Evidence map›Paper›PMID 28077198›Full record

ArticlePublic health nutrition2017

Association of BMI with risk of CVD mortality and all-cause mortality.

Chee Cheong Kee, Mohd Ghazali Sumarni, Kuang Hock Lim, Sharmini Selvarajah, Jamaiyah Haniff, Guat Hiong Helen Tee, Kaur Gurpreet, Yusoff Ahmad Faudzi, Nasir Mustafa Amal

Abstract read
In one paragraph

Article in Public health nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

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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

9 authors.

Chee Cheong Kee1Epidemiology & Biostatistics Unit,Institute for Medical Research,Jalan Pahang,50588 Kuala Lumpur,Malaysia.ORCID http://orcid.org/0000-0003-1372-9549
Mohd Ghazali Sumarni1Epidemiology & Biostatistics Unit,Institute for Medical Research,Jalan Pahang,50588 Kuala Lumpur,Malaysia.
Kuang Hock Lim2Non Communicable Diseases Research Center,Institute for Public Health,Jalan Bangsar,Kuala Lumpur,Malaysia.
Sharmini Selvarajah3Clinical Epidemiology Unit,Clinical Research Centre,Jalan Pahang,Kuala Lumpur,Malaysia.
Jamaiyah Haniff3Clinical Epidemiology Unit,Clinical Research Centre,Jalan Pahang,Kuala Lumpur,Malaysia.
Guat Hiong Helen Tee4Centre for Communicable Disease,Institute for Public Health,Jalan Bangsar,Kuala Lumpur,Malaysia.
Kaur Gurpreet4Centre for Communicable Disease,Institute for Public Health,Jalan Bangsar,Kuala Lumpur,Malaysia.
Yusoff Ahmad Faudzi1Epidemiology & Biostatistics Unit,Institute for Medical Research,Jalan Pahang,50588 Kuala Lumpur,Malaysia.
Nasir Mustafa Amal1Epidemiology & Biostatistics Unit,Institute for Medical Research,Jalan Pahang,50588 Kuala Lumpur,Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the relationship between BMI and risk of CVD mortality and all-cause mortality among Malaysian adults.

designPopulation-based, retrospective cohort study. Participants were followed up for 5 years from 2006 to 2010. Mortality data were obtained via record linkages with the Malaysian National Registration Department. Multiple Cox regression was applied to compare risk of CVD and all-cause mortality between BMI categories adjusting for age, gender and ethnicity. Models were generated for all participants, all participants the first 2 years of follow-up, healthy participants, healthy never smokers, never smokers, current smokers and former smokers.

settingAll fourteen states in Malaysia. SUBJECTS: Malaysian adults (n 32 839) aged 18 years or above from the third National Health and Morbidity Survey.

resultsTotal follow-up time was 153 814 person-years with 1035 deaths from all causes and 225 deaths from CVD. Underweight (BMI<18·5 kg/m2) was associated with a significantly increased risk of all-cause mortality, while obesity (BMI ≥30·0 kg/m2) was associated with a heightened risk of CVD mortality. Overweight (BMI=25·0-29·9 kg/m2) was inversely associated with risk of all-cause mortality. Underweight was significantly associated with all-cause mortality in all models except for current smokers. Overweight was inversely associated with all-cause mortality in all participants. Although a positive trend was observed between BMI and CVD mortality in all participants, a significant association was observed only for severe obesity (BMI≥35·0 kg/m2).

conclusionsUnderweight was associated with increased risk of all-cause mortality and obesity with increased risk of CVD mortality. Therefore, maintaining a normal BMI through leading an active lifestyle and healthy dietary habits should continue to be promoted.

Indexed as

Body Mass IndexMortalityAdolescentAdultBiomarkersBlood GlucoseBody HeightBody WeightCardiovascular DiseasesCholesterolCross-Sectional StudiesDiabetes MellitusFemaleFollow-Up StudiesHealth SurveysHumansBiomarkersBlood GlucoseCholesterolBMICVDMortalityObesityOverweight

Identifiers

PMID28077198
PMCPMC10261502

What OpenQuestion holds

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Registered trials

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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.