在人寿保险申请人中低BMI的死亡风险
Steven J Rigatti1, Robert Stout1
1Author Affiliations: Rigatti - Founder, Rigatti Risk Analytics, LLC, Consultant Medical Director, Clinical Reference Laboratories, Lenexa KS. Stout - Chief Scientific Officer/Laboratory Director, Clinical Reference Laboratories, Lenexa KS.
Journal of insurance medicine (New York, N.Y.)
|May 27, 2024
概括
低体重指数 (BMI) 增加了50岁以上健康人寿保险申请人的死亡风险. 这种风险因年龄和性别而异,在40岁以下的人群中没有发现死亡率增加.
科学领域:
- 流行病学 流行病学
- 生物统计学 生物统计学
- 公共卫生 公共卫生
背景情况:
- 低体重指数 (BMI) 与增加的死亡率有关.
- 之前的研究表明,与正常BMI的人相比,低BMI的人的死亡风险更高.
研究的目的:
- 在人寿保险申请人中量化与低体重指数 (BMI) 相关的死亡风险.
- 根据实验室资料,评估低BMI对被认为健康的个体死亡率的影响.
主要方法:
- 分析了超过470万生命保险申请人的BMI数据,从1995年到2021年.
- 利用考克斯的比例危险模型,将BMI视为连续变量和分类变量.
- 使用社会保障死亡主档,控制年龄和性别,并排除实验室结果异常的个体来确定生命状态.
主要成果:
- 低BMI与50岁及以上的两性死亡率增加有很强的关联.
- 特定的低BMI类别 (低于1-10百分位数) 与40-80岁男性和女性的死亡率显著增加有关.
- 在40岁以下的低BMI个体中没有观察到死亡风险增加.
结论:
- 低体重指数 (BMI) 与健康人寿保险申请人的死亡率增加有关.
- 低BMI与死亡率之间的关联取决于年龄.
- 在人寿保险承保中,低BMI的风险分层需要考虑年龄和性别.
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