December 2016. Volume 12. Number 4

The higher the body mass index, the greater the cardiovascular mortality

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Twig G, Yaniv G, Levine H, Leiba A, Goldberger N, Derazne E, et al. Body-mass index in 2.3 million adolescents and cardiovascular death in adulthood. N Engl J Med. 2016;374:2430-40.
Reviewers: Esparza Olcina MJ1, Aizpurua Galdeano P2.
1CS. Móstoles. Madrid. España.
2CS Amara Berri. San Sebastián. España.
Correspondence: María Jesús Esparza Olcina. Email: mjesparza8@gmail.com
Reception date: 03/10/2016
Acceptance date: 06/10/2016
Publication date: 13/10/2016

Abstract

Authors’ conclusions: a BMI in the 50th to 74th percentiles, within the accepted normal range, during adolescence was associated with increased cardiovascular and all-cause mortality during 40 years of follow-up. Overweight and obesity were strongly associated with increased cardiovascular mortality in adulthood.

Reviewers’ commentary: this paper provides further evidence on the prognosis of obesity in adolescence. Furthermore, it adds some uncertainty on BMI threshold for cardiovascular risk, because a BMI in the 50th to 74th percentiles does not look safe.

How to cite this article

Esparza Olcina MJ, Aizpurua Galdeano MP. A más índice de masa corporal, más mortalidad cardiovascular. Evid Pediatr. 2016;12:61.

AVC | Critically appraised articles

Twig G, Yaniv G, Levine H, Leiba A, Goldberger N, Derazne E, et al. Body-mass index in 2.3 million adolescents and cardiovascular death in adulthood. N Engl J Med. 2016;374:2430-40.
Reviewers: Esparza Olcina MJ1, Aizpurua Galdeano P2.
1CS. Móstoles. Madrid. España.
2CS Amara Berri. San Sebastián. España.
Correspondence: María Jesús Esparza Olcina. Email: mjesparza8@gmail.com
Reception date: 03/10/2016
Acceptance date: 06/10/2016
Publication date: 13/10/2016

How to cite this article

Esparza Olcina MJ, Aizpurua Galdeano MP. A más índice de masa corporal, más mortalidad cardiovascular. Evid Pediatr. 2016;12:61.

References

  1. Speiser PW, Rudolf MC, Anhalt H, Camacho-Hubner C, Chiarelli F, Eliakim A, et al. Obesity Consensus Working Group. Childhood obesity. J Clin Endocrinol Metab. 2005;90:1871-87.
  2. Estudio de vigilancia del crecimiento, alimentación, actividad física, desarrollo infantil y obesidad en España. Estudio Aladino 2013. En: Ministerio de Sanidad, Servicios Sociales e Igualdad [en línea] [consultado el 06/10/2016]. Disponible en: http://www.aecosan.msssi.gob.es/AECOSAN/docs/documentos/nutricion/observatorio/Estudio_ALADINO_2013.pdf
  3. Skinner AC, Perrin EM, Moss LA, Skelton JA. Cardiometabolic risks and severity of obesity in children and young adults. N Engl J Med. 2015;373:1307-17.
  4. Baker JL, Olsen LW, Sørensen TI. Childhood body-mass index and the risk of coronary heart disease in adulthood. N Engl J Med. 2007;357:2329-37.

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Medina Navarro M. Índice de masa corporal elevado en Pediatría y riesgo cardiovascular en el adulto. Evid Pediatr. 2016;12:57.
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