The inverted U-shaped relationship between weight loss percentage and cardiovascular health scores
Abstract Purpose Obesity is a significant risk factor for cardiovascular disease; however, the impact of weight loss on cardiovascular health (CVH) in individuals with specific obesity patterns remains incompletely understood. The objective of our study was to investigate the relationship weight los...
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| Format: | Article |
| Language: | English |
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Springer
2023-10-01
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| Series: | Eating and Weight Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1007/s40519-023-01619-3 |
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| author | Feng Chen Yu Zhang Shaohe Chen |
| author_facet | Feng Chen Yu Zhang Shaohe Chen |
| author_sort | Feng Chen |
| collection | DOAJ |
| description | Abstract Purpose Obesity is a significant risk factor for cardiovascular disease; however, the impact of weight loss on cardiovascular health (CVH) in individuals with specific obesity patterns remains incompletely understood. The objective of our study was to investigate the relationship weight loss percentage and CVH scores across individuals with various obesity patterns. Methods Our study utilized data from the National Health and Nutrition Examination Survey conducted between 2007 and 2018, involving a total of 12,835 participants aged 16 years or older, to conduct a cross-sectional analysis. Multiple linear regression and multinomial logistic regression methods were used to assess the correlation between the weight loss percentage and the CVH scores. Additionally, restricted cubic spline analysis was employed to examine the nonlinear relationship between the two variables. Results Compared to individuals with a weight loss percentage < 0%, participants with weight loss percentages of 0–5% and 5.1–10% showed improved CVH scores, with β values of 2.85 (95% CI 2.32–3.38) and 2.55 (95% CI 1.69–3.4), respectively. Regarding different obesity patterns, compared to participants with a weight loss percentage < 0%, participants with a weight loss percentage of 0–5% showed an increase in CVH scores in the normal weight and overweight/general obesity (OGO) groups, with β values of 1.45 (95% CI 0.7–2.19) and 1.22 (95% CI 0.46–1.97), respectively. Restricted cubic spline analysis revealed a significant inverted U-shaped relationship between the weight loss percentage and the CVH scores (with optimal CVH scores at 3%). Conclusions There was an inverted U-shaped relationship between weight loss percentage and CVH scores, with moderate weight loss (0–10%, optimal value of 3%) being associated with improved CVH scores, especially among individuals with OGO. Level V Opinions of respected authorities, based on descriptive studies, narrative reviews, clinical experience, or reports of expert committees. |
| first_indexed | 2024-03-09T15:31:53Z |
| format | Article |
| id | doaj.art-21d3ab1d148249ae87ad3b873ee9c303 |
| institution | Directory Open Access Journal |
| issn | 1590-1262 |
| language | English |
| last_indexed | 2024-03-09T15:31:53Z |
| publishDate | 2023-10-01 |
| publisher | Springer |
| record_format | Article |
| series | Eating and Weight Disorders |
| spelling | doaj.art-21d3ab1d148249ae87ad3b873ee9c3032023-11-26T12:09:38ZengSpringerEating and Weight Disorders1590-12622023-10-0128111610.1007/s40519-023-01619-3The inverted U-shaped relationship between weight loss percentage and cardiovascular health scoresFeng Chen0Yu Zhang1Shaohe Chen2Department of Child Healthcare, Wenzhou People’s HospitalDepartment of Child Healthcare, Wenzhou People’s HospitalDepartment of Child Healthcare, Wenzhou People’s HospitalAbstract Purpose Obesity is a significant risk factor for cardiovascular disease; however, the impact of weight loss on cardiovascular health (CVH) in individuals with specific obesity patterns remains incompletely understood. The objective of our study was to investigate the relationship weight loss percentage and CVH scores across individuals with various obesity patterns. Methods Our study utilized data from the National Health and Nutrition Examination Survey conducted between 2007 and 2018, involving a total of 12,835 participants aged 16 years or older, to conduct a cross-sectional analysis. Multiple linear regression and multinomial logistic regression methods were used to assess the correlation between the weight loss percentage and the CVH scores. Additionally, restricted cubic spline analysis was employed to examine the nonlinear relationship between the two variables. Results Compared to individuals with a weight loss percentage < 0%, participants with weight loss percentages of 0–5% and 5.1–10% showed improved CVH scores, with β values of 2.85 (95% CI 2.32–3.38) and 2.55 (95% CI 1.69–3.4), respectively. Regarding different obesity patterns, compared to participants with a weight loss percentage < 0%, participants with a weight loss percentage of 0–5% showed an increase in CVH scores in the normal weight and overweight/general obesity (OGO) groups, with β values of 1.45 (95% CI 0.7–2.19) and 1.22 (95% CI 0.46–1.97), respectively. Restricted cubic spline analysis revealed a significant inverted U-shaped relationship between the weight loss percentage and the CVH scores (with optimal CVH scores at 3%). Conclusions There was an inverted U-shaped relationship between weight loss percentage and CVH scores, with moderate weight loss (0–10%, optimal value of 3%) being associated with improved CVH scores, especially among individuals with OGO. Level V Opinions of respected authorities, based on descriptive studies, narrative reviews, clinical experience, or reports of expert committees.https://doi.org/10.1007/s40519-023-01619-3ObesityWeight lossCardiovascular healthNational Health and Nutrition Examination Survey |
| spellingShingle | Feng Chen Yu Zhang Shaohe Chen The inverted U-shaped relationship between weight loss percentage and cardiovascular health scores Eating and Weight Disorders Obesity Weight loss Cardiovascular health National Health and Nutrition Examination Survey |
| title | The inverted U-shaped relationship between weight loss percentage and cardiovascular health scores |
| title_full | The inverted U-shaped relationship between weight loss percentage and cardiovascular health scores |
| title_fullStr | The inverted U-shaped relationship between weight loss percentage and cardiovascular health scores |
| title_full_unstemmed | The inverted U-shaped relationship between weight loss percentage and cardiovascular health scores |
| title_short | The inverted U-shaped relationship between weight loss percentage and cardiovascular health scores |
| title_sort | inverted u shaped relationship between weight loss percentage and cardiovascular health scores |
| topic | Obesity Weight loss Cardiovascular health National Health and Nutrition Examination Survey |
| url | https://doi.org/10.1007/s40519-023-01619-3 |
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