Skip Navigation
American College of Physicians Logo
  • Subscribe
  • Submit a Manuscript
  • Sign In
    Sign in below to access your subscription for full content
    INDIVIDUAL SIGN IN
    Sign In|Set Up Account
    You will be directed to acponline.org to register and create your Annals account
    INSTITUTIONAL SIGN IN
    Open Athens|Shibboleth|Log In
    Annals of Internal Medicine
    SUBSCRIBE
    Subscribe to Annals of Internal Medicine.
    You will be directed to acponline.org to complete your purchase.
Annals of Internal Medicine Logo Menu
  • Latest
  • Issues
  • Channels
  • CME/MOC
  • In the Clinic
  • Journal Club
  • Web Exclusives
  • Author Info
Advanced Search
  • ‹ PREV ARTICLE
  • This Issue
  • NEXT ARTICLE ›
Summaries for Patients |1 December 2015

Normal-Weight Central Obesity and Mortality Free

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information

  • The full report is titled “Normal-Weight Central Obesity: Implications for Total and Cardiovascular Mortality.” It is in the 1 December 2015 issue of Annals of Internal Medicine (volume 163, pages 827-835). The authors are K.R. Sahakyan, V.K. Somers, J.P. Rodriguez-Escudero, D.O. Hodge, R.E. Carter, O. Sochor, T. Coutinho, M.D. Jensen, V.L. Roger, P. Singh, and F. Lopez-Jimenez.

    This article was published online first at www.annals.org on 10 November 2015.


Summaries for Patients are a service provided by Annals to help patients better understand the complicated and often mystifying language of modern medicine.
Summaries for Patients are presented for informational purposes only. These summaries are not a substitute for advice from your own medical provider. If you have questions about this material, or need medical advice about your own health or situation, please contact your physician. The summaries may be reproduced for not-for-profit educational purposes only. Any other uses must be approved by the American College of Physicians.
×
  • ‹ PREV ARTICLE
  • This Issue
  • NEXT ARTICLE ›
Jump To
  • Full Article
  • FULL ARTICLE
  • FULL ARTICLE
    • What is the problem and what is known about it so far?
    • Why did the researchers do this particular study?
    • Who was studied?
    • How was the study done?
    • What did the researchers find?
    • What were the limitations of the study?
    • What are the implications of the study?
  • Figures
  • Tables
  • Supplements
  • Audio/Video
  • Summary for Patients
  • Clinical Slide Sets
  • CME / MOC
  • Comments
  • Twitter Link
  • Facebook Link
  • Email Link
More
  • LinkedIn Link

What is the problem and what is known about it so far?

Obesity has been linked to increased rates of death overall and from cardiovascular disease. Obesity is typically defined on the basis of the body mass index (BMI), which is measured using a patient's weight divided by height. However, the ratio between a patient's waist and hip measurements (WHR) can be used to tell whether a person has central obesity. It is not clear whether persons with normal BMI but central obesity have an increased risk for death overall or from cardiovascular disease.

Why did the researchers do this particular study?

To compare the risks for death overall and from cardiovascular disease for different patterns of obesity defined by BMI (general obesity) or WHR (central obesity).

Who was studied?

15,184 people aged 18 to 90 years who participated in NHANES III (Third National Health and Nutrition Examination Survey).

How was the study done?

The researchers used survey participants' weight and height measurements to calculate BMI and waist and hip measurements to calculate WHR. They searched the National Death Index to find out which participants died during the follow-up period and the causes of death.

What did the researchers find?

People with normal weight and central obesity had the highest risk for death overall and from cardiovascular disease compared with people without central obesity, regardless of their BMI.

What were the limitations of the study?

Although there are different ways to measure body fat distribution, such as using imaging data of fat tissue, NHANES III did not collect these data, so the researchers of the current study calculated body fat distribution based on the participants' waist and hip measurements alone.

What are the implications of the study?

People with normal-weight central obesity may benefit from lifestyle changes and cardiovascular disease–prevention strategies.

This feature is available only to Registered Users

Subscribe/Learn More
Submit a Comment

0 Comments

PDF
Not Available
Citations
Citation

Normal-Weight Central Obesity and Mortality. Ann Intern Med. 2015;163:I–30. [Epub ahead of print 10 November 2015]. doi: https://doi.org/10.7326/P15-9040

Download citation file:

  • Ris (Zotero)
  • EndNote
  • BibTex
  • Medlars
  • ProCite
  • RefWorks
  • Reference Manager

© 2020

×
Permissions

Published: Ann Intern Med. 2015;163(11):I-30.

DOI: 10.7326/P15-9040

Published at www.annals.org on 10 November 2015

1 Citations
Advertisement

See Also
Normal-Weight Central Obesity: Implications for Total and Cardiovascular Mortality
View MoreView Less

Related Articles
Weight History and All-Cause and Cause-Specific Mortality in Three Prospective Cohort Studies
Annals of Internal Medicine; 166 (9): 613-620
The Relationship between Overweight in Adolescence and Premature Death in Women
Annals of Internal Medicine; 145 (2): 91-97
Relationship Among Body Fat Percentage, Body Mass Index, and All-Cause Mortality: A Cohort Study
Annals of Internal Medicine; 164 (8): 532-541
Normal-Weight Central Obesity: Implications for Total and Cardiovascular Mortality
Annals of Internal Medicine; 163 (11): 827-835
View MoreView Less

Journal Club
Bariatric surgery improved HbA1c at 5 y more than intensive medical care alone in obese patients with T2DM
Annals of Internal Medicine; 166 (10): JC57
In obesity with type 2 diabetes, duodenal-jejunal bypass liners improved weight loss and HbA1c during treatment
Annals of Internal Medicine; 162 (4): JC9
Bariatric surgery improved HbA1c more than intensive medical therapy in obese patients with uncontrolled type 2 DM
Annals of Internal Medicine; 161 (4): JC4
In overweight or obese patients with diabetes, a lifestyle intervention increased weight loss at 8 years
Annals of Internal Medicine; 160 (12): JC4
View MoreView Less

Related Point of Care
Obesity
Annals of Internal Medicine; 159 (5): ITC3-1
Obesity
Annals of Internal Medicine; 149 (7): ITC4-1
View MoreView Less

Related Topics
Obesity

Obesity.

PubMed Articles
Assessing Malnutrition before Major Oncologic Surgery: One Size Does Not Fit All.
J Am Coll Surg 2020.
Dietary change associated with bariatric surgery. The winning approach. An Invited Commentary on "Impact of Sleeve Gastrectomy And Dietary Change On Metabolic And Hepatic Function In An Obesity Rat Model - Experimental Research".
Int J Surg 2020.
View More

Results provided by: PubMed

Advertisement
CME/MOC Activity Requires Users to be Registered and Logged In.
Sign in below to access your subscription for full content
INDIVIDUAL SIGN IN
Sign In|Set Up Account
You will be directed to acponline.org to register and create your Annals account
Annals of Internal Medicine
CREATE YOUR FREE ACCOUNT
Create Your Free Account|Why?
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×
The Comments Feature Requires Users to be Registered and Logged In.
Sign in below to access your subscription for full content
INDIVIDUAL SIGN IN
Sign In|Set Up Account
You will be directed to acponline.org to register and create your Annals account
Annals of Internal Medicine
CREATE YOUR FREE ACCOUNT
Create Your Free Account|Why?
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×
link to top

Content

  • Home
  • Latest
  • Issues
  • Channels
  • CME/MOC
  • In the Clinic
  • Journal Club
  • Web Exclusives

Information For

  • Author Info
  • Reviewers
  • Press
  • Readers
  • Institutions / Libraries / Agencies
  • Advertisers

Services

  • Subscribe
  • Renew
  • Alerts
  • Current Issue RSS
  • Latest RSS
  • In the Clinic RSS
  • Reprints & Permissions
  • Contact Us
  • Help
  • About Annals
  • About Mobile
  • Patient Information
  • Teaching Tools
  • Annals in the News
  • Share Your Feedback

Awards and Cover

  • Personae (Cover Photo)
  • Junior Investigator Awards
  • Poetry Prize

Other Resources

  • ACP Online
  • Career Connection
  • ACP Advocate Blog
  • ACP Journal Wise

Follow Annals On

  • Twitter Link
  • Facebook Link
acp link acp
silverchair link silverchair

Copyright © 2020 American College of Physicians. All Rights Reserved.

Print ISSN: 0003-4819 | Online ISSN: 1539-3704

Privacy Policy

|

Conditions of Use

This site uses cookies. By continuing to use our website, you are agreeing to our privacy policy. | Accept
×

You need a subscription to this content to use this feature.

×
PDF Downloads Require Access to the Full Article.
Sign in below to access your subscription for full content
INDIVIDUAL SIGN IN
Sign In|Set Up Account
You will be directed to acponline.org to register and create your Annals account
INSTITUTIONAL SIGN IN
Open Athens|Shibboleth|Log In
Annals of Internal Medicine
PURCHASE OPTIONS
Buy This Article|Subscribe
You will be redirected to acponline.org to sign-in to Annals to complete your purchase.
CREATE YOUR FREE ACCOUNT
Create Your Free Account|Why?
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×
Access to this Free Content Requires Users to be Registered and Logged In. Please Choose One of the Following Options
Sign in below to access your subscription for full content
INDIVIDUAL SIGN IN
Sign In|Set Up Account
You will be directed to acponline.org to register and create your Annals account
Annals of Internal Medicine
CREATE YOUR FREE ACCOUNT
Create Your Free Account|Why?
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×