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Published in: European Journal of Epidemiology 11/2010

01-11-2010 | MORTALITY

Effects of physical activity, body mass index, waist-to-hip ratio and waist circumference on total mortality risk in the Swedish National March Cohort

Authors: Rino Bellocco, Chongqi Jia, Weimin Ye, Ylva Trolle Lagerros

Published in: European Journal of Epidemiology | Issue 11/2010

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Abstract

The health benefits of physical activity (PA) have been well documented. However, there is less research investigating whether or not these health benefits might differ among males and females or among subjects characterized by different levels of body mass index (BMI), waist-to-hip ratio (WHR), and waist circumference (WC). Baseline total PA, BMI, WHR and waist circumference were measured in 14,585 men and 26,144 women who participated in the Swedish National March. Their effects on all-cause mortality were analyzed with a follow-up time of almost 10 years. Sedentary men with a BMI ≥ 30 had a 98% (95% CI: 30–201%) increased risk of mortality compared to normal weight men with a high level of total PA. The same trend was observed for sedentary men with high WHR or waist circumference, compared to lean and highly active men. Sedentary women with a waist circumference of 88 cm or more had almost doubled, i.e. 97% (95% CI: 35–189%) increased mortality risk compared to physically active women with a waist circumference below 80 cm. BMI in men, but waist circumference in women better forecast all-cause mortality. We found no substantial effect modification between different measures of adiposity and physical activity—physical inactivity and obesity seem to increase total mortality risk independently and additively.
Literature
1.
go back to reference Katzmarzyk PT, Janssen I, Ardern CI. Physical inactivity, excess adiposity and premature mortality. Obes Rev. 2003;4:257–90.CrossRefPubMed Katzmarzyk PT, Janssen I, Ardern CI. Physical inactivity, excess adiposity and premature mortality. Obes Rev. 2003;4:257–90.CrossRefPubMed
2.
go back to reference Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894:i–xii, 1–253. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894:i–xii, 1–253.
3.
go back to reference Brundtland GH. From the World Health Organization. Reducing risks to health, promoting healthy life. JAMA. 2002;288:1974.CrossRefPubMed Brundtland GH. From the World Health Organization. Reducing risks to health, promoting healthy life. JAMA. 2002;288:1974.CrossRefPubMed
4.
go back to reference Calle EE, Thun MJ, Petrelli JM, Rodriguez C, Heath CW Jr. Body-mass index and mortality in a prospective cohort of U.S. adults. N Engl J Med. 1999;341:1097–105.CrossRefPubMed Calle EE, Thun MJ, Petrelli JM, Rodriguez C, Heath CW Jr. Body-mass index and mortality in a prospective cohort of U.S. adults. N Engl J Med. 1999;341:1097–105.CrossRefPubMed
5.
go back to reference Yuan JM, Ross RK, Gao YT, Yu MC. Body weight and mortality: a prospective evaluation in a cohort of middle-aged men in Shanghai, China. Int J Epidemiol. 1998;27:824–32.CrossRefPubMed Yuan JM, Ross RK, Gao YT, Yu MC. Body weight and mortality: a prospective evaluation in a cohort of middle-aged men in Shanghai, China. Int J Epidemiol. 1998;27:824–32.CrossRefPubMed
6.
go back to reference Durazo-Arvizu RA, McGee DL, Cooper RS, Liao Y, Luke A. Mortality and optimal body mass index in a sample of the US population. Am J Epidemiol. 1998;147:739–49.PubMed Durazo-Arvizu RA, McGee DL, Cooper RS, Liao Y, Luke A. Mortality and optimal body mass index in a sample of the US population. Am J Epidemiol. 1998;147:739–49.PubMed
7.
go back to reference Adams KF, Schatzkin A, Harris TB, Kipnis V, Mouw T, Ballard-Barbash R, Hollenbeck A, Leitzmann MF. Overweight, obesity, and mortality in a large prospective cohort of persons 50 to 71 years old. N Engl J Med. 2006;355:763–78.CrossRefPubMed Adams KF, Schatzkin A, Harris TB, Kipnis V, Mouw T, Ballard-Barbash R, Hollenbeck A, Leitzmann MF. Overweight, obesity, and mortality in a large prospective cohort of persons 50 to 71 years old. N Engl J Med. 2006;355:763–78.CrossRefPubMed
8.
go back to reference Corrada MM, Kawas CH, Mozaffar F, Paganini-Hill A. Association of body mass index and weight change with all-cause mortality in the elderly. Am J Epidemiol. 2006;163:938–49.CrossRefPubMed Corrada MM, Kawas CH, Mozaffar F, Paganini-Hill A. Association of body mass index and weight change with all-cause mortality in the elderly. Am J Epidemiol. 2006;163:938–49.CrossRefPubMed
9.
go back to reference Gu D, He J, Duan X, Reynolds K, Wu X, Chen J, Huang G, Chen CS, Whelton PK. Body weight and mortality among men and women in China. JAMA. 2006;295:776–83.CrossRefPubMed Gu D, He J, Duan X, Reynolds K, Wu X, Chen J, Huang G, Chen CS, Whelton PK. Body weight and mortality among men and women in China. JAMA. 2006;295:776–83.CrossRefPubMed
10.
go back to reference Jee SH, Sull JW, Park J, Lee SY, Ohrr H, Guallar E, Samet JM. Body-mass index and mortality in Korean men and women. N Engl J Med. 2006;355:779–87.CrossRefPubMed Jee SH, Sull JW, Park J, Lee SY, Ohrr H, Guallar E, Samet JM. Body-mass index and mortality in Korean men and women. N Engl J Med. 2006;355:779–87.CrossRefPubMed
11.
go back to reference Neovius M, Sundstrom J, Rasmussen F. Combined effects of overweight and smoking in late adolescence on subsequent mortality: nationwide cohort study. BMJ. 2009;338:b496.CrossRefPubMed Neovius M, Sundstrom J, Rasmussen F. Combined effects of overweight and smoking in late adolescence on subsequent mortality: nationwide cohort study. BMJ. 2009;338:b496.CrossRefPubMed
12.
go back to reference Whitlock G, Lewington S, Sherliker P, Clarke R, Emberson J, Halsey J, Qizilbash N, Collins R, Peto R. Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies. Lancet. 2009;373:1083–96.CrossRefPubMed Whitlock G, Lewington S, Sherliker P, Clarke R, Emberson J, Halsey J, Qizilbash N, Collins R, Peto R. Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies. Lancet. 2009;373:1083–96.CrossRefPubMed
13.
go back to reference Stevens J, Cai J, Pamuk ER, Williamson DF, Thun MJ, Wood JL. The effect of age on the association between body-mass index and mortality. N Engl J Med. 1998;338:1–7.CrossRefPubMed Stevens J, Cai J, Pamuk ER, Williamson DF, Thun MJ, Wood JL. The effect of age on the association between body-mass index and mortality. N Engl J Med. 1998;338:1–7.CrossRefPubMed
14.
go back to reference Ajani UA, Lotufo PA, Gaziano JM, Lee IM, Spelsberg A, Buring JE, Willett WC, Manson JE. Body mass index and mortality among US male physicians. Ann Epidemiol. 2004;14:731–9.CrossRefPubMed Ajani UA, Lotufo PA, Gaziano JM, Lee IM, Spelsberg A, Buring JE, Willett WC, Manson JE. Body mass index and mortality among US male physicians. Ann Epidemiol. 2004;14:731–9.CrossRefPubMed
15.
go back to reference Hu FB, Willett WC, Li T, Stampfer MJ, Colditz GA, Manson JE. Adiposity as compared with physical activity in predicting mortality among women. N Engl J Med. 2004;351:2694–703.CrossRefPubMed Hu FB, Willett WC, Li T, Stampfer MJ, Colditz GA, Manson JE. Adiposity as compared with physical activity in predicting mortality among women. N Engl J Med. 2004;351:2694–703.CrossRefPubMed
16.
go back to reference Freedman DM, Ron E, Ballard-Barbash R, Doody MM, Linet MS. Body mass index and all-cause mortality in a nationwide US cohort. Int J Obes (Lond). 2006;30:822–9.CrossRef Freedman DM, Ron E, Ballard-Barbash R, Doody MM, Linet MS. Body mass index and all-cause mortality in a nationwide US cohort. Int J Obes (Lond). 2006;30:822–9.CrossRef
17.
go back to reference Diehr P, Bild DE, Harris TB, Duxbury A, Siscovick D, Rossi M. Body mass index and mortality in non smoking older adults: the Cardiovascular Health Study. Am J Public Health. 1998;88:623–9.CrossRefPubMed Diehr P, Bild DE, Harris TB, Duxbury A, Siscovick D, Rossi M. Body mass index and mortality in non smoking older adults: the Cardiovascular Health Study. Am J Public Health. 1998;88:623–9.CrossRefPubMed
18.
go back to reference Haapanen-Niemi N, Miilunpalo S, Pasanen M, Vuori I, Oja P, Malmberg J. Body mass index, physical inactivity and low level of physical fitness as determinants of all-cause and cardiovascular disease mortality–16 y follow-up of middle-aged and elderly men and women. Int J Obes Relat Metab Disord. 2000;24:1465–74.CrossRefPubMed Haapanen-Niemi N, Miilunpalo S, Pasanen M, Vuori I, Oja P, Malmberg J. Body mass index, physical inactivity and low level of physical fitness as determinants of all-cause and cardiovascular disease mortality–16 y follow-up of middle-aged and elderly men and women. Int J Obes Relat Metab Disord. 2000;24:1465–74.CrossRefPubMed
19.
20.
go back to reference Davey Smith G, Sterne JA, Fraser A, Tynelius P, Lawlor DA, Rasmussen F. The association between BMI and mortality using offspring BMI as an indicator of own BMI: large intergenerational mortality study. BMJ. 2009;339:b5043.CrossRefPubMed Davey Smith G, Sterne JA, Fraser A, Tynelius P, Lawlor DA, Rasmussen F. The association between BMI and mortality using offspring BMI as an indicator of own BMI: large intergenerational mortality study. BMJ. 2009;339:b5043.CrossRefPubMed
21.
go back to reference Snijder MB, van Dam RM, Visser M, Seidell JC. What aspects of body fat are particularly hazardous and how do we measure them? Int J Epidemiol. 2006;35:83–92.CrossRefPubMed Snijder MB, van Dam RM, Visser M, Seidell JC. What aspects of body fat are particularly hazardous and how do we measure them? Int J Epidemiol. 2006;35:83–92.CrossRefPubMed
22.
go back to reference Chakraborty BM, Chakraborty R. Sensitivity and specificity of body mass index as a definition of the obesity component of metabolic syndrome. Coll Antropol. 2007;31:943–7.PubMed Chakraborty BM, Chakraborty R. Sensitivity and specificity of body mass index as a definition of the obesity component of metabolic syndrome. Coll Antropol. 2007;31:943–7.PubMed
23.
go back to reference Pischon T, Boeing H, Hoffmann K, Bergmann M, Schulze MB, Overvad K, van der Schouw YT, Spencer E, Moons KG, Tjonneland A, Halkjaer J, Jensen MK, Stegger J, Clavel-Chapelon F, Boutron-Ruault MC, Chajes V, Linseisen J, Kaaks R, Trichopoulou A, Trichopoulos D, Bamia C, Sieri S, Palli D, Tumino R, Vineis P, Panico S, Peeters PH, May AM, Bueno-de-Mesquita HB, van Duijnhoven FJ, Hallmans G, Weinehall L, Manjer J, Hedblad B, Lund E, Agudo A, Arriola L, Barricarte A, Navarro C, Martinez C, Quiros JR, Key T, Bingham S, Khaw KT, Boffetta P, Jenab M, Ferrari P, Riboli E. General and abdominal adiposity and risk of death in Europe. N Engl J Med. 2008;359:2105–20.CrossRefPubMed Pischon T, Boeing H, Hoffmann K, Bergmann M, Schulze MB, Overvad K, van der Schouw YT, Spencer E, Moons KG, Tjonneland A, Halkjaer J, Jensen MK, Stegger J, Clavel-Chapelon F, Boutron-Ruault MC, Chajes V, Linseisen J, Kaaks R, Trichopoulou A, Trichopoulos D, Bamia C, Sieri S, Palli D, Tumino R, Vineis P, Panico S, Peeters PH, May AM, Bueno-de-Mesquita HB, van Duijnhoven FJ, Hallmans G, Weinehall L, Manjer J, Hedblad B, Lund E, Agudo A, Arriola L, Barricarte A, Navarro C, Martinez C, Quiros JR, Key T, Bingham S, Khaw KT, Boffetta P, Jenab M, Ferrari P, Riboli E. General and abdominal adiposity and risk of death in Europe. N Engl J Med. 2008;359:2105–20.CrossRefPubMed
24.
go back to reference Yusuf S, Hawken S, Ounpuu S, Bautista L, Franzosi MG, Commerford P, Lang CC, Rumboldt Z, Onen CL, Lisheng L, Tanomsup S, Wangai P Jr, Razak F, Sharma AM, Anand SS. Obesity and the risk of myocardial infarction in 27,000 participants from 52 countries: a case-control study. Lancet. 2005;366:1640–9.CrossRefPubMed Yusuf S, Hawken S, Ounpuu S, Bautista L, Franzosi MG, Commerford P, Lang CC, Rumboldt Z, Onen CL, Lisheng L, Tanomsup S, Wangai P Jr, Razak F, Sharma AM, Anand SS. Obesity and the risk of myocardial infarction in 27,000 participants from 52 countries: a case-control study. Lancet. 2005;366:1640–9.CrossRefPubMed
25.
go back to reference Wang Y, Rimm EB, Stampfer MJ, Willett WC, Hu FB. Comparison of abdominal adiposity and overall obesity in predicting risk of type 2 diabetes among men. Am J Clin Nutr. 2005;81:555–63.PubMed Wang Y, Rimm EB, Stampfer MJ, Willett WC, Hu FB. Comparison of abdominal adiposity and overall obesity in predicting risk of type 2 diabetes among men. Am J Clin Nutr. 2005;81:555–63.PubMed
26.
go back to reference Andersen LB, Schnohr P, Schroll M, Hein HO. All-cause mortality associated with physical activity during leisure time, work, sports, and cycling to work. Arch Intern Med. 2000;160:1621–8.CrossRefPubMed Andersen LB, Schnohr P, Schroll M, Hein HO. All-cause mortality associated with physical activity during leisure time, work, sports, and cycling to work. Arch Intern Med. 2000;160:1621–8.CrossRefPubMed
27.
go back to reference Gregg EW, Cauley JA, Stone K, Thompson TJ, Bauer DC, Cummings SR, Ensrud KE. Relationship of changes in physical activity and mortality among older women. JAMA. 2003;289:2379–86.CrossRefPubMed Gregg EW, Cauley JA, Stone K, Thompson TJ, Bauer DC, Cummings SR, Ensrud KE. Relationship of changes in physical activity and mortality among older women. JAMA. 2003;289:2379–86.CrossRefPubMed
28.
go back to reference Myers J, Kaykha A, George S, Abella J, Zaheer N, Lear S, Yamazaki T, Froelicher V. Fitness versus physical activity patterns in predicting mortality in men. Am J Med. 2004;117:912–8.CrossRefPubMed Myers J, Kaykha A, George S, Abella J, Zaheer N, Lear S, Yamazaki T, Froelicher V. Fitness versus physical activity patterns in predicting mortality in men. Am J Med. 2004;117:912–8.CrossRefPubMed
29.
go back to reference Trolle-Lagerros Y, Mucci LA, Kumle M, Braaten T, Weiderpass E, Hsieh CC, Sandin S, Lagiou P, Trichopoulos D, Lund E, Adami HO. Physical activity as a determinant of mortality in women. Epidemiology. 2005;16:780–5.CrossRefPubMed Trolle-Lagerros Y, Mucci LA, Kumle M, Braaten T, Weiderpass E, Hsieh CC, Sandin S, Lagiou P, Trichopoulos D, Lund E, Adami HO. Physical activity as a determinant of mortality in women. Epidemiology. 2005;16:780–5.CrossRefPubMed
30.
go back to reference Khaw KT, Jakes R, Bingham S, Welch A, Luben R, Day N, Wareham N. Work and leisure time physical activity assessed using a simple, pragmatic, validated questionnaire and incident cardiovascular disease and all-cause mortality in men and women: the European prospective investigation into cancer in Norfolk prospective population study. Int J Epidemiol. 2006;35:1034–43.CrossRefPubMed Khaw KT, Jakes R, Bingham S, Welch A, Luben R, Day N, Wareham N. Work and leisure time physical activity assessed using a simple, pragmatic, validated questionnaire and incident cardiovascular disease and all-cause mortality in men and women: the European prospective investigation into cancer in Norfolk prospective population study. Int J Epidemiol. 2006;35:1034–43.CrossRefPubMed
31.
go back to reference Chakravarty EF, Hubert HB, Lingala VB, Fries JF. Reduced disability and mortality among aging runners: a 21-year longitudinal study. Arch Intern Med. 2008;168:1638–46.CrossRefPubMed Chakravarty EF, Hubert HB, Lingala VB, Fries JF. Reduced disability and mortality among aging runners: a 21-year longitudinal study. Arch Intern Med. 2008;168:1638–46.CrossRefPubMed
32.
go back to reference Nocon M, Hiemann T, Muller-Riemenschneider F, Thalau F, Roll S, Willich SN. Association of physical activity with all-cause and cardiovascular mortality: a systematic review and meta-analysis. Eur J Cardiovasc Prev Rehabil. 2008;15:239–46.CrossRefPubMed Nocon M, Hiemann T, Muller-Riemenschneider F, Thalau F, Roll S, Willich SN. Association of physical activity with all-cause and cardiovascular mortality: a systematic review and meta-analysis. Eur J Cardiovasc Prev Rehabil. 2008;15:239–46.CrossRefPubMed
33.
go back to reference Oguma Y, Sesso HD, Paffenbarger RS Jr, Lee IM. Physical activity and all cause mortality in women: a review of the evidence. Br J Sports Med. 2002;36:162–72.CrossRefPubMed Oguma Y, Sesso HD, Paffenbarger RS Jr, Lee IM. Physical activity and all cause mortality in women: a review of the evidence. Br J Sports Med. 2002;36:162–72.CrossRefPubMed
34.
go back to reference Koster A, Harris TB, Moore SC, Schatzkin A, Hollenbeck AR, van Eijk JT, Leitzmann MF. Joint associations of adiposity and physical activity with mortality: the National Institutes of Health-AARP Diet and Health Study. Am J Epidemiol. 2009;169:1344–51.CrossRefPubMed Koster A, Harris TB, Moore SC, Schatzkin A, Hollenbeck AR, van Eijk JT, Leitzmann MF. Joint associations of adiposity and physical activity with mortality: the National Institutes of Health-AARP Diet and Health Study. Am J Epidemiol. 2009;169:1344–51.CrossRefPubMed
35.
go back to reference Hu G, Tuomilehto J, Silventoinen K, Barengo NC, Peltonen M, Jousilahti P. The effects of physical activity and body mass index on cardiovascular, cancer and all-cause mortality among 47 212 middle-aged finnish men and women. Int J Obes (Lond). 2005;29:894–902.CrossRef Hu G, Tuomilehto J, Silventoinen K, Barengo NC, Peltonen M, Jousilahti P. The effects of physical activity and body mass index on cardiovascular, cancer and all-cause mortality among 47 212 middle-aged finnish men and women. Int J Obes (Lond). 2005;29:894–902.CrossRef
36.
go back to reference Lagerros YT, Mucci LA, Bellocco R, Nyren O, Balter O, Balter KA. Validity and reliability of self-reported total energy expenditure using a novel instrument. Eur J Epidemiol. 2006;21:227–36.CrossRefPubMed Lagerros YT, Mucci LA, Bellocco R, Nyren O, Balter O, Balter KA. Validity and reliability of self-reported total energy expenditure using a novel instrument. Eur J Epidemiol. 2006;21:227–36.CrossRefPubMed
37.
go back to reference Lagerros YT, Bellocco R, Adami HO, Nyren O. Measures of physical activity and their correlates: the Swedish National March Cohort. Eur J Epidemiol. 2009;24:161–9.CrossRefPubMed Lagerros YT, Bellocco R, Adami HO, Nyren O. Measures of physical activity and their correlates: the Swedish National March Cohort. Eur J Epidemiol. 2009;24:161–9.CrossRefPubMed
38.
go back to reference Ainsworth BE, Haskell WL, Leon AS, Jacobs DR Jr, Montoye HJ, Sallis JF, Paffenbarger RS Jr. Compendium of physical activities: classification of energy costs of human physical activities [see comments]. Med Sci Sports Exerc. 1993;25:71–80.CrossRefPubMed Ainsworth BE, Haskell WL, Leon AS, Jacobs DR Jr, Montoye HJ, Sallis JF, Paffenbarger RS Jr. Compendium of physical activities: classification of energy costs of human physical activities [see comments]. Med Sci Sports Exerc. 1993;25:71–80.CrossRefPubMed
39.
go back to reference Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O’Brien WL, Bassett DR Jr, Schmitz KH, Emplaincourt PO, Jacobs DR Jr, Leon AS. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc. 2000;32:S498–504.CrossRefPubMed Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O’Brien WL, Bassett DR Jr, Schmitz KH, Emplaincourt PO, Jacobs DR Jr, Leon AS. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc. 2000;32:S498–504.CrossRefPubMed
40.
go back to reference Bexelius C, Lof M, Sandin S, Trolle Lagerros Y, Forsum E, Litton JE. Measures of physical activity using cell phones: validation using criterion methods. J Med Internet Res. 2010; 12: 165–70. Bexelius C, Lof M, Sandin S, Trolle Lagerros Y, Forsum E, Litton JE. Measures of physical activity using cell phones: validation using criterion methods. J Med Internet Res. 2010; 12: 165–70.
42.
go back to reference Alberti KG, Zimmet P, Shaw J. The metabolic syndrome—a new worldwide definition. Lancet. 2005;366:1059–62.CrossRefPubMed Alberti KG, Zimmet P, Shaw J. The metabolic syndrome—a new worldwide definition. Lancet. 2005;366:1059–62.CrossRefPubMed
43.
go back to reference Bonetti M, Gelber RD. A graphical method to assess treatment-covariate interactions using the Cox model on subsets of the data. Stat Med. 2000;19:2596–609.CrossRef Bonetti M, Gelber RD. A graphical method to assess treatment-covariate interactions using the Cox model on subsets of the data. Stat Med. 2000;19:2596–609.CrossRef
44.
go back to reference Orsini N, Bellocco R, Bottai M, Pagano M, Michaelsson K, Wolk A. Combined effects of obesity and physical activity in predicting mortality among men. J Intern Med. 2008;264:442–51.CrossRefPubMed Orsini N, Bellocco R, Bottai M, Pagano M, Michaelsson K, Wolk A. Combined effects of obesity and physical activity in predicting mortality among men. J Intern Med. 2008;264:442–51.CrossRefPubMed
45.
go back to reference Stevens J, Cai J, Evenson KR, Thomas R. Fitness and fatness as predictors of mortality from all causes and from cardiovascular disease in men and women in the lipid research clinics study. Am J Epidemiol. 2002;156:832–41.CrossRefPubMed Stevens J, Cai J, Evenson KR, Thomas R. Fitness and fatness as predictors of mortality from all causes and from cardiovascular disease in men and women in the lipid research clinics study. Am J Epidemiol. 2002;156:832–41.CrossRefPubMed
46.
go back to reference Stofan JR, DiPietro L, Davis D, Kohl HW 3rd, Blair SN. Physical activity patterns associated with cardiorespiratory fitness and reduced mortality: the Aerobics Center Longitudinal Study. Am J Public Health. 1998;88:1807–13.CrossRefPubMed Stofan JR, DiPietro L, Davis D, Kohl HW 3rd, Blair SN. Physical activity patterns associated with cardiorespiratory fitness and reduced mortality: the Aerobics Center Longitudinal Study. Am J Public Health. 1998;88:1807–13.CrossRefPubMed
47.
go back to reference Dorn JM, Schisterman EF, Winkelstein W Jr, Trevisan M. Body mass index and mortality in a general population sample of men and women. The Buffalo Health Study. Am J Epidemiol. 1997;146:919–31.PubMed Dorn JM, Schisterman EF, Winkelstein W Jr, Trevisan M. Body mass index and mortality in a general population sample of men and women. The Buffalo Health Study. Am J Epidemiol. 1997;146:919–31.PubMed
48.
go back to reference Lahmann PH, Lissner L, Gullberg B, Berglund G. A prospective study of adiposity and all-cause mortality: the Malmo Diet and Cancer Study. Obes Res. 2002;10:361–9.CrossRefPubMed Lahmann PH, Lissner L, Gullberg B, Berglund G. A prospective study of adiposity and all-cause mortality: the Malmo Diet and Cancer Study. Obes Res. 2002;10:361–9.CrossRefPubMed
49.
go back to reference Bender R, Jockel KH, Trautner C, Spraul M, Berger M. Effect of age on excess mortality in obesity. JAMA. 1999;281:1498–504.CrossRefPubMed Bender R, Jockel KH, Trautner C, Spraul M, Berger M. Effect of age on excess mortality in obesity. JAMA. 1999;281:1498–504.CrossRefPubMed
50.
go back to reference Gulsvik AK, Thelle DS, Mowe M, Wyller TB. Increased mortality in the slim elderly: a 42 years follow-up study in a general population. Eur J Epidemiol. 2009;24:683–90.CrossRefPubMed Gulsvik AK, Thelle DS, Mowe M, Wyller TB. Increased mortality in the slim elderly: a 42 years follow-up study in a general population. Eur J Epidemiol. 2009;24:683–90.CrossRefPubMed
51.
go back to reference Lindqvist P, Andersson K, Sundh V, Lissner L, Bjorkelund C, Bengtsson C. Concurrent and separate effects of body mass index and waist-to-hip ratio on 24-year mortality in the population study of women in Gothenburg: evidence of age-dependency. Eur J Epidemiol. 2006;21:789–94.CrossRefPubMed Lindqvist P, Andersson K, Sundh V, Lissner L, Bjorkelund C, Bengtsson C. Concurrent and separate effects of body mass index and waist-to-hip ratio on 24-year mortality in the population study of women in Gothenburg: evidence of age-dependency. Eur J Epidemiol. 2006;21:789–94.CrossRefPubMed
52.
go back to reference Severinsen MT, Kristensen SR, Johnsen SP, Dethlefsen C, Tjonneland A, Overvad K. Anthropometry, body fat, and venous thromboembolism: a Danish follow-up study. Circulation. 2009;120:1850–7.CrossRefPubMed Severinsen MT, Kristensen SR, Johnsen SP, Dethlefsen C, Tjonneland A, Overvad K. Anthropometry, body fat, and venous thromboembolism: a Danish follow-up study. Circulation. 2009;120:1850–7.CrossRefPubMed
53.
go back to reference Onat A, Avci GS, Barlan MM, Uyarel H, Uzunlar B, Sansoy V. Measures of abdominal obesity assessed for visceral adiposity and relation to coronary risk. Int J Obes Relat Metab Disord. 2004;28:1018–25.CrossRefPubMed Onat A, Avci GS, Barlan MM, Uyarel H, Uzunlar B, Sansoy V. Measures of abdominal obesity assessed for visceral adiposity and relation to coronary risk. Int J Obes Relat Metab Disord. 2004;28:1018–25.CrossRefPubMed
54.
go back to reference Meyer HE, Sogaard AJ, Tverdal A, Selmer RM. Body mass index and mortality: the influence of physical activity and smoking. Med Sci Sports Exerc. 2002;34:1065–70.CrossRefPubMed Meyer HE, Sogaard AJ, Tverdal A, Selmer RM. Body mass index and mortality: the influence of physical activity and smoking. Med Sci Sports Exerc. 2002;34:1065–70.CrossRefPubMed
55.
go back to reference Roberts CA, Wilder LB, Jackson RT, Moy TF, Becker DM. Accuracy of self-measurement of waist and hip circumference in men and women. J Am Diet Assoc. 1997;97:534–6.CrossRefPubMed Roberts CA, Wilder LB, Jackson RT, Moy TF, Becker DM. Accuracy of self-measurement of waist and hip circumference in men and women. J Am Diet Assoc. 1997;97:534–6.CrossRefPubMed
56.
go back to reference Palta M, Prineas RJ, Berman R, Hannan P. Comparison of self-reported and measured height and weight. Am J Epidemiol. 1982;115:223–30.PubMed Palta M, Prineas RJ, Berman R, Hannan P. Comparison of self-reported and measured height and weight. Am J Epidemiol. 1982;115:223–30.PubMed
57.
go back to reference Stewart AW, Jackson RT, Ford MA, Beaglehole R. Underestimation of relative weight by use of self-reported height and weight. Am J Epidemiol. 1987;125:122–6.PubMed Stewart AW, Jackson RT, Ford MA, Beaglehole R. Underestimation of relative weight by use of self-reported height and weight. Am J Epidemiol. 1987;125:122–6.PubMed
58.
go back to reference Rimm EB, Stampfer MJ, Colditz GA, Chute CG, Litin LB, Willett WC. Validity of self-reported waist and hip circumferences in men and women. Epidemiology. 1990;1:466–73.CrossRefPubMed Rimm EB, Stampfer MJ, Colditz GA, Chute CG, Litin LB, Willett WC. Validity of self-reported waist and hip circumferences in men and women. Epidemiology. 1990;1:466–73.CrossRefPubMed
59.
go back to reference Hazell ML, Morris JA, Linehan MF, Frank PI, Frank TL. Factors influencing the response to postal questionnaire surveys about respiratory symptoms. Prim Care Respir J. 2009; 18:165–70.PubMed Hazell ML, Morris JA, Linehan MF, Frank PI, Frank TL. Factors influencing the response to postal questionnaire surveys about respiratory symptoms. Prim Care Respir J. 2009; 18:165–70.PubMed
60.
go back to reference Feveile H, Olsen O, Hogh A. A randomized trial of mailed questionnaires versus telephone interviews: response patterns in a survey. BMC Med Res Methodol. 2007;7:27.CrossRefPubMed Feveile H, Olsen O, Hogh A. A randomized trial of mailed questionnaires versus telephone interviews: response patterns in a survey. BMC Med Res Methodol. 2007;7:27.CrossRefPubMed
61.
go back to reference Eaker S, Bergstrom R, Bergstrom A, Adami HO, Nyren O. Response rate to mailed epidemiologic questionnaires: a population-based randomized trial of variations in design and mailing routines. Am J Epidemiol. 1998;147:74–82.PubMed Eaker S, Bergstrom R, Bergstrom A, Adami HO, Nyren O. Response rate to mailed epidemiologic questionnaires: a population-based randomized trial of variations in design and mailing routines. Am J Epidemiol. 1998;147:74–82.PubMed
62.
go back to reference Katzmarzyk PT, Perusse L, Malina RM, Bouchard C. Seven-year stability of indicators of obesity and adipose tissue distribution in the Canadian population. Am J Clin Nutr. 1999;69:1123–9.PubMed Katzmarzyk PT, Perusse L, Malina RM, Bouchard C. Seven-year stability of indicators of obesity and adipose tissue distribution in the Canadian population. Am J Clin Nutr. 1999;69:1123–9.PubMed
Metadata
Title
Effects of physical activity, body mass index, waist-to-hip ratio and waist circumference on total mortality risk in the Swedish National March Cohort
Authors
Rino Bellocco
Chongqi Jia
Weimin Ye
Ylva Trolle Lagerros
Publication date
01-11-2010
Publisher
Springer Netherlands
Published in
European Journal of Epidemiology / Issue 11/2010
Print ISSN: 0393-2990
Electronic ISSN: 1573-7284
DOI
https://doi.org/10.1007/s10654-010-9497-6

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