Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults

1
Baseline BMI and Age-Adjusted Incidence of
Diabetes Mellitus
35
35
White Men
White Women
30
30
25
25
Percent
20
Percent
20
15
15
10
10
5
5
0
0
lt20
lt23
lt26
lt29
lt32
32
lt20
lt23
lt26
lt32
32
lt29
Level of BMI
Level of BMI
35
35
Black Men
Black Women
30
30
25
25
Percent
20
20
Percent
15
15
10
10
5
5
0
0
lt20
lt23
lt26
lt29
lt32
32
lt26
lt20
lt23
lt29
lt32
32
Level of BMI
Level of BMI
NHANES I Epidemiologic Follow-up Study.
1971-1987. Lipton R.B. et al. Am J Epidemiol
1993138826-39. Bars frequency distribution of
body mass index (BMI). Squares and lines
incidence of diabetes ().
2
Obesity and Diabetes Risk
Incidence of New Cases per 1,000 Person-Years
BMI Levels
Knowler WC et al. Am J Epidemiol
1981113144-156.
3
Weight Gain and Diabetes Risk
Weight Change Since Age 21
Relative Risk
Body Mass Index at Age 21
Adapted from Chan JM et al. Diabetes Care
199417960-969.
4
Metabolic Characteristics of Non-Obese and Obese
Women With Low and High Levels of Deep Abdominal
Fat
Significantly different from non-obese
women. Significantly different from obese women
with low levels of deep abdominal fat,
plt0.05. The values represent means SD. The
number of subjects is shown in parentheses.
Triglyceride data were log 10 transformed for
statistical analysis.
Despres JP et al. Arteriosclerosis
199010497-511.
5
26 -Year Incidence of Coronary Heart Disease in
Men
Incidence/1,000
BMI Levels
Adapted from Hubert HB et al. Circulation
198367968-977. Metropolitan Relative Weight of
110 is a BMI of approximately 25.
6
26 -Year Incidence of Coronary Heart Disease in
Women
Incidence/1,000
BMI Levels
Adapted from Hubert HB et al. Circulation
198367968-977. Metropolitan Relative Weight
of 110 is a BMI of approximately 25.
7
Relationship of BMI to Excess Mortality
300
Age at Issue
20-29
250
30-39
200
150
Mortality Ratio
100
High
Moderate
Low
Risk
Risk
Risk
50
0
15
20
25
30
40
35
Body Mass Index (kg/m2)