Document Detail


A classification system to evaluate weight maintainers, gainers, and losers.
MedLine Citation:
PMID:  9145085     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To study natural weight changes and to develop a weight classification system that can identify weight maintainers, gainers, and losers. DESIGN/OUTCOME: A prospective, observational study in which weight changes over five annual measurements were evaluated. In the weight classification system used, changes greater than 5 lb defined weight maintenance, gain, or loss. SUBJECTS/SETTINGS: Subjects were healthy, normal-weight and over weight, men and women (mean age = 44.1 +/- 14.1 years) in the Relationships of Energy, Nutrition, and Obesity to Cardiovascular Disease Risk Study. Prospective data for 385 of the original 508 subjects for whom actual weights were available for each of the 5 years (1985 to 1990) were used to classify and characterize subjects by weight-change categories. STATISTICAL ANALYSES: Cross-tabulations (with chi 2 tests) and hterarchical log-linear analyses (with partial chi 2 tests) to examine the relationships of categorical variables; analyses of variance (with F tests) for continuous measures. RESULTS: Over the 4-year interval, 46% of subjects were classified as maintainers, 34% as gainers, and 20% as losers. Over shorter 1-year epochs, more subjects were maintainers (62%) and fewer subjects were gainers (22%) or losers (16%). Maintainers had fewer and smaller magnitudes of weight fluctuations and showed fewer deleterious changes in health risk factors than gainers. APPLICATIONS: Weight changes of greater than +/-5 lb can classify a person as a weight maintainer, or loser. Although annual weight changes were used in this study, a weight change of more than 5 lb between any two points in time may suggest nonmaintenance of weight or weight instability that needs further evaluation.
Authors:
S T St Jeor; R L Brunner; M E Harrington; B J Scott; S A Daugherty; G R Cutter; K D Brownell; A R Dyer; J P Foreyt
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of the American Dietetic Association     Volume:  97     ISSN:  0002-8223     ISO Abbreviation:  J Am Diet Assoc     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-05-20     Completed Date:  1997-05-20     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7503061     Medline TA:  J Am Diet Assoc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  481-8     Citation Subset:  AIM; IM    
Affiliation:
Nutrition Education and Research Program, University of Nevada School of Medicine, Reno 89557, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Blood Pressure
Body Composition
Chi-Square Distribution
Cholesterol / blood
Cholesterol, HDL / blood
Cholesterol, LDL / blood
Dietary Fats / administration & dosage
Energy Metabolism
Female
Humans
Linear Models
Male
Middle Aged
Obesity / classification*,  physiopathology
Prospective Studies
Pulse
Risk Factors
Weight Gain* / physiology
Weight Loss* / physiology
Grant Support
ID/Acronym/Agency:
R01 HL34589/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Cholesterol, HDL; 0/Cholesterol, LDL; 0/Dietary Fats; 57-88-5/Cholesterol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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