Sorlie P, Gordon T, Kannel W B
JAMA. 1980 May 9;243(18):1828-31.
Results of the Framingham study are compared with those of the 1959 Build and Blood Pressure Study (BBPS) using the same definitions of body build and using similar follow-up periods for mortality. Findings of the Framingham study do not accord with the insurance experience of that comprises the BBPS. With minor exceptions the insurance experience demonstrates that the greater the relative weight, the greater the risk of death. The unselected population sample of the Framingham study shows minimum mortality around the average weight with increased mortality for persons weighing less or more than average. The higher proportion of lean persons who smoke does not account for the excess mortality in the leanest group. These study differences raise questions on the current standards of ideal weight used for the American population.
将弗雷明汉姆研究的结果与1959年体型与血压研究(BBPS)的结果进行了比较,两者采用相同的体型定义,并对死亡率采用了相似的随访期。弗雷明汉姆研究的结果与构成BBPS的保险经验不一致。除了少数例外情况,保险经验表明相对体重越大,死亡风险越高。弗雷明汉姆研究的非选择性人群样本显示,平均体重左右的死亡率最低,体重低于或高于平均水平的人的死亡率则会增加。较瘦人群中较高的吸烟比例并不能解释最瘦组中过高的死亡率。这些研究差异引发了对于美国人群理想体重现行标准的质疑。