Evidence map›Paper›PMID 26729881›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2016

Revealing the burden of obesity using weight histories.

Andrew Stokes, Samuel H Preston

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed.

  1. Review
  2. Insights into US life expectancy stagnation from birth cohort mortality dynamics.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. Economic Disadvantage During Childhood, Obesity, and Diabetes Across Three Birth Cohorts of Older Mexicans.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
    Article
  4. Article
  5. Association of bone fracture with 30-year body mass index (BMI) trajectories: findings from the Framingham Heart Study : Bone fracture and 30-year BMI trajectories.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. The damaging duo: Obesity and excess dietary salt contribute to hypertension and cardiovascular disease.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2023
    Review
  10. Subtyping Patients With Chronic Disease Using Longitudinal BMI Patterns.IEEE journal of biomedical and health informatics · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Association of Abdominal Visceral Adiposity and Total Fat Mass with Cancer Incidence and Mortality in White and Black Adults.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
    Article
  17. Older Adults in the United States Have Worse Cardiometabolic Health Compared to England.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Andrew StokesDepartment of Global Health and Center for Global Health and Development, Boston University School of Public Health, Boston, MA 02118; acstokes@bu.edu spreston@sas.upenn.edu.
Samuel H PrestonDepartment of Sociology and Population Studies Center, University of Pennsylvania, Philadelphia, PA 19104 acstokes@bu.edu spreston@sas.upenn.edu.

Funding

The Contribution of Obesity to International Differences in LongevityR01AG040212 · NIA · UNIVERSITY OF PENNSYLVANIA · PI PRESTON, SAMUEL H · 2011 to 2015
$1.7M
NIA NIH HHS R01 AG040212NIA NIH HHS R01AG040212
6 · The paper itself

Abstract

Analyses of the relation between obesity and mortality typically evaluate risk with respect to weight recorded at a single point in time. As a consequence, there is generally no distinction made between nonobese individuals who were never obese and nonobese individuals who were formerly obese and lost weight. We introduce additional data on an individual's maximum attained weight and investigate four models that represent different combinations of weight at survey and maximum weight. We use data from the 1988-2010 National Health and Nutrition Examination Survey, linked to death records through 2011, to estimate parameters of these models. We find that the most successful models use data on maximum weight, and the worst-performing model uses only data on weight at survey. We show that the disparity in predictive power between these models is related to exceptionally high mortality among those who have lost weight, with the normal-weight category being particularly susceptible to distortions arising from weight loss. These distortions make overweight and obesity appear less harmful by obscuring the benefits of remaining never obese. Because most previous studies are based on body mass index at survey, it is likely that the effects of excess weight on US mortality have been consistently underestimated.

Indexed as

Body WeightCost of IllnessAgedAged, 80 and overBody Mass IndexDiabetes MellitusHumansMiddle AgedObesityPrevalenceProportional Hazards ModelsReference StandardsUnited Statesbody mass indexepidemiologymaximum weightmortalityobesity

Identifiers

PMID26729881
PMCPMC4725464

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.