Composition (lean and fat tissue) of weight changes in adult Danes
Open accessAbstract
Background Weight loss may be associated with unfavorable changes in body composition not compensated for by subsequent weight gain.Objective We examined the composition of weight change in relation to obesity, previous weight changes, weight-loss attempts, and physical activity.Design Part of the Danish MONICA (Monitoring Trends in Cardiovascular Disease) project, this was a longitudinal population study of changes in weight and body composition, with examinations in 1982-1983, 1987-1988, and 1993-1994. A total of 1236 men and 1200 women aged 35, 45, 55, or 65 y in 1987-1988 participated. Changes in fat and fat-free mass were measured by bioelectrical impedance.Results Before adjustment for age-related changes, fat-free mass made up 41% of weight lost and 24% of weight gained in men. In women, loss of fat-free mass (35%) was more than double that of gains (15%). After adjustment, the fractions of weight gained as fat-free mass were not significantly different from the fractions lost. These fractions were independent of age, obesity, and weight changes in the previous 5 y; successful weight-loss attempts; and physical activity. Independent of age and degree of obesity, weight changes were associated with greater changes in fat-free mass in men than in women.Conclusions These data do not support the theory that weight loss or weight cycling may lead to an unfavorable body composition, nor do they provide a biological explanation for why long-term weight loss is often unsuccessful. However, the metabolic and health consequences of weight change may differ in men and women.
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FFMI and FMI cut-offs were derived from polynomial regression equations for BMI cut-offs from healthy subjects (n=5635).
“Ranges of FFMI and FMI were derived from polynomial regression equations for each of the BMI cut-offs (18.5, 25 and 30 kg m 22 ) from our healthy subjects (n ¼ 5635) 21 .”
From Overweight and obesity in a Swiss city: 10-year trends (2007) · cites this paper as [21]
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- Authors
- Heitmann, B. L., & Garby, L.
- Affiliations
- University of Copenhagen (DK)
- Corresponding author
- Heitmann, Berit Lilienthal
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2002-05
- Volume
- 75
- Issue
- 5
- Pages
- 840-847
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W1922604517
- Cited by
- 65
- References
- 32
- Citations by year
- 2023: 1 · 2021: 3 · 2019: 1 · 2018: 2 · 2017: 3 · 2016: 4 · 2015: 2 · 2014: 4 · 2013: 3 · 2012: 8
- FWCI
- 2.80
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- body composition, weight change, fat-free mass, fat mass, weight loss, weight gain, weight cycling, obesity, sex differences, physical activity, weight loss attempts
- MeSH terms
- Adult, Aged, Aging, Anthropometry, Body Composition, Female, Humans, Longitudinal Studies, Male, Medical Records, Middle Aged, Motor Activity, Obesity, Weight Loss
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