Obesity and mortality among older Thais: a four year follow up study

Vapattanawong, Patama; Aekplakorn, Wichai; Rakchanyaban, Uthaithip; Prasartkul, Pramote; Porapakkham, Yawarat
January 2010
BMC Public Health;2010, Vol. 10, p604
Academic Journal
Background: To assess the association of body mass index with mortality in a population-based setting of older people in Thailand. Methods: Baseline data from the National Health Examination Survey III (NHES III) conducted in 2004 was linked to death records from vital registration for 2004-2007. Complete information regarding body mass index (BMI) (n = 15997) and mortality data were separately analysed by sex. The Cox Proportional Hazard Model was used to test the association between BMI and all-cause mortality controlling for demographic, socioeconomic, and health risk factors. Results: During a mean follow-up time of 3.8 years (60545.8 person-years), a total of 1575 older persons, (936 men and 639 women) had died. A U-shaped and reverse J-shaped of association between BMI and all-cause mortality were observed in men and women, respectively. However there was no significant increased risk in the higher BMI categories. Compared to those with BMI 18.5-22.9 kg/m², the adjusted hazard ratios (HR) of all-cause mortality for those with BMI <18.5, 23.0-24.9, 25.0-27.4, 27.5-29.9, 30.0-34.9, and ≥35.0 were 1.34 (95% CI, 1.14-1.58), 0.79 (95% CI, 0.65-0.97), 0.81 (95% CI, 0.65-1.00), 0.67 (95% CI, 0.48-0.94), 0.60 (95% CI, 0.35-1.03), and 1.87 (95% CI, 0.77-4.56), respectively, for men, and were 1.29 (95% CI,1.04-1.60), 0.70 (95% CI, 0.55-0.90), 0.79 (95% CI, 0.62-1.01), 0.57 (95% CI, 0.41-0.81), 0.58 (95% CI, 0.39-0.87), and 0.78 (95% CI, 0.38-1.59), respectively, for women. Conclusions: The results of this study support the obesity paradox phenomenon in older Thai people, especially in women. Improvement in quality of mortality data and further investigation to confirm such association are needed in this population.


Related Articles

  • Children in weight crisis. Berg, Frances M. // Healthy Weight Journal;Sep/Oct96, Vol. 10 Issue 5, p86 

    Reports on weight and eating disorders among children and teenagers in the United States. Increased obesity among children and teenagers; Dysfunctional eating; Overweight children's attitude toward their peers, parents and teachers.

  • The Road to Even Better Health.  // Real Simple;Aug2002, Vol. 3 Issue 6, p106 

    Research has found that a sedentary lifestyle can lead to obesity, which causes more health problems than cigarette smoking. First you have to prevent further damage by using a sunscreen daily, says Jam� Heskett, M.D., a family physician and founder of Wellpath, a holistic wellness center...

  • Fighting against an epidemic. THOMAS, KAREN // MEED: Middle East Economic Digest;8/15/2011, Vol. 55 Issue 32, p30 

    The article focuses on the epidemic levels of diabetes in the Middle East. It is stated that double-digit levels of diabetes across the Arab world is revealed by all the studies related to diabetes. It is noted that the Middle East countries have seen a dramatic lifestyle shift which has led toa...

  • Problem of obesity is 'inevitable', claims govt. think tank.  // Education (14637073);10/19/2007, Issue 285, p3 

    The article discusses the findings of a 2007 study by Foresight, a government futures agency, which states the inevitability of obesity because the human body is out of step with the surroundings. The study claims that the obesity problem will take 30 years to reverse and aims to negate the...

  • Killer Calories.  // Access;May/Jun2004, Vol. 18 Issue 5, p10 

    Reports on the increase of obesity-related deaths in the U.S. Rate of increase; Estimated number of obese adults in the country; Tendency of obesity to surpass tobacco use in terms of mortality.

  • OBESITY. Ford, Sue // Pulse;10/5/2006, Vol. 66 Issue 37, p70 

    The article provides information on how to prevent and treat obesity in Great Britain. The author discusses the action taken by the government to address the problem on obesity. They have also emphasized the importance of multidisciplinary involvement with dietitians, physiotherapists, sports...

  • Linkage analysis of obesity phenotypes in pre- and post-menopausal women from a United States mid-western population. Kelemen, Linda E.; Atkinson, Elizabeth J.; de Andrade, Mariza; Pankratz, V. Shane; Cunningham, Julie M.; Wang, Alice; Hilker, Christopher A.; Couch, Fergus J.; Sellers, Thomas A.; Vachon, Celine M. // BMC Medical Genetics;2010, Vol. 11, p156 

    Background: Obesity has a strong genetic influence, with some variants showing stronger associations among women than men. Women are also more likely to distribute weight in the abdomen following menopause. We investigated whether genetic loci link with obesity-related phenotypes differently by...

  • Interventions to change maternity healthcare professionals' behaviours to promote weight-related support for obese pregnant women: a systematic review. Heslehurst, Nicola; Crowe, Lisa; Robalino, Shannon; Sniehotta, Falko F.; McColl, Prof Elaine; Rankin, Judith // Implementation Science;2014, Vol. 9 Issue 1, p1 

    Background There has been a rapid increase in the publication of guidelines for managing obesity and weight gain during pregnancy over the past five years. Healthcare professionals have identified multiple barriers to this area of practice, including the need to improve their communication...

  • The government of girth. Coveney, John // Health Sociology Review;Aug2008, Vol. 17 Issue 2, p199 

    The current preoccupation with body weight in western cultures is arguably unprecedented. The obesity crisis has engaged not only health communities, but numerous other public and private organisations, and, in so doing, has created moral alarm as well as a medical crisis. This paper examines...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics