Evidence map›Paper›PMID 37087469›Full record

ArticleInternational journal of obesity (2005)2023

Body composition and mortality from middle to old age: a prospective cohort study from the UK Biobank.

Miguel Adriano Sanchez-Lastra, Ding Ding, Knut Eirik Dalene, Borja Del Pozo Cruz, Ulf Ekelund, Jakob Tarp

Open access · greenAbstract read
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In one paragraph

Article in International journal of obesity (2005), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 22% of its field
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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 5 institutions in 4 countries.

Miguel Adriano Sanchez-LastraDepartment of Special Didactics, University of Vigo, 36005, Pontevedra, Spain. misanchez@uvigo.gal.ORCID 0000-0001-7457-3475
Ding DingPrevention Research Collaboration, Sydney School of Public Health, The University of Sydney, Camperdown, NSW, Australia.ORCID 0000-0001-9850-9224
Knut Eirik DaleneDepartment of Chronic Diseases, Norwegian Institute of Public Health, Oslo, Norway.ORCID 0000-0002-4401-301X
Borja Del Pozo CruzCentre for Active and Healthy Ageing, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.ORCID 0000-0003-3944-2212
Ulf EkelundDepartment of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway.ORCID 0000-0003-2115-9267
Jakob TarpDepartment of Clinical Epidemiology, Aarhus University and Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-9186-7077
Norwegian Institute of Public Health · NOAarhus University Hospital · DKGalicia Sur Biomedical Foundation · ESThe University of Sydney · AUUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHow the association between adiposity and the risk of death changes with age, and which is the optimal level of adiposity to reduce mortality in older ages, is still not completely understood. We aimed to ascertain the age-specific risks of mortality associated with different measures of adiposity.

methodsThis was a prospective UK Biobank cohort study. Participants were categorized based on five different adiposity and body composition metrics. We explored the age-varying associations between body composition indices and all-cause mortality from 45 to 85 years of age at follow-up using hazard ratios (HR) from flexible parametric survival models with multivariable adjustment and age as timescale. Participants were followed from baseline (2006-2010) through 31 March 2020.

resultsWe included 369,752 participants (mean baseline age = 56.3 ± 8.1 years; range 38.9-73.7 years; 54.1% women) and 10,660 deaths during a median follow-up of 11.4 years. Associations between body mass index and mortality were similar when using the fat mass index in magnitude and shape. Compared to participants with normal weight, overweight was not associated with the risk of death regardless of age and the adiposity measure used. Participants with obesity class I showed an HR of 1.20 (95% confidence interval [CI]: 1.08, 1.33) and 1.14 (95%CI: 0.98, 1.30) at ages 60 and 80, respectively, and participants with obesity class II an HR about 1.55 across all age. More attenuated associations with higher age were found in individuals with the highest obesity using the fat mass index. Very high lean mass was associated with an increased risk of mortality in those aged 55-75 years (HR about 1.20 across all ages).

conclusionObesity should be prevented at any age. Attenuated associations with older age were observed only among the individuals with the highest obesity, but the risk remained higher compared to normal-weight participants. Lean mass did not reduce mortality risk at any age.

Indexed as

Biological Specimen BanksObesityAdiposityAgedAged, 80 and overBody CompositionBody Mass IndexCohort StudiesFemaleHumansMaleMiddle AgedProspective StudiesRisk FactorsUnited Kingdom

Identifiers

PMID37087469
OpenAlexW4366757846

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.