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Epidemiology and Population Health

Body weight in childhood, adolescence, and young adulthood in relation to later risk of disabilities and early retirement among Danish female nurses

Abstract

Background

Obesity is now the most common health problem in the younger population in Western societies and obesity rates are higher in lower socioeconomic status (SES) groups. We investigated whether overweight in childhood, independently of overweight in adulthood, influenced adult employment status and later risk of having disabilities. Using data from the Danish Female Nurse Cohort study, we examined associations between overweight in childhood/adolescence, and young adulthood and disabilities and early retirement in later adulthood (>44 years) and whether it was influenced by menopausal age (<or ≥52 years). We analysed data from 10,363 female nurses recruited in 1999, who reported whether they, as children, were larger or of similar weight size as their peers at any age below 13 years, between 13 and 19 years, their weights, and heights at 25 years, their current work situation and whether they had had disabilities for more than 6 months.

Results

Our results showed that overweight in childhood, adolescence and young adulthood was associated with an increased risk of disabilities and early retirement. Especially childhood overweight that did not persist into adulthood was associated with an increased risk of disabilities (OR = 1.82, 95% CI = 1.26–2.63) and early retirement (OR = 2.05, 95% CI = 1.38–3.03) in the postmenopausal group. A similar increased risk for disabilities (OR = 1.76, 95% CI = 1.26–2.47) was seen for adolescent overweight that did not persist into adulthood.

Conclusion

The results show that in a well-educated population of women, overweight in childhood and/or adolescence had adverse socioeconomic consequences for later risk of disabilities and early retirement irrespective of weight status in adulthood.

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Fig. 1: Flowchart of included participants.
Fig. 2: Odds ratio for disabilities and early retirement in relation to different weight categories in childhood and adulthood.

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Data availability

The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

Code availability

Computer codes generated during the current study are available from the corresponding author on reasonable request.

Notes

  1. Efterløn

  2. Folkepension

References

  1. World Health Organization (WHO). Obesity and overweight [Internet]. 2021 [cited 2021 Jun 21]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.

  2. Magnusson M, Sørensen TIA, Olafsdottir S, Lehtinen-Jacks S, Holmen TL, Heitmann BL, et al. Social inequalities in obesity persist in the nordic region despite its relative affluence and equity. Curr Obes Rep. 2014;3:1–15.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Singh AS, Mulder C, Twisk JWR, Van Mechelen W, Chinapaw MJM. Tracking of childhood overweight into adulthood: a systematic review of the literature. Obesity Rev. 2008;9:474–88.

    Article  CAS  Google Scholar 

  4. Guo SS, Wu W, Chumlea WC, Roche AF. Predicting overweight and obesity in adulthood from body mass index values in childhood and adolescence. Am J Clin Nutr. 2002;76:653–8.

    Article  CAS  PubMed  Google Scholar 

  5. Andersen LG, Baker JL, Sørensen TIA. Contributions of incidence and persistence to the prevalence of childhood obesity during the emerging epidemic in Denmark. PLoS One. 2012;7:15–8.

    Article  Google Scholar 

  6. Sørensen TI, Sonne-Holm S. Risk in childhood of development of severe adult obesity: retrospective, population-based case-cohort study. Am J Epidemiol. 1988;127:104–13.

    Article  PubMed  Google Scholar 

  7. Bjerregaard LG, Jensen BW, Ängquist L, Osler M, Sørensen TIA, Baker JL. Change in overweight from childhood to early adulthood and risk of type 2 diabetes. N Engl J Med. 2018;378:1302–12.

    Article  PubMed  Google Scholar 

  8. Jensen BW, Bjerregaard LG, Ängquist L, Gögenur I, Renehan AG, Osler M, et al. Change in weight status from childhood to early adulthood and late adulthood risk of colon cancer in men: a population-based cohort study. Int J Obes. 2018;42:1797–803.

    Article  Google Scholar 

  9. Reiband HK, Heitmann BL, Sørensen TIA. Adverse labour market impacts of childhood and adolescence overweight and obesity in Western societies-A literature review. Obes Rev. 2020;21:e13026.

    Article  PubMed  Google Scholar 

  10. Neovius M, Kark M, Rasmussen F. Association between obesity status in young adulthood and disability pension. Int J Obes (Lond). 2008;32:1319–26.

    Article  CAS  PubMed  Google Scholar 

  11. Karnehed N, Rasmussen F, Kark M. Obesity in young adulthood and later disability pension: a population-based cohort study of 366,929 Swedish men. Scand J Public Health. 2007;35:48–54.

    Article  PubMed  Google Scholar 

  12. Laitinen J, Power C, Ek E, Sovio U, Järvelin MR. Unemployment and obesity among young adults in a northern Finland 1966 birth cohort. Int J Obes. 2002;26:1329–38.

    Article  CAS  Google Scholar 

  13. Viner RM, Cole TJ. Adult socioeconomic, educational, social, and psychological outcomes of childhood obesity: a national birth cohort study. BMJ. 2005;330:1354.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Chung AE, Skinner AC, Maslow GR, Halpern CT, Perrin EM. Sex differences in adult outcomes by changes in weight status from adolescence to adulthood: Results from add health. Acad Pediatr. 2014;14:448–55.

    Article  PubMed  Google Scholar 

  15. Sargent JD, Blanchflower DG. Obesity and stature in adolescence and earnings in young adulthood. Analysis of a British birth cohort. Arch Pediatr Adolesc Med. 1994;148:681–7.

    Article  CAS  PubMed  Google Scholar 

  16. Tyrrell J, Jones SE, Beaumont R, Astley CM, Lovell R, Yaghootkar H, et al. Height, body mass index, and socioeconomic status: mendelian randomisation study in UK Biobank. BMJ. 2016;352:i582.

    Article  PubMed  PubMed Central  Google Scholar 

  17. World Health Organization (WHO). 5 February. 2018 [cited 2019 Nov 2]. Ageing and health. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health.

  18. Van Rijn RM, Robroek SJW, Brouwer S, Burdorf A. Influence of poor health on exit from paid employment: A systematic review. Occup Environ Med. 2014;71:295–301.

    Article  PubMed  Google Scholar 

  19. Lundborg P, Nystedt P, Rooth DO. Body size, skills, and income: evidence from 150,000 teenage siblings. Demography. 2014;51:1573–96.

    Article  PubMed  Google Scholar 

  20. Canning H, Mayer J. Obesity: an influence on high school performance? Am J Clin Nutr. 1967;20:352–4.

    Article  CAS  PubMed  Google Scholar 

  21. Black N, Johnston DW, Peeters A. Childhood obesity and cognitive achievement. Health Econ. 2015;24:1082–100.

    Article  PubMed  Google Scholar 

  22. Hundrup YA, Simonsen MK, Jorgensen T, Obel EB. Cohort Profile: The Danish nurse cohort. Int J Epidemiol. 2012;41:1241–7.

    Article  PubMed  Google Scholar 

  23. Ackerman PM, Broton S, Gillot A, Hartrich J, Hopkins P Activities of Daily Living. In: Spinal Cord Injuries: Management and Rehabilitation. Elsevier Inc. 210–36; (2009).

  24. Lobo RA, Davis SR, De Villiers TJ, Gompel A, Henderson VW, Hodis HN, et al. Prevention of diseases after menopause. Climacteric. 2014;17:540–56.

    Article  CAS  PubMed  Google Scholar 

  25. Dratva J, Real FG, Schindler C, Ackermann-Liebrich U, Gerbase MW, Probst-Hensch NM, et al. Is age at menopause increasing across Europe? Results on age at menopause and determinants from two population-based studies. Menopause. 2009;16:385–94.

    Article  PubMed  Google Scholar 

  26. Costanian C, McCague H, Tamim H. Age at natural menopause and its associated factors in Canada: cross-sectional analyses from the Canadian Longitudinal Study on Aging. Menopause. 2018;25:265–72.

    Article  PubMed  Google Scholar 

  27. Heckman JJ, Kautz T. Hard evidence on soft skills. Labour Econ. 2012;19:451–64.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Sørensen TI, Sonne-Holm S, Christensen U, Kreiner S. Reduced intellectual performance in extreme overweight. Hum Biol. 1982;54:765–75.

    PubMed  Google Scholar 

  29. Cawley J, Spiess CK. Obesity and skill attainment in early childhood. Econ Hum Biol. 2008;6:388–97.

    Article  PubMed  Google Scholar 

  30. Sabia JJ, Rees DI. Body weight, mental health capital, and academic achievement. Rev Econ Househ. 2015;13:653–84.

    Article  Google Scholar 

  31. Black N, Kassenboehmer SC. Getting weighed down: the effect of childhood obesity on the development of socioemotional skills. J Hum Cap. 2017;11:263–95.

    Article  Google Scholar 

  32. Baker JL, Olsen LW, Sørensen TIA. Childhood body-mass index and the risk of coronary heart disease in adulthood. N Engl J Med. 2007;357:2329–37.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Reilly JJ, Kelly J. Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int J Obes (Lond). 2011;35:891–8.

    Article  CAS  PubMed  Google Scholar 

  34. McCrindle BW. Cardiovascular consequences of childhood obesity. Can J Cardiol. 2015;31:124–30.

    Article  PubMed  Google Scholar 

  35. Sanderson K, Patton GC, McKercher C, Dwyer T, Venn AJ. Overweight and obesity in childhood and risk of mental disorder: a 20-year cohort study. Aust N Z J Psychiatry. 2011;45:384–92.

    Article  PubMed  Google Scholar 

  36. World Health Organization (WHO). 2018. [cited 2019 Nov 7]. Disability and health. Available from: https://www.who.int/news-room/fact-sheets/detail/disability-and-health.

  37. Casey VA, Dwyer JT, Coleman KA, Krall EA, Gardner J, Valadian I. Accuracy of recall by middle-aged participants in a longitudinal study of their body size and indices of maturation earlier in life. Ann Hum Biol [Internet]. 1991;18:155–66. http://www.ncbi.nlm.nih.gov/pubmed/2024949.

    Article  CAS  PubMed  Google Scholar 

  38. De Rubeis V, Bayat S, Griffith LE, Smith BT, Anderson LN. Validity of self-reported recall of anthropometric measures in early life: A systematic review and meta-analysis. Obes Rev. 2019;20:1426–40.

    Article  PubMed  Google Scholar 

  39. Engstrom JL, Paterson SA, Doherty A, Trabulsi M, Speer KL. Accuracy of self-reported height and weight in women: an integrative review of the literature. J Midwifery Womens Health. 2003;48:338–45.

    Article  PubMed  Google Scholar 

  40. Spencer EA, Appleby PN, Davey GK, Key TJ. Validity of self-reported height and weight in 4808 EPIC-Oxford participants. Public Health Nutr. 2002;5:561–5.

    Article  PubMed  Google Scholar 

  41. Larsen JK, Ouwens M, Engels RCME, Eisinga R, Van Strien T. Validity of self-reported weight and height and predictors of weight bias in female college students. Appetite. 2008;50:386–9.

    Article  PubMed  Google Scholar 

  42. Perry GS, Byers TE, Mokdad AH, Serdula MK, Williamson DF. The validity of self-reports of past body weights by U.S. adults. Epidemiology. 1995;6:61–6.

    Article  CAS  PubMed  Google Scholar 

  43. Klipstein-Grobusch K, Kroke A, Boeing H. Reproducibility of self-reported past body weight. Eur J Clin Nutr. 1998;52:525–8.

    Article  CAS  PubMed  Google Scholar 

  44. Must A, Willett WC, Dietz WH. Remote recall of childhood height, weight, and body build by elderly subjects. Am J Epidemiol. 1993;138:56–64.

    Article  CAS  PubMed  Google Scholar 

  45. Larsen LML, Hertel NNT, Mølgaard C, dePont Christensen R, Husby S, Jarbøl DE. Prevalence of overweight and obesity in Danish preschool children over a 10‐year period: a study of two birth cohorts in general practice. Acta Paediatr. 2012;101:201–7.

    Article  PubMed  Google Scholar 

  46. Bendixen H, Holst C, Sørensen TIA, Raben A, Bartels EM, Astrup A. Major increase in prevalence of overweight and obesity between 1987 and 2001 among Danish adults. Obes Res. 2004;12:1464–72.

    Article  PubMed  Google Scholar 

  47. Heitmann BL. Ten-year trends in overweight and obesity among Danish men and women aged 30-60 years. Int J Obes Relat Metab Disord. 2000;24:1347–52.

    Article  CAS  PubMed  Google Scholar 

  48. Cohen AK, Rai M, Rehkopf DH, Abrams B. Educational attainment and obesity: a systematic review. Obesity Rev. 2013;14:989–1005.

    Article  CAS  Google Scholar 

  49. Teede HJ, Joham AE, Paul E, Moran LJ, Loxton D, Jolley D, et al. Longitudinal weight gain in women identified with polycystic ovary syndrome: results of an observational study in young women. Obesity (Silver Spring). 2013;21:1526–32.

    Article  PubMed  Google Scholar 

  50. Sharma S, Mahajan N. Polycystic ovarian syndrome and menopause in forty plus women. J Midlife Health. 2021;12:3–7.

    PubMed  PubMed Central  Google Scholar 

  51. Petersen AN, Nielsen TM. Børns familier. Del 2008: 2 af Temapublikationer fra Danmarks Statistik, 2008.

  52. Iversen DS, Kesmodel US, Ovesen PG. Associations between parity and maternal BMI in a population-based cohort study. Acta Obstet Gynecol Scand. 2018;97:694–700.

    Article  PubMed  Google Scholar 

  53. Imterat M, Agarwal A, Esteves SC, Meyer J, Harlev A. Impact of Body Mass Index on female fertility and ART outcomes. Panminerva Med. 2019;61:58–67.

    Article  PubMed  Google Scholar 

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HKR was responsible for designing and writing the article, interpreting results, updating reference lists and creating tables. RTK was responsible for extracting and analysing data and contributed to creating tables and writing the article. SR contributed to extracting and analysing data, interpreting results and provided feedback. TIAS contributed to the design of the article, writing the article and interpreting results and provided feedback. BLH contributed to the design of the article, writing the article and interpreting results and provided feedback.

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Correspondence to Hanna Kruse Reiband.

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Reiband, H.K., Klemmensen, R.T., Rosthøj, S. et al. Body weight in childhood, adolescence, and young adulthood in relation to later risk of disabilities and early retirement among Danish female nurses. Int J Obes (2024). https://doi.org/10.1038/s41366-024-01487-6

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