Weight Change Since Age 20 and the Risk of Cardiovascular Disease Mortality: A Prospective Cohort Study
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- Arafa Ahmed
- Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan Public Health, Department of Social Medicine, Graduate School of Medicine, Osaka University, Suita, Japan Department of Public Health, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt
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- Kokubo Yoshihiro
- Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan
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- Sheerah Haytham A.
- Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan Public Health, Department of Social Medicine, Graduate School of Medicine, Osaka University, Suita, Japan
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- Sakai Yukie
- Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan
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- Watanabe Emi
- Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan
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- Li Jiaqi
- Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan Public Health, Department of Social Medicine, Graduate School of Medicine, Osaka University, Suita, Japan
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- Honda-Kohmo Kyoko
- Division of Preventive Healthcare, National Cerebral and Cardiovascular Center, Suita, Japan
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- Teramoto Masayuki
- Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan Public Health, Department of Social Medicine, Graduate School of Medicine, Osaka University, Suita, Japan
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- Kashima Rena
- Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan Public Health Division, Ibaraki Public Health Center, Osaka Prefectural Government, Ibaraki, Japan
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- Koga Masatoshi
- Division of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Japan
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Abstract
<p> Aim: Weight change could have many health outcomes. This study aimed to investigate the association between weight change and mortality risk due to total cardiovascular disease (CVD), ischemic heart disease (IHD), and stroke among Japanese.</p><p>Methods: We used Suita Study data from 4,746 people aged 30-79 years in this prospective cohort study. Weight change was defined as the difference between baseline weight and weight at age 20. We used Cox proportional hazards models to calculate hazard ratios (HRs) and 95% confidence intervals (CIs) of total CVD, IHD, and stroke mortality for 1) participants with a weight change (＞10, 5 to 10, -5 to -10, and ＜-10 kg) compared to those with stable weight (-4.9 to 4.9 kg) and 2) participants who moved from one body mass index category (underweight, normal weight, or overweight) to another compared to those with normal weight at age 20 and baseline.</p><p>Results: Within a median follow-up period of 19.9 years, the numbers of total CVD, IHD, and stroke mortality were 268, 132, and 79, respectively. Weight loss of ＞10 kg was associated with the increased risk of total CVD mortality 2.07 (1.29, 3.32) and stroke mortality 3.02 (1.40, 6.52). Moving from normal weight at age 20 to underweight at baseline was associated with the increased risk of total CVD, IHD, and stroke mortality: 1.76 (1.12, 2.77), 2.10 (1.13, 3.92), and 2.25 (1.05, 4.83), respectively.</p><p>Conclusion: Weight loss, especially when moving from normal to underweight, was associated with the increased risk of CVD mortality.</p>
Journal
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- Journal of Atherosclerosis and Thrombosis
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Journal of Atherosclerosis and Thrombosis 29 (10), 1511-1521, 2022-10-01
Japan Atherosclerosis Society