Obesity, Physical Activity, and Mortality in a Prospective Chinese Elderly Cohort

Schooling, CM; Lam, Tai Hing; Li, Zhi Bin; Ho, Sai Yin; Chan, Wai Man; Ho, Kin Sang; Tham, May Ked; Cowling, Benjamin J.; Leung, Gabriel M.

doi:10.1001/archinte.166.14.1498

Cited by 143 publications

(137 citation statements)

References 36 publications

(40 reference statements)

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“…Hence, major biases due to immigration are not likely. In addition, the Hong Kong Death Registry has been used by local investigators to ascertain death in other large cohort studies [35]. Third, as patients with type 2 diabetes belong to a special population, our findings cannot be readily generalized to non-diabetic populations.…”

Section: Discussionmentioning

confidence: 95%

Risk factors in V‐shaped risk associations with all‐cause mortality in type 2 diabetes—The Hong Kong Diabetes Registry

Yang

et al. 2007

Diabetes Metabolism Res

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Section: Discussionmentioning

confidence: 95%

Risk factors in V‐shaped risk associations with all‐cause mortality in type 2 diabetes—The Hong Kong Diabetes Registry

Yang

et al. 2007

Diabetes Metabolism Res

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“…In older, healthy individuals without chronic diseases, the risk of obesity may remain similar to that in middle-aged adults (Adams et al 2006;Schooling et al 2006). However, the level of fitness might modulate the mortality risk of obesity.…”

Section: Discussionmentioning

confidence: 99%

Survival benefit of abdominal adiposity: a 6-year follow-up study with Dual X-ray absorptiometry in 3,978 older adults

Lee

Auyeung

Kwok

et al. 2011

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In contrast to that in the middle-aged, higher body mass index (BMI) in older people is associated with higher survival rates. Yet, BMI makes no distinction between fat elsewhere and abdominal fat, the latter being metabolically more harmful. We hypothesized that overall adiposity might be protective in old age, but that central fat might offset that benefit and remained harmful as in the middle-aged. Three thousand nine hundred seventy-eight Chinese elderly ≥65 years had demographics, medical conditions, physical activity, and body composition by DXA recorded at baseline. Overall adiposity was measured as whole body fat%, and abdominal adiposity as waist circumference, waisthip ratio, and relative abdominal fat (RAF) (relative abdominal fat = abdominal fat according to anatomical landmarks/whole body fat). Deaths within 1 year from baseline were excluded from analysis. All-cause and cardiovascular mortality were analyzed using Cox regression, adjusted for covariates. The lowest quintile of adiposity measurements was used for comparison. After a mean follow-up of 72.3 months, 13.7% men and 4.5% women had died. In men, the highest two quintiles of whole body fat % and the upper four quintiles of RAF were associated with significantly lower all-cause mortality, and adjusted hazard ratio (95% CI) in ascending quintiles of RAF compared with the lowest quintile was 0.62 (0.43-0.89), 0.58 (0.4-0.85), 0.52 (0.36-0.77), and 0.67 (0.47-0.96). No relationship was found between abdominal adiposity and cardiovascular mortality in both genders. Higher whole body fat % as well as higher proportion of abdominal fat was associated with lower all-cause mortality in men. No such relation was found in women.

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“…Fouad, Schooling, Koski, Bakhshi ve Hajian'ın yaptığı çalışma-larda da kadınlardaki obezite oranı erkeklerden fazladır (4,5,(26)(27)(28). TUR-DEP ve TEKHARF çalışmalarında da kadınlardaki obezite prevalansı erkeklerden fazladır (sırasıyla %38 ve %22; %43.0 ve %21.1) (17,18).…”

Section: Discussionunclassified

Beslenme ve Diyet Kliniğine Başvuranlarda Obezite Durumu ve Etkili Faktörlerin Belirlenmesi

Aliye;ATAK¹

2011

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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DAHİLİ BİLİMLER / MEDICAL SCIENCES Araştırma Makalesi / Research ArticleAmaç: Bu çalışma, Ankara Üniversitesi Tıp Fakültesi İbn-i Sina Eğitim ve Araştırma Hastanesi, Beslenme ve Diyet Bölümü'ne başvuranlarda obezite durumu ve etkili faktörlerin belirlenmesi amacıyla yapılmış bir araştırmadır.Çalışma Planı: Araştırma tanımlayıcı bir araştırma olup, ilgili bölüme başvuran ve araştırmaya katılmayı kabul eden 450 kişi üzerinde yürütülmüştür. Veri toplama aracı olarak 5 bölüm ve 59 sorudan oluşan anket formu kullanılmıştır. İstatistiksel analizlerde ki-kare testi uygulanmış, yanılma olasılığı 0.05 olarak alınmıştır. Bulgular:Araştırma grubunda obezite oranı %28.0 olarak bulunmuştur. Obezite durumu cinsiyet, yaş, medeni durum, öğrenim düzeyi, meslek, aylık gelir gibi sosyodemografik özelliklerle ilişkili bulunmuştur.Evlilik süresi, çocuk sayısı, çocukluk çağında şişman olma durumu, daha önce obezite tedavisi görme ve daha önce zayıflamak için diyet yapma durumunun ve menopozun obezite durumunu etkilediği belirlenmiştir.Ailesinde obez bir kişi bulunanların, ana ve ara öğünleri atlayanların daha yüksek oranda obez olduğunun belirlenmesi, obezitenin beslenme biçimi ile ilişkili olduğunu düşündürmektedir. Sonuç:Obezitenin ortaya çıkmasında beslenme alışkanlıklarının yanı sıra, yaşam biçimi, yaş, cinsiyet ve sosyoekonomik özellikler gibi birden çok faktörün etkili olduğu düşünülmektedir. Bu nedenle yüksek risk taşıyan bireylere öncelik verilerek değiştirilebilir faktörlere yönelik korunma ve müdahale çalışmalarının düzenlenmesinin, obezitenin önlenmesi ve kontrolünde etkili olacağı düşünülmektedir Anahtar Sözcükler: Obezite, sosyodemografik özellikler, etkili faktörler Objectives: This research was planned to assess the obesity and related factors on individuals applying to the department of Nutrition and Dietetics, İbn-i Sina Training and Research Hospital, Medical School, Ankara University.Study Design: This descriptive study was conducted on 450 people accepted to participated in the study. The data were collected by a questionnaire including 5 sections and 59 questions. In statistical analyses, test of chi-square was used and p value below 0.05 was accepted to be statistically significant. Results:The obesity ratio was 28.0% and obesity was associated with some sociodemographic characteristics such as gender, age, marital status, educational level, and monthly income.Duration of marriage, number of children, obesity in childhood, having obesity treatment before, dieting for loosing weight and menoupose were indicated to influence the obesity.High obesity ratios in participants having family history of obesity, neglecting main and in-between meals were contributed that obesity was related to nutritional habits. Conclusion:In the development of obesity it is thought that multiple factors such as nutritional habits, life-style, age, gender, and sociodemographic characteristics are effective. Therefore, for the prevention and control the obesity, it is suggested to develop modifiable risk factor centered preventive and int...

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Obesity, Physical Activity, and Mortality in a Prospective Chinese Elderly Cohort

Abstract: In the elderly, the relationship between obesity and mortality varies according to the underlying health status. In those with poor health status, obesity is associated with better outcome, whereas in those with initially good health status, obesity is associated with worse outcome.

Cited by 143 publications

References 36 publications

Risk factors in V‐shaped risk associations with all‐cause mortality in type 2 diabetes—The Hong Kong Diabetes Registry

Risk factors in V‐shaped risk associations with all‐cause mortality in type 2 diabetes—The Hong Kong Diabetes Registry

Survival benefit of abdominal adiposity: a 6-year follow-up study with Dual X-ray absorptiometry in 3,978 older adults

Beslenme ve Diyet Kliniğine Başvuranlarda Obezite Durumu ve Etkili Faktörlerin Belirlenmesi

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