Table 3. Weight change between baseline (1993-1996) and follow-up (2003-2007) and subsequent all-cause mortality in subgroups in the Multiethnic Cohort Study.
Weight change (kg) | |||||||
---|---|---|---|---|---|---|---|
| |||||||
Loss (>10) | Loss (>5–10) | Loss (>2.5–5) | Stable (±2.5) | Gain (>2.5–5) | Gain (>5–10) | Gain (>10) | |
Race/ethnicity | |||||||
African American | |||||||
No. of deaths | 161 | 156 | 123 | 259 | 72 | 91 | 81 |
HR (95% CI)a | 2.46 (2.01-3.01) | 1.79 (1.47-2.19) | 1.30 (1.05-1.62) | 1.00 (ref) | 0.72 (0.55-0.94) | 0.93 (0.73-1.19) | 1.32 (1.00-1.74) |
Native Hawaiian | |||||||
No. of deaths | 98 | 78 | 40 | 137 | 52 | 43 | 51 |
HR (95% CI)a | 2.55 (1.96-3.32) | 1.68 (1.27-2.23) | 0.84 (0.59-1.20) | 1.00 (ref) | 0.94 (0.68-1.30) | 0.71 (0.50-1.01) | 0.97 (0.68-1.39) |
Japanese American | |||||||
No. of deaths | 151 | 363 | 397 | 915 | 213 | 146 | 38 |
HR (95% CI)a | 3.29 (2.76-3.92) | 1.86 (1.64-2.10) | 1.43 (1.27-1.61) | 1.00 (ref) | 0.97 (0.83-1.13) | 1.14 (0.95-1.37) | 1.40 (0.99-1.96) |
Latino | |||||||
No. of deaths | 136 | 172 | 146 | 361 | 127 | 119 | 82 |
HR (95% CI)a | 3.28 (2.69-4.00) | 1.75 (1.45-2.10) | 1.29 (1.06-1.56) | 1.00 (ref) | 0.95 (0.77-1.16) | 1.01 (0.81-1.24) | 1.31 (1.01-1.70) |
White | |||||||
No. of deaths | 203 | 282 | 220 | 603 | 177 | 194 | 136 |
HR (95% CI)a | 2.52 (2.15-2.96) | 1.60 (1.38-1.84) | 1.24 (1.06-1.44) | 1.00 (ref) | 0.94 (0.79-1.11) | 0.94 (0.80-1.11) | 1.07 (0.87-1.32) |
P for heterogeneity | 0.22 | ||||||
Age at baseline | |||||||
45-54 years | |||||||
No. of deaths | 92 | 102 | 80 | 310 | 114 | 158 | 133 |
HR (95% CI)a | 2.67 (2.10-3.39) | 1.78 (1.42-2.23) | 1.18 (0.92-1.50) | 1.00 (ref) | 0.80 (0.65-1.00) | 0.90 (0.74-1.09) | 0.89 (0.71-1.12) |
55-64 years | |||||||
No. of deaths | 220 | 315 | 266 | 692 | 249 | 243 | 159 |
HR (95% CI)a | 2.87 (2.46-3.35) | 1.96 (1.72-2.25) | 1.36 (1.18-1.57) | 1.00 (ref) | 0.99 (0.85-1.14) | 1.06 (0.91-1.24) | 1.42 (1.18-1.72) |
65-75 years | |||||||
No. of deaths | 437 | 634 | 580 | 1,273 | 278 | 192 | 96 |
HR (95% CI)a | 2.83 (2.52-3.17) | 1.65 (1.50-1.82) | 1.30 (1.18-1.44) | 1.00 (ref) | 0.94 (0.82-1.07) | 0.98 (0.84-1.14) | 1.41 (1.13-1.76) |
P for heterogeneity | 0.51 | ||||||
BMI at baseline | |||||||
<25 kg/m2 | |||||||
No. of deaths | 149 | 403 | 452 | 1,215 | 300 | 234 | 115 |
HR (95% CI)a | 3.20 (2.64-3.87) | 1.78 (1.57-2.01) | 1.34 (1.19-1.49) | 1.00 (ref) | 0.99 (0.87-1.12) | 1.07 (0.92-1.25) | 1.65 (1.32-2.07) |
25–<30 kg/m2 | |||||||
No. of deaths | 273 | 436 | 342 | 795 | 248 | 222 | 131 |
HR (95% CI)a | 2.20 (1.84-2.64) | 1.54 (1.35-1.75) | 1.18 (1.04-1.35) | 1.00 (ref) | 1.03 (0.89-1.19) | 1.07 (0.90-1.26) | 1.39 (1.10-1.75) |
≥30 kg/m2 | |||||||
No. of deaths | 327 | 212 | 132 | 265 | 93 | 137 | 142 |
HR (95% CI)a | 2.58 (2.17-3.07) | 1.50 (1.24-1.80) | 1.18 (0.95-1.45) | 1.00 (ref) | 0.83 (0.66-1.06) | 1.03 (0.83-1.28) | 1.10 (0.87-1.38) |
P for heterogeneity | <0.001 | ||||||
Smoking status | |||||||
Never | |||||||
No. of deaths | 350 | 460 | 420 | 978 | 284 | 227 | 132 |
HR (95% CI)a | 3.37 (2.97-3.83) | 1.92 (1.72-2.15) | 1.37 (1.22-1.53) | 1.00 (ref) | 0.99 (0.86-1.13) | 1.11 (0.95-1.28) | 1.42 (1.16-1.73) |
Former | |||||||
No. of deaths | 297 | 436 | 397 | 1,004 | 282 | 291 | 211 |
HR (95% CI)a | 2.73 (2.39-3.11) | 1.66 (1.48-1.86) | 1.28 (1.14-1.43) | 1.00 (ref) | 0.87 (0.76-0.99) | 0.91 (0.79-1.04) | 1.19 (1.01-1.41) |
Current | |||||||
No. of deaths | 102 | 155 | 109 | 293 | 75 | 75 | 45 |
HR (95% CI)a | 2.00 (1.59-2.53) | 1.64 (1.35-2.01) | 1.28 (1.02-1.60) | 1.00 (ref) | 0.86 (0.67-1.12) | 1.00 (0.76-1.30) | 1.05 (0.75-1.49) |
P for heterogeneity | 0.011 |
Abbreviations: BMI, Body mass index; CI, Confidence interval; HR, Hazard ratio.
Adjusted by Cox regression for sex, race/ethnicity, age, BMI, years between the baseline and follow-up surveys, smoking status, average number of cigarettes, squared average number of cigarettes, number of years smoked (time-dependent), number of years since quitting (time-dependent), and interactions between ethnicity and smoking status, average number of cigarettes, squared average number of cigarettes and number of years smoked.