Teen BMI Predicts Future Health
Reported April 11, 2011
(Ivanhoe Newswire) -- We all know diabetes and heart disease are threats as we
get older. However, a new study shows that BMI (body mass index) at age 17 can
be a reliable predictor of diabetes and heart disease risk.
The study was comprised of 37,000 Israeli army career personnel who were
monitored over several years. The first baseline reading of BMI was taken when
the participants were 17 years old; after that, BMI was measured every few years
for an average period of 17 years. On average, BMI of the participants increased
at a rate of about 0.2-0.3 units per year, culminating in an average weight gain
of about 30 pounds between the ages of 17 and 30. 1,173 participants developed
diabetes during the study, and 327 participants were diagnosed with heart
disease.
Even when allowing for risk factors for both diseases, such as family history,
age and blood pressure, the researchers found the BMI at age 17 was a reliable
predictor for both heart disease and type 2 diabetes. For every increase of 1
unit of BMI, the risk of diabetes went up 10-percent and the risk of heart
disease increased by 12-percent.
Professor Assaf Rudich, of Ben-Gurion University, was quoted as saying: “This
study is significant because it demonstrates that the association exits within
the currently-considered normal values for BMI, having distinct effect on two
diseases occurring in early adulthood and in an age group that is frequently
neglected.”
In addition, increased risk of diabetes at age 17 was significant at BMI values
of 23.4 Kg/m2 or higher, which roughly corresponds to 163 lbs or more for a
5’10” male teenager. Increased risk of heart disease was significant at a BMI of
20.9 Kg/m2, or 146 lbs for a 5’10” male teen. The fact that BMI at age 17 is an
indicator of increased risk for diabetes can be explained by the fact that
diabetes risk is associated with BMI later in life as well. For heart disease,
however, the BMI at adolescence and the BMI at adulthood predicted risk
independently of each other. Ben-Gurion University’s Professor Iris Shai was
quoted as saying: “It would seem that heart disease has a longer ‘memory’ for
BMI than diabetes, and history of a person’s BMI should be part of risk
assessment.”
“The study suggest that the obesity problem in children and teens is likely just
the tip of the iceberg for increased risk for type 2 diabetes and heart disease
in adulthood,” Amir Tirosh, MD PhD, of the Endocrine Division at Brigham and
Women’s Hospital and lead author of the study, was quoted as saying. “For
prevention of early occurrence of heart disease in adulthood, it would seem that
very early intervention to promote healthy lifestyle habits is warranted, even
during childhood.”
SOURCE: New England Journal of Medicine, April 7, 2011
|