Retirement and weight changes among men and women in the Health and Retirement Study

Retirement and weight changes among men and women in the Health and Retirement Study
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DOI:
10.1093/geronb/63.3.s146
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发表时间:
2008-05-01
影响因子:
6.2
通讯作者:
Wolinsky, Fredric D.
Wolinsky, Fredric D.
中科院分区:
医学1区
文献类型:
--
作者:
Forman-Hoffman, Valerie L.;Richardson, Kelly K.;Wolinsky, Fredric D.

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目标。老年人在退休后体重可能会发生变化,原因有很多,比如运动量减少;进餐时间安排得更少;而消费食物是为了应对失去个人身份、社交互动的潜力或工作带来的成就感。本研究的目的是确定退休是否与体重增加或减轻有关。我们使用1994-2002年的健康与退休研究来确定两年一次的访谈之间的退休是否与体重变化有关,分别针对男性(n = 1966)和女性(n = 1759)。我们将体重变化定义为在两次访谈之间身体质量指数增加或减少5%。我们没有发现退休和男性体重变化之间的显著联系。退休妇女比每周继续工作至少20小时的妇女更容易增重(优势比[OR] = 1.24, 95%可信区间[CI] = 1.04-1.48)。我们发现,只有退休时体重正常的女性(OR = 1.30, 95% Cl = 1.01-1.69)和从蓝领岗位退休的女性(OR = 1.58, 95% CI = 1.13-2.21),退休与体重增加之间存在显著关系。为防止退休后体重增加,可建议对妇女,特别是从事蓝领工作的妇女采取公共卫生干预措施。
Objectives. Older adults may experience weight changes upon retirement for a number of reasons, such as being less physically active; having less structured meal times; and consuming food in response to losing personal identity, the potential for social interactions, or the sense of accomplishment derived from working. The purpose of this study was to determine whether retirement was associated with either weight gain or weight loss.Methods. We used the 1994-2002 Health and Retirement Study to determine whether retirement between biennial interviews was associated with weight change, separately for men (n = 1,966) and women (n = 1,759). We defined weight change as a 5% increase or decrease in body mass index between interviews.Results. We did not find a significant association between retirement and weight change among men. Women who retired were more likely to gain weight than women who continued to work at least 20 hr per week (odds ratio [OR] = 1.24, 95% confidence interval [CI] = 1.04-1.48). We found a significant relationship between retirement and weight gain only for women who were normal weight upon retiring (OR = 1.30, 95% Cl = 1.01-1.69) and who retired from blue-collar jobs (OR = 1.58, 95% CI = 1.13-2.21).Discussion. Public health interventions may be indicated for women, particularly those working in blue-collar occupations, in order to prevent weight gain upon retirement.