Chronic weight dissatisfaction predicts type 2 diabetes risk: Aerobic center longitudinal study.
Year: 2014
Type: article
Study design: Observational Study
Abstract: OBJECTIVE: Weight dissatisfaction, defined as discordance between actual and goal weight, may be associated with increased risk for several obesity-related comorbidities. The purpose of the study was to examine the association between weight dissatisfaction and risk of developing Type 2 diabetes. METHOD: This longitudinal study used data from 9,584 adults enrolled in the Aerobics Center Longitudinal Study. Key variables included multiple measures of measured weight, self-reported goal weight, and incident diabetes. Weight dissatisfaction was defined as being above the median of measured weight minus goal weight. Cox proportional hazards regression estimated hazard ratios (HRs) and 95% confidence intervals (CIs) for diabetes incidence by weight dissatisfaction. RESULTS: HRs for time until diabetes diagnosis revealed that family history of diabetes (HR = 1.46, 95% CI [1.13, 1.90]), age (HR = 1.03, 95% CI [1.02, 1.04]), and weight dissatisfaction (HR = 1.83, 95% CI [1.50, 2.25]) at baseline were statistically significant predictors. Longitudinally, higher risk was observed in individuals who either stayed dissatisfied (HR = 2.98, 95% CI [1.98, 4.48]) or became dissatisfied (HR = 1.51, 95% CI [0.79, 2.89]), compared with those who stayed satisfied. After additional adjustment for BMI, the elevated HR for those who remained dissatisfied compared with those who remained satisfied persisted (HR = 2.85, 95% CI [1.89, 4.31]). CONCLUSIONS: Weight dissatisfaction, regardless of BMI, represents a potentially important psychophysiological modifier of the relationships between BMI and risk of Type 2 diabetes, and warrants greater attention in future studies of chronic disease risk.
Source: Health Psychology
DOI: 10.1037/hea0000058
Institution: University of South Carolina
Language: English
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: green
Awards: Expanding Mentoring Capacity in High-Risk Populations, G2227661213, Impact of Physical Fitness and Exercise on Health, G3447887419, Understanding Patterns of Change in Obesity and Physical Activity in Adults, G4876556332, G4926828649, G5490192842, IMPACT OF PHYSICAL FITNESS AND EXERCISE ON HEALTH, South Carolina Cancer Disparities Community Network -- II, Coronary artery calcium, exercise tests, and CHD outcome, G9000064294, G9000170344
OpenAlex ID: W2316006577