BMI and All-Cause Mortality in a Population-Based Cohort in Rural South Africa.


Journal

Obesity (Silver Spring, Md.)
ISSN: 1930-739X
Titre abrégé: Obesity (Silver Spring)
Pays: United States
ID NLM: 101264860

Informations de publication

Date de publication:
12 2020
Historique:
received: 16 01 2020
revised: 19 07 2020
accepted: 26 07 2020
pubmed: 19 10 2020
medline: 10 4 2021
entrez: 18 10 2020
Statut: ppublish

Résumé

This study evaluates the association between BMI and all-cause and cause-specific mortality in South Africa. Prospective, population-based observational cohort data from rural South Africa were analyzed. BMI was measured in 2010. Demographic characteristics were recorded and deaths were verified with verbal autopsy interview. The InterVA-5 tool was used to assign causes of death. HIV testing was conducted annually. Cox proportional hazards models were fit to estimate the effect of BMI on all-cause and cause-specific mortality, accounting for the competing risk of death from other causes. Models were adjusted for sociodemographic characteristics and HIV status, and inverse probability weighting for survey nonparticipation was used. The cohort consisted of 9,728 individuals. In adjusted models, those with BMI of 25.0 to 29.9 kg/m Individuals in South Africa who meet clinically defined criteria for overweight or obesity had a lower risk of all-cause mortality than those with a normal BMI. These findings were stronger for women and communicable conditions.

Identifiants

pubmed: 33070472
doi: 10.1002/oby.23005
pmc: PMC7686076
mid: NIHMS1618929
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2414-2423

Subventions

Organisme : NHLBI NIH HHS
ID : R01 HL141053
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG059504
Pays : United States
Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : NIAID NIH HHS
ID : T32 AI007433
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI060354
Pays : United States

Informations de copyright

© 2020 The Obesity Society.

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Auteurs

Jennifer Manne-Goehler (J)

Division of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts, USA.
Harvard Medical School, Boston, Massachusetts, USA.
Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, Massachusetts, USA.

Kathy Baisley (K)

Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
Africa Health Research Institute, KwaZulu-Natal, South Africa.

Alain Vandormael (A)

Heidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany.
KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), University of KwaZulu-Natal, KwaZulu-Natal, South Africa.

Till Bärnighausen (T)

Africa Health Research Institute, KwaZulu-Natal, South Africa.
Heidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany.
Department of Global Health and Population and Harvard Center for Population and Development Studies, Harvard School of Public Health, Boston, Massachusetts, USA.

Frank Tanser (F)

Africa Health Research Institute, KwaZulu-Natal, South Africa.
Lincoln International Institute for Rural Health, University of Lincoln, Lincoln, UK.
School of Nursing and Public Health, University of KwaZulu-Natal, KwaZulu-Natal, South Africa.

Kobus Herbst (K)

Africa Health Research Institute, KwaZulu-Natal, South Africa.
SAPRIN, South African Medical Research Council, Cape Town, South Africa.

Deenan Pillay (D)

Africa Health Research Institute, KwaZulu-Natal, South Africa.
Division of Infection and Immunity, University College, London, UK.

Mark J Siedner (MJ)

Division of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts, USA.
Harvard Medical School, Boston, Massachusetts, USA.
Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, Massachusetts, USA.
Africa Health Research Institute, KwaZulu-Natal, South Africa.

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