Skip to main content
Top
Published in: BMC Public Health 1/2008

Open Access 01-12-2008 | Research article

Socioeconomic position and risk of short-term weight gain: Prospective study of 14,619 middle-aged men and women

Authors: Lisa R Purslow, Elizabeth H Young, Nicholas J Wareham, Nita Forouhi, Eric J Brunner, Robert N Luben, Ailsa A Welch, Kay-Tee Khaw, Shelia A Bingham, Manjinder S Sandhu

Published in: BMC Public Health | Issue 1/2008

Login to get access

Abstract

Background

The association between socioeconomic position in middle age and risk of subsequent, short-term weight gain is unknown. We therefore assessed this association in a prospective population based cohort study in Norfolk, UK.

Methods

We analysed data on 14,619 middle-aged men and women (aged between 40–75 at baseline) with repeated objective measures of weight and height at baseline (1993–1997) and follow up (1998–2000).

Results

During follow up 5,064 people gained more than 2.5 kg. Compared with the highest social class, individuals in the lowest social class had around a 30% greater risk of gaining more than 2.5 kg (OR 1.29; 95% CI 1.11–1.51; p for trend = 0.002). This association remained statistically significant following adjustment for sex, age, baseline BMI, smoking, and follow up time (OR 1.25; CI 1.07–1.46; p for trend <0.001). We also found no material difference between unadjusted models and those including all confounders and potential mediators.

Conclusion

Individuals of low socioeconomic position are at greatest risk of gaining weight during middle age, which is not explained by classical correlates of socioeconomic position and risk factors for obesity.
Appendix
Available only for authorised users
Literature
1.
go back to reference Department of Health: Forecasting obesity to 2010. 2006, London , Joint Health Surveys Unit: National Centre for Social Research and Department of Epidemiology and Public Health at the Roayl Free and Univeristy College Medical School Department of Health: Forecasting obesity to 2010. 2006, London , Joint Health Surveys Unit: National Centre for Social Research and Department of Epidemiology and Public Health at the Roayl Free and Univeristy College Medical School
2.
go back to reference Flegal KM, Graubard B, Williamson DF, Gail MH: Excess deaths associated with underweight, overweight, and obesity. The Journal of the American Medical Association. 2005, 293 (15): 1861-1867. 10.1001/jama.293.15.1861.CrossRefPubMed Flegal KM, Graubard B, Williamson DF, Gail MH: Excess deaths associated with underweight, overweight, and obesity. The Journal of the American Medical Association. 2005, 293 (15): 1861-1867. 10.1001/jama.293.15.1861.CrossRefPubMed
3.
go back to reference Black D: Inequalities in health: a report of a research working group. 1980, London , Great Britain Department of Health and Social Security Black D: Inequalities in health: a report of a research working group. 1980, London , Great Britain Department of Health and Social Security
4.
go back to reference Sobal J, Stunkard AJ: Socioeconomic status and obesity: a review of the literature. Psychological bulletin. 1989, 105 (2): 260-275. 10.1037/0033-2909.105.2.260.CrossRefPubMed Sobal J, Stunkard AJ: Socioeconomic status and obesity: a review of the literature. Psychological bulletin. 1989, 105 (2): 260-275. 10.1037/0033-2909.105.2.260.CrossRefPubMed
5.
go back to reference Ball K, Crawford D: Socioeconomic status and weight change in adults: a review. Social Science & Medicine. 2005, 60 (9): 1987-2010. 10.1016/j.socscimed.2004.08.056.CrossRef Ball K, Crawford D: Socioeconomic status and weight change in adults: a review. Social Science & Medicine. 2005, 60 (9): 1987-2010. 10.1016/j.socscimed.2004.08.056.CrossRef
6.
go back to reference Martikainen PT, Marmot MG: Socioeconomic differences in weight gain and determinants and consequences of coronary risk factors. The American journal of clinical nutrition. 1999, 69 (4): 719-726.PubMed Martikainen PT, Marmot MG: Socioeconomic differences in weight gain and determinants and consequences of coronary risk factors. The American journal of clinical nutrition. 1999, 69 (4): 719-726.PubMed
7.
go back to reference Day N, Oakes S, Luben R, Khaw KT, Bingham S, Welch A, Wareham N: EPIC-Norfolk: study design and characteristics of the cohort. European Prospective Investigation of Cancer. Br J Cancer. 1999, 80 (Suppl 1): 95-103.PubMed Day N, Oakes S, Luben R, Khaw KT, Bingham S, Welch A, Wareham N: EPIC-Norfolk: study design and characteristics of the cohort. European Prospective Investigation of Cancer. Br J Cancer. 1999, 80 (Suppl 1): 95-103.PubMed
8.
go back to reference Lohman T, Roche A, Martorell R: Anthropometric standardization reference manual. 1991, Champaign, IL: Human Kinetics Books Lohman T, Roche A, Martorell R: Anthropometric standardization reference manual. 1991, Champaign, IL: Human Kinetics Books
9.
go back to reference Bingham SA, Gill C, Welch A, Cassidy A, Runswick SA, Oakes S, Luben R, Thurnham DI, Key TJ, Roe L, Khaw KT, Day NE: Validation of dietary assessment methods in the UK arm of EPIC using weighed records, and 24-hour urinary nitrogen and potassium and serum vitamin C and carotenoids as biomarkers. International Journal of Epidemiology. 1997, 26 (Suppl 1): S137-S151. 10.1093/ije/26.suppl_1.S137.CrossRefPubMed Bingham SA, Gill C, Welch A, Cassidy A, Runswick SA, Oakes S, Luben R, Thurnham DI, Key TJ, Roe L, Khaw KT, Day NE: Validation of dietary assessment methods in the UK arm of EPIC using weighed records, and 24-hour urinary nitrogen and potassium and serum vitamin C and carotenoids as biomarkers. International Journal of Epidemiology. 1997, 26 (Suppl 1): S137-S151. 10.1093/ije/26.suppl_1.S137.CrossRefPubMed
10.
go back to reference Wareham NJ, Jakes RW, Rennie KL, Schuit J, Mitchell J, Hennings SJ, Day NE: Validity and repeatability of a simple index derived from the short physical activity questionnaire used in the European Prospective Investigation into Caner and Nutrition (EPIC) study. Public Health Nutrition. 2003, 6 (4): 407-413. 10.1079/PHN2002439.CrossRefPubMed Wareham NJ, Jakes RW, Rennie KL, Schuit J, Mitchell J, Hennings SJ, Day NE: Validity and repeatability of a simple index derived from the short physical activity questionnaire used in the European Prospective Investigation into Caner and Nutrition (EPIC) study. Public Health Nutrition. 2003, 6 (4): 407-413. 10.1079/PHN2002439.CrossRefPubMed
11.
go back to reference Donkin A, Lee YH, Toson B: Implications of changes in the UK social and occupational classifications in 2001 for vital statistics. Popul Trends. 2002, 23-29. Donkin A, Lee YH, Toson B: Implications of changes in the UK social and occupational classifications in 2001 for vital statistics. Popul Trends. 2002, 23-29.
12.
go back to reference Warwick Institue for Employment Research: Computer Assisted Standard Occupational Coding (CASOC). Edited by: www2.warwick.ac.uk/fac/soc/ier/publications/software/casoc/ A. Warwick University Institute for Employment Research. Available from http://www2.warwick.ac.uk/fac/soc/ier/publications/software/casoc/ Warwick Institue for Employment Research: Computer Assisted Standard Occupational Coding (CASOC). Edited by: www2.warwick.ac.uk/fac/soc/ier/publications/software/casoc/ A. Warwick University Institute for Employment Research. Available from http://​www2.​warwick.​ac.​uk/​fac/​soc/​ier/​publications/​software/​casoc/​
13.
go back to reference Wedick NM, Mayer-Davis EJ, Wingard DL, Addy CL, Barrett-Connor E: Insulin resistance precedes weight loss in adults without diabetes : the Rancho Bernardo Study. Am J Epidemiol. 2001, 153 (12): 1199-1205. 10.1093/aje/153.12.1199.CrossRefPubMed Wedick NM, Mayer-Davis EJ, Wingard DL, Addy CL, Barrett-Connor E: Insulin resistance precedes weight loss in adults without diabetes : the Rancho Bernardo Study. Am J Epidemiol. 2001, 153 (12): 1199-1205. 10.1093/aje/153.12.1199.CrossRefPubMed
14.
go back to reference Khaw KT, Bingham S, Welch A, Luben R, Wareham N, Oakes S, Day N: Relation between plasma ascorbic acid and mortality in men and women in EPIC-Norfolk prospective study: a prospective population study. European Prospective Investigation into Cancer and Nutrition. Lancet. 2001, 357 (9257): 657-663. 10.1016/S0140-6736(00)04128-3.CrossRefPubMed Khaw KT, Bingham S, Welch A, Luben R, Wareham N, Oakes S, Day N: Relation between plasma ascorbic acid and mortality in men and women in EPIC-Norfolk prospective study: a prospective population study. European Prospective Investigation into Cancer and Nutrition. Lancet. 2001, 357 (9257): 657-663. 10.1016/S0140-6736(00)04128-3.CrossRefPubMed
15.
go back to reference Fogelholm M, Kujala U, Kaprio J, Sarna S: Predictors of weight change in middle-aged and old men. Obes Res. 2000, 8 (5): 367-373.CrossRefPubMed Fogelholm M, Kujala U, Kaprio J, Sarna S: Predictors of weight change in middle-aged and old men. Obes Res. 2000, 8 (5): 367-373.CrossRefPubMed
16.
go back to reference Lahmann PH, Lissner L, Gullberg B, Berglund G: Sociodemographic factors associated with long-term weight gain, current body fatness and central adiposity in Swedish women. Int J Obes Relat Metab Disord. 2000, 24 (6): 685-694. 10.1038/sj.ijo.0801219.CrossRefPubMed Lahmann PH, Lissner L, Gullberg B, Berglund G: Sociodemographic factors associated with long-term weight gain, current body fatness and central adiposity in Swedish women. Int J Obes Relat Metab Disord. 2000, 24 (6): 685-694. 10.1038/sj.ijo.0801219.CrossRefPubMed
17.
go back to reference Gunnell D, Berney L, Holland P, Maynard M, Blane D, Frankel S, Smith GD: How accurately are height, weight and leg length reported by the elderly, and how closely are they related to measurements recorded in childhood?. Int J Epidemiol. 2000, 29 (3): 456-464. 10.1093/ije/29.3.456.CrossRefPubMed Gunnell D, Berney L, Holland P, Maynard M, Blane D, Frankel S, Smith GD: How accurately are height, weight and leg length reported by the elderly, and how closely are they related to measurements recorded in childhood?. Int J Epidemiol. 2000, 29 (3): 456-464. 10.1093/ije/29.3.456.CrossRefPubMed
18.
19.
go back to reference Smith AM, Owen N: Associations of social status and health-related beliefs with dietary fat and fiber densities. Prev Med. 1992, 21 (6): 735-745. 10.1016/0091-7435(92)90080-2.CrossRefPubMed Smith AM, Owen N: Associations of social status and health-related beliefs with dietary fat and fiber densities. Prev Med. 1992, 21 (6): 735-745. 10.1016/0091-7435(92)90080-2.CrossRefPubMed
20.
go back to reference Crespo CJ, Ainsworth BE, Keteyian SJ, Heath GW, Smit E: Prevalence of physical inactivity and its relation to social class in U.S. adults: results from the Third National Health and Nutrition Examination Survey, 1988-1994. Medicine and science in sports and exercise. 1999, 31 (12): 1821-1827. 10.1097/00005768-199912000-00019.CrossRefPubMed Crespo CJ, Ainsworth BE, Keteyian SJ, Heath GW, Smit E: Prevalence of physical inactivity and its relation to social class in U.S. adults: results from the Third National Health and Nutrition Examination Survey, 1988-1994. Medicine and science in sports and exercise. 1999, 31 (12): 1821-1827. 10.1097/00005768-199912000-00019.CrossRefPubMed
21.
go back to reference Ball K, Mishra GD, Crawford D: Social factors and obesity: an investigation of the role of health behaviours. Int J Obes Relat Metab Disord. 2003, 27 (3): 394-403. 10.1038/sj.ijo.0802237.CrossRefPubMed Ball K, Mishra GD, Crawford D: Social factors and obesity: an investigation of the role of health behaviours. Int J Obes Relat Metab Disord. 2003, 27 (3): 394-403. 10.1038/sj.ijo.0802237.CrossRefPubMed
22.
go back to reference Pereira MA, Kartashov AI, Ebbeling CB, Van Horn L, Slattery ML, Jacobs DR, Ludwig DS: Fast-food habits, weight gain, and insulin resistance (the CARDIA study): 15-year prospective analysis. Lancet. 2005, 365 (9453): 36-42. 10.1016/S0140-6736(04)17663-0.CrossRefPubMed Pereira MA, Kartashov AI, Ebbeling CB, Van Horn L, Slattery ML, Jacobs DR, Ludwig DS: Fast-food habits, weight gain, and insulin resistance (the CARDIA study): 15-year prospective analysis. Lancet. 2005, 365 (9453): 36-42. 10.1016/S0140-6736(04)17663-0.CrossRefPubMed
23.
go back to reference Wamala SP, Wolk A, Orth-Gomer K: Determinants of obesity in relation to socioeconomic status among middle-aged Swedish women. Prev Med. 1997, 26 (5 Pt 1): 734-744. 10.1006/pmed.1997.0199.CrossRefPubMed Wamala SP, Wolk A, Orth-Gomer K: Determinants of obesity in relation to socioeconomic status among middle-aged Swedish women. Prev Med. 1997, 26 (5 Pt 1): 734-744. 10.1006/pmed.1997.0199.CrossRefPubMed
24.
go back to reference Epel EE, Moyer AE, Martin CD, Macary S, Cummings N, Rodin J, Rebuffe-Scrive M: Stress-induced cortisol, mood, and fat distribution in men. Obes Res. 1999, 7 (1): 9-15.CrossRefPubMed Epel EE, Moyer AE, Martin CD, Macary S, Cummings N, Rodin J, Rebuffe-Scrive M: Stress-induced cortisol, mood, and fat distribution in men. Obes Res. 1999, 7 (1): 9-15.CrossRefPubMed
25.
go back to reference Epel ES, McEwen B, Seeman T, Matthews K, Castellazzo G, Brownell KD, Bell J, Ickovics JR: Stress and body shape: stress-induced cortisol secretion is consistently greater among women with central fat. Psychosom Med. 2000, 62 (5): 623-632.CrossRefPubMed Epel ES, McEwen B, Seeman T, Matthews K, Castellazzo G, Brownell KD, Bell J, Ickovics JR: Stress and body shape: stress-induced cortisol secretion is consistently greater among women with central fat. Psychosom Med. 2000, 62 (5): 623-632.CrossRefPubMed
26.
go back to reference Laitinen J, Ek E, Sovio U: Stress-related eating and drinking behavior and body mass index and predictors of this behavior. Prev Med. 2002, 34 (1): 29-39. 10.1006/pmed.2001.0948.CrossRefPubMed Laitinen J, Ek E, Sovio U: Stress-related eating and drinking behavior and body mass index and predictors of this behavior. Prev Med. 2002, 34 (1): 29-39. 10.1006/pmed.2001.0948.CrossRefPubMed
27.
go back to reference Brunner EJ, Chandola T, Marmot MG: Prospective Effect of Job Strain on General and Central Obesity in the Whitehall II Study. 2007, 165 (7): 828-837. Brunner EJ, Chandola T, Marmot MG: Prospective Effect of Job Strain on General and Central Obesity in the Whitehall II Study. 2007, 165 (7): 828-837.
Metadata
Title
Socioeconomic position and risk of short-term weight gain: Prospective study of 14,619 middle-aged men and women
Authors
Lisa R Purslow
Elizabeth H Young
Nicholas J Wareham
Nita Forouhi
Eric J Brunner
Robert N Luben
Ailsa A Welch
Kay-Tee Khaw
Shelia A Bingham
Manjinder S Sandhu
Publication date
01-12-2008
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2008
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-8-112

Other articles of this Issue 1/2008

BMC Public Health 1/2008 Go to the issue