Obesity

BMI, waist circumference, and waist-to-hip trajectories and all-cause, CVD, and cancer mortality by sex in people without diabetes

Int J Obes (Lond)Published Cohort study

Main finding · Cancer mortality, BMI trajectory, femalesResult — go to the resultHazard ratio 1.76 95% CI 1.14–2.73

Authors' conclusion

Sex differences were observed in the long-term impact of high BMI, waist circumference, and waist-to-hip ratio on mortality risks and lifespan in people without diabetes.

Study context

Population
People without diabetes, Atherosclerosis Risk in Communities Study
Participants
7,601 people
Exposure
BMI, waist circumference and WHR trajectories, by sex
Outcome
All-cause, CVD and cancer mortality
Methodological detailslatent class trajectory analysis, propensity score matching, Cox proportional hazards regression
  • Latent class trajectory analysis
  • Propensity score matching
  • Cox proportional hazards regression

Main finding

Cancer mortality, BMI trajectory, females

Hazard ratio

1.76

95% CI 1.14–2.73

Highvs Low
HR 1.76 (95% CI 1.14–2.73)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Mean, years

OutcomeHighLow
Mean lifespan of deceased males, waist circumference trajectory73.075.3

Mean lifespan of deceased males, waist circumference trajectory

Shorter lifespan in high vs low waist circumference group (males)

Mean lifespan of deceased females

Did not significantly differ across the trajectories

Original publication

BMI, waist circumference, and waist-to-hip trajectories and all-cause, CVD, and cancer mortality by sex in people without diabetes. Int J Obes (Lond). Published 9 April 2025. doi:10.1038/s41366-025-01778-6

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