Relation of weight variability and intentionality of weight loss to disease history and health-related variables in a population-based sample of women aged 55-69 years

被引:51
作者
French, SA
Jeffery, RW
Folsom, AR
Williamson, DF
Byers, T
机构
[1] UNIV MINNESOTA,SCH PUBL HLTH,DIV EPIDEMIOL,MINNEAPOLIS,MN 55454
[2] CTR DIS CONTROL,NATL CTR CHRON DIS PREVENT & HLTH PROMOT,ATLANTA,GA 30333
关键词
body weight; diet; obesity; weight loss;
D O I
10.1093/oxfordjournals.aje.a117598
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The authors examined the relation of recalled weight variability and history of intentional and unintentional weight loss with disease history in 41,837 older women. Lifetime history of disease, current medication use, health-related behaviors, body weight, and intentional and unintentional weight loss episodes of at least 20 lbs (9.1 kg) were assessed by means of two surveys, completed 6 years apart. Weight variability, as measured by the root mean square error around the linear regression line of weight on age at ages 18, 30, and 40 years, was positively related to disease history. Women who reported losing greater than or equal to 20 Ibs (greater than or equal to 9.1 kg) unintentionally between the ages 18 and 39 years were more likely to report a history of disease than were women who had never lost greater than or equal to 20 Ibs (29.1 kg) during this age period. intentional weight loss episodes of greater than or equal to 20 lbs (greater than or equal to 9.1 kg) between ages 18 and 39 years were also associated with higher cumulative disease prevalence. These results suggest that both unintentional and, to a lesser degree, intentional weight loss may contribute to the observed positive relation between weight loss or variability and disease. Prospective studies are needed to confirm whether weight variability is a risk factor for disease only when unintentional, or whether intentional weight loss also increases risk.
引用
收藏
页码:1306 / 1314
页数:9
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