Socioeconomic position and risk of short-term weight gain: prospective study of 14,619 middle-aged men and women.

TitleSocioeconomic position and risk of short-term weight gain: prospective study of 14,619 middle-aged men and women.
Publication TypeJournal Article
Year of Publication2008
AuthorsPurslow, LR, Young, EH, Wareham, NJ, Forouhi, N, Brunner, EJ, Luben, RN, Welch, AA, Khaw, K-T, Bingham, SA, Sandhu, MS
JournalBMC Public Health
Volume8
Pagination112
Date Published2008 Apr 09
ISSN1471-2458
KeywordsAdult, Aged, Body Mass Index, Diet, Exercise, Female, Humans, Life Style, Linear Models, Male, Middle Aged, Prospective Studies, Risk Factors, Social Class, Surveys and Questionnaires, United Kingdom, Weight Gain
Abstract

BACKGROUND: The association between socioeconomic position in middle age and risk of subsequent, short-term weight gain is unknown. We therefore assessed this association in a prospective population based cohort study in Norfolk, UK.METHODS: We analysed data on 14,619 middle-aged men and women (aged between 40-75 at baseline) with repeated objective measures of weight and height at baseline (1993-1997) and follow up (1998-2000).RESULTS: During follow up 5,064 people gained more than 2.5 kg. Compared with the highest social class, individuals in the lowest social class had around a 30% greater risk of gaining more than 2.5 kg (OR 1.29; 95% CI 1.11-1.51; p for trend = 0.002). This association remained statistically significant following adjustment for sex, age, baseline BMI, smoking, and follow up time (OR 1.25; CI 1.07-1.46; p for trend <0.001). We also found no material difference between unadjusted models and those including all confounders and potential mediators.CONCLUSION: Individuals of low socioeconomic position are at greatest risk of gaining weight during middle age, which is not explained by classical correlates of socioeconomic position and risk factors for obesity.

DOI10.1186/1471-2458-8-112
Alternate JournalBMC Public Health
Citation Key10.1186/1471-2458-8-112
PubMed ID18400100
PubMed Central IDPMC2323377
Grant List / / Department of Health / United Kingdom
MC_U105630924 / / Medical Research Council / United Kingdom
MC_U106179471 / / Medical Research Council / United Kingdom
/ / Cancer Research UK / United Kingdom
G0401527 / / Medical Research Council / United Kingdom
/ / Wellcome Trust / United Kingdom