Predictors of Weight Loss in Obese Older Adults: Findings from the USA and the UK

Objective: To examine the prevalence and demographic predictors of clinically meaningful weight loss in community samples of obese older adults in the USA and the UK. Methods: Data were from obese older adults (BMI ≥ 30 kg/m2; age ≥ 52 years), free of a cancer diagnosis, from the Health and Retireme...

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Main Authors: Sarah E. Jackson, Rebecca J. Beeken, Jane Wardle
Format: Article
Language:English
Published: Karger Publishers 2014-03-01
Series:Obesity Facts
Subjects:
Online Access:http://www.karger.com/Article/FullText/362196
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author Sarah E. Jackson
Rebecca J. Beeken
Jane Wardle
author_facet Sarah E. Jackson
Rebecca J. Beeken
Jane Wardle
author_sort Sarah E. Jackson
collection DOAJ
description Objective: To examine the prevalence and demographic predictors of clinically meaningful weight loss in community samples of obese older adults in the USA and the UK. Methods: Data were from obese older adults (BMI ≥ 30 kg/m2; age ≥ 52 years), free of a cancer diagnosis, from the Health and Retirement Study (HRS; n = 3398) and the English Longitudinal Study of Ageing (ELSA; n = 998). Weight change was assessed from 2004 to 2008. Multivariable logistic regression tested whether age, sex, ethnicity, marital status, education, or BMI predicted ≥ 5% weight loss. Results: Over a quarter (28.7%) of obese participants from HRS and 16.6% from ELSA lost ≥ 5% weight. Being female (odds ratio (OR) = 1.31, 95% confidence interval (CI) = 1.11-1.54) and heavier (BMI ≥ 35 kg/m2) (OR = 1.60, 95% CI = 1.37-1.87) predicted weight loss in HRS. Trends were similar in ELSA (female: OR = 1.18, 95% CI = 0.83-1.69; BMI ≥ 35 kg/m2: OR = 1.24, 95% CI = 0.85-1.82). ORs were increased in ≥ 65-year-olds in HRS (OR = 1.55, 95% CI = 1.33-1.81), and reduced in married people in ELSA (OR = 0.69, 95% CI = 0.48-1.00). Neither education nor ethnicity predicted weight loss in either cohort. Conclusion: A high proportion of obese older adults experience clinically meaningful weight loss, but few demographic variables consistently predict weight loss in this population.
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spelling doaj.art-80c22c1f64ce4baeb9a66ae7d5730f462022-12-22T00:58:36ZengKarger PublishersObesity Facts1662-40251662-40332014-03-017210211010.1159/000362196362196Predictors of Weight Loss in Obese Older Adults: Findings from the USA and the UKSarah E. JacksonRebecca J. BeekenJane WardleObjective: To examine the prevalence and demographic predictors of clinically meaningful weight loss in community samples of obese older adults in the USA and the UK. Methods: Data were from obese older adults (BMI ≥ 30 kg/m2; age ≥ 52 years), free of a cancer diagnosis, from the Health and Retirement Study (HRS; n = 3398) and the English Longitudinal Study of Ageing (ELSA; n = 998). Weight change was assessed from 2004 to 2008. Multivariable logistic regression tested whether age, sex, ethnicity, marital status, education, or BMI predicted ≥ 5% weight loss. Results: Over a quarter (28.7%) of obese participants from HRS and 16.6% from ELSA lost ≥ 5% weight. Being female (odds ratio (OR) = 1.31, 95% confidence interval (CI) = 1.11-1.54) and heavier (BMI ≥ 35 kg/m2) (OR = 1.60, 95% CI = 1.37-1.87) predicted weight loss in HRS. Trends were similar in ELSA (female: OR = 1.18, 95% CI = 0.83-1.69; BMI ≥ 35 kg/m2: OR = 1.24, 95% CI = 0.85-1.82). ORs were increased in ≥ 65-year-olds in HRS (OR = 1.55, 95% CI = 1.33-1.81), and reduced in married people in ELSA (OR = 0.69, 95% CI = 0.48-1.00). Neither education nor ethnicity predicted weight loss in either cohort. Conclusion: A high proportion of obese older adults experience clinically meaningful weight loss, but few demographic variables consistently predict weight loss in this population.http://www.karger.com/Article/FullText/362196PrevalencePredictorsWeight lossAgingObesity
spellingShingle Sarah E. Jackson
Rebecca J. Beeken
Jane Wardle
Predictors of Weight Loss in Obese Older Adults: Findings from the USA and the UK
Obesity Facts
Prevalence
Predictors
Weight loss
Aging
Obesity
title Predictors of Weight Loss in Obese Older Adults: Findings from the USA and the UK
title_full Predictors of Weight Loss in Obese Older Adults: Findings from the USA and the UK
title_fullStr Predictors of Weight Loss in Obese Older Adults: Findings from the USA and the UK
title_full_unstemmed Predictors of Weight Loss in Obese Older Adults: Findings from the USA and the UK
title_short Predictors of Weight Loss in Obese Older Adults: Findings from the USA and the UK
title_sort predictors of weight loss in obese older adults findings from the usa and the uk
topic Prevalence
Predictors
Weight loss
Aging
Obesity
url http://www.karger.com/Article/FullText/362196
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