scholarly journals Association of trajectory of body mass index with knee pain risk in Japanese middle-aged women in a prospective cohort study: the Japan Nurses’ Health Study

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e033853 ◽  
Author(s):  
Ayumi Ito ◽  
Kunihiko Hayashi ◽  
Shosuke Suzuki ◽  
Yuki Ideno ◽  
Takumi Kurabayashi ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Knee Pain ◽  
Primary Outcome ◽  
Health Study ◽  
Middle Aged ◽  
Weight Group ◽  
Overweight Group ◽  
Bmi Trajectory

ObjectivesTo investigate whether body mass index (BMI) trajectory, lifestyle and reproductive factors are associated with knee pain risk among middle-aged women.DesignProspective study of the Japan Nurses’ Health Study (JNHS).SettingThe JNHS investigates the health of female nurses in Japan. Biennial follow-up questionnaires are mailed to the participants.ParticipantsThe 7434 women aged over 40 years who responded to the 10-year self-administered follow-up questionnaire.Primary outcome measureSelf-reported knee pain at the 10-year follow-up was the primary outcome. We analysed BMI (normal or overweight) trajectory data from a baseline survey to the 10-year follow-up survey using group-based trajectory modelling. Exposure measurements were BMI trajectory, BMI at age 18 years, lifestyle variables and reproductive history.ResultsBMI trajectories from baseline to the 10-year follow-up were divided into four groups: remained normal, remained overweight, gained weight or lost weight. At the 10-year follow-up, 1281 women (17.2%) reported knee pain. Multivariable logistic regression analysis revealed that compared with the remained normal group, multivariable-adjusted ORs (95% CI) of knee pain were 1.93 (1.60 to 2.33) for the remained overweight group, 1.60 (1.23 to 2.08) for the gained weight group and 1.40 (0.88 to 2.21) for the lost weight group. The attributable risk percent (95% CI) of the remained overweight group was 48.1% (37.3% to 57.0%) compared with the reference group of remained normal. Alcohol intake at baseline was significantly associated with knee pain.ConclusionsThe lost weight group had a lower risk than the remained overweight group and the gained weight group and did not carry statistically significant risks for knee pain. Weight reduction and maintaining a normal BMI in middle age was important for preventing knee pain in women.

P4346Religious education and midlife observance are associated with lower coronary heart disease (CHD) mortality 23 years later

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
S Eilat-Adar ◽  
U Goldbourt
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Socioeconomic Status ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Systolic Blood Pressure ◽  
Body Mass ◽  
Reference Group ◽  
Middle Aged

Abstract Objective To determine whether self-reported religiosity is associated with decreased coronary mortality risk in middle-aged men when rates are adjusted for known confounders. Design The Israeli Ischemic Heart Disease (IIHD) Project (n=10,232) was chosen by stratified sampling of civil servants and municipal male employees, men aged 40–65 in 1963. Subjects were seen upon enrollment (1963) and at two follow-up visits (1965 and 1968). Extent of religiosity according to belief and practice collected in 1965 on a scale from 1 to 5. Religiosity was defined as follow: (1) The most-strict observance of religious rules “Haredim”. (2) “Religious” (3) “Traditional” (4) “Secular” (5) The part of the latter who declared themselves to be “nonbelievers” were categorized as “agnostic”. Main outcome measure Coronary heart disease (CHD) death, determined from death certificates in 23 years of follow-up Results Among 9245 participants, 1098 died from CHD during 23 years follow up. Ever smoking, Body mass index (BMI) and socioeconomic status were significantly lower while age and diabetes were higher according to increasing religiosity. Religiosity was inversely related to CHD mortality. Demographic, anthropometric characteristics according to religion, and odds ratio (OR), 95% confidence interval (95% CI), for CHD mortality, (using agnostic as a reference group) are presented in table 1. Characteristics according to religion Religiosity Haredim (n=2103) Religious (n=1528) Traditional (n=1782) Secular (n=2085) Agnostic (n=1747) P for trend Age years (SD) 50.2 (6.9) 48.8 (6.6) 48.4 (6.7) 48.8 (6.6) 45.9 (6.8) <0.001 Ever smoking% 58.7 67.6 70.7 71.9 72.6 0.001 Systolic blood pressure (mmHg) 136 (21) 135 (20) 135 (21) 134 (20) 135 (20) 0.115 Diabetes (%) 9.8 11.1 8.3 8.8 6.5 <0.001 Socioeconomic status 2.2 (1.3) 2.3 (1.1) 2.7 (1.1) 2.7 (1.2) 3.1 (1.4) <0.001 BMI kg/m2 (SD) 22.5 (3.6) 25.9 (3.5) 25.9 (3.2) 25.6 (3.2) 25.4 (2.9) 0.028 Cholesterol (mg%) 201 (38) 207 (41) 208 (39) 214 (40) 218 (40) 0.001 Number of death (% category) 187 (8.9) 161 (10.5) 185 (10.4) 228 (10.9) 225 (12.9) <0.001 OR (95% CI)* 0.67 (0.53–0.85) 0.85 (0.67–1.08) 0.84 (0.67–1.05) 0.87 (0.71–1.08) 1 *Adjusted for age, cigarette smoking, systolic blood pressure, diabetes, socioeconomic status, body mass index and cholesterol. Conclusion Religiosity was associated with lower CHD death in employed middle aged Israeli men followed up prospectively for 23 years.

Balance Assessment Using Multi-Directional Reach Test in Community-Dwelling Elderly People with Different Body Mass Index

2021 ◽  
Vol 104 (12) ◽  
pp. 1908-1912
Keyword(s):  
Body Mass Index ◽  
Elderly People ◽  
Body Mass ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
Community Dwelling ◽  
Balance Assessment ◽  
Weight Group ◽  
Cross Sectional ◽  
Overweight Group

Objective: To assess ability of balance in community-dwelling elderly people with different body mass index (BMI) using multi-directional reach test (MDRT) test. Materials and Methods: The cross-sectional study design was used to evaluate the effects of body mass index (BMI) on ability of balance using MDRT in community-dwelling elderly people. Results: Obese community-dwelling elderly people had the lowest scores in all directions of MDRT when compared with those of normal weight and overweight groups. Furthermore, in overweight group, the scores in all directions of MDRT were significantly reduced compared to those of normal weight group (p<0.05). Moreover, the scores of MDRT were negatively correlated with BMI (p<0.05). Conclusion: Obese and overweight community-dwelling elderly people had decreased ability of balance. Additionally, BMI was negatively correlated with the scores of MDRT in community-dwelling elderly people. Keywords: Body mass index; Multi-directional reach test; Falls; Elderly; Balance

Relationship of Body Mass Index and Waist Circumference With Risk of New-Onset Proteinuria in Hypertensive Patients

2020 ◽  
Vol 105 (3) ◽  
pp. e511-e519
Author(s):  
Mengyi Liu ◽  
Zhuxian Zhang ◽  
Chun Zhou ◽  
Panpan He ◽  
Jing Nie ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Waist Circumference ◽  
Body Mass ◽  
Primary Outcome ◽  
Hypertensive Patients ◽  
Increased Risk ◽  
Post Hoc ◽  
Relationship Of ◽  
New Onset

Abstract Context The association of the combination of body mass index (BMI) and waist circumference (WC) with the risk of proteinuria has previously not been comprehensively investigated and results have been inconclusive. Objective To examine BMI and WC in relation to new-onset proteinuria in Chinese hypertensive patients. Design and Setting Post hoc analysis of the renal substudy of the China Stroke Primary Prevention Trial (CSPPT). Patients 10 805 hypertensive patients without proteinuria at baseline. Main Outcome Measure The primary outcome was new-onset proteinuria, defined as a urine dipstick protein reading ≥ 1 + at the exit visit, after a median follow-up duration of 4.4 years. Results When analyzed separately, increased BMI (≥ 28 kg/m2, quartile 4; odds ratio [OR], 1.36; 95% confidence interval [CI], 1.08–1.72), or increased WC (≥ 91cm for females, quartile 4; OR, 1.35; 95% CI, 1.01–1.80; and ≥ 79 cm for males, quartile 2–4; OR, 1.60; 95% CI, 1.03–2.50) were each significantly associated with higher risk of new-onset proteinuria. When analyzed jointly, participants without increased BMI and increased WC had the lowest risk, while those with both increased BMI and increased WC had the highest risk of proteinuria (OR, 1.61; 95% CI, 1.21–2.13). Notably, participants with only increased WC also had significantly increased risk of proteinuria (OR, 1.39; 95% CI, 1.04–1.85). Conclusion In Chinese hypertensive patients, increased BMI and increased WC were individually and jointly associated with a higher risk of new-onset proteinuria, underscoring the value of monitoring both BMI and WC in assessing proteinuria risk.

scholarly journals Body Mass Index Trajectories in Adolescence And Incident Metabolic Syndrome in Early Adulthood

2021 ◽  
Author(s):  
Ming Ying ◽  
Xiangming Hu ◽  
Qiang Li ◽  
Zhujun Chen ◽  
Yingling Zhou
Keyword(s):  
Metabolic Syndrome ◽  
Body Mass Index ◽  
Body Mass ◽  
Early Adulthood ◽  
Educational Background ◽  
Bmi Trajectories ◽  
The Relationship ◽  
Bmi Trajectory ◽  
High Bmi

Abstract Background: The incidence of metabolic syndrome (MetS) is increasing each year, and MetS is closely related to cardiovascular diseases. Body mass index (BMI) has been widely used to measure obesity, and the relationship between MetS and BMI has been widely reported. However, the relationship between the trajectory of BMI and MetS is still unclear.Methods: Six waves of the cross-sectional China Health and Nutrition Survey (CHNS) were completed in nine provinces in China from 1993 to 2009, with more than 12,000 participants. We enrolled individuals who were aged 10 to 20 years in 1993, and 554 participants were finally included in our study. A latent class growth mixed model was used to identify different BMI trajectory patterns based on the BMI value measured at each follow-up. Participants completed blood tests and a physical examination in 2009 to allow for the diagnosis of MetS. The primary aim was to explore the relationship between different BMI trajectories and the incidence of MetS through logistic regression, adjusting for baseline age, sex, BMI, waist circumference, residence, educational background, smoking status, alcohol consumption, and nutritional intake.Result: During a follow-up of 16 years, 61 (11.01%) participants developed MetS. In multivariate-adjusted models, different BMI trajectories were significantly associated with the occurrence of MetS in early adulthood. Childhood or adolescents with a low-high BMI trajectory or a high-high BMI trajectory showed a significantly higher risk of MetS in early adulthood than those with a low-low trajectory (low-high: OR=3.40, 95% CI: 1.14-10.13, P <0.05; high-high: OR=5.81, 95% CI: 1.63-20.69, P <0.05).Conclusion: Our study identified three BMI trajectories from adolescence through 16 years of follow-up and found that in addition to baseline BMI, BMI trajectories were also an independent risk factor for incident MetS in early adulthood.

scholarly journals Body Mass Index Trajectory–Specific Changes in Economic Circumstances: A Person-Oriented Approach Among Midlife and Ageing Finns

2020 ◽  
Vol 17 (10) ◽  
pp. 3668 ◽  
Author(s):  
Jatta Salmela ◽  
Tea Lallukka ◽  
Elina Mauramo ◽  
Ossi Rahkonen ◽  
Noora Kanerva
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Household Income ◽  
Health Study ◽  
Study Cohort ◽  
Healthy Weight ◽  
Individual Level ◽  
Class I Obesity ◽  
Bmi Trajectories

Economic disadvantage is related to a higher risk of adulthood obesity, but few studies have considered whether changes in economic circumstances depend on a person’s body mass index (BMI) trajectory. We identified latent BMI trajectories among midlife and ageing Finns and captured individual-level changes in economic circumstances within the BMI trajectories utilizing sequence analysis. We used the Helsinki Health Study cohort data of initially 40–60-year-old Finnish municipal employees, with four survey questionnaire phases (2000–2017). Each survey included identical questions on height and weight, and on economic circumstances incorporating household income and current economic difficulties. Based on computed BMI, we identified participants’ (n = 7105; 82% women) BMI trajectories over the follow-up using group-based trajectory modeling. Four BMI trajectories were identified: stable healthy weight (34% of the participants), stable overweight (42%), overweight to class I obesity (20%), and stable class II obesity (5%). Lower household income level and having economic difficulties became more common and persistent when moving from lower- to higher-level BMI trajectories. Differences in household income widened over the follow-up between the trajectory groups, whereas economic difficulties decreased equally in all trajectory groups over time. Our study provides novel information on the dynamic interplay between long-term BMI changes and economic circumstances.

scholarly journals PSYCHOCOGNITIVE REACTIVITY TO INSUFFICIENT SLEEP AND ITS ASSOCIATION WITH BODY MASS INDEX IN MIDDLE-AGED WORKERS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S640-S641
Author(s):  
Taylor Drury ◽  
Soomi Lee ◽  
Orfeu M Buxton ◽  
David M Almeida
Keyword(s):  
Body Mass Index ◽  
Body Weight ◽  
Health Outcomes ◽  
Sleep Duration ◽  
Body Mass ◽  
Health Study ◽  
Negative Slope ◽  
Middle Aged ◽  
Insufficient Sleep ◽  
Daily Diary Study

Abstract Individuals tend to report more stressors on days after nights with fewer hours of sleep. There may be individual differences such that this negative sleep duration—stressor perception relationship is stronger for some than others, which may have implications for health outcomes. However, we know little about whether differences in stressor perception in response to insufficient sleep (“psychocognitive reactivity to insufficient sleep”) are associated with health outcomes such as body weight. This study examined whether psychocognitive reactivity to insufficient sleep were associated with body mass index (BMI) in midlife workers. We used a sample of 127 office workers (Mage=45.2±6.2) who participated in a daily diary study for 8 consecutive days as part of the Work, Family, and Health Study. Multilevel models tested whether daily number of stressors was predicted by previous nights’ sleep. We outputted within-person slopes of stressors regressed on sleep duration to predict BMI (kg/m2). Analyses adjusted for sociodemographic characteristics and mean stressors across days. On average, workers reported more stressors following nights with shorter sleep duration than usual (negative slope means higher reactivity). Compared to those with average reactivity (within ±½SD; reference), workers with higher reactivity (≤-½SD) had higher BMI (p&lt;.05). The BMI of these workers fell in the obese range. This study is one of the first to report that middle-aged workers with higher psychocognitive reactivity to insufficient sleep may be at greater risk for obesity. Future interventions should focus on improving middle-aged workers’ sleep health to reduce next-day stressors and thereby improve their body weight.

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