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Journal of Aging and Health
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Three-Year Measured Weight Change in the African American Health Study

Fredric D. Wolinsky, PhD

Iowa City Veterans Affairs Medical Center and University of Iowa, fredric-wolinsky{at}uiowa.edu

Elena M. Andresen, PhD

University of Florida

Theodore K. Malmstrom, PhD

Saint Louis University

Mario Schootman, PhD

Washington University School of Medicine

J. Philip Miller, AB

Washington University School of Medicine

Douglas K. Miller, MD

Indiana University School of Medicine and Regenstrief Institute for Health Care

Objective: This study examines 3-year weight change in African Americans. Method: Nine hundred and ninety-eight participants 49 to 65 years old were assessed at baseline and 3 years later. Weight was measured, and weight change was defined as clinically meaningful increases or decreases (± 5 kg). Potential risk factors were investigated using multinomial logistic regression. Results: In-home measured weights were available for 752 participants (75%): 504 (67%) had stable weights, 131 (17%) gained more than 5 kg, and 117 (16%) lost more than 5 kg. Among all participants, the risks for weight gains were cancer, chronic obstructive pulmonary disease, lower income, and Medicaid status; the risks for weight losses were angina, cancer, high measured systolic blood pressure, asthma, and physical inactivity. Sex-stratified analyses reveal differences involving age, socioeconomic status, cancer, blood pressure, and lower body function. Discussion: Three-year weight changes in middle-aged African Americans were frequent and significantly associated with several risk factors.

Key Words: weight change • African Americans • population-based studies

Journal of Aging and Health, Vol. 21, No. 2, 231-243 (2009)
DOI: 10.1177/0898264308328949
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