKGROUND: Overweight adults are at an increased risk of developing numerous chronic diseases. METHODS: Ten-year follow-up (1986-1996) of middle-aged women in the Nurses' Health Study and men in the Health Professionals Follow-up Study to assess the health risks associated with overweight. RESULTS: The risk of developing diabetes, gallstones, hypertension, heart disease, and stroke increased with severity of overweight among both women and men. Compared with their same-sex peers with a body mass index (BMI) (calculated as weight in kilograms divided by the square of height in meters) between 18.5 and 24.9, those with BMI of 35.0 or more were approximately 20 times more likely to develop diabetes (relative risk [RR], 17.0; 95% confidence interval [CI], 14.2-20.5 for women; RR, 23.4; 95% CI, 19.4-33.2 for men). Women who were overweight but not obese (ie, BMI between 25.0 and 29.9) were also significantly more likely than their leaner peers to develop gallstones (RR, 1.9), hypertension (RR, 1.7), high cholesterol level (RR, 1.1), and heart disease (RR, 1.4). The results were similar in men. CONCLUSIONS: During 10 years of follow-up, the incidence of diabetes, gallstones, hypertension, heart disease, colon cancer, and stroke (men only) increased with degree of overweight in both men and women. Adults who were overweight but not obese (ie, 25.0 < or = BMI < or = 29.9) were at significantly increased risk of developing numerous health conditions. Moreover, the dose-response relationship between BMI and the risk of developing chronic diseases was evident even among adults in the upper half of the healthy weight range (ie, BMI of 22.0-24.9), suggesting that adults should try to maintain a BMI between 18.5 and 21.9 to minimize their risk of disease.

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Authors: Field, A. E., Coakley, E. H., Must, A., Spadano, J. L., Laird, N., Dietz, W. H., Rimm, E., & Colditz, G. A.
Affiliations: Brigham and Women's Hospital (US)
John Snow (United States) (US)
Tufts University (US)
Harvard University (US)
Centers for Disease Control and Prevention (US)
ORCID: Must, Aviva
Laird, Nan
Dietz, William H.
Rimm, Eric
Colditz, Graham A.
Venue: Archives of Internal Medicine
Publisher: American Medical Association (AMA)
Published: 2001-07-09
Volume: 161
Issue: 13
Pages: 1581
ISSN: 0003-9926 (ISSN-L)
DOI: 10.1001/archinte.161.13.1581
OpenAlex: W2145279264
Cited by: 1,694
References: 40
Citations by year: 2026: 30 · 2025: 44 · 2024: 51 · 2023: 54 · 2022: 71 · 2021: 53 · 2020: 62 · 2019: 68 · 2018: 61 · 2017: 73 · 2016: 75 · 2015: 78 · 2014: 99 · 2013: 87 · 2012: 101
FWCI: 41.66
Type: journal article
Language: en
Open access: green
nrs.harvard.edu
Licence: cc-by
Locations: Archives of Internal Medicine (publishedVersion)
PubMed (publishedVersion)
Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
Funders: National Institutes of Health (46200, DK46200, CA40356, CA55075)
National Heart, Lung, and Blood Institute (R01HL035464, HL35464)
National Cancer Institute (CA-55075, CA-40356)
National Institute of Diabetes and Digestive and Kidney Diseases (P30DK046200, DK46200.)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Health Sciences › Medicine › Oncology › Cancer Risks and Factors
Keywords: overweight, obesity, body mass index, chronic disease risk, type 2 diabetes, gallstones, hypertension, heart disease, stroke, colon cancer, hypercholesterolemia, dose-response relationship, middle-aged adults, sex differences
MeSH terms: Cholelithiasis, Chronic Disease, Diabetes Mellitus, Female, Follow-Up Studies, Heart Diseases, Humans, Hypertension, Male, Middle Aged, Obesity, Risk Factors, Body Mass Index, Logistic Models

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Impact of Overweight on the Risk of Developing Common Chronic Diseases During a 10-Year Period

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