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ORIGINAL ARTICLE
Year : 2015  |  Volume : 6  |  Issue : 1  |  Page : 107

Mortality attributable to excess body mass Index in Iran: Implementation of the comparative risk assessment methodology


1 Non communicable Diseases Research Center; Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences; Development of Research and Technology Center, Deputy of Research and Technology, Ministry of Health and Medical Education, Tehran, Iran
2 Non communicable Diseases Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences; Department of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Non communicable Diseases Research Center, Endocrinology and Metabolism Research Institute; Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
4 Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
5 Non communicable Diseases Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran
6 Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran

Correspondence Address:
Farshad Farzadfar
4th Floor, No. 4, Ostad Nejatollahi Street, Enqelab Avenue, Non communicable Diseases Research Center, Tehran University of Medical Sciences, Tehran
Iran
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Source of Support: This study was part of a Ph.D. dissertation completed by Shirin Djalalinia which is granted by Ministry of Health and Medical Education of Islamic Republic of Iran and Setad-e-EjraieFarmane Imam, Conflict of Interest: None


DOI: 10.4103/2008-7802.169075

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Background: The prevalence of obesity continues to rise worldwide with alarming rates in most of the world countries. Our aim was to compare the mortality of fatal disease attributable to excess body mass index (BMI) in Iran in 2005 and 2011. Methods: Using standards implementation comparative risk assessment methodology, we estimated mortality attributable to excess BMI in Iranian adults of 25-65 years old, at the national and sub-national levels for 9 attributable outcomes including; ischemic heart diseases (IHDs), stroke, hypertensive heart diseases, diabetes mellitus (DM), colon cancer, cancer of the body of the uterus, breast cancer, kidney cancer, and pancreatic cancer. Results: In 2011, in adults of 25-65 years old, at the national level, excess BMI was responsible for 39.5% of total deaths that were attributed to 9 BMI paired outcomes. From them, 55.0% were males. The highest mortality was attributed to IHD (55.7%) which was followed by stroke (19.3%), and DM (12.0%). Based on the population attributed fractions estimations of 2011, except for colon cancer, the remaining 6 common outcomes were higher for women than men. Conclusions: Despite the priority of the problem, there is currently no comprehensive program to prevention or control obesity in Iran. The present results show a growing need to comprehensive implications for national and sub-national health policies and interventional programs in Iran.


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