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The impact of body mass index on incidence of herpes zoster is unclear. This study investigated whether it was associated with a history of herpes zoster and incidence during a 3-year follow-up, using data from a prospective cohort study in Japan. In total, 12,311 individuals were included in the cross-sectional analysis at baseline, of whom 1,818 with a history of herpes zoster were excluded from the incidence analysis, leaving 10,493 individuals. Body mass index (kg/m ) was classified into three categories (underweight 18.5, normal