在美国,每年因肥胖而导致的死亡人数
D B Allison1, K R Fontaine, J E Manson
1Obesity Research Center, St Luke's/Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, New York, NY 10025, USA. dba8@columbia.edu
JAMA
|November 5, 1999
概括
肥胖是一个重大的健康问题,每年导致美国成年人数十万死亡. 这项研究估计,每年约有28万至32万5千例死亡与肥胖有关.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 肥胖问题研究研究
背景情况:
- 肥胖在美国是一个严重的公共卫生问题.
- 之前对因肥胖而导致的死亡率的估计缺乏严格的科学评估.
研究的目的:
- 量化美国成年人口中因肥胖而导致的死亡人数.
主要方法:
- 利用了六项主要前性队列研究的数据,包括阿拉梅达社区健康研究和弗雷明汉心脏研究.
- 分析了1991年关于身体质量指数 (BMI) 分布,人口规模和死亡率的国家统计数据.
- 按BMI分类的成年参与者 (≥18岁):超重 (25-30 kg/m2),肥胖 (30-35 kg/m2) 和严重肥胖 (>35 kg/m2).
主要成果:
- 估计每年因肥胖而导致的死亡人数在236,111至341,153之间,使用所有研究对象的危险比率时平均为280,184.
- 超过80%的估计与肥胖相关的死亡发生在BMI超过30kg/m2的个体中.
- 使用非吸烟者/从未吸烟者的危险比率应用于整个人口,平均估计为324,940例死亡 (范围为262,541-383,410).
结论:
- 据估计,美国成年人每年因肥胖而导致的死亡人数约为28万.
- 当考虑仅从非吸烟者和从未吸烟者获得的危险比率时,这一估计增加到大约325,000.
- 这些发现强调了美国与肥胖相关的大量死亡负担.
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