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January 2012Volume 30, Issue 1, Pages 191–195
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Influence of obesity on mortality of drivers in severe motor vehicle crashes

Dietrich Jehle
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Dietrich Jehle
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Affiliations

  • Department of Emergency Medicine, Erie County Medical Center; SUNY at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY 14214, USA
, MDa,
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Seth Gemme
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Seth Gemme
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Affiliations

  • SUNY at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY 14214, USA

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  • Corresponding author. Tel.: +1 4132627631.
b,low asterisk,'Correspondence information about the author Seth Gemme
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Seth Gemme
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Affiliations

  • SUNY at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY 14214, USA

Correspondence

  • Corresponding author. Tel.: +1 4132627631.
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Christopher Jehle
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Christopher Jehle
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  • Department of Emergency Medicine, Erie County Medical Center; SUNY at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY 14214, USA
a
Influence of obesity on mortality of drivers in severe motor vehicle crashes
DOI: https://doi.org/10.1016/j.ajem.2010.10.017

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Abstract

Purpose

The purpose of the study was to investigate the relationship between obesity and mortality of drivers in severe motor vehicle crashes involving at least one fatality.

Basic Procedures

Fatalities were selected from 155 584 drivers included in the 2000-2005 Fatality Analysis Reporting System. Drivers were stratified by body mass index, confounders were adjusted for, and multiple logistic regression was used to determine the odds ratio (OR) of death in each body mass index class compared with normal weight.

Main Findings

The adjusted risk of death from lowest to highest, reported as the OR of death compared with normal weight with 95% confidence intervals, was as follows: (1) overweight (OR, 0.952; 0.911-0.995; P = .0293), (2) slightly obese (OR, 0.996; 0.966-1.026; P = .7758), (3) normal weight, (4) underweight (OR, 1.115; 1.035-1.201; P = .0043), (5) moderately obese (OR, 1.212; 1.128-1.302; P < .0001), and (6) morbidly obese (OR, 1.559; 1.402-1.734; P < .0001).

Principal Conclusions

There is an increased risk of death for moderately obese, morbidly obese, and underweight drivers and a decreased risk in overweight drivers.

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☆This study was funded in part by a grant from the Federal Highway Administration ( DTFH61-98-X-00103 ) as awarded by the Center for Transportation Injury Research and the Calspan University at Buffalo Research Center, Buffalo, NY.

☆☆Presented at the Annual Society for Academic Emergency Medicine Meeting, Washington, DC, May 29-June 1, 2008, and the SUNY Buffalo Annual Medical Student Research Forum, Buffalo, NY, January 28, 2010.

© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
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January 2012Volume 30, Issue 1, Pages 191–195