Identifying the energy gap: magnitude and determinants of 5-year weight gain in midage women

Brown, Wendy J., Williams, Lauren, Ford, Jessica H., Ball, Kylie and Dobson, Annette 2005, Identifying the energy gap: magnitude and determinants of 5-year weight gain in midage women, Obesity research, vol. 13, no. 8, pp. 1431-1441, doi: 10.1038/oby.2005.173.

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Title Identifying the energy gap: magnitude and determinants of 5-year weight gain in midage women
Author(s) Brown, Wendy J.
Williams, Lauren
Ford, Jessica H.
Ball, KylieORCID iD for Ball, Kylie
Dobson, Annette
Journal name Obesity research
Volume number 13
Issue number 8
Start page 1431
End page 1441
Publisher NAASO, The Obesity Society
Place of publication Silver Spring, MD
Publication date 2005-08
ISSN 1071-7323
Keyword(s) cohort study
sitting time
quitting smoking
Summary Objective: The aims of this study were to estimate average yearly weight gain in midage women and to identify the determinants of weight gain and gaining weight at double the average rate.
Research Methods and Procedures: The study sample comprised 8071 participants (45 to 55 years old) in the Australian Longitudinal Study on Women's Health who completed mailed surveys in 1996, 1998, and 2001.
Results: On average, the women gained almost 0.5 kg per year [average 2.42 kg (95% confidence interval, 2.29 to 2.54) over 5 years]. In multivariate analyses, variables associated with energy balance (physical activity, sitting time, and energy intake), as well as quitting smoking, menopause/hysterectomy, and baseline BMI category were significantly associated with weight gain, but other behavioral and demographic characteristics were not. After adjustment for all of the other biological and behavioral variables, the odds of gaining weight at about twice the average rate (>5 kg over 5 years) were highest for women who quit smoking (odds ratio = 2.94; 95% confidence interval, 2.17, 3.96). There were also independent relationships between the odds of gaining >5 kg and lower levels of habitual physical activity, more time spent sitting, energy intake (but only in women with BMI > 25 at baseline), menopause transition, and hysterectomy.
Discussion: The average weight gain equates with an energy imbalance of only about 10 kcal or 40 kJ per day, which suggests that small sustained changes in the modifiable behavioral variables could prevent further weight gain.

Language eng
DOI 10.1038/oby.2005.173
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2005, Nature Publishing Group
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