Association of body weight change with all-cause and cause-specific mortality: A nationwide population-based study

Diabetes Res Clin PractPublished Retrospective cohort study

Authors' conclusion

In a middle-aged and elderly population, weight gain or loss of more than 3% during a 2-year interval was related to an elevated risk of all-cause and cause-specific mortality.

Study context

Population
Adults aged 40 to 80 with health checkups twice within a 2-year interval, January 2009–December 2012
Participants
645,260 adults
Exposure
Short-term weight change categories vs stable weight
Outcome
All-cause and cause-specific mortality
Follow-up
8.4 years
Methodological detailsnationwide, population-based
  • Nationwide
  • Population-based

Main finding

As reported in the abstract

All-cause mortality
Hazard ratio (95% CI)
Severe weight loss
2.05(1.93–2.16)
Moderate weight loss
1.21(1.16–1.25)
Moderate weight gain
1.12(1.08–1.17)
Severe weight gain
1.60(1.49–1.70)

Observational data: associations, not effects.

Further findings

Cause-specific mortality

U-shaped association also seen between weight change and cause-specific mortality

Weight regain within weight loss group · after two years

Those who regained weight after two years had a reduced mortality risk

Original publication

Association of body weight change with all-cause and cause-specific mortality: A nationwide population-based study. Diabetes Res Clin Pract. Published 7 April 2023. doi:10.1016/j.diabres.2023.110666

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