Obesity-related mortality in France, Italy, and the United States: a comparison using multiple cause-of-death analysis.

International Journal of Public Health
Magali BarbieriMarilena Pappagallo

Abstract

We investigate the reporting of obesity on death certificates in three countries (France, Italy, and the United States) with different levels of prevalence, and we examine which causes are frequently associated with obesity. We use cause-of-death data for all deaths at ages 50-89 in 2010-2011. Since obesity may not be the underlying cause (UC) of death, we compute age- and sex-standardized death rates considering all mentions of obesity (multiple causes or MC). We use cluster analyses to identify patterns of cause-of-death combinations. Obesity is selected as UC in no more than 20% of the deaths with a mention of obesity. Mortality levels, whether measured from the UC or the MC, are weakly related to levels of prevalence. Patterns of cause-of-death combinations are similar across the countries. In addition to strong links with cardiovascular diseases and diabetes, we identify several less familiar associations. Considering all mentions on the deaths certificates reduces the underestimation of obesity-related mortality based on the UC only. It also enables us to describe the various mortality patterns involving obesity.

References

Nov 1, 1979·The American Journal of Medicine·M Adler, F Schaffner
Oct 24, 2001·International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity·S Heshka, D B Allison
Jan 9, 2003·JAMA : the Journal of the American Medical Association·Kevin R FontaineDavid B Allison
Apr 25, 2003·The New England Journal of Medicine·Eugenia E CalleMichael J Thun
May 15, 2003·Critical Care Nursing Quarterly·Joyce A Wilson, Jan J Clark
Apr 21, 2005·JAMA : the Journal of the American Medical Association·Katherine M FlegalMitchell H Gail
Aug 24, 2006·The New England Journal of Medicine·Kenneth F AdamsMichael F Leitzmann
Nov 8, 2007·JAMA : the Journal of the American Medical Association·Katherine M FlegalMitchell H Gail
Jan 7, 2009·International Journal of Obesity : Journal of the International Association for the Study of Obesity·G ZhaoA H Mokdad
Feb 5, 2010·European Journal of Public Health·Marie DuncanMichael J Goldacre
Dec 4, 2010·Experimental Biology and Medicine·Erik A Karlsson, Melinda A Beck
Feb 8, 2011·Lancet·Mariel M FinucaneUNKNOWN Global Burden of Metabolic Risk Factors of Chronic Diseases Collaborating Group (Body Mass Index)
May 25, 2011·European Journal of Cancer Prevention : the Official Journal of the European Cancer Prevention Organisation (ECP)·Kari HemminkiKristina Sundquist
Jul 4, 2012·Annali Dell'Istituto Superiore Di Sanità·Loredana IngrossoEnrico Garaci
Sep 11, 2012·Journal of Public Health·Marie E Duncan, Michael J Goldacre
Jan 1, 2015·The Australasian Medical Journal·Lee Stoner, Jon Cornwall
May 15, 2015·International Journal of Public Health·Oliver Razum, Kayvan Bozorgmehr
Jun 9, 2016·JAMA : the Journal of the American Medical Association·Katherine M FlegalCynthia L Ogden

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Citations

Apr 15, 2018·International Journal of Public Health·Louise SundbergStefan Fors
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Sep 25, 2019·Journal of Marital and Family Therapy·Angela L LamsonSuzanne Lazorick
Dec 15, 2020·The Journal of Pain : Official Journal of the American Pain Society·Nicolas KerckhoveChristian Dualé
Oct 12, 2021·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Arantzazu ArrospideJavier Mar

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