BMI > or = 50 kg/m2 is associated with a younger age of onset of overweight and a high prevalence of adverse metabolic profiles.

2.50
Hdl Handle:
http://hdl.handle.net/10147/146564
Title:
BMI > or = 50 kg/m2 is associated with a younger age of onset of overweight and a high prevalence of adverse metabolic profiles.
Authors:
O'Connell, Jean; Kieran, Phillip; Gorman, Kathleen; Ahern, Tomas; Cawood, Tom J; O'Shea, Donal
Affiliation:
Obesity Research Group, St Columcille's Hospital and St Vincent's University Hospital, Elm Park, Dublin 4, Republic of Ireland. jeanoco@gmail.com
Citation:
BMI > or = 50 kg/m2 is associated with a younger age of onset of overweight and a high prevalence of adverse metabolic profiles. 2010, 13 (7):1090-8 Public Health Nutr
Journal:
Public health nutrition
Issue Date:
Jul-2010
URI:
http://hdl.handle.net/10147/146564
DOI:
10.1017/S1368980009993193
PubMed ID:
20100391
Abstract:
To study the demographic and clinical parameters of three different categories of obesity, with particular focus on a cohort of individuals with BMI > or = 50 kg/m2, the fastest growing category of obesity.; Over 700 obese individuals were studied (186 with BMI = 30-39 kg/m2, 316 with BMI = 40-49 kg/m2 and 290 with BMI > or = 50 kg/m2).; Median BMI was 51 kg/m2 for patients who reported onset of overweight before 15 years of age, 47 kg/m2 for patients who reported onset between 15 and 30 years, and 42 kg/m2 for patients who became overweight after 30 years of age. The BMI > or = 50 kg/m2 group was notably younger than the group with BMI = 30-39 kg/m2 (44 (SD 11) years v. 50 (SD 15) years; P < 0.0001). Eighteen per cent of obese patients studied were considered metabolically healthy according to standard cut-off points for blood pressure, fasting glucose and lipid profiles. However, the proportion of metabolically healthy individuals was significantly higher in the BMI = 30-39 kg/m2 group than in the BMI = 40-49 kg/m2 and BMI > or = 50 kg/m2 groups (31% v. 17% and 12% respectively; P < 0.05 and P < 0.005). When compared with people of similar age in the general population, individuals with BMI > or = 50 kg/m2 had lower rates of marriage (51% v. 72%) and a higher prevalence of unemployment (14% v. 5%).; The current study suggests that the increasing prevalence of childhood obesity worldwide will lead to many more individuals achieving a higher BMI at a younger age. Furthermore, an earlier onset of overweight does not appear to prevent the adverse metabolic health outcomes associated with extreme obesity.
Item Type:
Article
Language:
en
MeSH:
Age Factors; Age of Onset; Blood Glucose; Blood Pressure; Body Mass Index; Diet; Employment; Female; Humans; Life Style; Lipids; Male; Marital Status; Middle Aged; Obesity; Obesity, Morbid; Overweight; Prevalence
ISSN:
1475-2727

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Connell, Jeanen
dc.contributor.authorKieran, Phillipen
dc.contributor.authorGorman, Kathleenen
dc.contributor.authorAhern, Tomasen
dc.contributor.authorCawood, Tom Jen
dc.contributor.authorO'Shea, Donalen
dc.date.accessioned2011-10-24T15:19:58Z-
dc.date.available2011-10-24T15:19:58Z-
dc.date.issued2010-07-
dc.identifier.citationBMI > or = 50 kg/m2 is associated with a younger age of onset of overweight and a high prevalence of adverse metabolic profiles. 2010, 13 (7):1090-8 Public Health Nutren
dc.identifier.issn1475-2727-
dc.identifier.pmid20100391-
dc.identifier.doi10.1017/S1368980009993193-
dc.identifier.urihttp://hdl.handle.net/10147/146564-
dc.description.abstractTo study the demographic and clinical parameters of three different categories of obesity, with particular focus on a cohort of individuals with BMI > or = 50 kg/m2, the fastest growing category of obesity.-
dc.description.abstractOver 700 obese individuals were studied (186 with BMI = 30-39 kg/m2, 316 with BMI = 40-49 kg/m2 and 290 with BMI > or = 50 kg/m2).-
dc.description.abstractMedian BMI was 51 kg/m2 for patients who reported onset of overweight before 15 years of age, 47 kg/m2 for patients who reported onset between 15 and 30 years, and 42 kg/m2 for patients who became overweight after 30 years of age. The BMI > or = 50 kg/m2 group was notably younger than the group with BMI = 30-39 kg/m2 (44 (SD 11) years v. 50 (SD 15) years; P < 0.0001). Eighteen per cent of obese patients studied were considered metabolically healthy according to standard cut-off points for blood pressure, fasting glucose and lipid profiles. However, the proportion of metabolically healthy individuals was significantly higher in the BMI = 30-39 kg/m2 group than in the BMI = 40-49 kg/m2 and BMI > or = 50 kg/m2 groups (31% v. 17% and 12% respectively; P < 0.05 and P < 0.005). When compared with people of similar age in the general population, individuals with BMI > or = 50 kg/m2 had lower rates of marriage (51% v. 72%) and a higher prevalence of unemployment (14% v. 5%).-
dc.description.abstractThe current study suggests that the increasing prevalence of childhood obesity worldwide will lead to many more individuals achieving a higher BMI at a younger age. Furthermore, an earlier onset of overweight does not appear to prevent the adverse metabolic health outcomes associated with extreme obesity.-
dc.language.isoenen
dc.subject.meshAge Factors-
dc.subject.meshAge of Onset-
dc.subject.meshBlood Glucose-
dc.subject.meshBlood Pressure-
dc.subject.meshBody Mass Index-
dc.subject.meshDiet-
dc.subject.meshEmployment-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshLife Style-
dc.subject.meshLipids-
dc.subject.meshMale-
dc.subject.meshMarital Status-
dc.subject.meshMiddle Aged-
dc.subject.meshObesity-
dc.subject.meshObesity, Morbid-
dc.subject.meshOverweight-
dc.subject.meshPrevalence-
dc.titleBMI > or = 50 kg/m2 is associated with a younger age of onset of overweight and a high prevalence of adverse metabolic profiles.en
dc.typeArticleen
dc.contributor.departmentObesity Research Group, St Columcille's Hospital and St Vincent's University Hospital, Elm Park, Dublin 4, Republic of Ireland. jeanoco@gmail.comen
dc.identifier.journalPublic health nutritionen
dc.description.provinceLeinster-

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