ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2013
Trajectory classes of body mass index in a representative elderly community sample.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Life Course Trajectories of Body Mass Index and Risk of Cancer in Adulthood: Systematic Review and Meta-Analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026Pooled it
- The importance of missing data in estimating BMI trajectories.Scientific reports · 2024Article
- Article
- BMI trajectories, morbidity, and mortality in England: a two-step approach to estimating consequences of changes in BMI.Obesity (Silver Spring, Md.) · 2022Article
- Differences in Body Mass Index Trajectories and Their Classification, Sociodemographic Characteristics, and Health Behaviors between People with and without Disabilities Using Korea Health Panel Survey Data.International journal of environmental research and public health · 2022Article
- Body mass trajectories and multimorbidity in old age: 12-year results from a population-based study.Clinical nutrition (Edinburgh, Scotland) · 2021Article
- Trajectories of body mass index (BMI) and hypertension risk among middle-aged and elderly Chinese people.Journal of human hypertension · 2021Article
- Life-long body mass index trajectories and mortality in two generations.Annals of epidemiology · 2021Article
- Socioeconomic trajectories of body mass index and waist circumference: results from the English Longitudinal Study of Ageing.BMJ open · 2019Observational
- Midlife Body Mass Index Trajectory and Risk of Frailty 8 Years Later in Taiwan.The journal of nutrition, health & aging · 2019Article
- Associations between Childhood Disadvantage and Adult Body Mass Index Trajectories: A Follow-Up Study among Midlife Finnish Municipal Employees.Obesity facts · 2019Article
- Body Mass Index and Decline in Cognitive Function in Older Black and White Persons.The journals of gerontology. Series A, Biological sciences and medical sciences · 2018Article
- Comparisons of the Health Benefits of Strength Training, Aqua-Fitness, and Aerobic Exercise for the Elderly.Rehabilitation research and practice · 2018Article
- Trajectories of body mass index among Canadian seniors and associated mortality risk.BMC public health · 2017Article
- Socioeconomic Status and the Trajectory of Body Mass Index Among Older Japanese: A Nationwide Cohort Study of 1987-2006.The journals of gerontology. Series B, Psychological sciences and social sciences · 2016Article
- Body Mass Index Trajectories among Middle-Aged and Elderly Canadians and Associated Health Outcomes.Journal of environmental and public health · 2016Article
- Long-Term BMI Trajectories and Health in Older Adults: Hierarchical Clustering of Functional Curves.Journal of aging and health · 2015Article
- Trajectories of Body Mass Index and Their Associations With Mortality Among Older Japanese: Do They Differ From Those of Western Populations?American journal of epidemiology · 2015Article
- Effects of long-term developmental patterns of adiposity on levels of C-reactive protein and fibrinogen among North-American men and women: the Spokane Heart Study.Obesity facts · 2014Article
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5 authors.
Funding
Abstract
backgroundIt is unclear whether distinct weight-related trajectory classes, differing in course, demographics, and health characteristics, exist in the elderly population.
methodsData came from the 10-year (1986-1996) Duke Established Populations for Epidemiologic Studies of the Elderly study of 3,861 black (54%) and white (46%) participants aged 65-105 years. Latent-class trajectories of body mass index (BMI: kg/m(2)) based on self-reported weight and height at baseline, 3, 6, and 10 years later were determined using generalized mixture models. Polytomous logistic regression was used to identify baseline demographic and health characteristics that distinguished the trajectories, and 10-year postbaseline data to confirm the findings.
resultsWe identified three trajectories: normal weight (BMI ~24, 27.6% of the sample), overweight (BMI ~26, 65.1%), and obese (BMI ~31, 7.3%). Demographic characteristics distinguished the three trajectories: highest odds of blacks, women, and less education in the obese trajectory, lowest in the normal-weight trajectory. Obese and overweight differed adversely from normal-weight trajectories, but not significantly from each other on cognitive impairment, hypertension, and diabetes. Depressive symptomatology was more prevalent in the obese; they were also younger. There was no association with cancer or heart disease.
conclusionDistinct trajectories and course of BMI were present in this older population. Weight loss increased with increase in BMI class. Although demographic characteristics distinguished all trajectory classes, adverse health characteristics distinguished the overweight and obese classes from the normal-weight class, but not from each other. Problems associated with education and health are present at study entry and should be addressed earlier in life.
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