The U-shaped association of body mass index with mortality: Influence of the traits height, intelligence, and education

Terese Sara Høj Jørgensen; Merete Osler; Lars Henrik Ängquist; Esther Zimmermann; Gunhild Tidemann Christensen; Thorkild I.A. Sørensen

doi:10.1002/oby.21615

The U-shaped association of body mass index with mortality: Influence of the traits height, intelligence, and education

Terese Sara Høj Jørgensen, Merete Osler, Lars Henrik Ängquist, Esther Zimmermann, Gunhild Tidemann Christensen, Thorkild I.A. Sørensen

6 Citations (Scopus)

Abstract

OBJECTIVE: The U-shaped association between body mass index (BMI) and mortality may depend on other traits with permanent health effects. Whether the association between BMI and mortality depends on levels of health-related traits known to be inversely associated with mortality throughout adult life such as height, intelligence, and education was investigated.

METHODS: The study was based on a cohort of young men with data on weight, height, intelligence test score, and education from the Danish Conscription Database. In total, 346,500 men born 1939 to 1959 were followed until December 2013. The association between BMI and mortality was analyzed using Cox-regression models including interactions between BMI and height, intelligence, and education, respectively.

RESULTS: BMI and mortality showed the U-shaped association from the start of the follow-up period, and it persisted through the subsequent 56 years. As expected, the mortality was inversely associated with height, intelligence, and education, but the U shape of the association between BMI and mortality was unaffected by the levels of these traits except at higher BMI values, where the slopes were steeper for men with higher levels of height, intelligence, and education.

CONCLUSIONS: High and low BMI was associated with higher mortality throughout life regardless of the levels of height, intelligence, and education.

Original language	English
Journal	Obesity
Volume	24
Issue number	10
Pages (from-to)	2240–2247
Number of pages	8
ISSN	1930-7381
DOIs	https://doi.org/10.1002/oby.21615
Publication status	Published - 1 Oct 2016

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@article{160ab09175e748d18edd72c06dedcea8,

title = "The U-shaped association of body mass index with mortality: Influence of the traits height, intelligence, and education",

abstract = "OBJECTIVE: The U-shaped association between body mass index (BMI) and mortality may depend on other traits with permanent health effects. Whether the association between BMI and mortality depends on levels of health-related traits known to be inversely associated with mortality throughout adult life such as height, intelligence, and education was investigated.METHODS: The study was based on a cohort of young men with data on weight, height, intelligence test score, and education from the Danish Conscription Database. In total, 346,500 men born 1939 to 1959 were followed until December 2013. The association between BMI and mortality was analyzed using Cox-regression models including interactions between BMI and height, intelligence, and education, respectively.RESULTS: BMI and mortality showed the U-shaped association from the start of the follow-up period, and it persisted through the subsequent 56 years. As expected, the mortality was inversely associated with height, intelligence, and education, but the U shape of the association between BMI and mortality was unaffected by the levels of these traits except at higher BMI values, where the slopes were steeper for men with higher levels of height, intelligence, and education.CONCLUSIONS: High and low BMI was associated with higher mortality throughout life regardless of the levels of height, intelligence, and education.",

author = "J{\o}rgensen, {Terese Sara H{\o}j} and Merete Osler and {\"A}ngquist, {Lars Henrik} and Esther Zimmermann and Christensen, {Gunhild Tidemann} and S{\o}rensen, {Thorkild I.A.}",

note = "{\textcopyright} 2016 The Obesity Society.",

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doi = "10.1002/oby.21615",

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T1 - The U-shaped association of body mass index with mortality

T2 - Influence of the traits height, intelligence, and education

AU - Jørgensen, Terese Sara Høj

AU - Osler, Merete

AU - Ängquist, Lars Henrik

AU - Zimmermann, Esther

AU - Christensen, Gunhild Tidemann

AU - Sørensen, Thorkild I.A.

PY - 2016/10/1

Y1 - 2016/10/1

N2 - OBJECTIVE: The U-shaped association between body mass index (BMI) and mortality may depend on other traits with permanent health effects. Whether the association between BMI and mortality depends on levels of health-related traits known to be inversely associated with mortality throughout adult life such as height, intelligence, and education was investigated.METHODS: The study was based on a cohort of young men with data on weight, height, intelligence test score, and education from the Danish Conscription Database. In total, 346,500 men born 1939 to 1959 were followed until December 2013. The association between BMI and mortality was analyzed using Cox-regression models including interactions between BMI and height, intelligence, and education, respectively.RESULTS: BMI and mortality showed the U-shaped association from the start of the follow-up period, and it persisted through the subsequent 56 years. As expected, the mortality was inversely associated with height, intelligence, and education, but the U shape of the association between BMI and mortality was unaffected by the levels of these traits except at higher BMI values, where the slopes were steeper for men with higher levels of height, intelligence, and education.CONCLUSIONS: High and low BMI was associated with higher mortality throughout life regardless of the levels of height, intelligence, and education.

AB - OBJECTIVE: The U-shaped association between body mass index (BMI) and mortality may depend on other traits with permanent health effects. Whether the association between BMI and mortality depends on levels of health-related traits known to be inversely associated with mortality throughout adult life such as height, intelligence, and education was investigated.METHODS: The study was based on a cohort of young men with data on weight, height, intelligence test score, and education from the Danish Conscription Database. In total, 346,500 men born 1939 to 1959 were followed until December 2013. The association between BMI and mortality was analyzed using Cox-regression models including interactions between BMI and height, intelligence, and education, respectively.RESULTS: BMI and mortality showed the U-shaped association from the start of the follow-up period, and it persisted through the subsequent 56 years. As expected, the mortality was inversely associated with height, intelligence, and education, but the U shape of the association between BMI and mortality was unaffected by the levels of these traits except at higher BMI values, where the slopes were steeper for men with higher levels of height, intelligence, and education.CONCLUSIONS: High and low BMI was associated with higher mortality throughout life regardless of the levels of height, intelligence, and education.

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DO - 10.1002/oby.21615

M3 - Journal article

C2 - 27589069

SN - 1930-7381

VL - 24

SP - 2240

EP - 2247

JO - Obesity

JF - Obesity

IS - 10

ER -

The U-shaped association of body mass index with mortality: Influence of the traits height, intelligence, and education

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