ArticleBMC public health2017
Trajectories of body mass index among Canadian seniors and associated mortality risk.
Article in BMC public health, 2017. 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.
- A systematic review of evidence on employment transitions and weight change by gender in ageing populations.PloS one · 2022Pooled it
- A U-shaped relationship between body mass index and the risk of elevated liver stiffness in older people: evidence from the 5-year retrospective cohort study.International journal of obesity (2005) · 2025Article
- Body mass index trajectories in older adulthood and all-cause mortality: a cohort study in China.BMC public health · 2025Article
- Resilience among older adults with multimorbidity using the Connor-Davidson scale in the Canadian Longitudinal Study on Aging: health behaviour, socio-economic, and social support predictors.BMC public health · 2024Article
- Trajectories of body mass index and incident kidney stone disease: a prospective cohort study in Chinese young adults.Urolithiasis · 2024Article
- BMI trajectory in adulthood in relation to all-cause and cause-specific mortality: A retrospective cohort study in Taiwan.PloS one · 2023Article
- Pattern of long-term weight and metabolic changes after a first episode of psychosis: Results from a 10-year prospective follow-up of the PAFIP program for early intervention in psychosis cohort.European psychiatry : the journal of the Association of European Psychiatrists · 2022Article
- Body-mass index trajectories from childhood to mid-adulthood and their sociodemographic predictors: Evidence from the International Childhood Cardiovascular Cohort (i3C) Consortium.EClinicalMedicine · 2022Article
- Specific body mass index trajectories were related to musculoskeletal pain and mortality: 19-year follow-up cohort.Journal of clinical epidemiology · 2022Article
- Multimorbidity resilience and health behaviors among older adults: A longitudinal study using the Canadian Longitudinal Study on Aging.Frontiers in public health · 2022Article
- Effect of Secular Trend, Age, and Length of Follow-up on Optimum Body Mass Index From 1985 Through 2015 in a Large Austrian Cohort.Journal of epidemiology · 2021Article
- Adiposity and the role of diverse social supports: an observational, gender-sensitive study using the baseline Canadian Longitudinal Study on Aging.Public health nutrition · 2021Observational
- Predictive value of women's weight trajectories in determining familial cardiovascular disorders: a family-based longitudinal study.Scientific reports · 2021Article
- Trajectories of body mass index (BMI) and hypertension risk among middle-aged and elderly Chinese people.Journal of human hypertension · 2021Article
- Body mass index trajectories among people with obesity and association with mortality: Evidence from a large Israeli database.Obesity science & practice · 2021Article
- Body mass index trajectories during mid to late life and risks of mortality and cardiovascular outcomes: Results from four prospective cohorts.EClinicalMedicine · 2021Article
- Distinct developmental trajectories of body mass index and diabetes risk: A 5-year longitudinal study of Chinese adults.Journal of diabetes investigation · 2020Article
- Effects of Social Development Intervention in Childhood on Adult Life at Ages 30 to 39.Prevention science : the official journal of the Society for Prevention Research · 2019Article
- Life-course trajectories of body mass index and subsequent cardiovascular risk among Chinese population.PloS one · 2019Article
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7 authors.
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Abstract
backgroundThis study aims to characterize the heterogeneity in BMI trajectories and evaluate how different BMI trajectories predict mortality risk in Canadian seniors.
methodsData came from the Canadian National Population Health Survey (NPHS, 1994-2011) and 1480 individuals aged 65-79 years with at least four BMI records were included in this study. Group-based trajectory model was used to identify distinct subgroups of longitudinal trajectories of BMI measured over 19 years for men and women. Cox proportional hazards models were used to examine the association between BMI trajectories and mortality risks.
resultsDistinct trajectory patterns were found for men and women: 'Normal Weight-Down'(N-D), 'Overweight-Normal weight' (OV-N), 'Obese I-Down' (OB I-D), and 'Obese II- Down' (OB II-D) for women; and 'Normal Weight-Down' (N-D), 'Overweight-Normal weight' (OV-N), 'Overweight-Stable' (OV-S), and 'Obese-Stable' (OB-S) for men. Comparing with OV-N, men in the OV-S group had the lowest mortality risk followed by the N-D (HR = 1.66) and OB-S (HR = 1.98) groups, after adjusting for covariates. Compared with OV-N, women in the OB II-D group with three or more chronic health conditions had higher mortality risk (HR = 1.61); however, women in OB II-D had lower risk (HR = 0.56) if they had less than three conditions.
conclusionThe course of BMI over time in Canadian seniors appears to follow one of four different patterns depending on gender. The findings suggest that men who were overweight at age 65 and lost weight over time had the lowest mortality risk. Interestingly, obese women with decreasing BMI have different mortality risks, depending on their chronic health conditions. The findings provide new insights concerning the associations between BMI and mortality risk.
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