Impact of the association between education and obesity on diabetes-free life expectancy
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Impact of the association between education and obesity on diabetes-free life expectancy. / Brønnum-Hansen, Henrik; Davidsen, Michael; Andersen, Ingelise.
In: European Journal of Public Health, Vol. 33, No. 6, 2023, p. 968–973.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Impact of the association between education and obesity on diabetes-free life expectancy
AU - Brønnum-Hansen, Henrik
AU - Davidsen, Michael
AU - Andersen, Ingelise
N1 - © The Author(s) 2023. Published by Oxford University Press on behalf of the European Public Health Association.
PY - 2023
Y1 - 2023
N2 - BACKGROUND: The purpose of the study was to quantify the association between body weight and health by estimating the expected lifetime with and without diabetes (diabetes-free life expectancy) at age 30 and 65. In addition, the diabetes-free life expectancy was stratified by educational level.METHODS: Life tables by sex, level of education and obese/not obese were constructed using nationwide register data and self-reported data on body weight and height and diabetes from the Danish National Health Survey in 2021. Diabetes-free life expectancies were estimated by Sullivan's method.RESULTS: The difference in life expectancy between not obese 30-year-old men with a long and a short education was 5.7 years. For not obese women, the difference was 4.1 years. For obese men and women, the difference in life expectancy at age 30 was 7.0 and 5.2 years. Women could expect more years without and fewer years with diabetes than men regardless of body weight and educational level. Diabetes-free life expectancy differed by 6.9 years between not obese 30-year-old men with a short and a long education and by 7.7 years for obese men with a short and a long education. For women, the differences were 5.9 and 6.6 years.CONCLUSION: The results demonstrate an association of obesity and educational level with life expectancy and diabetes-free life expectancy. There is a need for preventive efforts to reduce educational inequality in life expectancy and diabetes-free life expectancy. Structural intervention will particularly benefit overweight people with short education.
AB - BACKGROUND: The purpose of the study was to quantify the association between body weight and health by estimating the expected lifetime with and without diabetes (diabetes-free life expectancy) at age 30 and 65. In addition, the diabetes-free life expectancy was stratified by educational level.METHODS: Life tables by sex, level of education and obese/not obese were constructed using nationwide register data and self-reported data on body weight and height and diabetes from the Danish National Health Survey in 2021. Diabetes-free life expectancies were estimated by Sullivan's method.RESULTS: The difference in life expectancy between not obese 30-year-old men with a long and a short education was 5.7 years. For not obese women, the difference was 4.1 years. For obese men and women, the difference in life expectancy at age 30 was 7.0 and 5.2 years. Women could expect more years without and fewer years with diabetes than men regardless of body weight and educational level. Diabetes-free life expectancy differed by 6.9 years between not obese 30-year-old men with a short and a long education and by 7.7 years for obese men with a short and a long education. For women, the differences were 5.9 and 6.6 years.CONCLUSION: The results demonstrate an association of obesity and educational level with life expectancy and diabetes-free life expectancy. There is a need for preventive efforts to reduce educational inequality in life expectancy and diabetes-free life expectancy. Structural intervention will particularly benefit overweight people with short education.
U2 - 10.1093/eurpub/ckad153
DO - 10.1093/eurpub/ckad153
M3 - Journal article
C2 - 37615997
VL - 33
SP - 968
EP - 973
JO - European Journal of Public Health
JF - European Journal of Public Health
SN - 1101-1262
IS - 6
ER -
ID: 363083991