RESEARCH ARTICLE
Pattern of Five-Year Weight Change by Age and Birth Cohorts in a Swedish Adult Population
Faisal Al-Emrani1, *, Martin Stafström1, Jonas Björk2, Per-Olof Östergren1
Article Information
Identifiers and Pagination:
Year: 2013Volume: 6
First Page: 42
Last Page: 50
Publisher ID: TOPHJ-6-42
DOI: 10.2174/1874944520130904001
Article History:
Received Date: 06/06/2013Revision Received Date: 27/07/2013
Acceptance Date: 28/07/2013
Electronic publication date: 30/9/2013
Collection year: 2013
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
The driving factors behind the global epidemic of obesity have not yet been fully elucidated. Investigating the effect of age and cohort on weight change might enable us to develop effective intervention strategies.
Aims:
To analyse the pattern of BMI change by age and birth cohort over five-year follow-up in adult Swedish sample.
Methods: The data was drawn from the Scania Public Health Cohort. The baseline survey was conducted between 1999 and 2000, and the follow-up in 2005. A total of 10,373 individuals responded to both surveys; all were included in the present study. The data was stratified into three-year intervals according to a respondent’s birth year and age at baseline. This was done in order to allow for age and cohort effect analysis by means of fixed effects linear mixed models.
Results:
We observed a significant increase in BMI between baseline and follow-up for males and females (p < 0.001), as well as significant age and cohort effects resulted from age-period and cohort-period models, respectively, for both genders. The age effect on BMI varied between -1.94 to +1.10 BMI units among males and -3.15 to +0.54 among females. The cohort effect on BMI varied from -1.67 to +1.61 BMI units in males, and from -2.28 to +1.18 in females.
Conclusions:
Our analyses suggest that cohort effects play a contributory role in obesity. Our results also show that it is difficult to distinguish between age-period and cohort-period effects in our study, due to on the one hand the linear relationship between age, period and cohort, and on the other hand to a short follow-up.
