Change in body weight from age 20 years is a powerful determinant of the metabolic syndrome

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Lind, LarsUppsala universitet,Kardiovaskulär epidemiologi,Uppsala University Hospital (author)

Change in body weight from age 20 years is a powerful determinant of the metabolic syndrome

Article/chapterEnglish2017

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Mary Ann Liebert Inc,2017
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LIBRIS-ID:oai:DiVA.org:du-24671
https://urn.kb.se/resolve?urn=urn:nbn:se:du-24671URI
https://doi.org/10.1089/met.2016.0121DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-321437URI
https://lup.lub.lu.se/record/fa3f9df7-0e86-4080-bfaa-ba9da06ada77URI

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Language:English
Summary in:English

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BACKGROUND: Higher body weight is a well-known determinant of the metabolic syndrome (MetS) and its components. It is however less well studied how the change in weight from age 20 years to middle age or old age affects MetS development.METHODS: In the community-based EpiHealth (n = 19,000, age range 45 to 75 years, 56% females) and PIVUS (n = 1000, all aged 70 years, 50% females) studies, the participants were asked about their body weight at age 20 years. Data were collected to determine MetS prevalence (NCEP ATP III criteria).RESULTS: In EpiHealth, the probability of having MetS increased fairly linearly with increasing weight from age 20 in the obese [odds ratios (OR) 1.04 per kg change in weight, 95% confidence interval (CI) 1.03-1.05, P < 0.0001], as well as in the overweight (OR 1.15, 95% CI 1.14-1.17, P < 0.0001) and normal-weight (OR 1.18, 95% CI 1.14-1.21, P < 0.0001), subjects after adjustment for age, sex, body mass index (BMI) at age 20, alcohol intake, smoking, education, and exercise habits. Also in the PIVUS study, the change in weight over 50 years was related to prevalent MetS (OR 1.08 per kg change in weight, 95% CI 1.06-1.10, P < 0.0001). In both studies, self-reported BMI at age 20 was related to prevalent MetS.CONCLUSION: Self-reported weight gain from age 20 was strongly and independently associated with prevalent MetS both in middle age or old age. Interestingly, this relationship was not restricted only to obese subjects. Our data provide additional support for the importance of maintaining a stable weight throughout life.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Annan klinisk medicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Other Clinical Medicine hsv//eng
body weight
epidemiology
longitudinal
metabolic syndrome
obesity
Hälsa och välfärd
Health and Welfare
body weight
epidemiology
longitudinal
metabolic syndrome
obesity

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Elmståhl, SölveLund University,Lunds universitet,Geriatrik,Forskargrupper vid Lunds universitet,Geriatrics,Lund University Research Groups(Swepub:lu)smi-sel (author)
Ärnlöv, JohanDalarna University College,Högskolan Dalarna,Medicinsk vetenskap,Uppsala universitet,Institutionen för medicinska vetenskaper,Dalarna Univ, Sch Hlth & Social Studies, Falun, Sweden.(Swepub:uu)johaarnl (author)
Uppsala universitetKardiovaskulär epidemiologi (creator_code:org_t)

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In:Metabolic Syndrome and Related Disorders: Mary Ann Liebert Inc15:3, s. 112-1171540-41961557-8518

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By the author/editor: Lind, Lars; Elmståhl, Sölve; Ärnlöv, Johan

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Other Clinical M ...

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By the university: Högskolan Dalarna; Uppsala University; Lund University

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