Abstract
Objective: To examine the prevalence and correlates of large weight gains and losses over a 3 y period in a heterogeneous population of participants in a study of weight gain prevention.
Design and Measures: Analyses based on a cohort of 823 participants in a weight gain prevention study whose weight was measured on at least two of four annual examinations.
Results: Weight gains and losses of ≥5% body weight over 1 y were observed in 9.3 and 15% of the population, respectively. Weight gains among those initially losing weight were significantly greater (3.9 kg) than among those experiencing stable weight (0.8 kg) or a large weight gain (1.5 kg) over the following 2 y. Cumulative weight changes over 3 y were −2.6, 1.0 and 7.6 kg among large loss, weight stable and large gain groups, respectively. Large weight loss was more common in smokers, large gains were more common in younger people and in those with a more extensive weight loss history, and stable weight was observed more often in individuals with less extensive histories of weight loss.
Conclusion: The high prevalence of large short-term weight gains and losses in this heterogeneous population, their apparent resistance to short-term reversal, and the strength of their relationship to longer-term weight trends suggest that rapid weight change over relatively short time intervals is a phenomenon that deserves more research attention. Short periods of rapid weight gain may contribute importantly to rapidly rising obesity rates.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Flegal KM, Kuczmarski RJ, Johnson CL . Overweight and obesity in the United States: prevalence and trends, 1960–1994 Int J Obes Relat Metab Disord 1998 22: 39–47.
Burke GL, Bild DE, Hilner JE, Folsom AR, Wagenknecht LE, Sidney S . Differences in weight gain in relation to race, gender, age and education in young adults: the CARDIA study Ethne Health 1996 1: 327–335.
Hartz AJ, Rimm AA . Natural history of obesity in 6,946 women between 50 and 59 y of age Am J Public Health 1980 70: 385–388.
Heitmann BL, Garby L . Patterns of long-term weight changes in overweight developing Danish men and women aged between 30 and 60 y Int J Obes Relat Metab Disord 1999 23: 1074–1078.
Colditz GA, Willett WC, Stampfer MJ, London SJ, Segal MR, Speizer FE . Patterns of weight change and their relation to diet in a cohort of healthy women Am J Clin Nutr 1990 51: 1100–1105.
Yanovski JA, Yanovski SZ, Sovik KN, Nguyen TT, O'Neil PM, Sebring NG . A prospective study of holiday weight gain New Engl J Med 2000 342: 861–867.
Jeffery RW, French SA . Preventing weight gain in adults: the Pound of Prevention study Am J Public Health 1999 89: 747–751.
Stunkard AJ, Messick S . The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger J Psychosom Res 1985 29: 71–81.
Field AE, Wing RR, Manson JE, Spiegelman DL, Willett WC . Relationship of a large weight loss to long-term weight change among young and middle-aged US women Int J Obes Relat Metab Disord 2001 25: 1113–1121.
Acknowledgements
This research was supported by the National Institutes of Diabetes and Digestive and Kidney Diseases grant DK 45361, with additional funding from the Centers for Disease Control and Prevention. The authors would also like to thank Ms Emily Finch for her assistance with data analyses.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Jeffery, R., McGuire, M. & French, S. Prevalence and correlates of large weight gains and losses. Int J Obes 26, 969–972 (2002). https://doi.org/10.1038/sj.ijo.0802015
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.ijo.0802015
Keywords
This article is cited by
-
Weight gain prevention in young adults: design of the study of novel approaches to weight gain prevention (SNAP) randomized controlled trial
BMC Public Health (2013)
-
Weight Change and Glycemic Control After Diagnosis of Type 2 Diabetes
Journal of General Internal Medicine (2008)
-
The definition of weight maintenance
International Journal of Obesity (2006)
-
Prevalence of Weight Cycling and its Relation to Health Indicators in Finland
Obesity Research (2005)
-
Lean and Weight Stable: Behavioral Predictors and Psychological Correlates
Obesity Research (2004)