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. 2016 Aug 20;388(10046):776–786. doi: 10.1016/S0140-6736(16)30175-1

Table 3.

Nine BMI groups versus all-cause mortality in never-smokers, excluding chronic disease at baseline and 5 years of follow-up in geographical regions with more than 1 million participants

15·0–<18·5 kg/m2 18·5–<20·0 kg/m2 20·0–<22·5 kg/m2 22·5–<25·0 kg/m2 25·0–<27·5 kg/m2 27·5–<30·0 kg/m2 30·0–<35·0 kg/m2 35·0–<40·0 kg/m2 40·0–<60·0 kg/m2
Europe*
Participants/deaths 13 398/675 42 584/1508 199 369/7449 306 566/13278 249 929/12 850 153 147/8935 127 536/8386 32 749/2424 10 322/972
HR (95% CI) 1·79 (1·63–1·97) 1·25 (1·14–1·38) 1·02 (0·97–1·07) 1·00 (0·97–1·03) 1·07 (1·06–1·09) 1·21 (1·18–1·25) 1·52 (1·45–1·58) 1·99 (1·87–2·12) 3·04 (2·84–3·27)
North America
Participants/deaths 22 028/3846 67 114/8597 274 883/36 200 359 022/54 995 317 721/53 464 168 183/28 471 149 807/25 348 39 379/6299 16 950/2702
HR (95% CI) 1·51 (1·34–1·70) 1·09 (1·02–1·16) 1·01 (0·96–1·06) 1·00 (0·97–1·03) 1·06 (1·04–1·07) 1·17 (1·12–1·22) 1·39 (1·30–1·49) 1·93 (1·74–2·13) 2·58 (2·26–2·93)
East Asia
Participants/deaths 46 979/7178 94 409/10 206 301 242/27 537 336 758/28 755 194 857/17 070 72 133/6950 25 658/2753 1941/231 408/104
HR (95% CI) 1·36 (1·25–1·49) 1·11 (1·04–1·18) 0·99 (0·97–1·02) 1·00 (0·97–1·03) 1·07 (1·04–1·11) 1·28 (1·21–1·35) 1·54 (1·42–1·67) 2·01 (1·59–2·54) 2·38 (1·33–4·24)
p value for heterogeneityl 0·0045 0·28 0·42 .. 0·89 0·46 0·20 0·48 <0·0001

Normal weight and overweight are subdivided, and the reference category is BMI 22·5 kg/m2 to less than 25·0 kg/m2. Numbers of studies, participants, and deaths are shown after exclusions from these prespecified principal analyses. CIs were calculated using floating variance estimates (reflecting independent variability within each group, including the reference group). Results from studies in south Asia and Australia and New Zealand are in figure 1, with details in the appendix (p 20).

*

89 studies; 1 135 600 participants; 56 477 deaths.

40 studies; 1 415 087 participants; 219 922 deaths.

46 studies; 1 074 385 participants; 100 784 deaths.

p value for heterogenity is for all three regions.