BMI and BMI Changes to All-cause Mortality among the Elderly in Beijing： a 20-year Cohort Study

• Published in: Biomedical and environmental sciences Vol. 30; no. 2; pp. 79 - 87
• Main Authors: WANG, Yun Feng, TANG, Zhe, GUO, Jin, TAO, Li Xin, LIU, Long, LI, Hai Bin, LI, Di Tian, GUO, Xiu Hua, YANG, Xing Hua
• Format: Journal Article
• Language: English
• Published: China Elsevier B.V 01.02.2017; School of Public Health, Capital Medical University, Beijing 100069, China; Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing 100069, China%Xuan Wu Hospital, Capital Medical University, Beijing 100053, China%School of Basic Medical Sciences, Peking University Health Science Center, Beijing 100191, China
• Subjects: Aged; Aged, 80 and over; All-cause mortality; Beijing; Body Mass Index; Chronic Disease - mortality; Cohort Studies; Female; Humans; Male; Middle Aged; Proportional Hazards Models; Risk Factors; The elderly; Beijing; Body mass index; All-cause mortality; The elderly
• ISSN: 0895-3988; 2214-0190
• DOI: 10.3967/bes2017.011

Objective To explore the association between body mass index （BMI） and all-cause mortality among the elderly in Beijing. Methods This analysis was based on the Beijing multidimensional longitudinal study of aging （BLSA）, which included 2,090 subjects over 55 years old and was followed-up from 1992 to 2012. BMI-mortality curves were drawn to find the optimal BMI range with the lowest mortality. Cox proportional hazard models were used to obtain the hazard ratios （HRs） for BMI and BMI changes in the overall population and in specific stratified populations. Results During follow-up, 2,264 deaths were recorded; BMI-mortality curve was U-shaped, with the lowest mortality at a BMI of approximately 25 kg/m2. After adjusting for gender, age, smoking, drinking and some pre-existing diseases, HRs for underweight, overweight and obesity compared with normal weight were 2.372 （95% C/： 2.254-2.632）, 0.767 （95% CI： 0.666-0.884） and 0.872 （95% CI： 0.830-1.246）, respectively. HR for BMI drop was 3.245 （95% CI： 0.824-22.772） in the underweight group and 1.892 （95% C/： 0.830-1.246） in the normal weight group, HR for BMI rise was 1.795 （95% CI： 1.243-2.591） in normal weight group and 2.962 （95% CI： 2.202-3.203） in the overweight group. Conclusion Keeping BMI in an overweight status and stable is related to a reduced mortality