ArticleEuropean journal of epidemiology2014
Impact of body size and physical activity during adolescence and adult life on overall and cause-specific mortality in a large cohort study from Iran.
Article in European journal of epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association between physical activity and mortality in breast cancer: a meta-analysis of cohort studies.European journal of epidemiology · 2014Pooled it
- Outline: The Long-Term Impact of Exercise on Adolescent Growth and Development.Advances in experimental medicine and biology · 2026Review
- Body size and occupational physical activity during the life course and gastrointestinal cancers.American journal of epidemiology · 2025Article
- Article
- Early adulthood BMI and cardiovascular disease: a prospective cohort study from the China Kadoorie Biobank.The Lancet. Public health · 2024Article
- Occupational physical activity, all-cause, cardiovascular disease, and cancer mortality in 349,248 adults: Prospective and longitudinal analyses of the MJ Cohort.Journal of sport and health science · 2024Article
- Cancer patterns in Iran: a gender-specific spatial modelling of cancer incidence during 2014-2017.BMC cancer · 2024Article
- Cancer incidence in Iran in 2016: A study based on the Iranian National Cancer Registry.Cancer reports (Hoboken, N.J.) · 2024Review
- Physical activity during early life and the risk of all-cause mortality in midlife: findings from a birth cohort study.European journal of public health · 2023Article
- Comparing the risk of cardiovascular diseases and all-cause mortality in four lifestyles with a combination of high/low physical activity and healthy/unhealthy diet: a prospective cohort study.The international journal of behavioral nutrition and physical activity · 2022Article
- Revisiting the 'physical activity paradox' in a Chinese context: Occupational physical activity and mortality in 142,302 urban working adults from the China Kadoorie Biobank study.The Lancet regional health. Western Pacific · 2022Article
- Lifetime high occupational physical activity and total and cause-specific mortality among 320 000 adults in the NIH-AARP study: a cohort study.Occupational and environmental medicine · 2022Article
- Turmeric, Pepper, Cinnamon, and Saffron Consumption and Mortality.Journal of the American Heart Association · 2019Article
- The application of six dietary scores to a Middle Eastern population: a comparative analysis of mortality in a prospective study.European journal of epidemiology · 2019Article
- Dairy Food Intake and All-Cause, Cardiovascular Disease, and Cancer Mortality: The Golestan Cohort Study.American journal of epidemiology · 2017Article
- Pars cohort study of non-communicable diseases in Iran: protocol and preliminary results.International journal of public health · 2017Article
- Dietary Protein Sources and All-Cause and Cause-Specific Mortality: The Golestan Cohort Study in Iran.American journal of preventive medicine · 2017Article
- The Generation R Study: design and cohort update 2017.European journal of epidemiology · 2016Article
- Maternal obesity during pregnancy and cardiovascular development and disease in the offspring.European journal of epidemiology · 2015Review
- Body mass index, gestational weight gain and fatty acid concentrations during pregnancy: the Generation R Study.European journal of epidemiology · 2015Article
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Authors and funding
18 authors.
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Abstract
We conducted this study to examine life-course body size and physical activity in relation to total and cause-specific mortality, which has not previously been studied in the low and middle-income countries in Asia. The Golestan Cohort Study is a population-based cohort in northeastern Iran in which 50,045 people above the age of 40 have been followed since 2004. Participants were shown a validated pictogram to assess body size at ages 15, 30, and the time of recruitment. Information on occupational physical activity at these ages was also collected. Subjects were followed up annually, and cause of death was determined. Cox regression models were adjusted for age at cohort start, smoking, socioeconomic status, ethnicity, place of residence, education, and opium use. Models for body size were also adjusted for physical activity at the same age, and vice versa. During a total of 252,740 person-years of follow-up (mean follow-up duration 5.1 ± 1.3 years) through December 2011, 2,529 of the cohort participants died. Larger body sizes at ages 15 or 30 in both sexes were associated with increased overall mortality. Cancer mortality was more strongly associated with adolescent obesity, and cardiovascular mortality with early adulthood body size. Weight gain between these ages was associated with cardiovascular mortality. Obese adolescents who lost weight still had increased mortality from all medical causes in both sexes. Physical activity during adolescence and early adulthood had no association with mortality, but at cohort baseline higher levels of activity were associated with reduced mortality. Mortality in this Middle-Eastern population was associated with obesity both during adolescence and early adult life.
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