Long Term Weight Variability in Adults of Adventist Health Study 1 and 2
type: CreativeWork
description: Background: The effect of overweight and obesity on the risk of fatal disease tends to attenuate with age. One plausible explanation is that a proportion of elderly people in the ideal weight category (19 to 25 kg/m ) experienced disease-related weight loss - an effect that will attenuate health risk related to overweight and obesity. One potential approach to controlling for this bias would be to examine fluctuations in weight during the adult lifespan by considering multiple measures of weight or recall of body weight during adulthood. Some of these measures are available in the Adventist Health Study cohorts and provide a rich data set to answer questions about adiposity and disease related weight loss. Purpose: In Study 1, we have examined whether the relation between Body Mass Index (BMI) and mortality in elderly subjects (>65 years) is confounded by pre-baseline disease related weight loss. In Study 2, we have examined the accuracy of past weight recall in elderly study participants. Methods: To evaluate whether a decrease in BMI-related mortality is partly attributable to disease-related weight loss, we examined the history of overweight/obesity and obesity-related disease in adults who were in the recommended range (19 to 25 9 9 • kg/m ) or overweight (>25 to 30 kg/m ) at baseline in a cohort study. We conducted an analysis of 7,855 subjects who participated in both Adventist Mortality Study and Adventist Health Study 1. To assess accuracy of recall weight, we calculated mean weight difference (current weight at AHS-1 minus recall weight at AHS-2, 26 years later) and compared recall weight to current weight in a correlation analysis. Results: Among adults in the ideal weight group (BMI 19 -/m2) at baseline we found that 1) the prevalence of previous overweight/obesity was 20.4% and increased with age, 2) those with overweight/obesity were more likely to have currently diagnosed diabetes (OR = 2.83), coronary heart disease (OR=1.91), and high blood pressure (…
abstract: Background: The effect of overweight and obesity on the risk of fatal disease tends to attenuate with age. One plausible explanation is that a proportion of elderly people in the ideal weight category (19 to 25 kg/m ) experienced disease-related weight loss - an effect that will attenuate health risk related to overweight and obesity. One potential approach to controlling for this bias would be to examine fluctuations in weight during the adult lifespan by considering multiple measures of weight or recall of body weight during adulthood. Some of these measures are available in the Adventist Health Study cohorts and provide a rich data set to answer questions about adiposity and disease related weight loss. Purpose: In Study 1, we have examined whether the relation between Body Mass Index (BMI) and mortality in elderly subjects (>65 years) is confounded by pre-baseline disease related weight loss. In Study 2, we have examined the accuracy of past weight recall in elderly study participants. Methods: To evaluate whether a decrease in BMI-related mortality is partly attributable to disease-related weight loss, we examined the history of overweight/obesity and obesity-related disease in adults who were in the recommended range (19 to 25 9 9 • kg/m ) or overweight (>25 to 30 kg/m ) at baseline in a cohort study. We conducted an analysis of 7,855 subjects who participated in both Adventist Mortality Study and Adventist Health Study 1. To assess accuracy of recall weight, we calculated mean weight difference (current weight at AHS-1 minus recall weight at AHS-2, 26 years later) and compared recall weight to current weight in a correlation analysis. Results: Among adults in the ideal weight group (BMI 19 -/m2) at baseline we found that 1) the prevalence of previous overweight/obesity was 20.4% and increased with age, 2) those with overweight/obesity were more likely to have currently diagnosed diabetes (OR = 2.83), coronary heart disease (OR=1.91), and high blood pressure (…
author: Kyulo, Namgyal Lhawang
language: English
keywords: Epidemiology, Preventive Medicine, Obesity -- Prevention; Seventh-day Adventists -- Diseases; Weight control; Obesity -- prevention and control; Body Weight Changes -- in adulthood; Body Mass Index; Cohort Studies.
date published: 2012-01-01T08:00:00Z
date modified: 2026-07-24T02:53:37Z
provider: Loma Linda University
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: Loma Linda University