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Association of childhood obesity with risk of early all-cause and cause-specific mortality: A Swedish prospective cohort study

Author

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  • Louise Lindberg
  • Pernilla Danielsson
  • Martina Persson
  • Claude Marcus
  • Emilia Hagman

Abstract

Background: Pediatric obesity is associated with increased risk of premature death from middle age onward, but whether the risk is already increased in young adulthood is unclear. The aim was to investigate whether individuals who had obesity in childhood have an increased mortality risk in young adulthood, compared with a population-based comparison group. Methods and findings: In this prospective cohort study, we linked nationwide registers and collected data on 41,359 individuals. Individuals enrolled at age 3–17.9 years in the Swedish Childhood Obesity Treatment Register (BORIS) and living in Sweden on their 18th birthday (start of follow-up) were included. A comparison group was matched by year of birth, sex, and area of residence. We analyzed all-cause mortality and cause-specific mortality using Cox proportional hazards models, adjusted according to group, sex, Nordic origin, and parental socioeconomic status (SES). Over 190,752 person-years of follow-up (median follow-up time 3.6 years), 104 deaths were recorded. Median (IQR) age at death was 22.0 (20.0–24.5) years. In the childhood obesity cohort, 0.55% (n = 39) died during the follow-up period, compared to 0.19% (n = 65) in the comparison group (p

Suggested Citation

  • Louise Lindberg & Pernilla Danielsson & Martina Persson & Claude Marcus & Emilia Hagman, 2020. "Association of childhood obesity with risk of early all-cause and cause-specific mortality: A Swedish prospective cohort study," PLOS Medicine, Public Library of Science, vol. 17(3), pages 1-14, March.
    • Handle: RePEc:plo:pmed00:1003078
    DOI: 10.1371/journal.pmed.1003078
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    Citations

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    Cited by:

    1. David (David Patrick) Madden, 2021. "The Dynamics of Multidimensional Poverty in a Cohort of Irish Children," Working Papers 202117, School of Economics, University College Dublin.
    2. Nilsson, Kristoffer & Fridhammar, Adam & Wahlberg, Karin & Steen Carlsson, Katarina, 2022. "The economic burden of overweight and obesity in Swedish children – A lifetime perspective," IHE Report / IHE Rapport 2022:12, IHE - The Swedish Institute for Health Economics, revised Jan 2023.
    3. Niamh Arthurs & Louise Tully & Grace O’Malley & Sarah Browne, 2022. "Usability and Engagement Testing of mHealth Apps in Paediatric Obesity: A Narrative Review of Current Literature," IJERPH, MDPI, vol. 19(3), pages 1-13, January.
    4. Byoung-Suk Kweon & Woo-Hwa Shin & Christopher D. Ellis, 2023. "School Walk Zone: Identifying Environments That Foster Walking and Biking to School," Sustainability, MDPI, vol. 15(4), pages 1-13, February.
    5. David Madden, 2022. "The Dynamics of Multidimensional Poverty in a Cohort of Irish Children," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 15(5), pages 1631-1671, October.
    6. Ashlea Braun & Joshua D. Hawley & Jennifer A. Garner, 2022. "Maintaining School Foodservice Operations in Ohio during COVID-19: “This [Was] Not the Time to Sit Back and Watch”," IJERPH, MDPI, vol. 19(10), pages 1-14, May.

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