SciELO - Scientific Electronic Library Online

vol.21 issue3Breastfeeding practices and infant growth: a longitudinal study in Rio de Janeiro, Brazil, 1999/2001Evaluation of the impact of a nutritional program for undernourished children in Brazil author indexsubject indexarticles search
Home Page  

Services on Demand




Related links


Cadernos de Saúde Pública

On-line version ISSN 1678-4464Print version ISSN 0102-311X


CABRERA, Marcos A. S.; WAJNGARTEN, Maurício; GEBARA, Otávio C. E.  and  DIAMENT, Jayme. Relationship between body mass index, waist circumference, and waist-to-hip ratio and mortality in elderly women: a 5-year follow-up study. Cad. Saúde Pública [online]. 2005, vol.21, n.3, pp.767-775. ISSN 1678-4464.

This study examines the association between body mass index (BMI), waist-to-hip ratio (WHR), and waist circumference (WC) and all-cause and cardiovascular mortality in elderly women in a 5-year longitudinal study of 575 female outpatients 60 years and over. The highest BMI, WHR, and WC quartiles and predefined BMI categories were analyzed as predictive variables. Death occurred in 88 (15.4%). Underweight (BMI < 18.5kg/m2) was associated with all-cause mortality in uni- and multivariate analyses, regardless of age bracket. The survival curves and univariate analysis showed that the highest WHR quartile (> 0.97) was associated with all-cause mortality. However, after adjustment for age, smoking, and previous cardiovascular diseases, the increase in WHR was positively associated only in women from 60 to 80 years of age. None of the anthropometric measurements was associated with cardiovascular mortality. The results indicate that underweight and increased waist-to-hip ratio were predictors of all-cause mortality in elderly women, mainly among those under 80 years.

Keywords : Body Mass Index; Obesity; Body Constitution; Mortality.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf )