Obesity

Longitudinal body weight dynamics in relation to cognitive decline over two decades: A prospective cohort study

Obesity (Silver Spring)Published Prospective cohort study

Authors' conclusion

Weight loss and large BWV over a long time independently predicted faster cognitive decline in middle-aged and older adults, underscoring the importance of long-term dynamic body weight monitoring.

Study context

Population
Health and Retirement Study participants (mean age 68.0 years); body weight reported biennially 1993/1994–2016, cognitive function measured biennially 1998–2016
Participants
10,340 participants
Exposure
Weight loss or weight gain vs stable weight; top vs bottom body weight variability (BWV) tertile
Outcome
Cognitive change z score per year
Methodological detailsbiennial measurements, linear mixed regression models
  • Biennial measurements
  • Linear mixed regression models

Main finding

As reported in the abstract

Mean difference (95% CI)
Weight lossvs Stable weightfaster cognitive decline with weight loss
−0.023(−0.027 to −0.019)
Weight gain vs Stable weight · slower cognitive decline with weight gain
β 0.006 (95% CI 0.003–0.009)

Observational data: associations, not effects.

Further findings

Outcomeβ (95% CI)
BWV and cognitive change z score per yearTop BWV tertile vs Bottom BWV tertile · faster cognitive decline with larger BWV−0.003 (−0.006 to −0.0002)

Episodic and working memory

Similar associations were observed for episodic and working memory

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Longitudinal body weight dynamics in relation to cognitive decline over two decades: A prospective cohort study. Obesity (Silver Spring). Published 13 February 2023. doi:10.1002/oby.23671

Composed by AI from the published abstract and checked against it. How Briefs are made →

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