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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Veröffentlicht in:AMERICAN JOURNAL OF CLINICAL NUTRITION 2010-07, Vol.92 (1), p.16-23
Hauptverfasser: Dugravot, Aline, Sabia, Séverine, Stringhini, Silvia, Kivimaki, Mika, Westerlund, Hugo, Vahtera, Jussi, Guéguen, Alice, Zins, Marie, Goldberg, Marcel, Nabi, Hermann, Singh-Manoux, Archana
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container_title AMERICAN JOURNAL OF CLINICAL NUTRITION
container_volume 92
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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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. 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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. 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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. 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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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source MEDLINE; SWEPUB Freely available online; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
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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