Evidence map›Paper›PMID 42521837›Full record

ArticleInternational journal of obesity (2005)2026

The relationship between changes in body weight and cognitive function in the elderly.

Yulu Zhong, Bin Guo, Yaoyao Wang, Yinan Li, Qinghai Li, Xinjuan Yu, Jimei Guo, Tao Wang

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Article in International journal of obesity (2005), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Yulu Zhong *Department of Respiratory and Critical Care Medicine, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, China.ORCID http://orcid.org/0009-0000-2222-8776
Bin Guo *Office of High-Quality Development, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, China.
Yaoyao Wang *Department of Respiratory and Critical Care Medicine, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, China.
Yinan LiDepartment of Medicine, Qingdao Municipal Hospital, Medical College, Qingdao University, Qingdao, China.
Qinghai LiDepartment of Respiratory and Critical Care Medicine, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, China.
Xinjuan YuDepartment of Respiratory and Critical Care Medicine, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, China.
Jimei GuoDepartment of Gynaecology, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, China. guojimei71@163.com.ORCID http://orcid.org/0009-0003-3642-3056
Tao WangDepartment of Respiratory and Critical Care Medicine, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, China. wangtao@uhrs.edu.cn.ORCID http://orcid.org/0000-0002-5910-8775

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCognitive function is a major concern in aging society. Current studies on the impact of body weight changes on cognitive abilities present conflicting results. This study explored the relationship between weight changes during adulthood and cognitive function in later life.

methodsData were obtained from the National Health and Nutrition Examination Survey (NHANES) and a total of 5097 participants aged 60 years or older with recalled weight at young and middle adulthood were included. Absolute weight change was categorized into five groups: weight loss of at least 2.5 kg, weight change within 2.5 kg (reference group), weight gain of at least 2.5 kg but less than 10.0 kg, weight gain of at least 10 kg but less than 20.0 kg, and weight gain of at least 20.0 kg. Cognitive function was assessed using the Digit Symbol Substitution Test (DSST). Logistic regression models adjusted for covariates were used to compute the odds ratios (ORs) and 95% confidence intervals (CIs) for the association between weight changes and cognitive function.

resultsFrom age 25 to 10 years before survey, participants with small to moderate weight gain (increase of ≥2.5 kg and <10 kg) exhibited a decreased risk of cognitive impairment compared to those with stable weight (weight change within 2.5 kg), with an OR of 0.64 (95% CI = 0.48 to 0.85, P = 0.003). For moderate to substantial weight gain (increase of ≥10 kg and <20 kg), the OR was 0.61 (95% CI = 0.46-0.79, P < 0.001). From age 25 years to survey, the OR for moderate to substantial weight gain was 0.66 (95% CI = 0.50-0.89, P = 0.007). Restricted cubic spline indicated a U-shaped relationship between the absolute weight change and cognitive function.

conclusionsModerate weight gain from early adulthood to late life was associated with a reduced risk of cognitive impairment, while weight loss showed a non-significant trend toward increased risk.

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PMID42521837

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