Abstract P025: Trying to Lose Weight: The Effect of Income and Age on Weight Loss Strategies in NHANES 1999-2010

Circulation ◽  
2013 ◽  
Vol 127 (suppl_12) ◽  
Author(s):  
Lisa Kakinami ◽  
Lise Gauvin ◽  
Tracie Barnett ◽  
Gilles Paradis
Keyword(s):  
Weight Loss ◽  
Growth Curves ◽  
Healthy Weight ◽  
Annual Household Income ◽  
Sampling Weights ◽  
Obesity Epidemic ◽  
Fat Consumption ◽  
Weight Loss Strategies ◽  
Successful Weight Loss ◽  
Unhealthy Weight

Background: Two-thirds of the general US population is overweight or obese; those living in poverty are disproportionately affected. Although 30-50% of Americans report currently trying to lose weight, some strategies can be counterproductive. Even though increased physical activity and decreased fat consumption were recently reported to be among the most successful weight-loss strategies for obese persons, little is known about how income may be associated with the type of strategies used to lose weight. Objective: determine the association between income and types of weight-loss strategies. Methods: Analyses included the 1999-2010 National Health and Nutrition Examination Survey participants that reported trying to lose weight in the last year and were stratified by age (youth: aged 8-19, n=3184; adults: 20+, n=5643) due to availability of covariates and different weight-loss questions. Annual household income was categorized as: <$20K, $20K-45K, $45-75K, and compared to the referent ($75K+). Multivariable models included sampling weights, and adjusted for sex, age, ethnicity, and whether the person was overweight or obese (body mass index > 25 for adults, or > 85th percentile for youth according to the CDC growth curves). Analyses among adults also adjusted for marital status and education. Multivariable logistic regression assessed the likelihood of using healthy weight-loss strategies (e. g., exercising) and unhealthy weight-loss strategies (e. g., skipping meals). Results: Compared to the referent, adults with lower household incomes were less likely to use healthy weight-loss strategies (Fig. 1) but unhealthy strategies were not associated; youth from lower income households were more likely to utilize unhealthy weight-loss strategies, and less likely to use healthy strategies. Conclusions: Weight-loss strategies differ based on income and age. Education efforts and environmental strategies should be done in tandem to increase use of healthy weight-loss strategies to curb the obesity epidemic.

Associations Between Unhealthy Weight-Loss Strategies and Depressive Symptoms

2019 ◽  
Vol 56 (2) ◽  
pp. 241-250 ◽  
Author(s):  
Alexander Chaitoff ◽  
Carol Swetlik ◽  
Catherine Ituarte ◽  
Elizabeth Pfoh ◽  
Ling-Ling Lee ◽  
...  
Keyword(s):  
Weight Loss ◽  
Depressive Symptoms ◽  
Weight Loss Strategies ◽  
Unhealthy Weight

scholarly journals Gender Differences in Weight-Related Attitudes and Behaviors Among Overweight and Obese Adults in the United States

2016 ◽  
Vol 10 (5) ◽  
pp. 389-398 ◽  
Author(s):  
Sandra A. Tsai ◽  
Nan Lv ◽  
Lan Xiao ◽  
Jun Ma
Keyword(s):  
Gender Differences ◽  
Weight Loss ◽  
Weight Perception ◽  
The United States ◽  
The Body ◽  
Obese Adults ◽  
Weight Loss Strategies ◽  
Nationally Representative ◽  
Successful Weight Loss ◽  
Male Specific

Few studies have used nationally representative data to focus specifically on gender differences in weight-related outcomes. This article examines gender differences in weight-related outcomes across the body mass index (BMI) spectrum in overweight and obese adults. Data from the National Health and Nutrition Examination Survey 2009–2010 was analyzed. Weight-related outcomes were accurate weight perception, weight dissatisfaction, attempted weight loss, successful weight loss, and weight loss strategies. Compared with women, overweight and obese men were less likely to have accurate weight perception (odds ratio [OR] = 0.36; 95% confidence interval [CI] = 0.30–0.44), weight dissatisfaction (OR = 0.39; 95% CI = 0.32–0.47), and attempted weight loss (OR = 0.55; 95% CI = 0.48–0.63). The modifying effect of gender on these associations decreased as BMI increased. By BMI 35, the mean probability of women and men to have accurate weight perception and weight dissatisfaction was 90%; attempted weight loss was 60% (women) and 50% (men). At lower BMIs, men had up to 40% less probability than women for these weight loss outcomes. Men who attempted weight loss were more likely than women to lose and maintain ≥10 lb over 1 year (OR = 1.41; 95% CI = 1.20–1.65) and increase exercise and eat less fat as weight loss strategies; women were more likely to join weight loss programs, take prescription diet pills, and follow special diets. A need exists for male-specific interventions to improve overweight and obese men’s likelihood for accurate weight perception, attempted weight loss, and ultimately, successful weight loss.

Changes in Health Behaviors Associated With Weight Gain by Weight Classification During the COVID-19 Pandemic

2021 ◽  
pp. 089011712110229
Author(s):  
Kristie Rupp ◽  
Ciarán P. Friel
Keyword(s):  
Weight Gain ◽  
Health Behaviors ◽  
Weight Status ◽  
Vegetable Consumption ◽  
Caloric Intake ◽  
Healthy Weight ◽  
Cross Sectional ◽  
Obesity Epidemic ◽  
Logistic Regression Models ◽  
Online Panels

Purpose: To determine whether perceived changes (i.e. perception of engagement during the pandemic relative to pre-pandemic) in specific health behaviors differ by weight status (i.e. healthy weight, overweight, obese). Design: Cross-sectional. Recruitment took place between June-August 2020, via social media posts and Qualtrics online panels. Setting: Participants completed the survey online through the Qualtrics platform. Sample: Analyses included N = 502 participants (≥18 years); 45.2% healthy weight (n = 227), 28.5% overweight (n = 143), and 26.3% obese (n = 132). Measures: Study-specific survey items included questions about demographics and perceived changes in health behaviors. Analysis: Logistic regression models, adjusted for age, race, ethnicity, gender, education, and COVID-19 diagnosis, assessed the odds of perceiving changes in health behaviors considered a risk for weight gain. Results: Participants with obesity, but not overweight, were significantly more likely to report deleterious changes to health behaviors compared to healthy weight peers, including: (1) decreased fruit/vegetable consumption [adjusted odds ratio (AOR) = 1.92; 95% confidence interval (CI): (1.13, 3.26)]; (2) increased processed food consumption [AOR = 1.85; 95%CI: (1.15, 3.00)]; (3) increased caloric intake [AOR = 1.66; 95% CI: (1.06, 2.61)]; (4) decreased physical activity [AOR = 2.07; 95%CI: (1.31, 3.28)]; and (5) deterioration in sleep quality [AOR = 2.07; 95%CI: (1.32, 3.25)]. Conclusion: Our findings suggest that adults with obesity may be at greater risk for unhealthy behaviors during a period of prolonged social distancing, potentially exacerbating the obesity epidemic.

scholarly journals Effect of Mixed Nuts on Body Weight and Composition, and Gut Microbiome (P08-054-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Shih Lung Woo ◽  
Dina Ben-Nissan ◽  
Zahra Ezzat-Zadeh ◽  
Jieping Yang ◽  
Lijun Zhang ◽  
...  
Keyword(s):  
Weight Loss ◽  
Body Composition ◽  
Body Weight ◽  
Gut Microbiome ◽  
Plasma Lipids ◽  
Plasma Lipid ◽  
Healthy Weight ◽  
Weight Changes ◽  
Fecal Microbiome ◽  
Tree Nuts

Abstract Objectives This study was designed to assess the effects of mixed nut consumption on body weight and composition, and gut microbiome in obese individuals. Primary outcome was change in body weight and composition. Secondary outcomes include gut microbiome composition, inflammatory markers, and plasma lipids. Methods The reported results are from an interim analysis (n = 50) of a randomized, placebo controlled, parallel study. Total enrollment target is 154 overweight/obese subjects (BMI 27–35 kg/m2). Participants were randomly assigned to consume either 1.5oz mixed tree nuts or pretzels with equal calorie content daily for 24 weeks. The study included a 12-week weight loss phase (500 kcal per day less than total daily energy expenditure), followed by a 12-week weight maintenance phase. Body composition, fasting blood, and stool samples were collected at baseline, week 12 and 24. Body composition, and vitals were analyzed, whereas plasma lipid profile, fecal microbiome, and microbiome metabolites analysis is still pending. Results At week 12, subjects from both the pretzel (n = 15, 10 dropouts; P = 0.009) and nut group (n = 22, 3 dropouts; P = 0.038) lost significant amount of weight. The trend of weight changes did not differ between groups (P = 0.530). Subjects from both groups were able to sustain weight loss through 24 weeks (pretzel: 81.43 ± 3.85 kg at baseline vs. 79.43 ± 4.08 kg at week 24, P = 0.028; nut: 84.26 ± 3.78 kg at baseline vs. 82.38 ± 3.72 kg at week 24, P = 0.026). At week 12, fat mass in both groups was significantly decreased (pretzel: P = 0.002; nut: P = 0.012). The trend of fat changes did not differ between groups (P = 0.547). Subjects from both groups were able to sustain fat loss through 24 weeks (pretzel: 30.84 ± 1.75 kg at baseline vs. 29.25 ± 2.12 kg at week 24, P = 0.024; nut: 31.51 ± 1.56 kg vs 30.21 ± 1.81 kg at week 24, P = 0.04). Muscle mass, and blood pressure were not significantly different between both groups. Conclusions Our data suggested that tree nuts could be consumed as part of a healthy weight loss meal plan without concern of causing weight gain. Further analysis of the remaining samples is needed to confirm results. Due to higher dropouts in the pretzel group, future intention-to-treat analysis is also needed to eliminate bias. Funding Sources This study is supported by the International Tree Nut Council.

scholarly journals Weight-Loss Strategies Used by the General Population: How Are They Perceived?

PLoS ONE ◽  
2014 ◽  
Vol 9 (5) ◽  
pp. e97834 ◽  
Author(s):  
Chantal Julia ◽  
Sandrine Péneau ◽  
Valentina A. Andreeva ◽  
Caroline Méjean ◽  
Léopold Fezeu ◽  
...  
Keyword(s):  
Weight Loss ◽  
General Population ◽  
Weight Loss Strategies

scholarly journals Preoperative Predictive Factors of Successful Weight Loss and Glycaemic Control 1 Year After Gastric Bypass for Morbid Obesity

2015 ◽  
Vol 25 (11) ◽  
pp. 2040-2046 ◽  
Author(s):  
Silvia Palmisano ◽  
Marta Silvestri ◽  
Michela Giuricin ◽  
Edoardo Baldini ◽  
Simone Albertario ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Weight Loss ◽  
Gastric Bypass ◽  
Glycaemic Control ◽  
Predictive Factors ◽  
Successful Weight Loss
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