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Weight gained in two years by a population of mid-aged women: how much is too much?

Abstract

Objective:

To establish the prevalence of weight change in mid-aged women over a 2-year period, and to assess the relationship between weight change and physical and mental well-being (SF36) in order to begin debate about the need for quantified standards of weight gain.

Design:

Prospective study of weight change and well-being over a 2-year period among mid-aged women participating in a large national survey.

Subjects:

Seven thousand two hundred and seventy women without surgical menopause aged between 45 and 50 years (termed mid-aged), enrolled in the Australian Longitudinal Study on Women's Health.

Measurements:

Weight change (self-reported weight at two time points) and physical and mental well-being (SF-36) explored using linear regression, while adjusting for potential confounders.

Results:

Only half the women maintained their weight within 2.25 kg, and one-third gained more than this amount in a 2-year period. While weight gain (2.25 kg) was negatively associated with physical well-being, both weight loss and weight gain were associated with poorer mental well-being.

Conclusion:

This is the first prospective study using a large, population-based cohort to demonstrate that small changes in weight are associated with changes in well-being in mid-aged Australian women. It provides further evidence of the need for public health messages to specify the actual amount that constitutes weight gain, but further research is needed to establish these standards for the entire population.

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References

  1. World Health Organisation. Obesity: Preventing and Managing the Global Epidemic. World Health Organisation: Geneva, 2000.

  2. World Health Organisation. Physical status: the use and interpretation of anthropometry Report of a WHO Expert Committee. World Health Organisation: Geneva 1995.

  3. Scottish Intercollegiate Guidelines Network. Obesity in Scotland: Intergrating Prevention with Weight Management. Scottish Intercollegiate Guidelines Network: Scotland, 1996.

  4. St Jeor ST, Brunner RL, Harrington ME, Scott BJ, Daugherty SA, Cutter GR et al. A classification system to evaluate weight maintainers, gainers and losers. J Am Diet Assoc 1997; 97: 481–488.

    Article  CAS  Google Scholar 

  5. Ware Jr JE, Sherbourne CD . The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30: 473–483.

    Article  Google Scholar 

  6. Brown W, Dobson A, Mishra G . What is a healthy weight for middle aged women? Int J Obes Relat Metab Disord 1998; 22: 520–528.

    Article  CAS  Google Scholar 

  7. Larsson U, Karlsson J, Sullivan M . Impact of overweight and obesity on health-related quality of life –Swedish population study. Int J Obes Relat Metab Disord 2002; 26: 417–424.

    Article  CAS  Google Scholar 

  8. Coakley E, Kawachi I, Manson J, Speizer F, Willet WC, Colditz GA . Lower levels of physical functioning are associated with higher body weight among middle-aged and older women. Int J Obes Relat Metab Disord 1998; 22: 958–965.

    Article  CAS  Google Scholar 

  9. Fine JT, Graham A, Colditz GA, Moseley G, Manson JE, Willett WC et al. A prospective study of weight change and health-related quality of life in women. JAMA 1999; 282: 2136–2142.

    Article  CAS  Google Scholar 

  10. Bryson L . The Women's Health Australia project and policy development. Aust J Prim Health 1998; 4: 59–71.

    Article  Google Scholar 

  11. Brown WJ, Bryson L, Byles JE, Dobson A . Women's health Australia: recruitment for a national longitudinal cohort study. In: Manderson L (ed). Australian Women's Health. The Haworth Press Inc.: Melbourne, 1998, pp 23–40.

    Google Scholar 

  12. National Health and Medical Research Council. Acting on Australia's Weight: A Strategic Plan for the Prevention of Overweight and Obesity. Australian Government Publishing Service: Canberra, 1997.

  13. Brown W, Dobson A, Bryson L, Byles JE . Women's health Australia: on the progress of the main cohort studies. J Womens Health Gend Based Med 1999; 8: 681–688.

    Article  CAS  Google Scholar 

  14. Department of Primary Industry & Energy, Department of Health and Housing. Rural, Remote and Metropolitan Areas Classification: 1991 Census Edition. Australian Government Publishing Service: Canberra, 1994.

  15. McHornery CA, Ware Jr JE, Lu JF, Sherbourne CD . The MOS 36-item Short-Form Health Survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care 1994; 32: 40–66.

    Article  Google Scholar 

  16. Mishra G, Schofield M . Norms for the physical and mental health component summary scores of the SF-36 for young, middle-aged and older Australian women. Qual Life Res 1998; 7: 215–220.

    Article  CAS  Google Scholar 

  17. Patterson AJ, Brown WJ, Powers JR, Roberts DC . Iron deficiency, general health and fatigue: results from the Australian Longitudinal Study on Women's Health. Qual Life Res 2000; 9: 491–497.

    Article  CAS  Google Scholar 

  18. Australian Bureau of Statistics. National Health Survey: 1995 SF-36 Population Norms Australia. Australian Government Publishing Service: Canberra, 1997. pp 14–15, 28–29.

  19. Niedhammer I, Bugel I, Bonenfant S, Goldberg M, Leclerc A . Validity of self-reported weight and height in the French GAZEL cohort. Int J Obes Relat Metab Disord 2000; 24: 1111–1118.

    Article  CAS  Google Scholar 

  20. Larson MR . Social desirability and self-reported weight and height. Int J Obes Relat Metab Disord 2000; 24: 663–665.

    Article  CAS  Google Scholar 

  21. Willett WC, Stampfer MJ, Bain C, Lipnick R, Speizer FE, Rosner B et al. Cigarette smoking, relative weight and menopause. Am J Epidemiol 1983; 117: 651–658.

    Article  CAS  Google Scholar 

  22. Stunkard AJ, Albaum JM . The accuracy of self-reported weights. Am J Clin Nutr 1981; 34: 1593–1599.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

The Australian Longitudinal Study on Women's Health, which was conceived and developed by groups of inter-disciplinary researchers at the Universities of Newcastle and Queensland, is funded by the Australian Government Department of Health and Ageing. We thank all participants for their valuable contribution to the project.

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Correspondence to L T Williams.

Additional information

This work was conducted through the Research Centre for Gender and Health at The University of Newcastle.

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Williams, L., Young, A. & Brown, W. Weight gained in two years by a population of mid-aged women: how much is too much?. Int J Obes 30, 1229–1233 (2006). https://doi.org/10.1038/sj.ijo.0803262

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