Table 4 Development of restrictive lung diseases by metabolically healthy status stratified by body mass index category.

From: Metabolically healthy and unhealthy obesity and the development of lung dysfunction

BMI category

(kg/m2)

Person-years

Incident cases

Incidence rate (per 103 PY)

Age and sex-adjusted HR (95% CI)

Multivariable-adjusted HR (95% CI)a

HR (95% CI)b

(in time-dependent model)

Restrictive lung disease

 Normal weight

  Metabolically healthy

370,170.1

2426

6.6

1.00 (reference)

1.00 (reference)

1.00 (reference)

  Metabolically unhealthy

161,205.2

1543

9.6

1.11 (1.04–1.19)

1.14 (1.07–1.22)

1.16 (1.08–1.24)

 Overweight

  Metabolically healthy

128,735.9

771

6.0

1.00 (reference)

1.00 (reference)

1.00 (reference)

  Metabolically unhealthy

148,916.8

1536

10.3

1.31 (1.20–1.43)

1.35 (1.24–1.47)

1.39 (1.26–1.52)

 Obesity

  Metabolically healthy

92,426.4

674

7.3

1.00 (reference)

1.00 (reference)

1.00 (reference)

  Metabolically unhealthy

257,313.7

3093

12.0

1.34 (1.24–1.46)

1.38 (1.27–1.50)

1.49 (1.36–1.62)

Obstructive lung disease

 Normal weight

  Metabolically healthy

371,738.5

1687

4.5

1.00 (reference)

1.00 (reference)

1.00 (reference)

  Metabolically unhealthy

161,477.4

1224

7.6

1.00 (0.93–1.08)

0.98 (0.91–1.06)

1.00 (0.92–1.08)

 Overweight

  Metabolically healthy

128,470.8

771

6.0

1.00 (reference)

1.00 (reference)

1.00 (reference)

  Metabolically unhealthy

148,775.8

1285

8.6

1.00 (0.91–1.09)

0.96 (0.88–1.05)

0.92 (0.84–1.00)

 Obesity

  Metabolically healthy

92,550.4

479

5.2

1.00 (reference)

1.00 (reference)

1.00 (reference)

  Metabolically unhealthy

259,635.2

1494

5.8

0.84 (0.76–0.94)

0.81 (0.73–0.89)

0.81 (0.73–0.90)

  1. aEstimated from parametric proportional hazard models. The multivariable model was adjusted for age, sex, centre, year of screening examination, education level, smoking status, alcohol intake, physical activity level, and total energy intake.
  2. bEstimated from parametric proportional hazard models with BMI category, smoking status, alcohol intake, physical activity level, and total energy intake as time-dependent categorical variables and baseline age, sex, centre, year of screening examination, and education level as time-fixed variables.
  3. BMI body mass index, CI confidence interval, HR hazard ratio, PY person years.