Body mass index and mortality rate among Hispanic adults: a pooled analysis of multiple epidemiologic data sets
Open accessAbstract
Objective To evaluate the association between body mass index (BMI, kg m⁻²) and mortality rate among Hispanic adults.Methods and procedures Analysis of five data sets (total N=16,798) identified after searching for publicly available, prospective cohort data sets containing relevant information for at least 500 Hispanic respondents (≥18 years at baseline), at least 5 years of mortality follow-up, and measured height and weight. Data sets included the third National Health and Nutrition Examination Survey, the Puerto Rico Heart Health Program (PRHHP), the Hispanic Established Population for Epidemiologic Studies of the Elderly (HEPESE), the San Antonio Heart Study (SAHS) and the Sacramento Area Latino Study on Aging.Results Cox proportional hazards regression models, adjusting for sex and smoking, were fit within three attained-age strata (18 to younger than 60 years, 60 to younger than 70 years, and 70 years and older). We found that underweight was associated with elevated mortality rate for all age groups in the PRHHP (hazard ratios [HRs]=1.38-1.60) and the SAHS (HRs=1.88-2.51). Overweight (HRs=0.38 and 0.84) and obesity grade 2-3 (HRs=0.75 and 0.60) associated with reduced mortality rate in the HEPESE dataset for those in the 60 to younger than 70 years, and 70 years and older attained-age strata. Weighted estimates combining the HRs across the data sets revealed a similar pattern.Conclusion Among Hispanic adults, there was no clear evidence that overweight and obesity associate with elevated mortality rate.
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References 51 · Cited by 36
Research works printed but not linked: 1
- [19]Markides KS Rudkin L Angel RJ Espino DV Martin LG Soldo BJ Foote K Health status of Hispanic elderly in the United States Racial and Ethnic Differences in Late Life Health in the United States National Academy Press Washington DC 1997
- Authors
- Fontaine, K. R., McCubrey, R., Mehta, T., Pajewski, N. M., Keith, S. W., Bangalore, S. S., Crespo, C. J., & Allison, D. B.
- Affiliations
- Johns Hopkins University (US)
- University of Alabama at Birmingham (US)
- Thomas Jefferson University (US)
- Portland State University (US)
- Corresponding author
- Fontaine, K R
- Venue
- International Journal of Obesity
- Published
- 2011-10-11
- Volume
- 36
- Issue
- 8
- Pages
- 1121-1126
- ISSN
- 0307-0565 (ISSN-L)
- 1476-5497
- PMC
- PMC3271144
- OpenAlex
- W1994589678
- Cited by
- 36
- References
- 51
- Citations by year
- 2024: 4 · 2023: 2 · 2022: 3 · 2021: 2 · 2019: 2 · 2018: 4 · 2017: 2 · 2016: 5 · 2015: 3 · 2014: 4 · 2013: 5
- FWCI
- 2.79
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Journal of Obesity (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute on Aging (AG-12975, R01AG012975)
- National Heart, Lung, and Blood Institute (T32HL079888, T32HL072757)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK-60753, R01DK060753, R21DK077959)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- body mass index, mortality, Hispanic adults, underweight, overweight, obesity, obesity paradox, pooled analysis, prospective cohort, San Antonio Heart Study, Sacramento Area Latino Study on Aging, NHANES
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Hispanic or Latino, Humans, Health Knowledge, Attitudes, Practice, Life Style, Male, Middle Aged, Nutrition Surveys, Obesity, Prospective Studies, Self Concept, United States, Body Mass Index, Prevalence, Proportional Hazards Models
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