scholarly journals 1019Socioeconomic inequities in 5-year weight trajectories in association with baseline weight-related perceptions: a longitudinal study

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Xiaoqi Feng ◽  
Andrew Wilson
Keyword(s):  
Weight Status ◽  
Multilevel Models ◽  
Normal Weight ◽  
Socioeconomically Disadvantaged ◽  
Bmi Trajectories ◽  
Perceived Weight ◽  
Baseline Weight ◽  
Socioeconomic Strata ◽  
Weight Trajectories ◽  
Baseline Bmi

Abstract Background Recognition of overweight may be a necessary pre-cursor for weight-reduction, but some suggest under-perceiving overweight may be protective against obesity. Differential responses may occur across socioeconomic strata. Methods Five-year body mass index (BMI) trajectories were examined using multilevel models of 8174 participants stratified by gender, neighbourhood socioeconomic circumstances, baseline BMI and perceived weight status, adjusting for potential confounders. Results At baseline, weight-related dissatisfaction and perceived overweight were associated with higher mean BMI, regardless of whether people were classified as ‘normal’ or overweight by WHO criteria. Mean BMI did not decrease among people classified as overweight who perceived themselves as overweight, or expressed weight-related dissatisfaction. Among those with ‘normal’ BMI at baseline but dissatisfied with their weight, mean BMI increased disproportionately among people in disadvantaged areas. Mean BMI also rose disproportionately for people in disadvantaged areas among those feeling overweight, despite having a ‘normal’ BMI, compared to people with the same over-perception but living in affluent areas. Conclusions No evidence was found to suggest accurate recognition of overweight or expressing weight-related dissatisfaction leads to a lower BMI. However, there was evidence of an increase in mean BMI among people who felt dissatisfied with, or over-perceived their ‘normal’ weight, especially in socioeconomically disadvantaged areas. Key messages Correction of under-perceptions may not drive weight loss, but circumstances contributing to over-perception and dissatisfaction with weight status may contribute to increased weight gain and exacerbate socioeconomic inequities in BMI.

Abstract MP44: Adolescent Predictors Of Changes In Weight Status From Adolescence To Adulthood: Evidence From The Addhealth Study

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Liliana Aguayo ◽  
Solveig Argeseanu Cunningham
Keyword(s):  
High School ◽  
Weight Status ◽  
Normal Weight ◽  
Family Characteristics ◽  
Logistic Regression Models ◽  
Weight Outcomes ◽  
Baseline Weight ◽  
Nationally Representative ◽  
Weight Trajectories ◽  
Overweight Or Obesity

Introduction: The persistence of obesity from adolescent to adult ages is associated with risk of cardiovascular disease later in life. Data from cohorts that passed through childhood before 1980 show that when obesity is first observed in youth it often persists into adulthood. However, less is known about current weight trajectories of adolescents transitioning to adulthood. We examined the changes in weight status from adolescence to adulthood and baseline predictors of normal weight in adulthood. Methods: Study used data from the National Longitudinal Study of Adolescent Health (AddHealth) (n=14,135), a nationally representative sample of adolescents recruited in 1994 and followed up in 1996, 2001, and 2008. Weight and height measurements collected at each visit were used to classify weight status; we identified 4 trajectories between mean ages 16 and 30: 1) maintained normal weight, 2) achieved normal weight, 3) gained weight to enter the obesity category, and 4)maintained overweight or obesity. Logistic regression models included individual and family characteristics. Results: Among adolescents with normal weight, 56% gained weight to enter overweight or obesity categories 14 years later. Of those with overweight at baseline, 68% gained weight to enter obesity and 8% achieved normal weight; among adolescents with obesity, 89% maintained obesity, and only 2% achieved normal weight. After controlling for sex, age, race-ethnicity, and baseline weight status, adolescents who were trying to lose weight, skipped breakfast, ate dinner with their parents, had a mother with diabetes or obesity, a father with obesity, parents with less than high-school education, or married in high-school were less likely to have normal weight as adults. Independent of baseline weight status, adolescents who reported feeling loved were more likely to have normal weight in adulthood. Conclusion: Findings shed light on individual and family factors associated with normal weight outcomes after the transition from adolescence to adulthood.

Perceived weight status in normal weight and overweight women

2002 ◽  
Vol 3 (3) ◽  
pp. 229-238 ◽  
Author(s):  
Brooke L Whisenhunt ◽  
Donald A Williamson
Keyword(s):  
Weight Status ◽  
Normal Weight ◽  
Overweight Women ◽  
Perceived Weight

scholarly journals On the joint role of non-Hispanic Black race/ethnicity and weight status in predicting postmenopausal weight gain

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0247821
Author(s):  
Christopher N. Ford ◽  
Shine Chang ◽  
Alexis C. Wood ◽  
JoAnn E. Manson ◽  
David O. Garcia ◽  
...  
Keyword(s):  
Weight Gain ◽  
Weight Status ◽  
Proportional Hazards ◽  
Normal Weight ◽  
Cox Proportional Hazards ◽  
Class Iii ◽  
Modifying Factors ◽  
Obese Class ◽  
Baseline Weight ◽  
Race Ethnicity

Objectives To determine how baseline weight status contributes to differences in postmenopausal weight gain among non-Hispanic Blacks (NHBs) and non-Hispanic Whites (NHWs). Methods Data were included from 70,750 NHW and NHB postmenopausal women from the Women’s Health Initiative Observational Study (WHI OS). Body Mass Index (BMI) at baseline was used to classify women as having normal weight, overweight, obese class I, obese class II or obese class III. Cox proportional hazards was used to estimate the hazard of a 10% or more increase in weight from baseline. Results In both crude and adjusted models, NHBs were more likely to experience ≥10% weight gain than NHWs within the same category of baseline weight status. Moreover, NHBs who were normal weight at baseline were most likely to experience ≥10% weight gain in both crude and adjusted models. Age-stratified results were consistent with overall findings. In all age categories, NHBs who were normal weight at baseline were most likely to experience ≥10% weight gain. Based on the results of adjusted models, the joint influence of NHB race/ethnicity and weight status on risk of postmenopausal weight gain was both sub-additive and sub-multiplicative. Conclusion NHBs are more likely to experience postmenopausal weight gain than NHWs, and the disparity in risk is most pronounced among those who are normal weight at baseline. To address the disparity in postmenopausal obesity, future studies should focus on identifying and modifying factors that promote weight gain among normal weight NHBs.

scholarly journals A 3-year Longitudinal Study on Interaction Effects Between Self-perceived Weight Status and Lifestyle Behaviors on Obesity: The Children Obesity Study in China Mega-cities (P21-044-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Lu Ma ◽  
Liwang Gao ◽  
Hong Xue ◽  
Jungwon Min ◽  
Huijun Wang ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Status ◽  
Interaction Effects ◽  
Normal Weight ◽  
Lifestyle Behaviors ◽  
Additive Interaction ◽  
Funding Sources ◽  
Measured Weight ◽  
The Us ◽  
Perceived Weight

Abstract Objectives This study examined Chinese children's self-perceived and measured weight status, the main and interaction effects of children's self-perceived weight status and lifestyle behaviors on changes in their body mass index (BMI) over 3 years. Methods Children's weight, height, self-perceived weight status, and lifestyle behaviors (food intake, sedentary behavior, off-campus physical activity) were measured for 3298 children aged 6–18 years in Beijing, Shanghai, Xian, Nanjing, and Chengdu across China in 2015, 2016 and 2017. This analysis included the 1691 children who had >= two repeated BMI measurements during 2015–2017. Results The self-perceived weight status of half (49.9% of boys’ and 51.3% of girls’) was consistent with that based on measured weight and height; 45.2% of boys and 29.8% of girls underestimated their weight status. Boys were more likely to self-perceive as having a normal weight even when being obese. In longitudinal analysis, self-perceived weight status was positively associated with BMI among children (β = 4.99, P < 0.01), however, neither the lifestyle behaviors were significantly associated with BMI. Significant interactions between self-perceived weight status and lifestyle behaviors were only found among girls, not in boys. Additive interaction between self-perceived weight status and off-campus physical activity was statistically significant in girls (attributable proportion (95%CI) = 0.404 (0.143,0.666)). Conclusions In China, it is common children underestimated their own weight status. This leads to subsequent increased BMI. Off-campus physical activity could moderate the association. Future interventions are needed to empower children to have accurate assessment of their weight status and to promote physical activity. Funding Sources The US National Institutes of Health (NIH U54HD070725).

Weight Identity Among Older Adults in the United States: Genetic and Environmental Influences

2018 ◽  
pp. 262-274
Author(s):  
Robbee Wedow ◽  
Daniel A. Briley ◽  
Susan E. Short ◽  
Jason Boardman
Keyword(s):  
United States ◽  
Older Adults ◽  
Social Identity ◽  
Weight Status ◽  
Environmental Influences ◽  
Subjective Assessment ◽  
The United States ◽  
Men And Women ◽  
Perceived Weight ◽  
Midlife Adults

This chapter uses twin pairs from the Midlife in the United States study to investigate the genetic and environmental influences on perceived weight status for midlife adults. The inquiry builds on previous work investigating the same phenomenon in adolescents, and it shows that perceived weight status is not only heritable, but also heritable beyond objective weight. Subjective assessment of physical weight is independent of one’s physical weight and described as “weight identity.” Importantly, significant differences are shown in the heritability of weight identity among men and women. The chapter ends by discussing the potential relevance of these findings for broader social identity research.

scholarly journals Emotional Eating in Adolescence: Effects of Emotion Regulation, Weight Status and Negative Body Image

Nutrients ◽  
2020 ◽  
Vol 13 (1) ◽  
pp. 79
Author(s):  
Lenka H. Shriver ◽  
Jessica M. Dollar ◽  
Susan D. Calkins ◽  
Susan P. Keane ◽  
Lilly Shanahan ◽  
...  
Keyword(s):  
Body Image ◽  
Emotion Regulation ◽  
Emotional Regulation ◽  
Emotional Eating ◽  
Weight Status ◽  
Normal Weight ◽  
Linear Regression Models ◽  
Obesity Risk ◽  
Negative Body Image ◽  
Increased Risk

Emotional eating is associated with an increased risk of binge eating, eating in the absence of hunger and obesity risk. While previous studies with children and adolescents suggest that emotion regulation may be a key predictor of this dysregulated eating behavior, little is known about what other factors may be influencing the link between emotional regulation and emotional eating in adolescence. This multi-method longitudinal study (n = 138) utilized linear regression models to examine associations between childhood emotion regulation, adolescent weight status and negative body image, and emotional eating at age 17. Emotion regulation predicted adolescent emotional eating and this link was moderated by weight status (β = 1.19, p < 0.01) and negative body image (β = −0.34, p < 0.01). Higher engagement in emotional eating was predicted by lower emotional regulation scores among normal-weight teens (β = −0.46, p < 0.001) but not among overweight/obese teens (β = 0.32, p > 0.10). Higher scores on emotion regulation were significantly associated with lower emotional eating at high (β = −1.59, p < 0.001) and low (β = −1.00, p < 0.01) levels of negative body image. Engagement in emotional eating was predicted by higher negative body image among overweight/obese teens only (β = 0.70, p < 0.001). Our findings show that while better childhood emotion regulation skills are associated with lower emotional eating, weight status and negative body image influence this link and should be considered as important foci in future interventions that aim to reduce emotional eating in adolescence.

Delayed Romantic Experience: Association of Romantic Relationship and Weight Change Patterns over 7 Years among Taiwanese Adolescents

2021 ◽  
pp. 0044118X2110235
Author(s):  
Jih-Cheng Yeh ◽  
Duan-Rung Chen
Keyword(s):  
High School Students ◽  
Interpersonal Relationships ◽  
Junior High School ◽  
Weight Change ◽  
Romantic Relationship ◽  
Weight Status ◽  
Normal Weight ◽  
School Students ◽  
Student Sample ◽  
Weight Change Pattern

Stigmatization of overweight and obese individuals is common in interpersonal relationships. This study investigated longitudinal weight change patterns among Taiwanese adolescents and the relationship of weight change patterns with delayed romantic experience from late adolescence to young adulthood by using a representative panel survey. Individuals were divided into six weight change pattern categories according to changes in their body mass index. Two-stage stratified and clustered sampling was used to obtain a representative student sample, and 1,834 junior high school students were followed up over 7 years. Persistent obesity and a change from an underweight to a normal weight status over 7 years were independently associated with delayed romantic experience in both sexes. Moreover, females but not males who changed from an underweight or normal weight status to an overweight or obese status had increased odds of delayed romantic experience. Persistent obesity should be addressed early in life because it plays a crucial role in delayed romantic experience.

scholarly journals Discordance between Body-Mass Index and Body Adiposity Index in the Classification of Weight Status of Elderly Patients with Stable Coronary Artery Disease

2021 ◽  
Vol 10 (5) ◽  
pp. 943
Author(s):  
Bartosz Hudzik ◽  
Justyna Nowak ◽  
Janusz Szkodzinski ◽  
Aleksander Danikiewicz ◽  
Ilona Korzonek-Szlacheta ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Body Mass Index ◽  
Coronary Artery ◽  
Weight Status ◽  
Stable Coronary Artery Disease ◽  
Reference Method ◽  
Normal Weight ◽  
Body Adiposity ◽  
Artery Disease

Background and Aims: Body-mass index (BMI) is a popular method implemented to define weight status. However, describing obesity by BMI may result in inaccurate assessment of adiposity. The Body Adiposity Index (BAI) is intended to be a directly validated method of estimating body fat percentage. We set out to compare body weight status assessment by BMI and BAI in a cohort of elderly patients with stable coronary artery disease (CAD). Methods: A total of 169 patients with stable CAD were enrolled in an out-patient cardiology clinic. The National Research Council (US) Committee on Diet and Health classification was used for individuals older than 65 years as underweight BMI < 24 kg/m2, normal weight BMI 24–29 kg/m2, overweight BMI 29–35 kg/m2, and obesity BMI > 35 kg/m2. In case of BAI, we used sex- and age-specific classification of weight status. In addition, body fat was estimated by bioelectrical impedance analysis (BImpA). Results: Only 72 out of 169 patients (42.6%) had concordant classification of weight status by both BMI and BAI. The majority of the patients had their weight status either underestimated or overestimated. There were strong positive correlations between BMI and BImpA (FAT%) (R = 0.78 p < 0.001); BAI and BImpA (FAT%) (R = 0.79 p < 0.001); and BMI and BAI (R = 0.67 p < 0.001). BMI tended to overestimate the rate of underweight, normal weight or overweight, meanwhile underestimating the rate of obesity. Third, BMI exhibited an average positive bias of 14.4% compared to the reference method (BImpA), whereas BAI exhibited an average negative bias of −8.3% compared to the reference method (BImpA). Multivariate logistic regression identified independent predictors of discordance in assessing weight status by BMI and BAI: BImpA (FAT%) odds ratio (OR) 1.29, total body water (%) OR 1.61, fat mass index OR 2.62, and Controlling Nutritional Status (CONUT) score OR 1.25. Conclusions: There is substantial rate of misclassification of weight status between BMI and BAI. These findings have significant implications for clinical practice as the boundary between health and disease in malnutrition is crucial to accurately define criteria for intervention. Perhaps BMI cut-offs for classifying weight status in the elderly should be revisited.

Is overweight/obesity a risk factor for atopic allergic disease in prepubertal children? A case–control study

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Aysel Vehapoglu ◽  
Zeynep Ebru Cakın ◽  
Feyza Ustabas Kahraman ◽  
Mustafa Atilla Nursoy ◽  
Ali Toprak
Keyword(s):  
Body Weight ◽  
Allergic Disease ◽  
Weight Status ◽  
Normal Weight ◽  
Overweight And Obesity ◽  
University Hospital ◽  
Healthy Children ◽  
Prepubertal Children ◽  
Body Weight Status ◽  
Increased Risk

Abstract Objectives It is unclear whether body weight status (underweight/normal weight/overweight/obese) is associated with allergic disease. Our objective was to investigate the relationship between body weight status (body mass index; BMI) and atopic allergic disease in prepubertal children, and to compare children with atopic allergic diseases with non atopic healthy children. Methods A prospective cross sectional study of 707 prepubertal children aged 3–10 years was performed; the participants were 278 atopic children with physician-diagnosed allergic disease (allergic rhinitis and asthma) (serum total IgE level >100 kU/l and eosinophilia >4%, or positivity to at least one allergen in skin test) and 429 non atopic healthy age- and sex-matched controls. Data were collected between December 2019 and November 2020 at the Pediatric General and Pediatric Allergy Outpatient Clinics of Bezmialem Vakıf University Hospital. Results Underweight was observed in 11.6% of all participants (10.8% of atopic children, 12.2% of healthy controls), and obesity in 14.9% of all participants (18.0% of atopic children, 12.8% of controls). Obese (OR 1.71; 95% CI: 1.08–2.71, p=0.021), and overweight status (OR 1.62; 95% CI: 1.06–2.50, p=0.026) were associated with an increased risk of atopic allergic disease compared to normal weight in pre-pubertal children. This association did not differ by gender. There was no relationship between underweight status and atopic allergic disease (OR 1.03; 95% CI: 0.63–1.68, p=0.894). Conclusions Overweight and obesity were associated with an increased risk of atopic allergic disease compared to normal weight among middle-income and high-income pre pubertal children living in Istanbul.

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