Do socioeconomic factors shape weight and obesity trajectories over the transition from midlife to old age? Results from the French GAZEL cohort study
BACKGROUND: Obesity is a contemporary epidemic that does not affect all age groups and sections of society equally. OBJECTIVE: The objective was to examine socioeconomic differences in trajectories of body mass index (BMI; in kg/m²) and obesity between the ages of 45 and 65 y. DESIGN: A total of 13,...
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creator | Dugravot, Aline Sabia, Séverine Stringhini, Silvia Kivimaki, Mika Westerlund, Hugo Vahtera, Jussi Guéguen, Alice Zins, Marie Goldberg, Marcel Nabi, Hermann Singh-Manoux, Archana |
description | BACKGROUND: Obesity is a contemporary epidemic that does not affect all age groups and sections of society equally. OBJECTIVE: The objective was to examine socioeconomic differences in trajectories of body mass index (BMI; in kg/m²) and obesity between the ages of 45 and 65 y. DESIGN: A total of 13,297 men and 4532 women from the French GAZEL (Gaz de France Electricité de France) cohort study reported their height in 1990 and their weight annually over the subsequent 18 y. Changes in BMI and obesity between ages 45 and 49 y, 50 and 54 y, 55 and 59 y, and 60 and 65 y as a function of education and occupational position (at age 35 y) were modeled by using linear mixed models and generalized estimating equations. RESULTS: BMI and obesity rates increased between the ages of 45 and 65 y. In men, BMI was higher in unskilled workers than in managers at age 45 y; this difference in BMI increased from 0.82 (95% CI: 0.66, 0.99) at 45 y to 1.06 (95% CI: 0.85, 1.27) at 65 y. Men with a primary school education compared with those with a high school degree at age 45 y had a 0.75 (95% CI: 0.51, 1.00) higher BMI, and this difference increased to 1.32 (95% CI: 1.03,1.62) at age 65 y. Obesity rates were 3.35% and 7.68% at age 45 y and 9.52% and 18.10% at age 65 y in managers and unskilled workers, respectively; the difference in obesity increased by 4.25% (95% CI: 1.87, 6.52). A similar trend was observed in women. CONCLUSIONS: Weight continues to increase in the transition between midlife and old age; this increase is greater in lower socioeconomic groups. |
doi_str_mv | 10.3945/ajcn.2010.29223 |
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Results from the French GAZEL cohort study</title><source>MEDLINE</source><source>SWEPUB Freely available online</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Dugravot, Aline ; Sabia, Séverine ; Stringhini, Silvia ; Kivimaki, Mika ; Westerlund, Hugo ; Vahtera, Jussi ; Guéguen, Alice ; Zins, Marie ; Goldberg, Marcel ; Nabi, Hermann ; Singh-Manoux, Archana</creator><creatorcontrib>Dugravot, Aline ; Sabia, Séverine ; Stringhini, Silvia ; Kivimaki, Mika ; Westerlund, Hugo ; Vahtera, Jussi ; Guéguen, Alice ; Zins, Marie ; Goldberg, Marcel ; Nabi, Hermann ; Singh-Manoux, Archana</creatorcontrib><description>BACKGROUND: Obesity is a contemporary epidemic that does not affect all age groups and sections of society equally. OBJECTIVE: The objective was to examine socioeconomic differences in trajectories of body mass index (BMI; in kg/m²) and obesity between the ages of 45 and 65 y. DESIGN: A total of 13,297 men and 4532 women from the French GAZEL (Gaz de France Electricité de France) cohort study reported their height in 1990 and their weight annually over the subsequent 18 y. Changes in BMI and obesity between ages 45 and 49 y, 50 and 54 y, 55 and 59 y, and 60 and 65 y as a function of education and occupational position (at age 35 y) were modeled by using linear mixed models and generalized estimating equations. RESULTS: BMI and obesity rates increased between the ages of 45 and 65 y. In men, BMI was higher in unskilled workers than in managers at age 45 y; this difference in BMI increased from 0.82 (95% CI: 0.66, 0.99) at 45 y to 1.06 (95% CI: 0.85, 1.27) at 65 y. Men with a primary school education compared with those with a high school degree at age 45 y had a 0.75 (95% CI: 0.51, 1.00) higher BMI, and this difference increased to 1.32 (95% CI: 1.03,1.62) at age 65 y. Obesity rates were 3.35% and 7.68% at age 45 y and 9.52% and 18.10% at age 65 y in managers and unskilled workers, respectively; the difference in obesity increased by 4.25% (95% CI: 1.87, 6.52). A similar trend was observed in women. CONCLUSIONS: Weight continues to increase in the transition between midlife and old age; this increase is greater in lower socioeconomic groups.</description><identifier>ISSN: 0002-9165</identifier><identifier>ISSN: 1938-3207</identifier><identifier>EISSN: 1938-3207</identifier><identifier>DOI: 10.3945/ajcn.2010.29223</identifier><identifier>PMID: 20484455</identifier><identifier>CODEN: AJCNAC</identifier><language>eng</language><publisher>Bethesda, MD: American Society for Clinical Nutrition</publisher><subject>Aged ; Biological and medical sciences ; Body Mass Index ; body weight ; Cohort Studies ; disease incidence ; Educational Status ; Feeding. Feeding behavior ; Female ; France ; France - epidemiology ; Fundamental and applied biological sciences. Psychology ; Global Health ; height ; Human growth ; Humans ; Life Expectancy ; Life Sciences ; Male ; MEDICIN ; MEDICINE ; men ; Middle age ; Middle Aged ; middle-aged adults ; Nutrition ; Obesity ; Obesity - epidemiology ; Obesity and Eating Disorders ; Occupations ; Older people ; Original Research Communications ; Risk Factors ; Santé publique et épidémiologie ; simulation models ; Social Class ; Socioeconomic Factors ; socioeconomic status ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Weight Gain ; women ; World Health ; World Health Organization</subject><ispartof>AMERICAN JOURNAL OF CLINICAL NUTRITION, 2010-07, Vol.92 (1), p.16-23</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright American Society for Clinical Nutrition, Inc. Jul 1, 2010</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><rights>2010 American Society for Nutrition 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c584t-4c34d973a9c148b3736af37a5619b5604258a64b0b524848514ea2149d8f5c593</citedby><cites>FETCH-LOGICAL-c584t-4c34d973a9c148b3736af37a5619b5604258a64b0b524848514ea2149d8f5c593</cites><orcidid>0000-0002-6161-5880 ; 0000-0003-3109-9720 ; 0000-0002-4540-4282</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,552,780,784,885,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22941434$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20484455$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://inserm.hal.science/inserm-00488837$$DView record in HAL$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-42147$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:120847156$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Dugravot, Aline</creatorcontrib><creatorcontrib>Sabia, Séverine</creatorcontrib><creatorcontrib>Stringhini, Silvia</creatorcontrib><creatorcontrib>Kivimaki, Mika</creatorcontrib><creatorcontrib>Westerlund, Hugo</creatorcontrib><creatorcontrib>Vahtera, Jussi</creatorcontrib><creatorcontrib>Guéguen, Alice</creatorcontrib><creatorcontrib>Zins, Marie</creatorcontrib><creatorcontrib>Goldberg, Marcel</creatorcontrib><creatorcontrib>Nabi, Hermann</creatorcontrib><creatorcontrib>Singh-Manoux, Archana</creatorcontrib><title>Do socioeconomic factors shape weight and obesity trajectories over the transition from midlife to old age? Results from the French GAZEL cohort study</title><title>AMERICAN JOURNAL OF CLINICAL NUTRITION</title><addtitle>Am J Clin Nutr</addtitle><description>BACKGROUND: Obesity is a contemporary epidemic that does not affect all age groups and sections of society equally. OBJECTIVE: The objective was to examine socioeconomic differences in trajectories of body mass index (BMI; in kg/m²) and obesity between the ages of 45 and 65 y. DESIGN: A total of 13,297 men and 4532 women from the French GAZEL (Gaz de France Electricité de France) cohort study reported their height in 1990 and their weight annually over the subsequent 18 y. Changes in BMI and obesity between ages 45 and 49 y, 50 and 54 y, 55 and 59 y, and 60 and 65 y as a function of education and occupational position (at age 35 y) were modeled by using linear mixed models and generalized estimating equations. RESULTS: BMI and obesity rates increased between the ages of 45 and 65 y. In men, BMI was higher in unskilled workers than in managers at age 45 y; this difference in BMI increased from 0.82 (95% CI: 0.66, 0.99) at 45 y to 1.06 (95% CI: 0.85, 1.27) at 65 y. Men with a primary school education compared with those with a high school degree at age 45 y had a 0.75 (95% CI: 0.51, 1.00) higher BMI, and this difference increased to 1.32 (95% CI: 1.03,1.62) at age 65 y. Obesity rates were 3.35% and 7.68% at age 45 y and 9.52% and 18.10% at age 65 y in managers and unskilled workers, respectively; the difference in obesity increased by 4.25% (95% CI: 1.87, 6.52). A similar trend was observed in women. CONCLUSIONS: Weight continues to increase in the transition between midlife and old age; this increase is greater in lower socioeconomic groups.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>body weight</subject><subject>Cohort Studies</subject><subject>disease incidence</subject><subject>Educational Status</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>France</subject><subject>France - epidemiology</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Global Health</subject><subject>height</subject><subject>Human growth</subject><subject>Humans</subject><subject>Life Expectancy</subject><subject>Life Sciences</subject><subject>Male</subject><subject>MEDICIN</subject><subject>MEDICINE</subject><subject>men</subject><subject>Middle age</subject><subject>Middle Aged</subject><subject>middle-aged adults</subject><subject>Nutrition</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Obesity and Eating Disorders</subject><subject>Occupations</subject><subject>Older people</subject><subject>Original Research Communications</subject><subject>Risk Factors</subject><subject>Santé publique et épidémiologie</subject><subject>simulation models</subject><subject>Social Class</subject><subject>Socioeconomic Factors</subject><subject>socioeconomic status</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Weight Gain</subject><subject>women</subject><subject>World Health</subject><subject>World Health Organization</subject><issn>0002-9165</issn><issn>1938-3207</issn><issn>1938-3207</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>D8T</sourceid><recordid>eNp1kk1v0zAYxyMEYl3hzA0spIkDZPNrYl9A1V6RKiEB48DFchyncUniYied-kX4vDhLGWwSvth-_Hte_U-SFwgeE0HZiVrr7hjDeMUCY_IomSFBeEowzB8nMwghTgXK2EFyGMIaQoQpz54mBxhSTiljs-TXmQPBaeuMdp1rrQaV0r3zAYRabQy4MXZV90B1JXCFCbbfgd6rtRkZawJwW-NBX5vR2sVn6zpQedeC1paNraLdAdeUQK3MB_DZhKHpwwSMThfedLoGl4vv50ugXe18D0I_lLtnyZNKNcE83-_z5Pri_OvpVbr8dPnxdLFMNeO0T6kmtBQ5UUIjyguSk0xVJFcsQ6JgGaSYcZXRAhYsdk45Q9QojKgoecU0E2SepFPccGM2QyE33rbK76RTVu5NP-LJSMbi7PLIv_0vf2a_LaTzKxkGSWOSkX4_0RFtTalNF6fU3HO6_9LZWq7cVmLOKUFjee-mAPUDt6vFUtouGN9KGP-Sc5JvUcTf7PN593MwoZetDdo0jeqMG4LMSVwQxdjz5PUDcu0G38VRS4ZzwYm4Hc7JBGnvQvCmuisBQTnKT47yk6P85K38osfLfxu-4__oLQJHe0AFrZoqikbb8JfDgiJKxvpeTVylnFQrH5nrLzHRWH38XEbJb1ws7lo</recordid><startdate>20100701</startdate><enddate>20100701</enddate><creator>Dugravot, Aline</creator><creator>Sabia, Séverine</creator><creator>Stringhini, Silvia</creator><creator>Kivimaki, Mika</creator><creator>Westerlund, Hugo</creator><creator>Vahtera, Jussi</creator><creator>Guéguen, Alice</creator><creator>Zins, Marie</creator><creator>Goldberg, Marcel</creator><creator>Nabi, Hermann</creator><creator>Singh-Manoux, Archana</creator><general>American Society for Clinical Nutrition</general><general>American Society for Nutrition</general><general>American Society for Clinical Nutrition, Inc</general><general>Oxford University Press</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T7</scope><scope>7TS</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>DG7</scope><scope>D8T</scope><scope>ZZAVC</scope><orcidid>https://orcid.org/0000-0002-6161-5880</orcidid><orcidid>https://orcid.org/0000-0003-3109-9720</orcidid><orcidid>https://orcid.org/0000-0002-4540-4282</orcidid></search><sort><creationdate>20100701</creationdate><title>Do socioeconomic factors shape weight and obesity trajectories over the transition from midlife to old age? Results from the French GAZEL cohort study</title><author>Dugravot, Aline ; Sabia, Séverine ; Stringhini, Silvia ; Kivimaki, Mika ; Westerlund, Hugo ; Vahtera, Jussi ; Guéguen, Alice ; Zins, Marie ; Goldberg, Marcel ; Nabi, Hermann ; Singh-Manoux, Archana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c584t-4c34d973a9c148b3736af37a5619b5604258a64b0b524848514ea2149d8f5c593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>body weight</topic><topic>Cohort Studies</topic><topic>disease incidence</topic><topic>Educational Status</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>France</topic><topic>France - epidemiology</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Global Health</topic><topic>height</topic><topic>Human growth</topic><topic>Humans</topic><topic>Life Expectancy</topic><topic>Life Sciences</topic><topic>Male</topic><topic>MEDICIN</topic><topic>MEDICINE</topic><topic>men</topic><topic>Middle age</topic><topic>Middle Aged</topic><topic>middle-aged adults</topic><topic>Nutrition</topic><topic>Obesity</topic><topic>Obesity - epidemiology</topic><topic>Obesity and Eating Disorders</topic><topic>Occupations</topic><topic>Older people</topic><topic>Original Research Communications</topic><topic>Risk Factors</topic><topic>Santé publique et épidémiologie</topic><topic>simulation models</topic><topic>Social Class</topic><topic>Socioeconomic Factors</topic><topic>socioeconomic status</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Weight Gain</topic><topic>women</topic><topic>World Health</topic><topic>World Health Organization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dugravot, Aline</creatorcontrib><creatorcontrib>Sabia, Séverine</creatorcontrib><creatorcontrib>Stringhini, Silvia</creatorcontrib><creatorcontrib>Kivimaki, Mika</creatorcontrib><creatorcontrib>Westerlund, Hugo</creatorcontrib><creatorcontrib>Vahtera, Jussi</creatorcontrib><creatorcontrib>Guéguen, Alice</creatorcontrib><creatorcontrib>Zins, Marie</creatorcontrib><creatorcontrib>Goldberg, Marcel</creatorcontrib><creatorcontrib>Nabi, Hermann</creatorcontrib><creatorcontrib>Singh-Manoux, Archana</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Physical Education Index</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Stockholms universitet</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>AMERICAN JOURNAL OF CLINICAL NUTRITION</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dugravot, Aline</au><au>Sabia, Séverine</au><au>Stringhini, Silvia</au><au>Kivimaki, Mika</au><au>Westerlund, Hugo</au><au>Vahtera, Jussi</au><au>Guéguen, Alice</au><au>Zins, Marie</au><au>Goldberg, Marcel</au><au>Nabi, Hermann</au><au>Singh-Manoux, Archana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Do socioeconomic factors shape weight and obesity trajectories over the transition from midlife to old age? Results from the French GAZEL cohort study</atitle><jtitle>AMERICAN JOURNAL OF CLINICAL NUTRITION</jtitle><addtitle>Am J Clin Nutr</addtitle><date>2010-07-01</date><risdate>2010</risdate><volume>92</volume><issue>1</issue><spage>16</spage><epage>23</epage><pages>16-23</pages><issn>0002-9165</issn><issn>1938-3207</issn><eissn>1938-3207</eissn><coden>AJCNAC</coden><abstract>BACKGROUND: Obesity is a contemporary epidemic that does not affect all age groups and sections of society equally. OBJECTIVE: The objective was to examine socioeconomic differences in trajectories of body mass index (BMI; in kg/m²) and obesity between the ages of 45 and 65 y. DESIGN: A total of 13,297 men and 4532 women from the French GAZEL (Gaz de France Electricité de France) cohort study reported their height in 1990 and their weight annually over the subsequent 18 y. Changes in BMI and obesity between ages 45 and 49 y, 50 and 54 y, 55 and 59 y, and 60 and 65 y as a function of education and occupational position (at age 35 y) were modeled by using linear mixed models and generalized estimating equations. RESULTS: BMI and obesity rates increased between the ages of 45 and 65 y. In men, BMI was higher in unskilled workers than in managers at age 45 y; this difference in BMI increased from 0.82 (95% CI: 0.66, 0.99) at 45 y to 1.06 (95% CI: 0.85, 1.27) at 65 y. Men with a primary school education compared with those with a high school degree at age 45 y had a 0.75 (95% CI: 0.51, 1.00) higher BMI, and this difference increased to 1.32 (95% CI: 1.03,1.62) at age 65 y. Obesity rates were 3.35% and 7.68% at age 45 y and 9.52% and 18.10% at age 65 y in managers and unskilled workers, respectively; the difference in obesity increased by 4.25% (95% CI: 1.87, 6.52). A similar trend was observed in women. CONCLUSIONS: Weight continues to increase in the transition between midlife and old age; this increase is greater in lower socioeconomic groups.</abstract><cop>Bethesda, MD</cop><pub>American Society for Clinical Nutrition</pub><pmid>20484455</pmid><doi>10.3945/ajcn.2010.29223</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6161-5880</orcidid><orcidid>https://orcid.org/0000-0003-3109-9720</orcidid><orcidid>https://orcid.org/0000-0002-4540-4282</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Aged Biological and medical sciences Body Mass Index body weight Cohort Studies disease incidence Educational Status Feeding. Feeding behavior Female France France - epidemiology Fundamental and applied biological sciences. Psychology Global Health height Human growth Humans Life Expectancy Life Sciences Male MEDICIN MEDICINE men Middle age Middle Aged middle-aged adults Nutrition Obesity Obesity - epidemiology Obesity and Eating Disorders Occupations Older people Original Research Communications Risk Factors Santé publique et épidémiologie simulation models Social Class Socioeconomic Factors socioeconomic status Vertebrates: anatomy and physiology, studies on body, several organs or systems Weight Gain women World Health World Health Organization |
title | Do socioeconomic factors shape weight and obesity trajectories over the transition from midlife to old age? Results from the French GAZEL cohort study |
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