The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.
Body Fat Distribution and 5-Year Risk of Death in Older Women
Abstract
OBJECTIVE: To test the hypothesis that both body mass index (expressed as the ratio of weight in kilograms per height in meters squared) and the ratio of waist circumference to hip circumference are positively associated with mortality risk in older women. DESIGN: Prospective cohort study with a 5-year follow-up period. SETTING: General community. PARTICIPANTS: Random sample of 41,837 Iowa women aged 55 to 69 years. MAIN OUTCOME MEASURE: Total mortality (1504 deaths). MAIN RESULTS: Body mass index, an index of relative weight, was associated with mortality in a J-shaped fashion: rates were elevated in the leanest as well as in the most obese women. In contrast, waist/hip circumference ratio was strongly and positively associated with mortality in a dose-response manner. Adjusted for age, body mass index, smoking, education level, marital status, estrogen use, and alcohol use, a 0.15-unit increase in waist/hip circumference ratio (eg, a 15-cm [6-in] increase in waist measurement in a woman with 100-cm [40-in] hips) was associated with a 60% greater relative risk of death. The observed associations were not explained to any great degree by bias from weight loss prior to baseline or higher early deaths among lean participants. CONCLUSIONS: Waist/hip circumference ratio is a better marker than body mass index of risk of death in older women. Waist/hip circumference ratio should be measured as part of routine surveillance and risk monitoring in medical practice.
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Cites
Munger, R. G., Folsom, A. R., Kushi, L. H., Kaye, S. A., & Sellers, T. A. (1992) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a116485 · Cited by 353
Self-citationReassessment of body mass indices
Smalley, K., Knerr, A., Kendrick, Z., Colliver, J., & Owen, O. (1990) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/52.3.405 · Cited by 306
Cornoni-Huntley, J. C., Harris, T. B., Everett, D. F., Albanes, D., Micozzi, M. S., Miles, T. P., & Feldman, J. J. (1991) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(91)90126-t · Cited by 276
Cited by
Adler, N. E., Epel, E. S., Castellazzo, G., & Ickovics, J. R. (2000) · Health Psychology · doi:10.1037/0278-6133.19.6.586 · Cited by 5,080
Body-Mass Index and Mortality in a Prospective Cohort of U.S. Adults
Calle, E. E., Thun, M. J., Petrelli, J. M., Rodriguez, C., & Heath, C. W. (1999) · New England Journal of Medicine · doi:10.1056/nejm199910073411501 · Cited by 3,643
Body-mass index and mortality among 1.46 million white adults
Berrington de Gonzalez, A., Hartge, P., Cerhan, J. R., Flint, A. J., Hannan, L., MacInnis, R. J., Moore, S. C., Tobias, G. S., Anton-Culver, H., Freeman, L. B., et al. (2010) · New England Journal of Medicine · doi:10.1056/nejmoa1000367 · Cited by 2,317
Self-citationGeneral and abdominal adiposity and risk of death in Europe
Pischon, T., Boeing, H., Hoffmann, K., Bergmann, M., Schulze, M. B., Overvad, K., van der Schouw, Y. T., Spencer, E., Moons, K. G. M., Tjønneland, A., et al. (2008) · New England Journal of Medicine · doi:10.1056/nejmoa0801891 · Cited by 2,155
Wood, D., De Backer, G., Faergeman, O., Graham, I., Mancia, G., & Pyörälä, K. (1998) · Atherosclerosis · doi:10.1016/s0021-9150(98)90209-x · Cited by 1,255
Metadata
- Authors
- Folsom, A. R.
- Venue
- JAMA: The Journal of the American Medical Association
- Publisher
- American Medical Association (AMA)
- Published
- 1993-01-27
- Volume
- 269
- Issue
- 4
- Pages
- 483
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2167759667
- Cited by
- 612
- References
- 3
- FWCI
- 13.73
- Type
- journal article
- Language
- en
- Open access
- closed
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
