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Complementary Role of BMI and EOSS in Predicting All-Cause and Cause-Specific Mortality in People with Overweight and Obesity

Articolo
Data di Pubblicazione:
2024
Abstract:
Objective: To assess the complementary role of the Body Mass Index (BMI) and Edmonton Obesity Staging System (EOSS) in predicting all-cause and cause-specific mortality in people living with overweight and obesity (PLwOW/O). Methods: A longitudinal analysis of prospectively collected data from the 1999–2018 cycles of the National Health and Nutrition Examination Survey (NHANES) was conducted. The association between BMI, EOSS, and mortality was evaluated through Cox regression models, adjusted for confounders. Results: The analysis included 36,529 subjects; 5329 deaths occurred over a median follow-up of 9.1 years (range: 0–20.8). An increased mortality risk was observed for obesity class II and III (HR = 1.21, 95% CI 1.08–1.36, p = 0.001 and HR = 1.58, 95% CI 1.39–1.80, p < 0.001; compared to overweight), and for EOSS stage 2 and 3 (HR = 1.36, 95% CI 1.16–1.58, p < 0.001 and HR = 2.66, 95% CI 2.26–3.14, p < 0.001; compared to stage 0/1). The prognostic role of BMI was more pronounced in younger patients, males, and non-Black individuals, while that of EOSS was stronger in women. Both BMI and EOSS independently predicted cardiovascular- and diabetes-related mortality. EOSS stage 3 was the only predictor of death from malignancy or renal causes. Conclusions: BMI and EOSS independently predict all-cause and cause-specific mortality in PLwOW/O. Their integrated use seems advisable to best define the obesity-related mortality risk.
Tipologia CRIS:
03A-Articolo su Rivista
Keywords:
EOSS; body mass index; mortality; obesity
Elenco autori:
Bioletto, Fabio; Ponzo, Valentina; Goitre, Ilaria; Stella, Beatrice; Rahimi, Farnaz; Parasiliti-Caprino, Mirko; Broglio, Fabio; Ghigo, Ezio; Bo, Simona
Autori di Ateneo:
BIOLETTO Fabio
BO Simona
BROGLIO Fabio
GHIGO Ezio
GOITRE ILARIA
PARASILITI CAPRINO Mirko
Link alla scheda completa:
https://iris.unito.it/handle/2318/2067215
Pubblicato in:
NUTRIENTS
Journal
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