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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Weight fluctuations and risk for metabolic syndrome in an adult cohort
A-C Vergnaud1, S Bertrais, J-M Oppert
1Nutritional Epidemiology Unit, UMR U557 INSERM, U1125 INRA, CNAM, Centre de Recherche en Nutrition Humaine Ile-de-France, Bobigny, France.
Objective:
Weight gain is a risk factor for metabolic syndrome (MS). However, it is not known whether weight fluctuations (WF) have a deleterious effect upon MS risk. In the present study, we investigated this association in subjects participating in the SU.VI.MAX cohort.
Methods:
MS status was assessed at baseline (1994/1995) and at the end of follow-up (2001/2002) using the National Cholesterol Education Program-Adult Treatment Panel III criteria. WF were estimated with four weight measures during follow-up. Odds ratio (OR, 95% confidence interval (CI)) for incident MS cases was evaluated according to four WF groups (no WF and tertiles of WF) in 3553 middle-aged subjects.
Results:
The OR (95% CI) for MS was 2.06 (1.20-3.52) for the third WF tertile compared to the first tertile. This association was independent of confounding variables, especially relative weight change during follow-up. Subjects without WF had a 2.72-fold increase (1.64-4.53) for MS risk compared to the first tertile of WF. For MS components taken separately, similar associations were found for raised blood pressure, low high-density lipoprotein-cholesterol and increased waist circumference.
Conclusion:
Our results showed that WF was an independent risk factor for MS after 7 years of follow-up. Moreover, subjects without WF were also at risk for MS, due to the highest weight gain during follow-up. These results support the benefits of weight stability and emphasize the importance of weight gain prevention starting from early adulthood.
Insights
Weight fluctuations (WF) are a significant risk factor for metabolic syndrome (MS). Maintaining weight stability is crucial for preventing MS, as even no weight fluctuations can indicate underlying weight gain risks.
Area of Science:
- Metabolic health
- Cardiovascular risk factors
- Obesity research
Background:
- Weight gain is a known risk factor for metabolic syndrome (MS).
- The impact of weight fluctuations (WF) on MS risk remains unclear.
- Investigating WF association with MS is crucial for public health.
Purpose of the Study:
- To investigate the association between weight fluctuations (WF) and the risk of developing metabolic syndrome (MS).
- To determine if weight stability or instability influences MS development in middle-aged adults.
Main Methods:
- Assessed MS status using NCEP-ATP III criteria at baseline and after 7 years.
- Estimated weight fluctuations (WF) using four weight measures during follow-up.
- Analyzed odds ratios for incident MS cases across WF groups in 3553 middle-aged subjects.
Main Results:
- The third WF tertile showed a 2.06-fold increased risk for MS compared to the first tertile.
- Subjects with no WF had a 2.72-fold higher risk for MS, linked to significant weight gain.
- Associations were independent of relative weight change and observed for MS components like raised blood pressure and increased waist circumference.
Conclusions:
- Weight fluctuations (WF) are an independent risk factor for metabolic syndrome (MS) over a 7-year follow-up.
- Individuals with no WF may still be at risk due to substantial weight gain, highlighting the importance of weight stability.
- These findings underscore the benefits of weight stability and the critical need for weight gain prevention from early adulthood.
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