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The problem of morbid obesity in our society affects approximately 4.9% of men between 21-75 years and 7.2% of women, according to data from the First Health and Nutrition Examination Survey. The long-term morbid ity of obesity is now being felt in a number of different areas. In the Study on Build and Blood Pressure by the Society of Actuaries in 1959, a mortality ratio of 168% was calculated for insured males weighing over 254 pounds (115 kg) (12). The Veteran's Administration Study of 200 morbidly obese men demonstrated a 12-fold increase in the mortality compared with nor mal males in the age group from 25-34 and a 6-fold increase from 35 -1-1 years (13). Data from the new Build and Blood Pressure Study showed that men who were 40% over desirable weight experienced an excess mortality rate from all causes of 50% (6). The increased mortality was 60% for cardiocerebrovascular disorders, 120% for digestive diseases, and greater than 400% for diabetes. As far as surgical risks are concerned in women weighing more than 300 pounds, the postoperative mortality was 20% compared with 2% for women weighing between 200 and 250 pounds (11). This probably takes into account
Annual Review of Medicine – Annual Reviews
Published: Feb 1, 1982
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