Abstract
The association between weight change over a 5-year period, the subsequent perception of health and the mortality during a 4-year follow-up period has been examined in a prospective study of 7735 middle-aged British men. There were 357 deaths from all causes. Self-assessment of health status was considered as a potential guide to whether weight loss was intended or involuntary. Irrespective of weight change those who reported poor or fair health had a more than two-fold increase in death rate compared to those who reported good or excellent health. Considerable weight gain (greater than 10%) was associated with high rates of cardiovascular disease regardless of health perception, although this was most marked in those who perceived poor or fair health. Moderate weight gain was of little importance except in those who regarded their health as poor or fair. Weight loss was associated with increased death rates from cancer regardless of health perception, although the rates were highest in those who perceived poor or fair health. This study emphasizes that weight loss is a potentially serious symptom even in men who report good health. Assessment of weight change and of perception of health status are both of value and could be used in standard health enquiries to monitor health status in individuals and the community.
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Selected References
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- Hunt S. M., McKenna S. P., McEwen J., Backett E. M., Williams J., Papp E. A quantitative approach to perceived health status: a validation study. J Epidemiol Community Health. 1980 Dec;34(4):281–286. doi: 10.1136/jech.34.4.281. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kaplan G. A., Camacho T. Perceived health and mortality: a nine-year follow-up of the human population laboratory cohort. Am J Epidemiol. 1983 Mar;117(3):292–304. doi: 10.1093/oxfordjournals.aje.a113541. [DOI] [PubMed] [Google Scholar]
- Leavey R., Wilkin D. A comparison of two survey measures of health status. Soc Sci Med. 1988;27(3):269–275. doi: 10.1016/0277-9536(88)90131-1. [DOI] [PubMed] [Google Scholar]
- Manson J. E., Colditz G. A., Stampfer M. J., Willett W. C., Rosner B., Monson R. R., Speizer F. E., Hennekens C. H. A prospective study of obesity and risk of coronary heart disease in women. N Engl J Med. 1990 Mar 29;322(13):882–889. doi: 10.1056/NEJM199003293221303. [DOI] [PubMed] [Google Scholar]
- Marton K. I., Sox H. C., Jr, Krupp J. R. Involuntary weight loss: diagnostic and prognostic significance. Ann Intern Med. 1981 Nov;95(5):568–574. doi: 10.7326/0003-4819-95-5-568. [DOI] [PubMed] [Google Scholar]
- Mossey J. M., Shapiro E. Self-rated health: a predictor of mortality among the elderly. Am J Public Health. 1982 Aug;72(8):800–808. doi: 10.2105/ajph.72.8.800. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shaper A. G., Pocock S. J., Walker M., Cohen N. M., Wale C. J., Thomson A. G. British Regional Heart Study: cardiovascular risk factors in middle-aged men in 24 towns. Br Med J (Clin Res Ed) 1981 Jul 18;283(6285):179–186. doi: 10.1136/bmj.283.6285.179. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wannamethee G., Shaper A. G. Body weight and mortality in middle aged British men: impact of smoking. BMJ. 1989 Dec 16;299(6714):1497–1502. doi: 10.1136/bmj.299.6714.1497. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wannamethee G., Shaper A. G. Weight change in middle-aged British men: implications for health. Eur J Clin Nutr. 1990 Feb;44(2):133–142. [PubMed] [Google Scholar]