Cited by 194Diabetes, Cardiovascular Risks, and LipoproteinsObesity, Physical Activity, DietAdipokines, Inflammation, and Metabolic Diseases

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Consistently Stable or Decreased Body Mass Index in Young Adulthood and Longitudinal Changes in Metabolic Syndrome Components: The Coronary Artery Risk Development in Young Adults Study

Lloyd-Jones, Donald M., Liu, Kiang, Colangelo, Laura A., Yan, Lijing L., Klein, Liviu, Loria, Catherine M., Lewis, Cora E., Savage, Peter·2007·Circulation

DOI 10.1161/circulationaha.106.648642

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Abstract

Background— Data are sparse regarding the association of stable body mass index (BMI) over the long term with metabolic syndrome components in young adults. Methods and Results— Participants in the Coronary Artery Risk Development in Young Adults Study, including white and black adults 18 to 30 years of age at the initial examination in 1985 to 1986, were stratified into groups by baseline BMI and change in BMI (stable/decreased, increased >2 kg/m 2 , or fluctuating) across all 6 examinations between years 0 and 15 of the study. Changes in metabolic syndrome components were compared between groups. Among 1358 men and 1321 women, 16.3% maintained a stable BMI, 73.9% had an increased BMI, and 9.8% had a fluctuating BMI. Over 15 years, participants with stable BMI had essentially unchanged levels of metabolic syndrome components, regardless of baseline BMI, whereas those with increased BMI had progressively worsening levels. For example, men with a baseline BMI of 20.0 to 24.9 kg/m 2 and stable BMI during follow-up had a mean increase of only 15 mg/dL in fasting triglycerides over 15 years compared with 65 mg/dL ( P <0.001) in those whose BMI increased. Incidence of metabolic syndrome at year 15 was lower in the stable BMI group (2.2%) compared with the increased BMI group (18.8%; P <0.001). Conclusions— Adverse progression of metabolic syndrome components with advancing age may not be inevitable. Young adults who maintained stable BMI over time had minimal progression of risk factors and lower incidence of metabolic syndrome regardless of baseline BMI. Greater public health efforts should be aimed at long-term weight stabilization.

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Authors: Lloyd-Jones, D. M., Liu, K., Colangelo, L. A., Yan, L. L., Klein, L., Loria, C. M., Lewis, C. E., & Savage, P.
Affiliations: From the Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Ill (D.M.L.-J., K.L., L.A.C., L.L.Y., L.K.); Department of Health Economics and Management, Guanghua School of Management, Peking University, Peking, China (L.L.Y.); National Heart, Lung, and Blood Institute, Bethesda, Md (C.M.L., P.S.); and Division of Preventive Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham (C.E.L.).
Northwestern University (US)
ORCID: Liu, Kiang
Colangelo, Laura A.
Yan, Lijing L.
Klein, Liviu
Loria, Catherine M.
Lewis, Cora E.
Venue: Circulation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2007-02-27
Volume: 115
Issue: 8
Pages: 1004-1011
ISSN: 0009-7322 (ISSN-L)
1524-4539
DOI: 10.1161/circulationaha.106.648642
OpenAlex: W2077701646
Semantic Scholar: 3442a9183b29104e011bcf800d27ae7f64139f00
Cited by: 194
References: 41
Citations by year: 2026: 5 · 2025: 9 · 2024: 7 · 2023: 6 · 2022: 5 · 2021: 12 · 2020: 3 · 2019: 8 · 2018: 8 · 2017: 8 · 2016: 11 · 2015: 9 · 2014: 16 · 2013: 9 · 2012: 14
FWCI: 11.45
Type: journal article
Language: en
Open access: closed
Locations: Circulation (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (n01hc48049-61-0-1)
National Heart, Lung, and Blood Institute (N01-HC-48-049)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
Keywords: body mass index, metabolic syndrome, weight stability, young adults, BMI change, fasting triglycerides, metabolic syndrome incidence, Coronary Artery Risk Development in Young Adults Study
MeSH terms: Adolescent, Adult, Blood Glucose, Coronary Disease, Fasting, Female, Humans, Longitudinal Studies, Male, Risk Factors, Weight Gain, Body Mass Index, Incidence, Metabolic Syndrome, Diabetes Complications

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Consistently Stable or Decreased Body Mass Index in Young Adulthood and Longitudinal Changes in Metabolic Syndrome Components: The Coronary Artery Risk Development in Young Adults Study

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