Patterns of weight change and progression to overweight and obesity differ in men and women: implications for research and interventions
Patterns of weight change and progression to overweight and obesity differ in men and women: implications for research and interventions
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DOI：
10.1017/s1368980012003801
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发表时间：
2013-08-01
影响因子：
3.2
通讯作者：
Millen, Barbara E.
中科院分区：
文献类型：
--
作者：
Kimokoti, Ruth W.;Newby, P. K.;Millen, Barbara E.
目的：评估成年后体重变化和发展为超重和肥胖的长期模式。设计：前瞻性研究。对平均26年(1971-1975至1998-2001)的平均BMI、腰围(WC)和体重的变化进行评估。计算BMI和年龄组男女的平均BMI(95%CI)和平均WC(95%CI)。通过协方差分析比较BMI和年龄类别的平均体重变化。背景：Framingham心脏研究子女/配偶营养研究。对象：男性和女性(N 2394)，年龄20-63岁。结果：在随访期间，女性BMI(男性：2.2 kg/m(2)；女性：3.7 kg/m(2))和WC(男性：5.7 cm；女性：15.1 cm)的增加幅度大于男性。BMI的增长在年轻人(20-39岁)中最大，在肥胖的老年人(50-69岁)中最小。男性的肥胖率翻了一番(33.2%)，女性的肥胖率增加了两倍(26.6%)。在体重正常的人中，腹型肥胖症只发生在女性身上。腹型肥胖症的患病率在男性中增加了1.8倍(53.0%)，在女性中增加了2.4倍(71.2%)。体重增加在最年轻的成年人(20-29岁)中最大，尤其是女性。男性的增长持续到第五个十年，然后在第六个十年下降；女性的增长持续到第六个十年。结论：成年后体重变化和发展为肥胖的模式在男性和女性中不同。超重和肥胖的预防干预策略需要考虑特定年龄和性别的人体测量测量的变化模式。
Objective: To evaluate long-term patterns of weight change and progression to overweight and obesity during adulthood.Design: Prospective study. Changes in mean BMI, waist circumference (WC) and weight were assessed over a mean 26-year follow-up (1971-1975 to 1998-2001). Mean BMI (95% CI) and mean WC (95% CI) of men and women in BMI and age groups were computed. Mean weight change in BMI and age categories was compared using analysis of covariance.Setting: Framingham Heart Study Offspring/Spouse Nutrition Study.Subjects: Men and women (n 2394) aged 20-63 years.Results: During follow-up, increases in BMI (men: 2.2 kg/m(2); women: 3.7 kg/m(2)) and WC (men: 5.7 cm; women: 15.1 cm) were larger in women than men. BMI gains were greatest in younger adults (20-39 years) and smallest in obese older adults (50-69 years). The prevalence of obesity doubled in men (to 33.2%) and tripled in women (to 26.6%). Among normal-weight individuals, abdominal obesity developed in women only. The prevalence of abdominal obesity increased 1.8-fold in men (to 53.0%) and 2.4-fold in women (to 71.2%). Weight gain was greatest in the youngest adults (20-29 years), particularly women. Gains continued into the fifth decade among men and then declined in the sixth decade; in women gains continued into the sixth decade.Conclusions: Patterns of weight change and progression to obesity during adulthood differ in men and women. Preventive intervention strategies for overweight and obesity need to consider age- and sex-specific patterns of changes in anthropometric measures.