Overweight and class I obesity are associated with lower 10-year risk of mortality in brazilian older adults: the Bambuí cohort study of ageing

Detalhes bibliográficos
Autor(a) principal: Beleigoli, Aline Maria Rezende
Data de Publicação: 2012
Outros Autores: Boersma, Eric, Diniz, Maria de Fátima Haueisen Sander, Costa, Maria Fernanda Lima, Ribeiro, Antonio Luiz P.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/7376
Resumo: Universidade Federal de Minas Gerais. Faculdade de Medicina. Belo Horizonte,MG, Brazil,
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spelling Beleigoli, Aline Maria RezendeBoersma, EricDiniz, Maria de Fátima Haueisen SanderCosta, Maria Fernanda LimaRibeiro, Antonio Luiz P.2014-02-28T17:44:00Z2014-02-28T17:44:00Z2012BELEIGOLI, Aline Maria Rezende et al. Overweight and class I obesity are associated with lower 10-year risk of mortality in brazilian older adults: the Bambuí cohort study of ageing. Plos One. 2012, vol.7, pp. e5. 2111.1932-6203https://www.arca.fiocruz.br/handle/icict/73760.1371/journal.pone.0052111engPublic Library of ScienceOverweight and class I obesity are associated with lower 10-year risk of mortality in brazilian older adults: the Bambuí cohort study of ageinginfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade Federal de Minas Gerais. Faculdade de Medicina. Belo Horizonte,MG, Brazil,Erasmus Medical Center. Department of Cardiology. Rotterdam, The NetherlandsUniversidade Federal de Minas Gerais. Faculdade de Medicina. Belo Horizonte,MG, Brazil/ Universidade Federal de Minas Gerais. Hospital das Clınicas. Belo Horizonte, MG, Brazil,Universidade Federal de Minas Gerais. Faculdade de Medicina. Belo Horizonte,MG, Brazil/ Fundação Oswaldo Cruz. Centro de Pesquisas Rene Rachou. Belo Horizonte, MG, BrazilUniversidade Federal de Minas Gerais. Faculdade de Medicina. Belo Horizonte,MG, Brazil/ Universidade Federal de Minas Gerais. Hospital das Clınicas. Belo Horizonte, MG, BrazilBackground: Prospective studies mostly with European and North-American populations have shown inconsistent results regarding the association of overweight/obesity and mortality in older adults. Our aim was to investigate the relationship between overweight/ obesity and mortality in an elderly Brazilian population. Methods and Findings: Participants were 1,450 (90.2% from total) individuals aged 60 years and over from the community-based Bambuı (Brazil) Cohort Study of Ageing. From 1997 to 2007, 521 participants died and 89 were lost, leading to 12,905 person-years of observation. Body mass index (BMI) and waist circumference (WC) were assessed at baseline and at the 3rd and 5th years of follow-up. Multiple imputation was performed to deal with missing values. Hazard ratios (HR) of mortality for BMI or WC alone (continuous and categorical), and BMI and WC together (continuous) were estimated by extended Cox regression models, which were fitted for clinical, socioeconomic and behavioral confounders. Adjusted absolute rates of death at 10-year follow-up were estimated for the participants with complete data at baseline. Continuous BMI (HR 0.85; 95% CI 0.80–0.90) was inversely related to mortality, even after exclusion of smokers (HR 0.85; 0.80–0.90), and participants who had weight variation and died within the first 5 years of follow-up (HR 0.83; CI 95% 0.73–0.94). Overweight (BMI 25–30 kg/m2 ) was inversely (HR 0.76; 95%CI 0.61–0.93) and obesity (BMI $ 30 kg/m2; HR 0.85; 95% CI 0.64–1.14) not significantly associated with mortality. Subjects with BMI between 25–35 kg/m2 (23.8–25.9%) had the lowest absolute rates of death at 10-years follow-up. The association between WC and death was not significant, except after adjusting WC for BMI levels, when the relationship turned into marginally positive (HR 1.01; CI 95% 1.00–1.02). Conclusions: The usual BMI and WC cut-off points should not be used to guide public health and clinical weight control interventions in elderly in Brazil.older adultsinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALOverweight and Class I Obesity Are Associated with.pdfOverweight and Class I Obesity Are Associated with.pdfapplication/pdf1933591https://www.arca.fiocruz.br/bitstream/icict/7376/1/Overweight%20and%20Class%20I%20Obesity%20Are%20Associated%20with.pdfb42880729fc7bd20e7a5e3e228611596MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81914https://www.arca.fiocruz.br/bitstream/icict/7376/2/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD52TEXTOverweight and Class I Obesity Are Associated with.pdf.txtOverweight and Class I Obesity Are Associated with.pdf.txtExtracted texttext/plain10https://www.arca.fiocruz.br/bitstream/icict/7376/5/Overweight%20and%20Class%20I%20Obesity%20Are%20Associated%20with.pdf.txt2c6eb67c8897d916ae47524b1a844d3fMD55THUMBNAILOverweight and Class I Obesity Are Associated with.pdf.jpgOverweight and Class I Obesity Are Associated with.pdf.jpgGenerated Thumbnailimage/jpeg2292https://www.arca.fiocruz.br/bitstream/icict/7376/4/Overweight%20and%20Class%20I%20Obesity%20Are%20Associated%20with.pdf.jpg8eea8541a2f9d4d3406a95f86cd6c99cMD54icict/73762018-04-06 08:48:48.694oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352018-04-06T11:48:48Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Overweight and class I obesity are associated with lower 10-year risk of mortality in brazilian older adults: the Bambuí cohort study of ageing
title Overweight and class I obesity are associated with lower 10-year risk of mortality in brazilian older adults: the Bambuí cohort study of ageing
spellingShingle Overweight and class I obesity are associated with lower 10-year risk of mortality in brazilian older adults: the Bambuí cohort study of ageing
Beleigoli, Aline Maria Rezende
older adults
title_short Overweight and class I obesity are associated with lower 10-year risk of mortality in brazilian older adults: the Bambuí cohort study of ageing
title_full Overweight and class I obesity are associated with lower 10-year risk of mortality in brazilian older adults: the Bambuí cohort study of ageing
title_fullStr Overweight and class I obesity are associated with lower 10-year risk of mortality in brazilian older adults: the Bambuí cohort study of ageing
title_full_unstemmed Overweight and class I obesity are associated with lower 10-year risk of mortality in brazilian older adults: the Bambuí cohort study of ageing
title_sort Overweight and class I obesity are associated with lower 10-year risk of mortality in brazilian older adults: the Bambuí cohort study of ageing
author Beleigoli, Aline Maria Rezende
author_facet Beleigoli, Aline Maria Rezende
Boersma, Eric
Diniz, Maria de Fátima Haueisen Sander
Costa, Maria Fernanda Lima
Ribeiro, Antonio Luiz P.
author_role author
author2 Boersma, Eric
Diniz, Maria de Fátima Haueisen Sander
Costa, Maria Fernanda Lima
Ribeiro, Antonio Luiz P.
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Beleigoli, Aline Maria Rezende
Boersma, Eric
Diniz, Maria de Fátima Haueisen Sander
Costa, Maria Fernanda Lima
Ribeiro, Antonio Luiz P.
dc.subject.en.pt_BR.fl_str_mv older adults
topic older adults
description Universidade Federal de Minas Gerais. Faculdade de Medicina. Belo Horizonte,MG, Brazil,
publishDate 2012
dc.date.issued.fl_str_mv 2012
dc.date.accessioned.fl_str_mv 2014-02-28T17:44:00Z
dc.date.available.fl_str_mv 2014-02-28T17:44:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.citation.fl_str_mv BELEIGOLI, Aline Maria Rezende et al. Overweight and class I obesity are associated with lower 10-year risk of mortality in brazilian older adults: the Bambuí cohort study of ageing. Plos One. 2012, vol.7, pp. e5. 2111.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/7376
dc.identifier.issn.none.fl_str_mv 1932-6203
dc.identifier.doi.none.fl_str_mv 0.1371/journal.pone.0052111
identifier_str_mv BELEIGOLI, Aline Maria Rezende et al. Overweight and class I obesity are associated with lower 10-year risk of mortality in brazilian older adults: the Bambuí cohort study of ageing. Plos One. 2012, vol.7, pp. e5. 2111.
1932-6203
0.1371/journal.pone.0052111
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