TY - JOUR
T1 - Sex differences in adult outcomes by changes in weight status from adolescence to adulthood
T2 - Results from add health
AU - Chung, Arlene E.
AU - Skinner, Asheley Cockrell
AU - Maslow, Gary R.
AU - Halpern, Carolyn T.
AU - Perrin, Eliana M.
N1 - Funding Information:
Dr Chung was supported by a NRSA Primary Care Research Fellowship training grant ( NIH T32 HP14001 ). Dr Skinner was supported by a NIH BIRWCH ( K12 HD001441 ). The project was supported by the National Center for Research Resources and the National Center for Advancing Translational Sciences , National Institutes of Health, through grant UL1TR000083 . This research uses data from Add Health, a program project directed by Kathleen Mullan Harris and designed by J. Richard Udry, Peter S. Bearman, and Kathleen Mullan Harris at the University of North Carolina at Chapel Hill, and funded by grant P01-HD31921 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development , with cooperative funding from 23 other federal agencies and foundations. Special acknowledgment is due Ronald R. Rindfuss and Barbara Entwisle for assistance in the original study design. Information on how to obtain the Add Health data files is available on the Add Health Web site ( http://www.cpc.unc.edu/addhealth ). No direct support was received from grant P01-HD31921 for this analysis. Special thanks to the UNC NRSA Primary Care Research Fellows and Dr Donald Pathman, who provided thoughtful critiques and feedback. Thanks also to Dr Penny Gordon-Larsen, who provided consultation and expertise. We also thank the members of the UNC Scientific Collaborative for Overweight and Obesity Prevention and Treatment (SCOOPT) for feedback early in the project.
PY - 2014
Y1 - 2014
N2 - Objective Changes in weight status from adolescence to adulthood may be associated with varying social, vocational, economic, and educational outcomes, which may differ by sex. We studied whether there are differences in adult outcomes by sex for different weight status changes in the transition to adulthood. Methods Using data from the National Longitudinal Study of Adolescent Health, participants were categorized by weight status from adolescence into adulthood. We examined self-reported outcomes in adulthood for living with parents, being married, being a parent, employment, receipt of public assistance, income, and college graduation by weight groupings (healthy-healthy, healthy-overweight/obese, overweight/obese-overweight/obese, overweight/obese-healthy). The effect of changes in weight status on the adult outcomes was modeled, controlling for sex, age, parental education, and race/ethnicity. Results There were differences by sex for many of the self-reported outcomes, especially educational and economic outcomes. Female subjects who became overweight/obese between adolescence and adulthood or remained so had worse economic and educational findings as adults compared to male subjects. Conclusions Overall, for female subjects, becoming and remaining overweight/obese was associated with worse outcomes, while for male subjects, adolescent obesity was more important than isolated adult obesity. The relationship between obesity and life situations may be more negative for female subjects in the transition to adulthood. The findings emphasize that adolescent obesity, and not just obesity isolated in adulthood, is important for characteristics achieved in adulthood.
AB - Objective Changes in weight status from adolescence to adulthood may be associated with varying social, vocational, economic, and educational outcomes, which may differ by sex. We studied whether there are differences in adult outcomes by sex for different weight status changes in the transition to adulthood. Methods Using data from the National Longitudinal Study of Adolescent Health, participants were categorized by weight status from adolescence into adulthood. We examined self-reported outcomes in adulthood for living with parents, being married, being a parent, employment, receipt of public assistance, income, and college graduation by weight groupings (healthy-healthy, healthy-overweight/obese, overweight/obese-overweight/obese, overweight/obese-healthy). The effect of changes in weight status on the adult outcomes was modeled, controlling for sex, age, parental education, and race/ethnicity. Results There were differences by sex for many of the self-reported outcomes, especially educational and economic outcomes. Female subjects who became overweight/obese between adolescence and adulthood or remained so had worse economic and educational findings as adults compared to male subjects. Conclusions Overall, for female subjects, becoming and remaining overweight/obese was associated with worse outcomes, while for male subjects, adolescent obesity was more important than isolated adult obesity. The relationship between obesity and life situations may be more negative for female subjects in the transition to adulthood. The findings emphasize that adolescent obesity, and not just obesity isolated in adulthood, is important for characteristics achieved in adulthood.
KW - adolescent obesity
KW - adult outcomes
KW - obesity/overweight
KW - population-based studies
KW - transition to adulthood
KW - weight changes
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U2 - 10.1016/j.acap.2014.03.016
DO - 10.1016/j.acap.2014.03.016
M3 - Article
C2 - 25169156
AN - SCOPUS:84906731307
SN - 1876-2859
VL - 14
SP - 448
EP - 455
JO - Academic pediatrics
JF - Academic pediatrics
IS - 5
ER -