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| November 2001, Volume 25, Number 11, Pages 1730-1735 |
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| Paper |
| A comparison of body mass index, waist-hip ratio and waist circumference as predictors of all-cause mortality among the elderly: the Rotterdam study |
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| T L S Visscher1,2,3, J C Seidell3,4, A Molarius2,5, D van der Kuip1, A Hofman1,2 and J C M Witteman1 |
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1Department of Epidemiology and Biostatistics, Erasmus University Medical School, Rotterdam, The Netherlands
2The Netherlands Institute for Health Sciences, Erasmus University Medical School, Rotterdam, The Netherlands
3Department of Chronic Diseases Epidemiology, National Institute of Public Health and the Environment, Bilthoven, The Netherlands
4Institute for Research in Extramural Medicine, Free University Amsterdam, Amsterdam, The Netherlands
5Centre for Public Health Research, Karlstad University, Karlstad, Sweden
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Correspondence to: T L S Visscher, Department of Chronic Diseases Epidemiology, National Institute of Public Health and the Environment, PO Box 1, 3720 BA Bilthoven, The Netherlands. E-mail: tommy.visscher@rivm.nl
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| Abstract |
| OBJECTIVE: To compare body mass index (BMI), waist-hip ratio (WHR) and waist circumference as predictors of all-cause mortality among the elderly. DESIGN: Population-based cohort study; mean follow-up was 5.4 y. SETTING: The Rotterdam Study. PARTICIPANTS: A total of 6296 men and women; baseline age 55-102 y. MEASUREMENTS: Sex-specific all-cause mortality was compared between quintiles of BMI, WHR and waist circumference and between predefined categories of BMI and waist circumference, stratified for smoking category. RESULTS: High quintiles of waist circumference, but not high quintiles of BMI and WHR were related to increased mortality among never smoking men, without reaching statistical significance. Only the highest category of BMI (BMI>30 kg/m2) among never smoking men was related to increased mortality, compared to normal BMI (hazard ratio 2.6 (95% confidence interval: 1.3-5.3)). Waist circumference between 94 and 102 cm and waist circumference 102 cm and larger were related to increased mortality, compared to normal waist circumference (hazard ratios 1.7 (95% confidence interval 1.1-2.8) and 1.6 (95% confidence interval 1.0-2.8), respectively). The proportion of mortality attributable to large waist circumference among never smoking men was three-fold the proportion attributable to high BMI. Among never smoking women and ex- and current smokers, categories of large body fatness did not predict increased mortality. CONCLUSION: Among never smoking elderly men waist circumference may have more potential for detecting overweight than the BMI. International Journal of Obesity (2001) 25, 1730-1735 |
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| Keywords |
| aged; body mass index; follow-up studies; mortality; overweight; waist circumference; waist-hip ratio |
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| Received 13 July 2000; revised 10 April 2001; accepted 20 April 2001 |
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| November 2001, Volume 25, Number 11, Pages 1730-1735 |
| Table of contents Previous Abstract Next Full text PDF |
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