Abstract
Objective:
To document patterns of measured weight and waist circumference (WC) change and the increase in overweight and obesity over a 9-year period.
Subjects/Methods:
A total of 1044 subjects from two age-defined cohorts aged 39 and 59 in 1991. Height, weight and WC were measured in 1991, 1995 and 2000 and body mass index (BMI) was calculated. Pattern of weight and WC change was studied over approximately 9 years.
Results:
The prevalence of overweight and obesity increased markedly and the younger cohort showed greater increases in weight and WC than the older cohort. There was no significant difference in mean BMI and/or mean 9-year weight change between men and women in either age cohort, and mean weight gain was similar for all occupational groups. Only 20% of subjects maintained a stable weight (±2 kg), while 42.2 and 17.6% gained greater than 5 and 10 kg over the 9-year period, respectively. The rate of weight gain appeared to be relatively steady over the 9 years among younger subjects but declined in the older subjects in the second half of the observation period.
Conclusions:
Health promotion strategies to prevent weight gain need to be population-based, targeting all social and age groups, but particularly those in their early middle-age.
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 SpringerLink
- 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
Ball K, Crawford D (2005). Socioeconomic status and weight change in adults: a review. Soc Sci Med 60, 1987–2010.
Ball K, Crawford D, Ireland P, Hodge A (2003). Patterns and demographic predictors of 5-year weight change in a multi-ethnic cohort of men and women in Australia. Public Health Nutr 6, 269–280.
Berg C, Rosengren A, Aires N, Lappas G, Torén K, Thelle D et al. (2005). Trends in overweight and obesity from 1985 to 2002 in Göteborg, West Sweden. Int J Obes 29, 916–924.
British National Audit Office (2001). Tackling Obesity in England, Report by the Comptroller and Auditor General. London.
Coakley EH, Rimm EB, Colditz G, Kawachi I, Willett WC (1998). Predictors of weight change in men: results from the Health Professionals Follow-up Study. Int J Obes Relat Metab Disord 22, 89–96.
Der G (1998). A comparison of the West of Scotland Twenty-07 study sample and the 1991 census SARs. MRC Medical Sociology Unit.
Drøyvold W, Nilsen T, Krüger Ø, Holmen T, Krokstad S, Midthjell K et al. (2006). Change in height, weight and body mass index: longitudinal data from the HUNT Study in Norway. Int J Obes 30, 935–939.
Executive Summary of the Third Report of the National Cholesterol Education Program (NCEP) (2001). Expert panel on detection, evaluation and treatment of high blood cholesterol in adults (Adult Treatment Panel III). JAMA 285, 2486–2497.
FAO/WHO (2003). Diet, Nutrition and Prevention of Chronic Diseases. Report of a Joint FAO/WHO Expert Consultation. FAO/WHO: Geneva.
Field AE, Wing RR, Manson JE, Spiegelman DL, Willett WC (2001a). Relationship between large weight loss to long-term change among young and middle-aged US women. Int J Obes Relat Metab Disord 25, 1113–1121.
Fine JT, Colditz GA, Coakley EH, Moseley G, Manson JE, Willett WC et al. (1999). A prospective study of weight change and health-related quality of life in women. JAMA 282, 2136–2142.
Heitmann BL, Garby L (1999). Patterns of long-term weight changes in overweight developing Danish men and women aged between 30 and 60 years. Int J Obes Relat Metab Disord 23, 1074–1078.
Hughes VA, Frontera WR, Roubenoff R, Evans WJ, Singh MAF (2002). Longitudinal changes in body composition in older men and women: role of body weight change and physical activity. Am J Clin Nutr 76, 473–481.
Lean MEJ, Han TS (2002). Waist worries. Am J Clin Nutr 76, 699–700.
Leise AD, Doring A, Hense HW, Keil U (2001). Five years changes in waist circumference, body mass index and obesity in Ausburg, Germany. Eur J Nutr 40, 282–288.
Macintyre S (1989). Inequalities in health. In: Martin CJ, McQueen DV (eds). Readings for a New Public Health. Edinburgh University Press: Edinburgh.
National Health Services Centre For Reviews and Dissemination (1997). The prevention and treatment of obesity. Effective Health Care Bulletin, University of York, Churchill Livingstone 3, 2–12.
Rosell M, Appleby P, Spencer E, Key T (2006). Weight gain over 5 years in 21 966 meat-eating, fish-eating, vegetarian, and vegan men and women in EPIC-Oxford. Int J Obes 30, 139–1396.
Ruston D, Hoare J, Henderson L, Gregory J, Bates CJ, Prentice A et al. (2004). National Diet and Nutrition Survey: adults aged 19 to 64 years. Food Standard Agency/Department of Health/Office of National Statistics. TSO: London.
Scottish Intercollegiate Guidelines Network (1996). Obesity in Scotland: Integrating Prevention with Weight Management, Edinburgh. SIGN Guideline No. 8.
Seidell JC (1995). Obesity in Europe: scaling an epidemic. Int J Obes Relat Metab Disord 19, S1–S4.
Seidell JC, Visscher TL (2000). Body weight and weight change and their health implications for the elderly. Eur J Clin Nutr 54, S33–S39.
The Scottish Office (2000). The Scottish Health Survey 1998, Vol. 1. The Stationary Office: Edinburgh, Scotland.
Truong K, Sturm R (2005). Weight gain trends across sociodemographic groups in the United States. Am J Public Health 95, 1602–1606.
Van lenthe FJ, Droomers M, Schrijvers CTM, Mackenbach JP (2000). Socio-demographic variables and 6 year change in body mass index: longitudinal results from the GLOBE study. Int J Obes Relat Metab Disord 24, 1077–1084.
WHO (1997). Obesity: Preventing and Managing the Global Epidemic. World Health Organization: Geneva.
Zhu SK, Wang ZM, Heshka S, Heo M, Faith MS, Heymsfield SB (2002). Waist circumference and obesity-associated risk factors among whites in the third National Health and Nutrition examination Survey: clinical action thresholds. Am J Clin Nutr 76, 743–749.
Acknowledgements
ME-M was supported by the Ministry of Health and Medical Education Tehran, Islamic Republic of Iran. The Twenty-07 study is funded by the UK Medical Research Council.
Author information
Authors and Affiliations
Corresponding author
Additional information
Contributors: ME-M performed the original analyses, interpreted the data and wrote the first draft and revisions of the manuscript. JAS performed additional analyses, assisted with the interpretation of the results and in writing and revising the manuscript. GD advised on the analysis and commented on drafts of the manuscript. MEJL and CMB contributed to the interpretation of the results and commented on drafts of the manuscript.
Rights and permissions
About this article
Cite this article
Ebrahimi-Mameghani, M., Scott, J., Der, G. et al. Changes in weight and waist circumference over 9 years in a Scottish population. Eur J Clin Nutr 62, 1208–1214 (2008). https://doi.org/10.1038/sj.ejcn.1602839
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.ejcn.1602839