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

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journal contribution
posted on 2005-08-01, 00:00 authored by W Brown, Lauren Williams, J Ford, Kylie BallKylie Ball, A Dobson
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.


History

Journal

Obesity research

Volume

13

Issue

8

Pagination

1431 - 1441

Publisher

NAASO, The Obesity Society

Location

Silver Spring, MD

ISSN

1071-7323

eISSN

1930-739X

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2005, Nature Publishing Group