title: Body mass index and mortality in Japan: the Miyagi Cohort Study.
abstract: BACKGROUND
  The relation between body mass index (BMI) and mortality is not well established. The objective of this study was to examine the association in Japanese adults.
  
  
  METHODS
  In 1990, 18,740 men and 20,870 women in Miyagi Prefecture in rural northern Japan (40-64 years of age) completed a self-administered questionnaire including height and weight. Cox regression was used to estimate relative risk (RR) of mortality according to levels of BMI, with adjustment for age, marital status, smoking, drinking, walking, and weight change since 20 years of age.
  
  
  RESULTS
  During 11 years of follow-up, 1,121 men and 567 women had died. Compared with the referent BMI category (23.0-24.9), women in the highest BMI category (BMI>30.0) had a RR of death of 1.64 (95% confidence interval (CI), 1.09-2.49) and men and women in the lowest BMI categories (BM1<18.5) had a RR of death of 2.06 (95% CI, 1.49-2.84) and 1.83 (95% CI, 1.17-2.88), respectively, after adjustment for potential confounders and after exclusion of deaths occurring in the first three years of follow-up. We did not observe significant differences in mortality for subjects with wide range of BMI (18.5 or higher in men and 18.5 to 29.9 in women).
  
  
  CONCLUSIONS
  The risk of death from all causes increases in lean men and women, and obese women in this cohort.
authors.affiliation: Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University Graduate School of Medicine, Sendai, Miyagi 980-8575, Japan.
authors.forename: Shinichi
authors.initials: S
authors.lastname: Kuriyama
authors.forename: Kaori
authors.initials: K
authors.lastname: Ohmori
authors.forename: Chihaya
authors.initials: C
authors.lastname: Miura
authors.forename: Yoko
authors.initials: Y
authors.lastname: Suzuki
authors.forename: Naoki
authors.initials: N
authors.lastname: Nakaya
authors.forename: Kazuki
authors.initials: K
authors.lastname: Fujita
authors.forename: Yuki
authors.initials: Y
authors.lastname: Sato
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Tsubono
authors.forename: Ichiro
authors.initials: I
authors.lastname: Tsuji
authors.forename: Akira
authors.initials: A
authors.lastname: Fukao
authors.forename: Shigeru
authors.initials: S
authors.lastname: Hisamichi
mesh_terms: D000328:Adult; D015992:Body Mass Index; D015331:Cohort Studies; D005260:Female; D006306:Health Surveys; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009026:Mortality / Q000639:trends*; D016016:Proportional Hazards Models; D012307:Risk Factors