Obesity

Obesity and Midlife Performance: A Cross‐Sectional and Longitudinal Analysis of Women in the Menarche‐To‐ PreMenopause Study

Diabetes Obes MetabPublished Cross-sectional and longitudinal cohort study

Authors' conclusion

Weight gain from early to mid-adulthood was associated with worse performance on the chair rise and standing balance tests in midlife

Study context

Population
Women from the Menarche-to-PreMenopause Study; performance tests at age 41–48; self-reported weight and height across eight surveys from ages 18–23 to 40–45
Participants
499 women
Exposure
High-Increasing vs Normal-Increasing body mass index (BMI) trajectory
Outcome
Worse performance (lowest tertile) on handgrip strength, chair rise and standing balance tests
Follow-up
Age 41-48
Methodological detailsgroup-based trajectory modelling
  • Group-based trajectory modelling

Main finding

As reported in the abstract

Higher prevalence, worse chair rise

≈40%

95% CI 9%–84%P = 0.01

High-Increasing

Higher prevalence, worse standing balance

≈40%

95% CI 10%–84%P = 0.008

High-Increasing

Observational data: associations, not effects.

Further findings

Higher annual weight gain percentage and worse standing balance

PR (95% CI)P value
Higher annual weight gain percentage1.21 (1.06–1.38)P = 0.004

Midlife obesity (BMI ≥ 30 kg/m²), high-risk waist circumference (WC) (≥ 80 cm) and waist-to-hip ratio (WHR) (≥ 0.8) and worse chair rise and standing balance · age 41-48

Associated with higher prevalence of worse performance, prevalence ratio (PRs)
1.41 to 1.55

Original publication

Obesity and Midlife Performance: A Cross‐Sectional and Longitudinal Analysis of Women in the Menarche‐To‐ PreMenopause Study. Diabetes Obes Metab. Published 14 September 2026. doi:10.1111/dom.71349

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