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J Obes Eat Disord, 2017
ISSN: 2471-8203
August 23-24, 2017 | Toronto, Canada
allied
academies
INTERNATIONAL OBESITY, BARIATRIC AND
METABOLIC SURGERY SUMMIT AND EXPO
Darline K. El Reda, J Obes Eat Disord, 3:2
DOI: 10.21767/2471-8203-C1-002
Objective:
To describe the determinants of 12-year weight
change among a cohort of middle-aged women.
Methods:
In 1991/1992, 49,259 women across Sweden
were recruited into a cohort. In 2003, 34,402 (73%)
completed a follow-up survey. Demographic, lifestyle and
health characteristics, including weight were collected using
baseline and follow-up surveys and twelve-year weight
change and substantial weight gain (≥+5.0 kilogram[kg]) were
calculated; association between baseline characteristics
and odds ratios (OR) with 95% confidence intervals (CI) of
substantial weight gain were estimated.
Results:
The majority (81%) of women experienced weight
gain during the twelve-year follow-up. Being above average
weight (64.5 kg) at baseline [OR =1.20, 95%CI: 1.14, 1.26] and
smoking 1-9 [OR=1.10, 95% CI: 1.01, 1.20], 10-19 [OR=1.30,
95% CI: 1.21, 1.39], or ≥20 cigarettes daily [OR=1.17, 95%
CI: 1.04, 1.32] increased a woman’s odds of experiencing
substantial weight gain. However, risk of substantial
weight gain was reduced among women 45-50 years of age
[OR=0.79, 95% CI: 0.73, 0.85], women reporting high alcohol
consumption [OR=0.90, 95% CI: 0.83, 0.98], and those with
medium [OR=0.93, 95% CI: 0.87, 1.00] or high [OR 0.83, 95%
CI: 0.77, 0.90] physical activity levels. Smoking cessation
(OR=1.88, 95% CI: 1.68, 2.11) and decreasing physical activity
(OR=1.58, 95% CI: 1.48, 1.68) were associated with increased
odds of substantial weight gain as compared to women who
reported no smoking at baseline and follow-up and women
who reported no changes in physical activity, respectively.
Conclusions:
The majority of women experienced weight
gain during middle-age. Women who start middle-age at
an above average weight or as a cigarette smoker may be
uniquely challenged in their weight management efforts,
highlighting the value of population-specific determinants of
weight gain in guiding obesity prevention efforts in women.
Speaker Biography
Dr. El Reda has over 15 years of experience in public health practice across a variety
of settings, such as city, county, state, federal, and private sector in the United
States. Most recently, she has been focused on the application of epidemiologic
and statistical principles in the assessment of primary care practice delivery for 4.5
million insured patients in Michigan using health insurance claims data. In addition,
she has been an Adjunct Assistant Professor with Michigan State University’s College
of Human Medicine teaching graduate courses in epidemiology, biostatistics, and
health informatics since 2012. She is an alumni of the Centers for Disease Control and
Prevention’s Epidemic Intelligence Service and has published on the topics of maternal
and child health, primary care practice transformation, disease prevention programs,
and infectious disease outbreaks. She is currently an Assistant Professor with the
faculty of Public Health at Kuwait University.
e:
darline.elreda@hsc.edu.kwLifestyle and behavioral determinants of long-term weight change in women
Darline K. El Reda
Kuwait University, Kuwait