Impact of weight change since age 20 and cardiovascular disease mortality risk: The Ohsaki cohort study

Wan Ting Chou, Masako Kakizaki, Yasutake Tomata, Masato Nagai, Yumi Sugawara, Shinichi Kuriyama, Ichiro Tsuji

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: It is unclear whether weight change since young adulthood affects the risk of mortality due to cardiovascular disease (CVD). The aim of this study was to investigate weight change since age 20 in relation to the risk of CVD mortality. Methods and Results: A total of 41,364 eligible Japanese men and women aged 40-79 years participated in the Ohsaki Cohort Study baseline survey in 1994. Hazard ratios (HRs) and 95% confidence intervals (CIs) for CVD mortality were calculated according to weight change since age 20 (loss ≥10.0 kg; loss 5.0-9.9 kg; stable [±4.9 kg]; gain 5.0-9.9 kg; gain ≥10.0 kg). During 13.3 years of follow-up, 1,756 participants died of CVD. The association between weight change and CVD mortality was L-shaped in men and U-shaped in women; the multivariate HR (95% CI) for men with weight loss ≥10.0 kg was 1.52 (1.25-1.85), and that for women with weight loss ≥10.0 kg and weight gain ≥10.0 kg was 1.62 (1.25-2.11) and 1.36 (1.09-1.69), respectively. Cross-classification analysis based on body mass index (BMI) at age 20 and weight change tended to be U-shaped, except for men whose BMI had been <25 kg/m2 at age 20, in which case it was L-shaped. Conclusions: Weight loss since young adulthood is associated with excess risk of mortality due to CVD in men, while a U-shaped relationship was observed for women.

Original languageEnglish
Pages (from-to)679-686
Number of pages8
JournalCirculation Journal
Volume77
Issue number3
DOIs
Publication statusPublished - 05-03-2013

Fingerprint

Cohort Studies
Cardiovascular Diseases
Weights and Measures
Mortality
Weight Loss
Body Mass Index
Confidence Intervals
Weight Gain

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Chou, Wan Ting ; Kakizaki, Masako ; Tomata, Yasutake ; Nagai, Masato ; Sugawara, Yumi ; Kuriyama, Shinichi ; Tsuji, Ichiro. / Impact of weight change since age 20 and cardiovascular disease mortality risk : The Ohsaki cohort study. In: Circulation Journal. 2013 ; Vol. 77, No. 3. pp. 679-686.
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abstract = "Background: It is unclear whether weight change since young adulthood affects the risk of mortality due to cardiovascular disease (CVD). The aim of this study was to investigate weight change since age 20 in relation to the risk of CVD mortality. Methods and Results: A total of 41,364 eligible Japanese men and women aged 40-79 years participated in the Ohsaki Cohort Study baseline survey in 1994. Hazard ratios (HRs) and 95{\%} confidence intervals (CIs) for CVD mortality were calculated according to weight change since age 20 (loss ≥10.0 kg; loss 5.0-9.9 kg; stable [±4.9 kg]; gain 5.0-9.9 kg; gain ≥10.0 kg). During 13.3 years of follow-up, 1,756 participants died of CVD. The association between weight change and CVD mortality was L-shaped in men and U-shaped in women; the multivariate HR (95{\%} CI) for men with weight loss ≥10.0 kg was 1.52 (1.25-1.85), and that for women with weight loss ≥10.0 kg and weight gain ≥10.0 kg was 1.62 (1.25-2.11) and 1.36 (1.09-1.69), respectively. Cross-classification analysis based on body mass index (BMI) at age 20 and weight change tended to be U-shaped, except for men whose BMI had been <25 kg/m2 at age 20, in which case it was L-shaped. Conclusions: Weight loss since young adulthood is associated with excess risk of mortality due to CVD in men, while a U-shaped relationship was observed for women.",
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Impact of weight change since age 20 and cardiovascular disease mortality risk : The Ohsaki cohort study. / Chou, Wan Ting; Kakizaki, Masako; Tomata, Yasutake; Nagai, Masato; Sugawara, Yumi; Kuriyama, Shinichi; Tsuji, Ichiro.

In: Circulation Journal, Vol. 77, No. 3, 05.03.2013, p. 679-686.

Research output: Contribution to journalArticle

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T1 - Impact of weight change since age 20 and cardiovascular disease mortality risk

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AU - Chou, Wan Ting

AU - Kakizaki, Masako

AU - Tomata, Yasutake

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AU - Sugawara, Yumi

AU - Kuriyama, Shinichi

AU - Tsuji, Ichiro

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N2 - Background: It is unclear whether weight change since young adulthood affects the risk of mortality due to cardiovascular disease (CVD). The aim of this study was to investigate weight change since age 20 in relation to the risk of CVD mortality. Methods and Results: A total of 41,364 eligible Japanese men and women aged 40-79 years participated in the Ohsaki Cohort Study baseline survey in 1994. Hazard ratios (HRs) and 95% confidence intervals (CIs) for CVD mortality were calculated according to weight change since age 20 (loss ≥10.0 kg; loss 5.0-9.9 kg; stable [±4.9 kg]; gain 5.0-9.9 kg; gain ≥10.0 kg). During 13.3 years of follow-up, 1,756 participants died of CVD. The association between weight change and CVD mortality was L-shaped in men and U-shaped in women; the multivariate HR (95% CI) for men with weight loss ≥10.0 kg was 1.52 (1.25-1.85), and that for women with weight loss ≥10.0 kg and weight gain ≥10.0 kg was 1.62 (1.25-2.11) and 1.36 (1.09-1.69), respectively. Cross-classification analysis based on body mass index (BMI) at age 20 and weight change tended to be U-shaped, except for men whose BMI had been <25 kg/m2 at age 20, in which case it was L-shaped. Conclusions: Weight loss since young adulthood is associated with excess risk of mortality due to CVD in men, while a U-shaped relationship was observed for women.

AB - Background: It is unclear whether weight change since young adulthood affects the risk of mortality due to cardiovascular disease (CVD). The aim of this study was to investigate weight change since age 20 in relation to the risk of CVD mortality. Methods and Results: A total of 41,364 eligible Japanese men and women aged 40-79 years participated in the Ohsaki Cohort Study baseline survey in 1994. Hazard ratios (HRs) and 95% confidence intervals (CIs) for CVD mortality were calculated according to weight change since age 20 (loss ≥10.0 kg; loss 5.0-9.9 kg; stable [±4.9 kg]; gain 5.0-9.9 kg; gain ≥10.0 kg). During 13.3 years of follow-up, 1,756 participants died of CVD. The association between weight change and CVD mortality was L-shaped in men and U-shaped in women; the multivariate HR (95% CI) for men with weight loss ≥10.0 kg was 1.52 (1.25-1.85), and that for women with weight loss ≥10.0 kg and weight gain ≥10.0 kg was 1.62 (1.25-2.11) and 1.36 (1.09-1.69), respectively. Cross-classification analysis based on body mass index (BMI) at age 20 and weight change tended to be U-shaped, except for men whose BMI had been <25 kg/m2 at age 20, in which case it was L-shaped. Conclusions: Weight loss since young adulthood is associated with excess risk of mortality due to CVD in men, while a U-shaped relationship was observed for women.

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