Obesity

Adolescent obesity and risk of serious chronic morbidity and mortality in young adulthood: a systematic review of cohorts from national registries

Cardiovasc DiabetolPublished Systematic review of nationwide longitudinal cohort studies

Authors' conclusion

Adolescent obesity is strongly associated with an elevated hazard for severe disease morbidity and mortality beginning in young adulthood, with associations progressing with obesity severity and time. The findings of this study demonstrate the need for public health mitigation and preventive strategies, which may yield substantial short, and long-term health benefits in this population.

Study context

Population
Adolescents with overweight or obesity followed into young adulthood and midlife, nationwide registry cohorts38 studies
Comparison
Adolescent overweight, obesity and severe obesity vs normal weight
Outcome
Short- and long-term risk of morbidity and mortality
Methodological detailsvalidated national registries
  • Validated national registries

Pooled result

As reported in the abstract

Serious morbidity, T2D and T1D · <4 years of follow-up, before age 25 years
Severe adolescent obesity: serious morbidity, men (HR)
5.1
Severe adolescent obesity: serious morbidity, women (HR)
7.3
Severe adolescent obesity: T2D, men (HR)
27.0
Severe adolescent obesity: T2D, women (HR)
45.3
Adolescent obesity: T1D (HR)
2.0

Further pooled results

Later-onset outcomes · before age 30, 40 and 50 years

Before age 30: severe obesity associated with chronic kidney disease (CKD); obesity with colorectal cancer and cardiovascular disease (CVD) mortality
Before age 40: overweight and obesity associated with ischemic stroke
Before age 50: severe obesity associated with all-cause mortality; obesity with diabetes mortality and cancer

Original publication

Adolescent obesity and risk of serious chronic morbidity and mortality in young adulthood: a systematic review of cohorts from national registries. Cardiovasc Diabetol. Published 3 June 2026. doi:10.1186/s12933-026-03221-0

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