Confounding by ill health in the observed association between BMI and mortality: evidence from the HUNT Study using offspring BMI as an instrument
Author(s) -
David Carslake,
George Davey Smith,
David Gunnell,
Neil M Davies,
Tom Ivar Lund Nilsen,
Pål Romundstad
Publication year - 2017
Publication title -
international journal of epidemiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.406
H-Index - 208
eISSN - 1464-3685
pISSN - 0300-5771
DOI - 10.1093/ije/dyx246
Subject(s) - body mass index , medicine , hazard ratio , overweight , offspring , confounding , demography , confidence interval , proportional hazards model , nurses' health study , pregnancy , biology , sociology , genetics
The observational association between mortality and body mass index (BMI) is U-shaped, leading to highly publicized suggestions that moderate overweight is beneficial to health. However, it is unclear whether elevated mortality is caused by low BMI or if the association is confounded, for example by concurrent ill health.
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