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Karl-Fredrik Eriksson

Associate professor

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Body mass index and disability pension in middle-aged men--non-linear relations

Author

  • Nils-Ove Månsson
  • Karl-Fredrik Eriksson
  • Bo Israelsson
  • Jonas Ranstam
  • Arne Melander
  • Lennart Råstam

Summary, in English

BACKGROUND: Obesity has, in a number of studies, been found to correlate to disability and mortality, primarily due to diseases of the circulatory and musculoskeletal systems. In addition, an excess mortality among underweight subjects has been observed in previous studies. METHODS: Five complete birth-year cohorts (1926-1930) of male residents in Malmo (n = 7697) were invited to the survey at the Department of Preventive Medicine, Malmo General Hospital, and 5926 (77%) attended with complete data. Each subject was followed from inclusion, defined by the date of examination, until the end of the calendar year when he turned 58, a total study period of approximately 11 years. Data on about 300 questionnaire items and laboratory tests were determined at the health survey visit. Nationwide Swedish data registers were used for surveillance. RESULTS: Of the participants, 4.7% were underweight, 37.7% overweight, 7.3% obese and 50.3% normal weight; 849 (14.3%) had been granted disability pension at the end of follow-up, 717 after screening. After adjustment for smoking there was a J-shaped relation between body mass index (BMI) and incidence of disability pension, the relative risk ( with the normal group as reference) among underweight men being 1.9. For the overweight subjects it was 1.3 and for the obese 2.8, all differences were significant. Disease of the musculoskeletal and circulatory systems and mental disorders accounted for 67.2% of all main diagnoses resulting in disability pensions during follow-up. A total of 377 (6.4%) men died during follow-up. Diseases of the circulatory system, neoplasms, injury/poisoning and diseases of the respiratory system accounted for 91.8% of the deaths. CONCLUSIONS: Both underweight, overweight and obesity were related to risk of disability pension, with a J-shaped risk relationship.

Department/s

  • Family Medicine and Community Medicine
  • Vascular Diseases - Clinical Research
  • Department of Clinical Sciences, Malmö
  • Orthopaedics (Lund)
  • Community Medicine

Publishing year

1996

Language

English

Pages

80-85

Publication/Series

International Journal of Epidemiology

Volume

25

Issue

1

Document type

Journal article

Publisher

Oxford University Press

Topic

  • Public Health, Global Health, Social Medicine and Epidemiology

Keywords

  • body mass index
  • disability pension
  • obesity
  • overweight
  • underweight

Status

Published

Research group

  • Family Medicine and Community Medicine
  • Vascular Diseases - Clinical Research
  • Community Medicine

ISBN/ISSN/Other

  • ISSN: 1464-3685