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. 2023 Jan 6;117(1):141–148. doi: 10.1016/j.ajcnut.2022.10.012

Table 3.

Incidence rates of adult obesity by baseline weight status

Normal Weight
Overweight
IRR for overweight vs. normal weight
Incidence IRR Incidence IRR
Overall 8.8 (8.1, 9.6) 62.1 (58.8, 65.3) 7.0 (6.3, 7.7)
Sex
 Females 10.0 (8.9, 11.0) Ref 67.3 (61.9, 72.6) Ref 6.8 (5.8, 7.7)
 Males 7.6 (6.6, 8.6) 0.8 (0.7, 0.9) 55.0 (51.7, 58.2) 0.8 (0.7, 0.9) 7.3 (6.3, 8.2)
Race
 White 8.4 (7.6, 9.2) Ref 59.4 (56.0, 62.9) Ref 7.1 (6.3, 7.8)
 Black 13.8 (9.8, 17.8) 1.7 (1.2, 2.3) 87.2 (77.9, 96.5) 1.4 (1.3, 1.6) 6.3 (4.5, 8.2)
 Other 9.4 (6.5, 12.3) 1.1 (0.8, 1.5) 62.4 (49.4, 75.3) 1.0 (0.8, 1.2) 6.6 (4.5, 8.8)
Age group
 20–29 y 9.9 (8.3, 10.5) Ref 97.0 (88.5, 105.4) Ref 9.8 (8.0, 11.6)
 30–39 y 6.1 (4.3, 7.8) 0.6 (0.4, 0.9) 59.3 (53.1, 65.6) 0.6 (0.6, 0.7) 9.8 (6.9, 12.7)
 40–49 y 4.9 (3.5, 6.4) 0.5 (0.4, 0.7) 54.0 (47.6, 60.5) 0.5 (0.5, 0.6) 11.0 (7.3, 14.6)
 50–59 y 3.3 (1.6, 5.0) 0.3 (0.2, 0.6) 46.3 (41.3, 51.3) 0.5 (0.4, 0.5) 13.9 (6.8, 21.0)
 60–69 y 2.7 (1.0, 4.5) 0.3 (0.1, 0.6) 33.8 (28.3, 39.2) 0.3 (0.3, 0.4) 12.3 (4.5, 20.1)
 70+ y 4.6 (1.7, 7.4) 0.5 (0.3, 0.9) 27.7 (23.6, 31.9) 0.3 (0.2, 0.3) 6.1 (2.5, 9.6)
Education
 < High school 16.2 (12.4, 20.1) 2.3 (1.7, 2.9) 68..4 (57.9, 79.0) 1.3 (1.1, 1.5) 4.2 (3.0, 5.4)
 High school 12.7 (10.3, 15.0) 1.7 (1.4, 2.0) 71.6 (65.9, 77.2) 1.2 (1.1, 1.4) 5.7 (4.5, 6.8)
 > High school 7.1 (6.4, 7.8) Ref 58.1 (54.0, 62.2) Ref 8.2 (7.1, 9.2)
n 7379 6509
New cases 800 3133
PYs 70,549 45,248

Weight status is at first anthropometric record. Normal weight is defined as a BMI <25 kg/m2, overweight is defined as a BMI ≥ 25 kg/m2 and <30 kg/m2, and obesity is defined as the first time a person has a body mass index ≥30 kg/m2. IRR, incidence rate ratio; PYs, person-years of follow-up; Ref, reference. Incidence is calculated as the incidence rate of new cases per 1000 PYs of follow-up (95% CIs) using Poisson models. Overall incidence rates are adjusted for sex, race, and age. Sex-specific rates are adjusted for age and race. Age-specific rates are adjusted for race and sex. Race-specific rates are adjusted for sex and age. All incidence rates are weighted using survey weights, stratum, and cluster to represent the US population between 2001 and 2017.