肥満によって失われた数年の寿命
Kevin R Fontaine1, David T Redden, Chenxi Wang
1Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, Md, USA.
JAMA
|January 9, 2003
まとめ
肥満は,特に若い成人の平均寿命を大幅に短縮します. この研究は,過剰な体重のために失われた寿命年数 (YLL) を定量化し,年齢,人種,性別の格差を強調しています.
科学分野:
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
- バイオ統計学 バイオ統計学
背景:
- 肥満の危険性に関する公衆衛生キャンペーンは効果的ではない.
- 肥満が平均寿命に与える影響を理解することは極めて重要です.
研究 の 目的:
- 成人における過体重および肥満による予想される失命年数 (YLL) を推定する.
- 生涯を通じてボディマス指数 (BMI) とYLLの関係を分析する.
主な方法:
- 米国生命表,NHANES III,NHANES I/IIフォローアップ研究からのデータを活用した.
- 定義されたBMIカテゴリーを用いて,18歳から85歳までの成人のYLLを計算した.
- 比較のために24の基準BMIを確立しました.
主要な成果:
- YLL.における有意な人種および性別の違いが観察されました.
- 白人のための23-25の最適なBMI範囲と黒人のための23-30の長寿の最適なBMI範囲を発見しました.
- 若年層の成人では,年配の成人と比較して,過体重/肥満によるYLLがより多かった.
結論:
- 肥満は,特に若い人群では,平均寿命を著しく短縮します.
- 重度の肥満は,残りの寿命を大幅に短くすることがあります.
- 長寿のための最適なBMIの範囲は,人種と年齢によって異なります.
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