Does obesity associate with mortality among Hispanic persons? Results from the National Health Interview Survey

Obesity (Silver Spring). 2013 Jul;21(7):1474-7. doi: 10.1002/oby.20105. Epub 2013 Apr 17.

Abstract

Objective: To evaluate the association between BMI: kg/m(2) and mortality among Hispanic adults.

Design and methods: Eight years (1997-2004) of National Health Interview Survey data linked to public-use mortality follow-up data through 2006 were acquired. Using Cox proportional hazards regression, separate models for two attained age strata (18 to <60 years, ≥60 years) adjusting for sex, smoking, and physical activity with over 38,000 analyzable respondents were fit.

Results: Among those aged ≥60 years, underweight (BMI ≤ 18.5) associated with elevated mortality (hazard ratio [HR] = 2.19; 95% confidence interval [CI], 1.38-3.46), whereas overweight (BMI of 25 to <30) and obesity grade 1 (BMI of 30 to <35) associated with reduced mortality (HRs = 0.79; 95% CI, 0.65-0.95 and 0.71; 95% CI, 0.56-0.91), respectively. There were no significant associations between BMI and mortality among the 18 to <60 years attained age strata or among never smokers for either age strata.

Conclusions: Overweight and obesity are not obviously associated with elevated mortality among Hispanic adults.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Body Mass Index
  • Cause of Death
  • Cross-Sectional Studies
  • Female
  • Follow-Up Studies
  • Health Surveys
  • Hispanic or Latino / statistics & numerical data*
  • Humans
  • Male
  • Middle Aged
  • Motor Activity
  • Obesity / mortality*
  • Overweight / mortality*
  • Proportional Hazards Models
  • Risk Factors
  • Young Adult