Search Results
Author: Finkelstein, Eric A.
Resulting in 3 citations.
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Finkelstein, Eric A. Ostbye, Truls Malhotra, Rahul |
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Body Mass Trajectories through Mid-Life among Adults with Class I Obesity Surgery for Obesity and Related Diseases 9,4 (July-August 2013): 547-553. Also: http://www.sciencedirect.com/science/article/pii/S1550728912000123 Cohort(s): NLSY79 Publisher: Elsevier Keyword(s): Body Mass Index (BMI); Health/Health Status/SF-12 Scale; Life Course; Obesity; Weight Background: Little is known about body mass trajectories for adults with Class I obesity. Objectives: To map body mass trajectories through mid-life for young adults with Class I obesity. Setting: United States. Methods: Data from the National Longitudinal Study of Youth 1979 was utilized to generate a cohort of 1058 males and females, aged 25-33 years with Class I obesity in 1990. Group-based trajectory modeling was used to identify the number and shape of body mass index (BMI) trajectories from 1990 to 2008 for this cohort. Results: By 2008, around 15% of males and females with Class I obesity in 1990 experienced a BMI increase beyond 40 kg/m2. The trajectory analyses showed that roughly 1/3rd of the sample were on one of two BMI trajectory groups that culminated with average BMI values well above 35 kg/m2. Conclusions: The large majority of young adults with Class I obesity are likely to gain weight over time. For many, the weight gain will be significant and greatly increase their risk of obesity related comorbidities and reduced life expectancy. As a result, bariatric surgery or other intensive weight management options may be warranted. |
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Bibliography Citation
Finkelstein, Eric A., Truls Ostbye and Rahul Malhotra. "Body Mass Trajectories through Mid-Life among Adults with Class I Obesity." Surgery for Obesity and Related Diseases 9,4 (July-August 2013): 547-553.
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Malhotra, Rahul Ostbye, Truls Riley, Crystal M. Finkelstein, Eric A. |
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Young Adult Weight Trajectories Through Midlife by Body Mass Category Obesity 21,9 (September 2013): 1923-1934. Also: http://onlinelibrary.wiley.com/doi/10.1002/oby.20318/abstract Cohort(s): NLSY79 Publisher: Wiley Online Keyword(s): Body Mass Index (BMI); Health/Health Status/SF-12 Scale; Life Course; Obesity; Weight Permission to reprint the abstract has not been received from the publisher. Objective: To estimate the expected weight gain through midlife for those in a given BMI category in young adulthood. Design and Methods: Group-based trajectory modeling and National Longitudinal Survey of Youth 1979 data from 1990 to 2008 were used to quantify weight trajectories through midlife for 10,038 young adult men and women stratified by BMI category. Logistic regression was used to assess the association of trajectory membership with obesity-related conditions (hypertension, diabetes, arthritis) in middle age. Results: Annual weight gain averaged 0.53 kg (1.17 lb) across the entire sample. However, there was considerable variation by and within BMI categories. More than 98% of men and 92% of women were on upward-sloping trajectories, generally moving into a higher BMI category by middle age. Those who experienced early and rapid weight gain during young adulthood were most likely to be on a steeper trajectory and had greater risks for obesity-related conditions. Conclusion: This study points to the health and weight benefits of entering young adulthood with a normal BMI, but further reveals that this is no guarantee of maintaining a healthy weight through midlife. For those who are young adults today, weight maintenance is unlikely to occur without significant environmental or technical innovation. |
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Bibliography Citation
Malhotra, Rahul, Truls Ostbye, Crystal M. Riley and Eric A. Finkelstein. "Young Adult Weight Trajectories Through Midlife by Body Mass Category." Obesity 21,9 (September 2013): 1923-1934.
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Nonnemaker, James M. Morgan-Lopez, Antonio A. Pais, Joanne M. Finkelstein, Eric A. |
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Youth BMI Trajectories: Evidence from the NLSY97 Obesity 17,6 (June 2009):1274-1280. Also: http://www.nature.com/oby/journal/v17/n6/full/oby20095a.html Cohort(s): NLSY97 Publisher: Nature Publishing Group Keyword(s): Body Mass Index (BMI); Health/Health Status/SF-12 Scale; Heterogeneity; Weight Permission to reprint the abstract has not been received from the publisher. We examined heterogeneity in BMI trajectory classes among youth and variables that may be associated with trajectory class membership. We used data from seven rounds (1997–2003) of the 1997 National Longitudinal Survey of Youth (NLSY97), a nationally representative, longitudinal survey of people born between 1980 and 1984 who were living in the United States in 1997. The analyses were based on an accelerated longitudinal design. General growth mixture modeling implemented in Mplus (version 4.1) was used to identify subtypes of youth BMI growth trajectories over time. Four distinct youth BMI trajectories were identified. Class 1 includes youth at high risk for becoming obese by young adulthood (at age 12 and 23, ~67 and 90%, respectively, are classified as obese, and almost 72% will have had a BMI 40 at some time during this developmental period). Class 2 includes youth at moderate-to-high risk (at age 12 and 23, ~55 and 68%, respectively, are classified as obese). Class 3 includes youth at low-to-moderate risk (i.e., at age 12 and 23, ~8 and 27%, respectively, are classified as obese). Class 4 includes youth at low risk (few of these youth are obese at any age during this developmental period). These results highlight the importance of considering heterogeneity in BMI growth among youth and early interventions among those most at risk of the adverse health consequences of excess weight. |
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Bibliography Citation
Nonnemaker, James M., Antonio A. Morgan-Lopez, Joanne M. Pais and Eric A. Finkelstein. "Youth BMI Trajectories: Evidence from the NLSY97." Obesity 17,6 (June 2009):1274-1280.
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