Impact of weight variability on mortality among Korean men and women: a population based study

Abstract The health consequences of weight fluctuation have been controversial and little-studied within Asian populations. We aimed to determine the effect of weight variability on mortality using Korean National Health Insurance Service – National Health Screening Cohort. Weight variability was de...

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Autores principales: Daein Choi, Seulggie Choi, Sang Min Park
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Lenguaje:EN
Publicado: Nature Portfolio 2019
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Acceso en línea:https://doaj.org/article/2897ee41384e43a4973b4257949c01a0
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spelling oai:doaj.org-article:2897ee41384e43a4973b4257949c01a02021-12-02T15:09:40ZImpact of weight variability on mortality among Korean men and women: a population based study10.1038/s41598-019-46037-72045-2322https://doaj.org/article/2897ee41384e43a4973b4257949c01a02019-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-019-46037-7https://doaj.org/toc/2045-2322Abstract The health consequences of weight fluctuation have been controversial and little-studied within Asian populations. We aimed to determine the effect of weight variability on mortality using Korean National Health Insurance Service – National Health Screening Cohort. Weight variability was defined as the average successive variability of body mass index (BMI) of the first (2002 and 2003), second (2004 and 2005), and third (2006 and 2007) health examinations. Then, we used Cox regression models to estimate the effect of weight variability on mortality. Compared to participants within the first quintile (lowest) of weight variability, those within the fifth quintile (highest) had increased the risk of death from all causes (hazard ratio, HR 1.33, 95% confidence interval, CI 1.26–1.41), cardiovascular disease (HR 1.31, 95% CI 1.12–1.53), cancer (HR 1.11, 95% CI 1.02–1.22), and other causes (HR 1.58, 95% CI 1.45–1.73). The risk-increasing effect of weight variability on mortality was preserved after excluding past and current smokers as well as those with pre-existing cardiovascular disease or cancer. In conclusion, high weight variability may lead to elevated risk of death even among healthy never smokers. Therefore, maintaining a steady weight should be recommended to benefit from reduced risk of death.Daein ChoiSeulggie ChoiSang Min ParkNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 9, Iss 1, Pp 1-8 (2019)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Daein Choi
Seulggie Choi
Sang Min Park
Impact of weight variability on mortality among Korean men and women: a population based study
description Abstract The health consequences of weight fluctuation have been controversial and little-studied within Asian populations. We aimed to determine the effect of weight variability on mortality using Korean National Health Insurance Service – National Health Screening Cohort. Weight variability was defined as the average successive variability of body mass index (BMI) of the first (2002 and 2003), second (2004 and 2005), and third (2006 and 2007) health examinations. Then, we used Cox regression models to estimate the effect of weight variability on mortality. Compared to participants within the first quintile (lowest) of weight variability, those within the fifth quintile (highest) had increased the risk of death from all causes (hazard ratio, HR 1.33, 95% confidence interval, CI 1.26–1.41), cardiovascular disease (HR 1.31, 95% CI 1.12–1.53), cancer (HR 1.11, 95% CI 1.02–1.22), and other causes (HR 1.58, 95% CI 1.45–1.73). The risk-increasing effect of weight variability on mortality was preserved after excluding past and current smokers as well as those with pre-existing cardiovascular disease or cancer. In conclusion, high weight variability may lead to elevated risk of death even among healthy never smokers. Therefore, maintaining a steady weight should be recommended to benefit from reduced risk of death.
format article
author Daein Choi
Seulggie Choi
Sang Min Park
author_facet Daein Choi
Seulggie Choi
Sang Min Park
author_sort Daein Choi
title Impact of weight variability on mortality among Korean men and women: a population based study
title_short Impact of weight variability on mortality among Korean men and women: a population based study
title_full Impact of weight variability on mortality among Korean men and women: a population based study
title_fullStr Impact of weight variability on mortality among Korean men and women: a population based study
title_full_unstemmed Impact of weight variability on mortality among Korean men and women: a population based study
title_sort impact of weight variability on mortality among korean men and women: a population based study
publisher Nature Portfolio
publishDate 2019
url https://doaj.org/article/2897ee41384e43a4973b4257949c01a0
work_keys_str_mv AT daeinchoi impactofweightvariabilityonmortalityamongkoreanmenandwomenapopulationbasedstudy
AT seulggiechoi impactofweightvariabilityonmortalityamongkoreanmenandwomenapopulationbasedstudy
AT sangminpark impactofweightvariabilityonmortalityamongkoreanmenandwomenapopulationbasedstudy
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