Obesity

BMI trajectory of 8,155,894 Japanese adults from exhaustive health checkup data: the contributions of age-related changes in height and weight

Int J Obes (Lond)Published Retrospective cohort study

Authors' conclusion

In conclusion, BMI tended to increase with age in both sexes across all age groups of Japanese adults. The increase in BMI appeared to be influenced by weight gain in young to middle age, whereas height reduction influenced increased BMI in older age groups.

Study context

Population
Japanese adults aged 35–69 years with annual health checkups by the Japan Health Insurance Association, 2015–2020; stratified into 14 subgroups by sex and 5-year age category14 sex/age subgroups
Participants
4,777,891 vs 3,378,003
Exposure
Men vs Women
  • Menn = 4,777,891
  • Womenn = 3,378,003
Outcome
BMI trajectory alongside age-related changes in height and weight
Follow-up
2015-2020
Methodological detailslinear mixed-effects model, annual health checkups 2015–2020
  • Linear mixed-effects model
  • Annual health checkups 2015–2020

Main finding

As reported in the abstract

Mean BMI change

Men

0.02 to 0.14

mean · kg/m²/year

Women

0.05 to 0.16

mean · kg/m²/year

Observational data: associations, not effects.

Further findings

OutcomeMenWomen
Mean change (weight), oldest subgroupskg/year−0.06−0.01
Height changeRange across age subgroups−0.14 to −0.03 cm/year−0.18 to −0.01 cm/year

Weight change

Larger changes in younger subgroups, weight transitions mirroring BMI

Height change

Height reduction increased with age across subgroups

Original publication

BMI trajectory of 8,155,894 Japanese adults from exhaustive health checkup data: the contributions of age-related changes in height and weight. Int J Obes (Lond). Published 18 December 2024. doi:10.1038/s41366-024-01694-1

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