S-Y Dong1, M-L Wang2, Z-B Li3, Z Dong4, Y-Q Liu4, R-J Lu5, J-M Li4, R Tang6. 1. Healthcare Department, Agency for Offices Administration of Chinese People's Liberation Army, Beijing, China. Electronic address: dsynh@126.com. 2. Peking University-Tsinghua University Joint Center for Life Sciences, Beijing, China; Advanced Academy of Interdisciplinary Sciences, Peking University, Beijing, China. 3. Department of Healthcare, Chinese People's Liberation Army General Hospital, Beijing, China. 4. Healthcare Department, Agency for Offices Administration of Chinese People's Liberation Army, Beijing, China. 5. The 307 Hospital of Academy of Military Medical Science, Beijing, China. 6. Department of Healthcare, Chinese People's Liberation Army General Hospital, Beijing, China. Electronic address: tangru9999@163.com.
Abstract
BACKGROUND AND AIMS: It is expected that older adults with metabolic abnormalities may benefit from weight loss; however, data on this population are limited. Our study was to assess the effect of obesity and weight change on mortality risk in older adults with metabolic abnormalities. METHODS AND RESULTS: A total of 3649 Chinese older adults aged 60-90 years with metabolic abnormalities were included between 2000 and 2014. Weight change between two health checkup periods was calculated. During a median follow-up period of 37 months, 503 all-cause mortality and 235 cardiovascular disease mortality occurred. Death rate was the lowest in overweight participants and in the participants with weight stability. After adjustment for covariates, hazard ratios (95% confidence intervals) of overweight participants for all-cause mortality and cardiovascular mortality were 0.71 (0.59, 0.86) and 0.72 (0.55, 0.95), respectively, whereas obesity was not significantly associated with mortality risk. Furthermore, relative to weight stability, risks of mortality significantly increased with the increase in weight loss or weight gain, except small weight gain. These associations were unchanged when the participants were stratified by baseline covariates and even when several definitions of weight change were considered. CONCLUSIONS: Overweight was associated with less mortality risk, and obesity was not associated with mortality risk in older adults with metabolic abnormalities. Mortality risk increased with the increase in weight loss or weight gain, regardless of body weight levels at the baseline. These findings suggest that maintaining a stable weight may be the best choice in older adults with metabolic abnormalities.
BACKGROUND AND AIMS: It is expected that older adults with metabolic abnormalities may benefit from weight loss; however, data on this population are limited. Our study was to assess the effect of obesity and weight change on mortality risk in older adults with metabolic abnormalities. METHODS AND RESULTS: A total of 3649 Chinese older adults aged 60-90 years with metabolic abnormalities were included between 2000 and 2014. Weight change between two health checkup periods was calculated. During a median follow-up period of 37 months, 503 all-cause mortality and 235 cardiovascular disease mortality occurred. Death rate was the lowest in overweight participants and in the participants with weight stability. After adjustment for covariates, hazard ratios (95% confidence intervals) of overweight participants for all-cause mortality and cardiovascular mortality were 0.71 (0.59, 0.86) and 0.72 (0.55, 0.95), respectively, whereas obesity was not significantly associated with mortality risk. Furthermore, relative to weight stability, risks of mortality significantly increased with the increase in weight loss or weight gain, except small weight gain. These associations were unchanged when the participants were stratified by baseline covariates and even when several definitions of weight change were considered. CONCLUSIONS: Overweight was associated with less mortality risk, and obesity was not associated with mortality risk in older adults with metabolic abnormalities. Mortality risk increased with the increase in weight loss or weight gain, regardless of body weight levels at the baseline. These findings suggest that maintaining a stable weight may be the best choice in older adults with metabolic abnormalities.
Authors: Neha J Pagidipati; Matthew Phelan; Courtney Page; Megan Clowse; Ricardo Henao; Eric D Peterson; Benjamin A Goldstein Journal: Prev Med Rep Date: 2021-10-25