General and abdominal adiposity and risk of death in HBV versus non-HBV carriers: A 10-year population-based cohort study
Medicine (United States), ISSN: 1536-5964, Vol: 95, Issue: 2, Page: e2162
2016
- 4Citations
- 20Captures
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Metrics Details
- Citations4
- Citation Indexes4
- CrossRef1
- Captures20
- Readers20
- 18
Article Description
Both obesity and hepatitis B virus (HBV) infection increase the risk of death. We investigate the association between general and central obesity and all-cause mortality among adult Taiwanese HBV versus non-HBV carriers. A total of 19,850 HBV carriers and non-hepatitis C virus (HCV) carriers, aged 20 years and older at enrollment in 1998 to 1999 in Taiwan, were matched to 79,400 non-HBV and non-HCV carriers (1:4). Cox proportional-hazards models were used to estimate the relative risks for all-cause mortality during a maximum follow-up period of 10 years. Four obesity-related anthropometric indices - body mass index (BMI), waist circumference, waist-to-hip ratio, and waist-to-height ratio - were the main variables of interest. During the follow-up period, 628 and 2366 participants died among HBV and non-HBV carriers, respectively. Both underweight and general obesity were associated with an increased risk of death. The highest risk of all-cause death in relation to BMI was found in the HBV carriers with underweight (BMI <18.5 kg/m) and non-HBV carriers with obesity (BMI ≥30 kg/m). The lowest risks of all-cause death in relation to abdominal adiposity were found at the third quartiles of waist circumference, waist-to-hip ratio, and waist-to-height ratio among HBV carriers, but in the second quartiles among non-HBV carriers. For those with pre-existing liver disease among HBV carriers, patients with underweight have higher risk of death than those with obesity. Hepatitis B virus carriers with underweight have higher risk of death than non-HBV carriers. HBV carriers with mild abdominal obesity have the lowest risk of death, but not in the non-HBV carriers.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84958177692&origin=inward; http://dx.doi.org/10.1097/md.0000000000002162; http://www.ncbi.nlm.nih.gov/pubmed/26765398; http://Insights.ovid.com/crossref?an=00005792-201601120-00005; https://journals.lww.com/00005792-201601120-00005; https://dx.doi.org/10.1097/md.0000000000002162; https://journals.lww.com/md-journal/Fulltext/2016/01120/General_and_Abdominal_Adiposity_and_Risk_of_Death.5.aspx
Ovid Technologies (Wolters Kluwer Health)
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