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Diet quality, physical activity, smoking status, and weight fluctuation are associated with weight change in women and men.

Publication ,  Journal Article
Kimokoti, RW; Newby, PK; Gona, P; Zhu, L; Jasuja, GK; Pencina, MJ; McKeon-O'Malley, C; Fox, CS; D'Agostino, RB; Millen, BE
Published in: J Nutr
July 2010

The effect of diet quality on weight change, relative to other body weight determinants, is insufficiently understood. Furthermore, research on long-term weight change in U.S. adults is limited. We evaluated prospectively patterns and predictors of weight change in Framingham Offspring/Spouse (FOS) women and men (n = 1515) aged > or =30 y with BMI > or = 18.5 kg/m2 and without cardiovascular disease, diabetes, and cancer at baseline over a 16-y period. Diet quality was assessed using the validated Framingham Nutritional Risk Score. In women, older age (P < 0.0001) and physical activity (P < 0.05) were associated with lower weight gain. Diet quality interacted with former smoking status (P-interaction = 0.02); former smokers with lower diet quality gained an additional 5.2 kg compared with those with higher diet quality (multivariable-adjusted P-trend = 0.06). Among men, older age (P < 0.0001) and current smoking (P < 0.01) were associated with lower weight gain, and weight fluctuation (P < 0.01) and former smoking status (P < 0.0001) were associated with greater weight gain. Age was the strongest predictor of weight change in both women (partial R(2) = 11%) and men (partial R(2) = 8.6%). Normal- and overweight women gained more than obese women (P < 0.05) and younger adults gained more weight than older adults (P < 0.0001). Patterns and predictors of weight change differ by sex. Age in both sexes and physical activity among women as well as weight fluctuation and smoking status in men were stronger predictors of weight change than diet quality among FOS adults. Women who stopped smoking over follow-up and had poor diet quality gained the most weight. Preventive interventions need to be sex-specific and consider lifestyle factors.

Duke Scholars

Published In

J Nutr

DOI

EISSN

1541-6100

Publication Date

July 2010

Volume

140

Issue

7

Start / End Page

1287 / 1293

Location

United States

Related Subject Headings

  • Weight Loss
  • Weight Gain
  • Smoking
  • Nutrition & Dietetics
  • Middle Aged
  • Male
  • Humans
  • Female
  • Exercise
  • Diet
 

Citation

APA
Chicago
ICMJE
MLA
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Kimokoti, R. W., Newby, P. K., Gona, P., Zhu, L., Jasuja, G. K., Pencina, M. J., … Millen, B. E. (2010). Diet quality, physical activity, smoking status, and weight fluctuation are associated with weight change in women and men. J Nutr, 140(7), 1287–1293. https://doi.org/10.3945/jn.109.120808
Kimokoti, Ruth W., P. K. Newby, Philimon Gona, Lei Zhu, Guneet K. Jasuja, Michael J. Pencina, Catherine McKeon-O’Malley, Caroline S. Fox, Ralph B. D’Agostino, and Barbara E. Millen. “Diet quality, physical activity, smoking status, and weight fluctuation are associated with weight change in women and men.J Nutr 140, no. 7 (July 2010): 1287–93. https://doi.org/10.3945/jn.109.120808.
Kimokoti RW, Newby PK, Gona P, Zhu L, Jasuja GK, Pencina MJ, et al. Diet quality, physical activity, smoking status, and weight fluctuation are associated with weight change in women and men. J Nutr. 2010 Jul;140(7):1287–93.
Kimokoti, Ruth W., et al. “Diet quality, physical activity, smoking status, and weight fluctuation are associated with weight change in women and men.J Nutr, vol. 140, no. 7, July 2010, pp. 1287–93. Pubmed, doi:10.3945/jn.109.120808.
Kimokoti RW, Newby PK, Gona P, Zhu L, Jasuja GK, Pencina MJ, McKeon-O’Malley C, Fox CS, D’Agostino RB, Millen BE. Diet quality, physical activity, smoking status, and weight fluctuation are associated with weight change in women and men. J Nutr. 2010 Jul;140(7):1287–1293.
Journal cover image

Published In

J Nutr

DOI

EISSN

1541-6100

Publication Date

July 2010

Volume

140

Issue

7

Start / End Page

1287 / 1293

Location

United States

Related Subject Headings

  • Weight Loss
  • Weight Gain
  • Smoking
  • Nutrition & Dietetics
  • Middle Aged
  • Male
  • Humans
  • Female
  • Exercise
  • Diet