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Trends in and Consequences of Overweight in Swedish Men. Martin Neovius, PhD Finn Rasmussen, MD/PhD Dept of Medicine Dept of Public Health Karolinska Institute Stockholm, Sweden. Contents. Prevalence BMI distribution in Swedish men 1969-2005 Trends in obesity and morbid obesity 1969-2005
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Trends in and Consequences of Overweight in Swedish Men Martin Neovius, PhD Finn Rasmussen, MD/PhD Dept of Medicine Dept of Public Health Karolinska Institute Stockholm, Sweden
Contents Prevalence • BMI distribution in Swedish men 1969-2005 • Trends in obesity and morbid obesity 1969-2005 • Geographical trends in overweight 1969-2005 • Geographical trends in obesity 1969-2005 Consequences of Overweight and Obesity • Premature death • Preterm retirement • Cardiovascular Disease
Obesity and Morbid Obesity (1969-2005) Neovius M, Teixeira-Pinto A, Rasmussen F. Shift in the composition of obesity in young adult men in Sweden over a third of a century. Int J Obes (Lond). May 2008;32(5):832-836.
BMI Distribution (1969-2005) Neovius & Rasmussen (unpublished data)
Overweight BMI ≥ 25 Height and weight measured at mandatory military conscription tests Age 18.3y (SD 0.4y; range 17-20y) n=1.6 million
Obesity BMI ≥ 30 Height and weight measured at mandatory military conscription tests Age 18.3y (SD 0.4y; range 17-20y) n=1.6 million
Premature Death Disability Pension Cardiovascular Disease Health Consequences
Incidence rates of premature death illustrating the combined effects of overweight and smoking status(n=45 920; 2897 deaths; 1.7m person-years) Neovius, Sundström & Rasmussen, BMJ 2009;338:b496
Relative risk of premature death illustrating the combined effects of overweight and smoking status (n=45 920; 2897 deaths; 1.7m person-years) Neovius, Sundström & Rasmussen, BMJ 2009;338:b496
Cumulative Mortality by BMI Status Neovius, Sundström & Rasmussen, BMJ 2009;338:b496
Cumulative Mortality by Smoking Status Neovius, Sundström & Rasmussen, BMJ 2009;338:b496
Associations between BMI Status in Late Adolescence and Future Disability Pension BMI ≥ 35 BMI 30-34.9 BMI 25-29.9 BMI <18.5 BMI 18.5-24.9 Unadjusted estimates Not adjusted for muscle strength, socio-economic status, geographical region or year Neovius M, Kark M, Rasmussen F. Association between obesity status in young adulthood and disability pension. Int J Obes (Lond). Aug 2008;32(8):1319-1326.
Relative Risk Increase for Disability Pension(vs. normal weight men) Normal weight Underweight Overweight Adjusted for muscle strength, socio-economic status, geographical region and year Neovius M, Kark M, Rasmussen F. Association between obesity status in young adulthood and disability pension. Int J Obes (Lond). Aug 2008;32(8):1319-1326.
Risk of Disability Pension by BMI and Smoking Status Neovius K, Neovius M, Rasmussen F. The combined effects of overweight and smoking in late adolescence on subsequent disability pension: a nationwide cohort study. Int J Obes (Lond) 2009.
Risk of Disability Pension:Interaction between BMI and Smoking Neovius K, Neovius M, Rasmussen F. The combined effects of overweight and smoking in late adolescence on subsequent disability pension: a nationwide cohort study. Int J Obes (Lond) 2009.
Risk of Cardiovascular Disease:Interaction between BMI and Blood Pressure
Neovius M, Sundström J, Rasmussen F. Combined Effects of Overweight and Smoking in Late Adolescence on Subsequent Mortality: Nationwide Cohort Study BMJ 2009;338:b496 Neovius M, Teixeira-Pinto A, Rasmussen F.Shift in the composition of obesity in young adult men in Sweden over a third of a century. Int J Obes (Lond). May 2008;32(5):832-836. Neovius M, Rasmussen F.Place of residence and obesity in 1,578,694 young Swedish men between 1969 and 2005. Obesity (Silver Spring). Mar 2008;16(3):671-676. Neovius M, Kark M, Rasmussen F. Association between obesity status in young adulthood and disability pension. Int J Obes (Lond). Aug 2008;32(8):1319-1326. Silventoinen K, Magnusson PK, Neovius M, Sundstrom J, et al. Does obesity modify the effect of blood pressure on the risk of cardiovascular disease? A population-based cohort study of more than one million Swedish men. Circulation 2008;118(16):1637-42. Neovius K, Neovius M, Rasmussen F.The combined effects of overweight and smoking in late adolescence on subsequent disability pension: a nationwide cohort study. Int J Obes (Lond) 2009. Details on study population