Martin Neovius, PhDFinn Rasmussen, MD/PhDKarolinska InstituteStockholm, Sweden

Trends in Overweight and Obesity among

Swedish Men 17-20 years of age (1969-2005)

BMI Distribution (1969-2005)

BMI ≥ 25Height and weight measured at mandatory military conscription testsAge 18.3y (SD 0.4y; range 17-20y))n=1.6 million

Overweight

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BMI ≥ 30Height and weight measured at mandatory military conscription testsAge 18.3y (SD 0.4y; range 17-20y)n=1.6 million

Obesity

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Obesity and Morbid Obesity (1969-2005)

Neovius M, Teixeira-Pinto A, Rasmussen F. Shift in the composition of obesity in young adult men in Sweden over a third of a century. Int J Obes (Lond). May 2008;32(5):832-836.

Associations between BMI Status in Late Adolescence and Future Disability Pension

0.00

0.05

0.10

0.15

0.20

0.25

0.30

Cum

ulat

ive

Ris

k (%

)

3117 3097 3047 2336 1374 828 420Morbid Obesity15974 15899 15680 12589 8291 5374 2923Moderate Obesity

101332 100772 99304 82557 57631 39160 22371Overweight966054 960364 944465 816869 611522 437005 275108Normal weight104547 103941 102379 91966 73064 56185 38895Underweight

Number at risk

0 5 10 15 20 25 30Observation time (years)

Underweight Normal weightOverweight Moderate ObesityMorbid Obesity

BMI ≥ 35

BMI 30-34.9

BMI 18.5-24.9

BMI 25-29.9

BMI <18.5

Neovius M, Kark M, Rasmussen F. Association between obesity status in young adulthood and disability pension. Int J Obes (Lond). Aug 2008;32(8):1319-1326.

Unadjusted estimatesNot adjusted for muscle strength, socio-economic status, geographical region or year

Relative Risk Increase for Disability Pension(vs. normal weight men)

Adjusted for muscle strength, socio-economic status, geographical region and year

Källa: Neovius M, Kark M, Rasmussen F. Association between obesity status in young adulthood and disability pension. Int J Obes (Lond). Aug 2008;32(8):1319-1326.

MortalityAbsolute Risk of Premature Death

Neovius et al, BMJ 2009;338:b496

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Neovius M, Sundstrom J, Rasmussen F. Combined Effects of Overweight and Smoking in Late Adolescence on Subsequent Mortality: Nationwide Cohort StudyBMJ 2009;338:b496

Neovius M, Teixeira-Pinto A, Rasmussen F. Shift in the composition of obesity in young adult men in Sweden over a third of a century. Int J Obes (Lond). May 2008;32(5):832-836.

Neovius M, Rasmussen F. Place of residence and obesity in 1,578,694 young Swedish men between 1969 and 2005. Obesity (Silver Spring). Mar 2008;16(3):671-676.

Neovius M, Kark M, Rasmussen F. Association between obesity status in young adulthood and disability pension. Int J Obes (Lond). Aug 2008;32(8):1319-1326.

Silventoinen K, Magnusson PK, Neovius M, Sundstrom J, et al. Does obesity modify the effect of blood pressure on the risk of cardiovascular disease? A population-based cohort study of more than one million Swedish men. Circulation 2008;118(16):1637-42.

Details on study population