Factors Associated with High Weight Gain and Obesity Duration: The Norwegian Women and Cancer (NOWAC) Study

Silva, Marisa da; Weiderpass, Elisabete; Licaj, Idlir; Rylander, Charlotta

doi:10.1159/000492002

Cited by 9 publications

(7 citation statements)

References 35 publications

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“…The younger participants had the largest weight gain. This corresponds well with results from other population-based longitudinal studies in Norway [4,[6][7][8][9]11,12] and other recent studies [13,14,17,18], demonstrating an inverse relationship between age at baseline and change in body mass index and/or weight.…”

Section: Discussionsupporting

confidence: 92%

“…Recent longitudinal studies of the relationships between age and weight (or body mass index (BMI)) or age and waist circumference in adults give an impression of an inverse linear relationship; i.e., younger adults gain more weight and increase their waist circumference more over time than middle-aged or older adults [4,[6][7][8][9][10][11][12][13][14][15][16][17][18]. It is in this context relevant that studies suggest that genetic predisposition interacts with the obesogenic environment.…”

Section: Introductionmentioning

confidence: 99%

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A descriptive study of ten-year longitudinal changes in weight and waist circumference in the multi-ethnic rural Northern Norway. The SAMINOR Study, 2003-2014

Jacobsen¹,

Melhus²,

Kvaløy³

et al. 2020

PLoS ONE

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The obesity epidemic is dynamic with varying secular trends and differences between countries and ethnic groups. The objective of this study was to describe the age-and sex-specific longitudinal changes in weight and waist circumference in a rural Norwegian population with a high proportion of the indigenous Sami population. Based on two population-based surveys, SAMINOR 1 (2003-2004) and SAMINOR 2 (2012-2014), we present longitudinal changes in weight and waist circumference according to age at baseline in the SAMINOR 1 Survey and sex during the 10-year period. The analyses included 1538 men and 1958 women aged 36 to 69 at baseline (birth year 1934 to 1967). Forty-one percent of the population were Sami. Both weight and waist circumference were measured. The mean weight increased 0.8 kg (95% confidence interval: 0.5, 1.1) in men and 0.3 kg (95% confidence interval: 0, 0.5) in women. In both men and women, younger individuals gained significantly more weight during the 10-year follow-up than older participants (p < 0.001). The mean weight showed a statistically significant increase in men aged 36-54 and women aged 36-49 at baseline and was statistically significantly reduced in men and women aged 60-69. The mean waist circumference increased by 6.3 cm (95% confidence interval: 6.0, 6.6) in men and 8.4 cm (95% confidence interval 8.1, 8.8) in women. The mean waist circumference increased statistically significantly from SAMINOR 1 to SAMINOR 2 in all age groups, and there was an inverse relationship between age at baseline and change in waist circumference (p < 0.001). Waist circumference increased more than can be explained by changes in weight and age during the 10-year period. The inverse relationships between age at baseline in SAMINOR 1 and the 10-year change in weight and waist circumference were found in both Sami and non-Sami participants. The findings underline the need for prevention of obesity, particularly in younger people, as it is difficult to achieve permanent weight loss.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

A descriptive study of ten-year longitudinal changes in weight and waist circumference in the multi-ethnic rural Northern Norway. The SAMINOR Study, 2003-2014

Jacobsen¹,

Melhus²,

Kvaløy³

et al. 2020

PLoS ONE

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“…Nowadays, adults tend to gain weight at $0.4-1 kg per year [14][15][16], overweight and obese people tend to gain even more than those with a normal BMI [16]. In our study, participants in the normal weight group gained 0.5 kg per year on average, even though they had the same lifestyle counselling as the overweight/ obese participants.…”

Section: Discussionmentioning

confidence: 49%

The impact of lifestyle counselling on weight management and quality of life among working-age females

Virtanen

Penttinen

Kautiainen

et al. 2021

Scandinavian Journal of Primary Health Care

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Objective: Overweight and obesity are increasing globally. General practitioners (GP's) are at the first point of contact for medical support and consequently have a major role in resolving this overwhelming problem. The aim of this study was to assess the effectiveness of a brief lifestyle counselling on weight management and on the participants' quality of life (QoL). Design: A cohort study with a one-year follow-up. Setting: Occupational health care, city of Pori in southwestern Finland. Participants: Female municipal employees (n ¼ 625) with a mean age of 48 (SD 9) years. Intervention: A nurse and a physiotherapist gave lifestyle counselling to all the participants; however, only the overweight/obese subjects were recommended to lose at least 5% of their initial weight. Main outcome measure: Success in weight management and quality of life. Results: At the follow-up visit, 10.4% (95% CI: 7.5-14.0) of the overweight/obese subjects had lost at least 5% of their weight, but 10.0% (95% CI: 6.7-14.3) of the normal-weight participants had become overweight. The mean weight change was þ0.1 kg (95% CI: À0.3-0.5) in the overweight/obese group and þ0.5 kg (95% CI: 0.2-0.8) in the normal weight group. The change in QoL was inversely correlated with relative weight change in overweight/obese subjects, albeit the effect size was small. Conclusion: Weight management counselling should also be directed to individuals with a normal weight. Even with brief lifestyle counselling it may be possible to stabilize weight gain. Successful weight loss may improve the QoL of overweight/obese individuals. KEY POINTSPrimary health care has to deal with the increasing problem of overweight and obesity. Brief lifestyle counselling performed by a nurse and a physiotherapist seems to be quite effective in weight stabilization, considering the effort needed. People with normal weight tend to gain weight and weight management counselling should also be directed to them. Successful weight management may improve the quality of life of overweight/obese people.

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“…Furthermore, several studies done in other regions suggest the inclusion of WC in assessing population trends of obesity. [11][12][13] The present study extends the existing literature on ethnic-specific WC cutoffs for the Arab population, considering the obesity-related diseases associated with the proposed clinical cutoffs. Other factors such as the association of WC with other anthropometrics such as body mass index were previously observed in the local population and were already established, [14] as well as its importance in the diagnosis of MetS in the Saudi population.…”

Section: Discussionmentioning

confidence: 76%

A proposal for the cutoff points of waist circumference values predictive of increased risk of Type 2 diabetes and hypertension in Arab adults

Aljohani

Ahmad

Alfaqeeh

et al. 2021

Journal of Diabetes and Endocrine Practice

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Original Article introduCtionObesity is a worldwide health problem affecting people in different age groups and both genders. Studies in Saudi Arabia (KSA) and other Gulf Arab countries highlight the increasing burden of obesity with a reported prevalence of 13%-50% in adults. [1] Consequently, countries from the Gulf Cooperation Council Countries also have increasing prevalence rates of diabetes mellitus (DM), with Qatar, United Arab Emirates, and Kuwait having the highest, and Saudi Arabia the lowest, as of 2012. [2] Obesity, more specifically central obesity, is strongly associated with metabolic syndrome (MetS), and defining central obesity with waist circumference (WC) is usually different across multiple ethnicities. Therefore, the new International Diabetes Federation (IDF) definition has proposed ethnicity-specific cutoff values for WC for European and Japanese men and women.The IDF has recommended that more extensive investigations be performed before suitable cutoff levels are established for use in clinical practice. [3] Nonetheless, no cutoff value was determined in our population, and we are still using the caucasian values. We have therefore conducted this study to fill this knowledge gap. subjECts and mEtHods Study designThis is a cross-sectional community-based study spanning the entire adult population of KSA conducted in 2005. We used the STEPwise approach to surveillance recommended by the Introduction: Central obesity is an established risk factor for diabetes mellitus (DM) and hypertension. We aimed to identify people at the highest risk by ethnically adjusted waist circumference (WC) cutoff points. Subjects and Methods: Data were collected from a cross-sectional study of 4350 Saudi adults aged 15-64 years using a stratified, multistage, cluster random sampling. DM was based on known history or fasting blood glucose higher than 7.0 mmol/L, and hypertension was determined by having a systolic blood pressure ≥140 mmHg and/or diastolic ≥90 mmHg. WC was measured midway between the lower costal margin and iliac crest during the end-expiratory phase. Results: The mean age for all the study population was 36.6 + 13.0 years (35.6 ± 12.0 years for females; 37.5 ± 13.9 years for males). The mean WC was 95.2 + 14.01 cm for males and 89.9 + 12.6 cm for females (P < 0.001). The prevalence of diabetes was 23.8% for all subjects. The prevalence of hypertension for all subjects was 25.5%. Receiver operator characteristics curves revealed that WC cutoff points for diabetes risk are 91 cm and 97 cm for women and men, respectively, and for hypertension are 90 cm and 97 cm for women and men, respectively. Conclusions: The present study proposes the obtained cutoffs to identify those at high risk for diabetes and hypertension in the Saudi population who can be considered candidates for preventive interventions.

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Factors Associated with High Weight Gain and Obesity Duration: The Norwegian Women and Cancer (NOWAC) Study

Cited by 9 publications

References 35 publications

A descriptive study of ten-year longitudinal changes in weight and waist circumference in the multi-ethnic rural Northern Norway. The SAMINOR Study, 2003-2014

A descriptive study of ten-year longitudinal changes in weight and waist circumference in the multi-ethnic rural Northern Norway. The SAMINOR Study, 2003-2014

The impact of lifestyle counselling on weight management and quality of life among working-age females

A proposal for the cutoff points of waist circumference values predictive of increased risk of Type 2 diabetes and hypertension in Arab adults

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