Weight Mobility and Obesity in a Representative Sample of the US Adult Population

Background. Despite the attention given to the prevalence of obesity, surprisingly little is known about the incidence or reduction of obesity. We report the 1-year incidence and remission of obesity in a representative sample of the US population. Methods. Individuals from the Medical Expenditure P...

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Main Authors: Deanna J. M. Isaman, Amy E. Rothberg
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2018/4561213
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author Deanna J. M. Isaman
Amy E. Rothberg
author_facet Deanna J. M. Isaman
Amy E. Rothberg
author_sort Deanna J. M. Isaman
collection DOAJ
description Background. Despite the attention given to the prevalence of obesity, surprisingly little is known about the incidence or reduction of obesity. We report the 1-year incidence and remission of obesity in a representative sample of the US population. Methods. Individuals from the Medical Expenditure Panel Survey (MEPS) panel 17 were classified into standard obesity categories at enrollment and one year later. Incidence rates were calculated by age. Results. Although the overall prevalence of obesity remained nearly constant, remission rates from obesity (stratified by age) ranged from 11 to 27% while incidence rates ranged from 6 to 16%. For almost all age levels, the proportion of individuals leaving an obese or overweight state was greater than or equal to the proportion who progressed to a more severe level of overweight or obesity. Overall, 36% of adults lost at least 2.5 kg/m2 in the one-year period; only 8% gained 2.5 kg/m2 or more. Individuals less than 25 years of age had higher rates of leaving overweight (23% versus <16%) and obesity (27% versus 24%) classifications than people of other ages. Conclusions. Prevalence rates of obesity are well documented in the United States, but incidence is understudied. Public health efforts that target young people with overweight or obesity may yield the greatest benefit.
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spelling doaj-art-b0df48a2a5df4b0aa9d8a5c6dfc32f292025-08-20T03:20:48ZengWileyInternational Journal of Endocrinology1687-83371687-83452018-01-01201810.1155/2018/45612134561213Weight Mobility and Obesity in a Representative Sample of the US Adult PopulationDeanna J. M. Isaman0Amy E. Rothberg1Department of Biostatistics, University of Michigan, Ann Arbor, MI, USADepartment of Internal Medicine, University of Michigan, Ann Arbor, MI, USABackground. Despite the attention given to the prevalence of obesity, surprisingly little is known about the incidence or reduction of obesity. We report the 1-year incidence and remission of obesity in a representative sample of the US population. Methods. Individuals from the Medical Expenditure Panel Survey (MEPS) panel 17 were classified into standard obesity categories at enrollment and one year later. Incidence rates were calculated by age. Results. Although the overall prevalence of obesity remained nearly constant, remission rates from obesity (stratified by age) ranged from 11 to 27% while incidence rates ranged from 6 to 16%. For almost all age levels, the proportion of individuals leaving an obese or overweight state was greater than or equal to the proportion who progressed to a more severe level of overweight or obesity. Overall, 36% of adults lost at least 2.5 kg/m2 in the one-year period; only 8% gained 2.5 kg/m2 or more. Individuals less than 25 years of age had higher rates of leaving overweight (23% versus <16%) and obesity (27% versus 24%) classifications than people of other ages. Conclusions. Prevalence rates of obesity are well documented in the United States, but incidence is understudied. Public health efforts that target young people with overweight or obesity may yield the greatest benefit.http://dx.doi.org/10.1155/2018/4561213
spellingShingle Deanna J. M. Isaman
Amy E. Rothberg
Weight Mobility and Obesity in a Representative Sample of the US Adult Population
International Journal of Endocrinology
title Weight Mobility and Obesity in a Representative Sample of the US Adult Population
title_full Weight Mobility and Obesity in a Representative Sample of the US Adult Population
title_fullStr Weight Mobility and Obesity in a Representative Sample of the US Adult Population
title_full_unstemmed Weight Mobility and Obesity in a Representative Sample of the US Adult Population
title_short Weight Mobility and Obesity in a Representative Sample of the US Adult Population
title_sort weight mobility and obesity in a representative sample of the us adult population
url http://dx.doi.org/10.1155/2018/4561213
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