Obesity

Are associations of adulthood overweight and obesity with all-cause mortality, cardiovascular disease, and obesity-related cancer modified by comparative body weight at age 10 years in the UK Biobank study?

Int J Obes (Lond)Published Population-based cohort study

Main finding · All-cause mortality with adulthood obesity, by childhood body weight (men)Result — go to the resultRatio of HRs 1.28 CI 1.17–1.40

Authors' conclusion

Greater risks for all-cause mortality and incident CVD in adults with obesity who perceive themselves to have been a thinner or plumper than average child may be due to confounding and/or recall bias.

Study context

Population
Men and women aged 40–69 years (in 2006–2010) in the UK Biobank191,181 men · 242,806 women
Exposure
Adulthood weight status by perceived body weight at age 10 years
Outcome
Effect modification by childhood body weight of associations of adulthood overweight/obesity with all-cause mortality, incident CVD and incident obesity-related cancer
Methodological detailsUK Biobank, Cox proportional hazards regression, triangulation with polygenic risk scores
  • UK Biobank
  • Cox proportional hazards regression
  • Triangulation with polygenic risk scores

Main finding

As reported in the abstract

All-cause mortality with adulthood obesity, by childhood body weight (men)

Ratio of HRs

1.28

CI 1.17–1.40

By group

About average

1.28

HR · CI 1.21–1.35

Thinner

1.63

HR · CI 1.53–1.75

Observational data: associations, not effects.

Further findings

Genetic analyses (PRS): effect modification for mortality and incident cardiovascular disease (CVD)

No evidence that association of obesity (adult PRS) with mortality or incident CVD differed by childhood body size (child PRS)

Incident obesity-related cancer

Evidence for effect modification limited and inconsistent between observational and genetic analyses

Original publication

Are associations of adulthood overweight and obesity with all-cause mortality, cardiovascular disease, and obesity-related cancer modified by comparative body weight at age 10 years in the UK Biobank study? Int J Obes (Lond). Published 23 January 2025. doi:10.1038/s41366-025-01718-4

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