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Table 1.

Participant characteristics by muscle mass status and BMI in 11,687 participants of NHANES 1999–2004.

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Fig 1.

BMI versus total body fat percentage based on muscle mass status and age.

Graphs show scatter plots of BMI and total body fat percentage and fitted b-splines based on muscle mass status for women (Panel A) and men (Panel B), and based on age <60 years or ≥60 years for women (Panel C) and men (Panel D). Scatter plots depict data for a single imputation but appeared identical for all imputations. B-splines were calculated using data from all imputations.

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Fig 1 Expand

Table 2.

Association of body-mass index stratified by muscle mass with all-cause mortality in 11,687 participants of NHANES 1999–2004.

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Table 2 Expand

Fig 2.

Risk of all-cause mortality by BMI category and muscle mass status.

Bars indicate prevalence of low muscle mass in each BMI category. One participant with BMI >35 (38 kg/m2) had low muscle mass and was grouped with participants with BMI 30-<35 kg/m2 for statistical analysis. Models adjusted for age, sex, race/ethnicity, smoking status, physical activity level, and education. Error bars represent 95% confidence intervals.

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Fig 2 Expand

Fig 3.

The risk of death according to BMI for the full cohort (upper panel) and for participants with preserved muscle mass (lower panel).

Mortality modeled as a restricted cubic spline and models adjusted for age, sex, race/ethnicity, smoking status, physical activity level, and education. The shaded area represents the 95% confidence interval.

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Fig 3 Expand

Fig 4.

Association of BMI with all-cause mortality without and with adjustment for appendicular skeletal muscle mass index for the full cohort.

Models adjusted for age, sex, race/ethnicity, smoking status, physical activity level, and education. Error bars represent 95% confidence intervals.

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Fig 4 Expand

Fig 5.

Association of BMI with all-cause mortality without and with adjustment for appendicular skeletal muscle mass index after stratification by smoking status.

Models adjusted for age, sex, race/ethnicity, smoking status, physical activity level, and education. Error bars represent 95% confidence intervals.

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Fig 5 Expand

Fig 6.

Association of BMI with all-cause mortality without and with adjustment for appendicular skeletal muscle mass index and waist circumference.

Models adjusted for age, sex, race/ethnicity, smoking status, physical activity level, and education. Error bars represent 95% confidence intervals.

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Fig 6 Expand

Fig 7.

Risk of mortality by BMI category and muscle mass status, without and with adjustment for waist circumference.

Y-axis truncated for clarity (see S6 Fig for untruncated y-axis). Models adjusted for age, sex, race/ethnicity, smoking status, physical activity level, and education. Error bars represent 95% confidence intervals.

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Fig 7 Expand