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Volume 353:2197-2199 November 17, 2005 Number 20
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Obesity and Mortality

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To the Editor: It has been suggested that the magnitude of the association between obesity and total mortality is decreasing over time because of improvements in medical care for conditions related to obesity.1 This hypothesis was generated to explain higher observed relative risks of death from any cause associated with obesity in the first National Health and Nutrition Examination Survey (NHANES I) as compared with two later surveys, NHANES II and NHANES III.1 Whether similar trends are detectable in other cohorts that span recent decades is not known.

We examined secular trends in the association between body-mass index (BMI, defined . . . [Full Text of this Article]


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