Titre :
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Association of weight change in different periods of adulthood with risk of type 2 diabetes in Japanese men and women : the Japan Public Health Center-Based Prospective Study. (2011)
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Auteurs :
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Akiko NANRI ;
Manami INOUE ;
Yumi MATSUSHITA ;
Tetsuya MIZOUE ;
Mitsuhiko NODA ;
Yoshihiko TAKAHASHI ;
Shoichiro TSUGANE ;
Department of Diabetes and Metabolic Medicine. International Medical Center of Japan. Tokyo. JPN ;
Department of Epidemiology and International Health. Research Institute. International Medical Center of Japan. Tokyo. JPN
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Type de document :
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Article
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Dans :
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Journal of epidemiology and community health (vol. 65, n° 12, 2011)
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Pagination :
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1104-1110
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Langues:
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Anglais
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Mots-clés :
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Risque cumulé
;
Facteur associé
;
Association
;
Poids corporel
;
Adulte
;
Evolution
;
Age
;
Facteur risque
;
Risque
;
Japon
;
Sexe
;
Femme
;
Homme
;
Asie
;
Glande endocrine [pathologie]
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Résumé :
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[BDSP. Notice produite par INIST-CNRS 8R0x9tt8. Diffusion soumise à autorisation]. Background Few studies have examined the impact of weight change in different periods of lifetime on type 2 diabetes risk, and the association of weight loss with type 2 diabetes is unclear. We prospectively investigated the association of weight change since age 20 y and that during middle-to-late adulthood with the incidence of type 2 diabetes. Methods Subjects were 52 014 men and women aged 45-75 y who participated in the Japan Public Health Center-Based Prospective Study and had no history of diabetes. ORs of self-reported physician-diagnosed type 2 diabetes for weight change between age 20 y and baseline survey (mean age 50.6 y) and during 5 y between baseline and second surveys were estimated using logistic regression analysis. Results During the 5-year period following 5-year survey, 989 newly diagnosed cases of type 2 diabetes were self-reported. Weight gain from age 20 y was associated with an increased risk of type 2 diabetes. The multivariate-adjusted OR (95% CI) for a weight gain of>=5 kg versus a stable weight were 2.61 (2.11 to 3.23) in men and 2.56 (1.95 to 3.35) in women. A weight gain of>=5 kg over the 5-y following the baseline survey was also associated with an increased risk in women. No association with weight loss was observed for either period. Conclusions These results suggest that long-term weight gain from early adulthood to middle-age increases risk of type 2 diabetes in men and women and that risk is further enhanced by weight gain in later life in women.
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