Evidence map›Paper›PMID 30283076›Full record

ArticleInternational journal of obesity (2005)2019

Impact of overweight, obesity and severe obesity on life expectancy of Australian adults.

Thomas Lung, Stephen Jan, Eng Joo Tan, Anagha Killedar, Alison Hayes

Abstract read
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In one paragraph

Article in International journal of obesity (2005), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 4 pooled it
–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

50 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

5 authors.

Thomas LungThe George Institute for Global Health, University of New South Wales, Kensington, NSW, 2042, Australia. tlung@georgeinstitute.org.au.ORCID http://orcid.org/0000-0001-9978-6311
Stephen JanThe George Institute for Global Health, University of New South Wales, Kensington, NSW, 2042, Australia.ORCID http://orcid.org/0000-0003-2839-1405
Eng Joo TanThe University of Sydney, Faculty of Medicine and Health, School of Public Health, Sydney, NSW, 2006, Australia.ORCID http://orcid.org/0000-0003-4449-4404
Anagha KilledarThe University of Sydney, Faculty of Medicine and Health, School of Public Health, Sydney, NSW, 2006, Australia.ORCID http://orcid.org/0000-0003-2363-8827
Alison HayesThe University of Sydney, Faculty of Medicine and Health, School of Public Health, Sydney, NSW, 2006, Australia.ORCID http://orcid.org/0000-0002-8679-6040

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesAdult obesity has been shown to substantially heighten the risk of adverse health outcomes but its impact on life expectancy (LE) has not been quantified in Australia. Our aim is to estimate reductions in LE and years of life lost (YLL) associated with overweight and obesity, relative to those at a healthy weight for Australian adults aged 20-69 years. SUBJECTS/

methodsWe used a microsimulation model of obesity progression in Australia that integrates annual change in BMI based on age and sex, with Australian life-table data and published relative risk of all-cause mortality for different BMI categories. Remaining LE and YLL compared to healthy weight were estimated using 10-year cohorts, by sex. A nationally representative sample of 12,091 adults aged 20-69 from the 2014/15 Australian National Health Survey were used to represent the input population of 14.9 million.

resultsEstimated remaining years of LE for healthy weight men and women aged 20-29 years was approximately 57.0 (95% CI 56.7-57.4) and 59.7 (95% CI 59.4-60.0) years, respectively. YLL associated with being overweight at baseline was approximately 3.3 years. For those obese and severely obese the loss in LE was predicted to be 5.6-7.6 years and 8.1-10.3 years for men and women aged 20-29 years, respectively. Across men and women, excess BMI in the adult population is responsible for approximately 36.3 million YLLs. Men stand to lose 27.7% more life years compared to women.

conclusionsOverweight and obesity is associated with premature mortality at all ages, for both men and women. Adults aged 20-39 years with severe obesity will experience the largest YLL, relative to healthy weight. More needs to be done in Australia to establish a coherent, sustained, cost-effective strategy to prevent overweight and obesity, particularly for men in early adulthood.

Indexed as

AdultAgedAge DistributionAustraliaFemaleHealth SurveysHumansLife ExpectancyMaleMiddle AgedObesity, MorbidOverweightProportional Hazards ModelsSeverity of Illness Index

Identifiers

PMID30283076

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.