The 10-y incidence of obesity and major weight gain in black and white US women aged 30–55 y

Williamson, D F; Kahn, Henry S.; Byers, Tim

doi:10.1093/ajcn/53.6.1515s

Cited by 83 publications

(52 citation statements)

References 4 publications

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“…This increase was not statistically signi®cant, but is comparable in magnitude to estimates from a population-based sample of women aged 30 ± 55 where blacks were 50% more likely than whites to gain 10 kg or more over 10 y. 40 Smith and colleagues found similar average increases in body weight (2 ± 3 kg) related to pregnancy among blacks and whites over 5 y. Thus, greater weight increases among black women may re¯ect differences in social, cultural and behavioral factors rather than pregnancyrelated weight changes.…”

Section: Discussionsupporting

confidence: 60%

The relative importance of gestational gain and maternal characteristics associated with the risk of becoming overweight after pregnancy

2000

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OBJECTIVES: To assess the relationships between gestational gain, raceaethnicity, reproductive history, age, education and the risk of becoming overweight after pregnancy. STUDY DESIGN: Prospective cohort study of adult women from four raceaethnicity groups who had two consecutive births between 1980 and 1990 at the University of California, San Francisco (UCSF). MEASUREMENTS: Height and pregravid weights for each pregnancy were self-reported. Women were classi®ed as overweight or not overweight according to the Institute of Medicine (IOM) criteria for pregnancy. Gestational gain was de®ned as the difference between the pregravid weight and the last weight before delivery of the ®rst study pregnancy. SUBJECTS: 1300 healthy women aged 18 ± 41 y who had a singleton, full-term, live birth (index or ®rst study pregnancy) followed by a second birth. Self-reported pregravid weights and heights were used to calculate body mass index (BMI). Women with a pregravid BMI below 26.0 kgam 2 before the index pregnancy were classi®ed as not overweight (n 1128). Overweight status following the index pregnancy was based on pregravid BMI for the second pregnancy. RESULTS: Seventy-two women (6.4%) became overweight following the index pregnancy. Statistically signi®cant independent predictors of the risk of becoming overweight included: maternal age 24 ± 30 vs above 30 y, high gestational gain, short interval from menarche to ®rst ever birth (`8 y), and young age at menarche (`12 y). The risk of becoming overweight was increased 2.5 ± 3 times for each of these risk factors. Whites were 4.5 times more likely to become overweight than Asians, but blacks and Hispanics did not appear to differ from whites. Parity, time interval, smoking habit, education, marital status and other factors were not associated with the risk of becoming overweight. CONCLUSIONS: These ®ndings suggest that young age at menarche, maternal age and short time from menarche to ®rst ever birth may be as important as high gestational weight gain in determining the risk of becoming overweight after pregnancy.

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Section: Discussionsupporting

confidence: 60%

The relative importance of gestational gain and maternal characteristics associated with the risk of becoming overweight after pregnancy

2000

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“…24 In the US First National Health and Nutrition Examination Survey Epidemiologic Follow-up Study, the 10-year incidence of obesity among women aged 30-55 years, where obesity was defined as a BMI equal to or greater than 29 kg/m 2 , was 15.5% in blacks and 9.7% in whites. 25 In the present Japanese population, the incidence of obesity was much lower than those in the western studies.…”

Section: Discussionmentioning

confidence: 54%

Overweight and obesity trends among Japanese adults: a 10-year follow-up of the JPHC Study

et al. 2008

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Objective: Limited data are available regarding longitudinal changes in body weight. Here, we describe changes in the prevalences of overweight and obesity and calculated the incidence of these indices during a 10-year follow-up period for a large-scale cohort study in Japan. Design: Longitudinal analysis of data from a population-based cohort study, the Japan Public Health Center (JPHC) Study. Participants: A total of 65 095 Japanese men and women, who were between the ages of 40 and 69 years at baseline and participated in the 5th-and 10th-year follow-up surveys of the JPHC, were enroled in the study. Measurements: Mean body mass index (BMI), calculated using self-reported height and weight, and the prevalences of overweight (BMI X25 kg/m 2 ) and obesity (BMI X30 kg/m 2 ) at each survey period. Incidences of overweight and obesity during the 10-year period. Results: On an average, individuals living in Okinawa had much higher BMIs than those living on the Main islands for all sex and age groups. During the follow-up period, the prevalences of overweight and obesity steadily increased in the cohorts aged less than 50 years at baseline in both sexes. Men in younger cohorts had a higher mean BMI than those in the same age group of older cohorts, whereas the opposite trend was observed in women. The incidence of overweight individuals was greater in Okinawa than on the Main islands and among younger generations than among older ones. Conclusion: A longitudinal analysis at the individual level showed that the prevalences of overweight and obesity increased among middle-aged Japanese participants during the follow-up period. Among men, an increasing prevalence of obesity was observed among the younger generations. These findings should be taken into consideration when planning preventive strategies for obesity and its related diseases.

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“…This expected variation was based on the mean annual weight gain of individuals aged between 21 and 64 years living in the city of São Paulo, which was obtained from the Surveillance System of Protection and Risk Factors for Chronic Diseases (17) . The literature points to an annual weight gain of between 0?5 and 2 kg in American and European adults (18)(19)(20) . Eligible participants were workers aged 18-64 years with a BMI between 20?0 and 39?9 kg/m 2 .…”

Section: Methodsmentioning

confidence: 99%

Impact of an education intervention using email for the prevention of weight gain among adult workers

Jaime

Bandoni

Sarno

2013

Public Health Nutr.

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Objective: To evaluate the impact of a worksite intervention to prevent weight gain among adult workers. Design: A controlled community trial was performed by dividing the workers into two groups: intervention group (IG) and control group (CG). The theoretical framework applied was Intervention Mapping Protocol and the intervention was implemented through interactive software for weight self-monitoring. To evaluate the impact of the intervention, the differences in weight, BMI and waist circumference between the IG and CG were assessed before and 6 months after the intervention by regression models. Additionally, the sustainability of the intervention was evaluated at 12 months after the intervention. Settings: São Paulo, Brazil. Subjects: Four companies; 281 workers for the analysis of effectiveness and 427 for the analysis of sustainability. Results: The intervention resulted in significant reductions in weight, BMI and waist circumference in the IG compared with the CG. The impact of the intervention on IG individuals' body weight was 20?73 kg, while the weight of CG individuals increased. IG individuals with adequate initial weights did not show significant variations, while those who were overweight demonstrated a significant reduction in body weight. The intervention resulted in a reduction of 0?26 kg/m 2 in BMI and 0?99 cm in waist circumference, and the sustainability analysis after 12 months showed a continued reduction in body weight (20?72 kg). Conclusions: The behavioural intervention was effective, resulting in weight maintenance among participants with adequate initial weight and in significant reductions among those who were overweight. More research on longer-term weight maintenance is needed.

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The 10-y incidence of obesity and major weight gain in black and white US women aged 30–55 y

Cited by 83 publications

References 4 publications

The relative importance of gestational gain and maternal characteristics associated with the risk of becoming overweight after pregnancy

The relative importance of gestational gain and maternal characteristics associated with the risk of becoming overweight after pregnancy

Overweight and obesity trends among Japanese adults: a 10-year follow-up of the JPHC Study

Impact of an education intervention using email for the prevention of weight gain among adult workers

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