The association between body mass index and cardiovascular-related mortality
A systematic review and meta-analysis
Keywords:
cardiovascular-related mortality, body mass index, cohort, meta-analysisAbstract
The relationship between body mass index (BMI) and cardiovascular (CVD) related mortality has been extensively investigated in the general population. However, the research on this matter is relatively limited, and the conclusions from these studies are inconsistent. This study aimed to review the association between body mass index with CVD related mortality. Articles that reported hazard ratio (HR) for all-cause mortality using standard BMI categories of general populations of adults were selected from the following databases including PubMed, ProQuest, Springer link, and Science direct for English language articles published until 2022. Ten studies were included in this study. Random and Fixed-effects summary of CVD-related mortality HRs were 1.72 (95% CI, 1.51-1.97) for underweight, 1.40 (95% CI, 1.15-1.69), and 1.33 (95% CI, 1.17-1.52) for obesity. Being underweight and obese might increase CVD related mortality in all populations, including males and females.
Downloads
References
Baker, J. L., Olsen, L. W. and Sørensen, T. I. A. (2007) ‘Childhood body-mass index and the risk of coronary heart disease in adulthood.’, The New England journal of medicine, 357(23), pp. 2329–2337. doi: 10.1056/NEJMoa072515.
Bender, R. et al. (1999) ‘Effect of age on excess mortality in obesity.’, JAMA, 281(16), pp. 1498–1504. doi: 10.1001/jama.281.16.1498.
Chen, Y. et al. (2013) ‘Association between body mass index and cardiovascular disease mortality in east Asians and south Asians: pooled analysis of prospective data from the Asia Cohort Consortium’, BMJ (Clinical research ed.), 347, pp. f5446–f5446. doi: 10.1136/bmj.f5446.
‘Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: executive summary. Expert Panel on the Identification, Evaluation, and Treatment of Overweight in Adults.’ (1998) The American journal of clinical nutrition, 68(4), pp. 899–917. doi: 10.1093/ajcn/68.4.899.
Day, F. R. and Loos, R. J. F. (2011) ‘Developments in obesity genetics in the era of genome-wide association studies.’, Journal of nutrigenetics and nutrigenomics, 4(4), pp. 222–238. doi: 10.1159/000332158.
Deeks JJ, Higgins JPT, A. D. (2019) Analysing data and undertaking meta‐ analyses. In: Cochrane Handbook for Systematic Reviews of Interventions Wiley; 2019.
Eckel, R. H. and Krauss, R. M. (1998) ‘American Heart Association call to action: obesity as a major risk factor for coronary heart disease. AHA Nutrition Committee.’, Circulation. United States, pp. 2099–2100. doi: 10.1161/01.cir.97.21.2099.
Feigin, V. L. et al. (2005) ‘Risk factors for subarachnoid hemorrhage: an updated systematic review of epidemiological studies.’, Stroke, 36(12), pp. 2773–2780. doi: 10.1161/01.STR.0000190838.02954.e8.
Flegal, K. M. et al. (2013) ‘Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis’, JAMA, 309(1), pp. 71–82. doi: 10.1001/jama.2012.113905.
Godavitarne, C. et al. (2018) ‘Understanding and interpreting funnel plots for the clinician.’, British journal of hospital medicine (London, England : 2005), 79(10), pp. 578–583. doi: 10.12968/hmed.2018.79.10.578.
Haslam, D. W. and James, W. P. T. (2005) ‘Obesity.’, Lancet (London, England), 366(9492), pp. 1197–1209. doi: 10.1016/S0140-6736(05)67483-1.
Hong, S. et al. (2015) ‘Body mass index and mortality among Korean elderly in rural communities: Kangwha Cohort Study’, PLoS ONE, 10(2), pp. 1–12. doi: 10.1371/journal.pone.0117731.
Jääskeläinen, T. et al. (2013) ‘Genetic predisposition to obesity and lifestyle factors--the combined analyses of twenty-six known BMI- and fourteen known waist:hip ratio (WHR)-associated variants in the Finnish Diabetes Prevention Study.’, The British journal of nutrition, 110(10), pp. 1856–1865. doi: 10.1017/S0007114513001116.
JPT, H. (2003) ‘Measuring inconsistency in meta-analyses’, BMJ, pp. 557–60.
Katzmarzyk, P. T. et al. (2012) ‘Body mass index and risk of cardiovascular disease, cancer and all-cause mortality’, Canadian Journal of Public Health, 103(2), pp. 147–151. doi: 10.1007/bf03404221.
Kee, C. C. et al. (2017) ‘Association of BMI with risk of CVD mortality and all-cause mortality’, Public Health Nutrition, 20(7), pp. 1226–1234. doi: 10.1017/S136898001600344X.
Khan, S. S. et al. (2018) ‘Association of Body Mass Index With Lifetime Risk of Cardiovascular Disease and Compression of Morbidity’, JAMA cardiology, 3(4), pp. 280–287. doi: 10.1001/jamacardio.2018.0022.
Kim, M. S. et al. (2021) ‘Association between adiposity and cardiovascular outcomes: an umbrella review and meta-analysis of observational and Mendelian randomization studies.’, European heart journal, 42(34), pp. 3388–3403. doi: 10.1093/eurheartj/ehab454.
Kim, N. H. et al. (2015) ‘Body mass index and mortality in the general population and in subjects with chronic disease in Korea: A nationwide cohort study (2002-2010)’, PLoS ONE, 10(10), pp. 1–16. doi: 10.1371/journal.pone.0139924.
Kong, K. A. et al. (2017) ‘Associations between body mass index and mortality or cardiovascular events in a general Korean population’, PLoS ONE, 12(9), pp. 1–17. doi: 10.1371/journal.pone.0185024.
Lee, S. H. et al. (2018) ‘Association between body mass index and mortality in the Korean elderly: A nationwide cohort study’, PLoS ONE, 13(11), pp. 1–12. doi: 10.1371/journal.pone.0207508.
Lin, Y. K. et al. (2021) ‘Association of body mass index with all-cause mortality in the elderly population of Taiwan: A prospective cohort study’, Nutrition, Metabolism and Cardiovascular Diseases, 31(1), pp. 110–118. doi: 10.1016/j.numecd.2020.08.014.
Luijckx, E. et al. (2019) ‘Joints effects of BMI and smoking on mortality of all-causes, CVD, and cancer’, Cancer Causes and Control, 0(0), p. 0. doi: 10.1007/s10552-019-01160-8.
Matsunaga, M. et al. (2017) ‘Similarities and differences between coronary heart disease and stroke in the associations with cardiovascular risk factors: The Japan Collaborative Cohort Study.’, Atherosclerosis, 261, pp. 124–130. doi: 10.1016/j.atherosclerosis.2017.03.003.
Mora, S. et al. (2005) ‘Interaction of body mass index and framingham risk score in predicting incident coronary disease in families.’, Circulation, 111(15), pp. 1871–1876. doi: 10.1161/01.CIR.0000161956.75255.7B.
Obesity: preventing and managing the global epidemic. Report of a WHO consultation. (2000) World Health Organization technical report series. Switzerland.
OM, D. (2018) ‘Meta-analysis: Key features, potentials and misunderstandings.’, Res Pract Thromb Haemost, 2, pp. 658–63.
Page, M. J. et al. (2021) ‘The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.’, BMJ (Clinical research ed.), 372, p. n71. doi: 10.1136/bmj.n71.
Park, D., Lee, J.-H. and Han, S. (2017) ‘Underweight: another risk factor for cardiovascular disease?: A cross-sectional 2013 Behavioral Risk Factor Surveillance System (BRFSS) study of 491,773 individuals in the USA’, Medicine, 96(48), pp. e8769–e8769. doi: 10.1097/MD.0000000000008769.
Sahin, S. et al. (2014) ‘Intrinsic factors rather than vitamin D deficiency are related to insulin resistance in lean women with polycystic ovary syndrome.’, European review for medical and pharmacological sciences, 18(19), pp. 2851–2856.
Sterne JAC, Hernán MA, Reeves BC, Savović J, Berkman ND, Viswanathan M, Henry D, et al. (2016) ‘ROBINS-I: a tool for assessing risk of bias in non-randomized studies of interventions’, BMJ, 355, p. i4919. doi: doi: 10.1136/bmj.i4919.
Tirosh, A. et al. (2011) ‘Adolescent BMI trajectory and risk of diabetes versus coronary disease.’, The New England journal of medicine, 364(14), pp. 1315–1325. doi: 10.1056/NEJMoa1006992.
UN (2011) UN General Assembly Political declaration of the high-level meeting of the General Assembly on the prevention and control of non-communicable diseases. Available at: http://www.un.org/ga/search/view_doc.asp?symbol=A/66/L.1. Accessed March 21, 2022.
UN (2015) United Nations Goal 3: ensure healthy lives and promote well-being for all at all ages. Available at: http://www.un.org/sustainabledevelopment/health/. Accessed March 21, 2022.
van Vliet-Ostaptchouk, J. V, Snieder, H. and Lagou, V. (2012) ‘Gene-Lifestyle Interactions in Obesity.’, Current nutrition reports, pp. 184–196. doi: 10.1007/s13668-012-0022-2.
World Health Organization (WHO) . (2014) Global Status Report on Noncommunicable Diseases 2014. Geneva.
World Health Organization. (2016) Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection: recommendations for a public health approach. Second edition. Geneva.
Zheng, W. et al. (2011) ‘Association between body-mass index and risk of death in more than 1 million Asians.’, The New England journal of medicine, 364(8), pp. 719–729. doi: 10.1056/NEJMoa1010679.
et al. (2021) ‘Impact of Body Mass Index on Obesity-Related Cancer and Cardiovascular Disease Mortality; The Japan Collaborative Cohort Study’, Journal of Atherosclerosis and Thrombosis, pp. 1–16. doi: 10.5551/jat.63143.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.