The relationship between changes in body weight and cognitive function in the elderly

Int J Obes (Lond)Published Cross-sectional study

Authors' conclusion

Moderate weight gain from early adulthood to late life was associated with a reduced risk of cognitive impairment, while weight loss showed a non-significant trend toward increased risk.

Study context

Population
National Health and Nutrition Examination Survey (NHANES) participants aged ≥60 years with recalled weight at young and middle adulthood
Participants
5,097 participants
Exposure
Weight change categories during adulthood vs stable weight
Outcome
Cognitive impairment assessed by the Digit Symbol Substitution Test (DSST)
Methodological detailsNHANES data, logistic regression adjusted for covariates, recalled weight
  • NHANES data
  • Logistic regression adjusted for covariates
  • Recalled weight

Main finding

As reported in the abstract

Cognitive impairment · age 25 to 10 years before survey
Each group vs stable weightOdds ratio (95% CI)P value
Gain ≥2.5 to <10 kg
0.64(0.48–0.85)
P = 0.003
Gain ≥10 to <20 kg
0.61(0.46–0.79)
P < 0.001

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)P value
Cognitive impairment · age 25 years to surveyGain ≥10 to <20 kgvs Stable weight0.66 (0.50–0.89)P = 0.007

Shape of association between absolute weight change and cognitive function

Restricted cubic spline indicated a U-shaped relationship

Original publication

The relationship between changes in body weight and cognitive function in the elderly. Int J Obes (Lond). Published 28 July 2026. doi:10.1038/s41366-026-02182-4

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