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September 1, 1986American Journal of Epidemiology

Body Weight and Coronary Disease Risk: Patterns of Risk Factor Change Associated With Long-Term Weight Change

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Key result

Long-term weight change over 15 years significantly predicted changes in eight coronary disease risk factors, with age modifying its effects on fasting glucose, uric acid, and forced vital capacity.

Why the study?

Does long-term weight change predict changes in coronary disease risk factors in men?

Population

1,396 men participating in the Veterans Administration Normative Aging Study in Boston, Massachusetts

Design

Cohort

Follow-up

15 years

Authors

GBGary A. BorkanUnited States Department of Veterans AffairsDSDavid SparrowBroad InstituteCWCynthia WisniewskiBoston VA Research Institute

Discussion

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Implication

Weight change was associated with coronary risk factor shifts in men; extends prior data but leaves open causal effects and targeted interventions.

Key Points

  • The aim is to understand how long-term changes in body weight affect coronary disease risk factors, focusing on the interaction with aging.
  • Analyzed 15 years of data on 1,396 men from the Veterans Administration Normative Aging Study.
  • Employed multiple regression analysis to assess changes in eight coronary disease risk factors due to weight change.
  • Controlled for initial risk factor levels, age, and smoking status while exploring interactions between weight change and age.
  • Weight change significantly predicted long-term changes in each examined risk factor, including blood pressure and cholesterol.
  • Interaction between weight change and age was significant for fasting glucose, uric acid, and lung capacity.
  • Younger men experienced greater effects on uric acid and lung capacity from weight gain, while older men saw a stronger effect on fasting glucose.

Study Design

Type

Cohort (n=1,396)

Multicenter

No

Structured PICO

Does long-term weight change predict changes in coronary disease risk factors in men?

P
Population
1,396 men participating in the Veterans Administration Normative Aging Study in Boston, Massachusetts
I
Intervention
Long-term weight change
O
Outcome
Change in eight putative coronary disease risk factors (blood pressure, serum cholesterol, triglycerides, fasting and two-hour postprandial blood glucose, uric acid, and forced vital capacity of the lungs)surrogate

Long-term weight change is a significant independent predictor of changes in multiple coronary disease risk factors, with age modifying the effects on glucose, uric acid, and lung capacity.

Cite This Study

Borkan et al. (1986) conducted a cohort in Coronary disease risk factors (n=1,396). Long-term weight change was evaluated on Change in eight putative coronary disease risk factors (blood pressure, serum cholesterol, triglycerides, fasting and two-hour postprandial blood glucose, uric acid, and forced vital capacity). Long-term weight change over 15 years significantly predicted changes in eight coronary disease risk factors, with age modifying its effects on fasting glucose, uric acid, and forced vital capacity.

synapsesocial.com/papers/6a082bfbad370a6b44ddfa18https://doi.org/10.1093/oxfordjournals.aje.a114411
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Body weight and weight gain during adult life in men in relation to coronary heart disease and mortality A prospective population study1999 · 202 citations
  2. 2Cohort study of effect of being overweight and change in weight on risk of coronary heart disease in old age1997 · 145 citations
  3. 3Relation of Body Weight to Development of Coronary Heart Disease1967 · 275 citations
  4. 4BODY WEIGHT CHANGE IN RELATION TO INCIDENCE OF ISCHEMIC HEART DISEASE AND CHANGE IN RISK FACTORS FOR ISCHEMIC HEART DISEASE11980 · 70 citations
  5. 5Body Size and Fat Distribution as Predictors of Coronary Heart Disease among Middle-aged and Older US Men1995 · 845 citations