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Relation between self-reported weight cycling history, dieting and bio-behavioral health in Japanese adult males

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Environmental Health and Preventive Medicine Aims and scope

Abstract

Background

Epidemiological findings suggest that weight fluctuations are associated with unfavorable health outcomes compared with stable weight. However, the interrelationship between the weight cycling history and dieting status in a non-clinical male trial on the risk for bio-behavioral health is unclear.

Objective

The purpose of this study was to examine the relation between weight cycling history as a result of intentional weight loss and bio-behavioral health in Japanese adult males.

Method

A cross-sectional study was performed on a group of 146 Japanese working males (47.5±9.3 yr.). Each subject completed a series of self-reported questionnaires in which information about weight cycling history, current dieting practices, life-styles, and social background were assessed. Results of the physical check up were used to assess biological parameters. Self-reported weight cycling was defined as intentionally losing 10% of one's weight and regaining the lost weight.

Results

Cyclers reported a significantly greater incidence of current dieting and recent weight gain compared with non-cyclers. Taking regular meals, eating breakfast everyday, and not eating snacks between meals every day were significantly less frequent among cyclers compared with non-cyclers after controlling for BMI. The adjusted odds ratio for AST abnormality was 5.46 (95% CI: 1.08–27.67), ALT abnormality was 3.31 (95% CI: 1.24–8.78), and γ-GTP was 3.38 (95% CI: 1.07–10.67) among cyclers, compared with noncyclers.

Conclusion

These findings suggest that a history of weight cycling in men, regardless of current weight status, is associated with adverse bio-behavioral health. The risk for several liver enzyme abnormalities associated with weight cycling history was substantial, independent of relative body weight and lifestyle factors.

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References

  1. The Ministry of Health and Welfare Health Service Bureau, Community Health, Health Promotion and Nutrition Division, Office for Life-style Related Diseases Control. The 1998 National Nutritional Survey in Japan. Tokyo: Daiichi Publishing Co., Ltd. 2000.

    Google Scholar 

  2. Bary GA. Effects of obesity on health and happiness. In KD. Brownell & JP Foreyt (Eds.), Handbook of eating disorders. New York: Basic Books, Inc. 1986.

    Google Scholar 

  3. Higgins M, D'Agostino R, Kannel W, Cobb J. Benefits and adverse effects of weight loss: observations from the Framingham Study. Ann. Intern. Med. 1993; 119: 758–763.

    PubMed  CAS  Google Scholar 

  4. Trials of Hypertension Prevention (TOHP) Collaborative Research Group. The effects of nonpharmacologic interventions on blood pressure of persons with high normal levels. JAMA 1992; 267: 1213–1220.

    Article  Google Scholar 

  5. Miller NE, Thelle DS, Forde OH, Mjos OD. The Tromso Heart Study: high-density lipoprotein and coronary heart disease: a prospective case-control study. Lancet 1997; 1: 965–968.

    Google Scholar 

  6. Wolf RN, Grundy SM. Influence of weight reduction on plasma lipoproteins in obese patients. Arteriosclerosis 3: 160–169.

  7. Kirschner MA, Schneder G, Ertel NH, Gorman G. An eight-year experience with a very-low calorie formula diet for control of major obesity. Int. J. Obes. 1998; 12: 69–80.

    Google Scholar 

  8. Wood PD, Stefanick ML, Williams PT, Haskell WL. The effects on plasma lipoproteins of a prudent weight-reducing diet, with or without exercise, in overweight men and women. N. Engl. J. Med. 1991; 325: 461–466.

    PubMed  CAS  Google Scholar 

  9. DeFronzo RA. The triumvirate; β-cell, muscle, liver—a collusion responsible for NIDDM. Diabetes 1988; 37: 667–687.

    PubMed  CAS  Google Scholar 

  10. Amatruda JM, Richeson JF, Welles SL, et al. The safety and efficacy of a controlled low-energy (“very-low-calorie”) diet in the treatment of non-insulin dependent diabetes and obesity. Arch. Intern. Med. 1988; 148: 873–878.

    Article  PubMed  CAS  Google Scholar 

  11. Wing RR, Koeske R, Epstein LH, et al. Long term effects on modest weight loss in type II diabetic patients. Arch. Intern. Med. 1987; 147: 1749–1753.

    Article  PubMed  CAS  Google Scholar 

  12. Lee I-M, Paffenbarger RS Jr. Is weight loss hazardous? Nutr. Rev. 1996; 54: S116-S124.

    Article  PubMed  CAS  Google Scholar 

  13. Technology Assessment Conference Panel. Methods for voluntary weight loss and control: Technology Assessment Conference statement. Ann. Intern. Med. 1993; 119 (7, pt 2): 764–770.

    Google Scholar 

  14. Brownell KD, Rodin J. The dieting maelstrom: Is it possible and advisable to lose weight? Am. Psychol. 1994; 49: 781–891.

    Article  PubMed  CAS  Google Scholar 

  15. Hamm P, Shekelle RB, Stamler J. Large fluctuations in body weight during young adulthood and twenty-five-year risk of coronary death in men. Am. J. Epidemiol. 1989; 129: 312–318.

    PubMed  CAS  Google Scholar 

  16. Lisnner, L, Bengtsson C, Lapidus L, Larsson B, Bengtsson B, Brawnell K. Body weight variability and mortality in the Cothenburg prospective studies of men and women. In Bjorntorp P, Rossner B (Eds): Obesity in Europe 88: “Proceedings of the First European Conference on Obesity”. London: Libbey, pp. 55–60, 1989.

    Google Scholar 

  17. Lissner L, Odell P, D'Agostino R, Stokes J III, Kreger B, Belanger A, Brownell KD. Variability in body weight and health outcomes in the Framingham population. N. Engl. J. Med. 1991; 324: 1839–1844.

    PubMed  CAS  Google Scholar 

  18. Blair SN, Shaten J, Brownell K, Collins G, Lissner L. Body weight change, all-cause mortality, and cause-specific mortality in the Multiple Risk Factor Intervention Trial. Ann. Int. Med. 1993; 119 (7 pt 2): 749–757.

    PubMed  CAS  Google Scholar 

  19. Foster GD, Sarwer DB, Wadden TA. Psychological effects of weight cycling in obese persons: A review and research agenda. Obes. Res. 1997; 5: 474–488.

    PubMed  CAS  Google Scholar 

  20. Wakui S, Shimomitsu T, Odagiri Y, Ohya Y, Katsumura T. Eating disorder symptoms, weight loss behaviors and weight cycling in female college students: Correlates of exercise practice. Jpn. J. Phys. Fitness Sports Med. 1999; 48: 607–618.

    Google Scholar 

  21. French SA, Rerry CL, Leon GR, Fulkerson AF. Dieting behaviors and weight change history in female adolescents. Health Psychol 1995; 14: 548–555.

    Article  PubMed  CAS  Google Scholar 

  22. French SA, Jeffery RW. Consequences of dieting to lose weight: Effects on physical and mental health. Health Psychol. 1994; 13: 195–212.

    Article  PubMed  CAS  Google Scholar 

  23. Brownell KD, Rodin J. Medical, metabolic, and psychological effects of weight cycling [Review] Arch. of Int. Med. 1994; 154: 1325–1330.

    Article  CAS  Google Scholar 

  24. Bartlett SJ, Wadden TA, Vogt RA. Psychosocial consequences of weight cycling. J. Consult. Clin. Psychol. 1996; 64: 587–592.

    Article  PubMed  CAS  Google Scholar 

  25. Ferguson KJ, Spitzer RL. Binge eating disorder in a community-based sample of successful and unsuccessful dieters. Int. J. Eat. Disord. 1995; 18: 167–172.

    PubMed  CAS  Google Scholar 

  26. Kuehnel RH, Wadden TA. Binge eating disorders, weight cycling and psychopathology. Int. J. Eat. Disord. 1994; 15: 321–329.

    PubMed  CAS  Google Scholar 

  27. Friedman MA, Schwartz MB, Brownell KD. Differential relation of psychological functioning with the history and experience of weight cycling. J. Consult. Clin. Psychol. 1999; 66: 646–650.

    Google Scholar 

  28. Shimomitsu T, Odagiri Y, Wakui S, Inoue S, Takamiya T. Exercise behavior and psycho-behavioral factors: cross-sectional study of stage of change for exercise behavior. Descent. Sports Science 1999; 20: 3–19.

    Google Scholar 

  29. Simkin-Silverman LR, Wing RR, Plantiga P, Karen A, Matthews KA, Kuller LH. Lifetime weight cycling and psychological health in normal-weight and overweight women. Int. J. Eat. Disord. 1998; 24: 175–183.

    Article  PubMed  CAS  Google Scholar 

  30. Venditti EM, Wing RR, Jakicic JM, Butler BA, Marcus MD. Weight cycling, psychological health, and binge eating in obese women. J. Consult. Clin. Psychol. 1996; 64: 400–405.

    Article  PubMed  CAS  Google Scholar 

  31. Kensinger GJ, Murtaugh MA, Reichmann SK, Tangney CC. Psychological symptoms are greater among weight cycling women with severe binge eating behavior. J. Am. Diet Assoc. 1998; 98: 863–868.

    Article  PubMed  CAS  Google Scholar 

  32. Field AE, Byers T, Hunter DJ, Laird NM, Manson JE, Williamson DF, Willet WC, Colditz GA. Weight cycling, weight gain, and risk of hypertension in women. Am. J. Epidemiol. 1999; 150: 573–579.

    PubMed  CAS  Google Scholar 

  33. French SA, Jeffery RW, Sherwood NE, Neumark-Sztainer D. Prevalence and correlates of binge eating in a nonclinical sample of women enrolled in a weight gain prevention program. Int. J. Obes. 1999; 23: 576–585.

    Article  CAS  Google Scholar 

  34. Kawada T, Suzuki S. The relationship between being satisfied with one's health, good health practices and symptoms of ill health. J. Occup. Health, 1995; 37: 161–163.

    CAS  Google Scholar 

  35. Morimoto K. The significance and prospect of lifestyle study. In: Morimoto K (Ed) Lifestyle and health—Health theory and demonstrable research. Tokyo: Igaku Shoin 1991; pp. 2–32.

    Google Scholar 

  36. Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin. Chem. 1992; 18: 499–502.

    Google Scholar 

  37. Rao A, Parker AH, EL-Sheroni NA, Babelly MM. Calculation of low-density lipoprotein cholesterol with use of triglyceride/cholesterol ratios in lipoproteins compared with other calculation methods. Clin. Chem. 1988; 34: 2532–2534.

    PubMed  CAS  Google Scholar 

  38. Jeffery RW, Wing RR, French SA. Weight cycling and cardiovascular risk factors in obese men and women. Am. J. Clin. Nutr. 1992; 55: 641–644.

    PubMed  CAS  Google Scholar 

  39. Rebuffe-Serive M, Hendler R, Bracero N, Cummings N, McCarthy S, Rodin J. Biobehavioral effects of weight cycling. Int. J. Obes. Relat. Metab. Disord. 1994; 18: 651–658.

    PubMed  CAS  Google Scholar 

  40. Drewnowski A, Holden-Wiltse J. Taste responses and food preferences in obese women: Effects of weight cycling. Int. J. Obes. Relat. Metab. Disord. 1992; 16: 639–648.

    PubMed  CAS  Google Scholar 

  41. Drewnowski A, Kurth C, Rahaim J. Taste preferences in human obesity: environment and familial factors. Appetite 1992; 18: 207–221.

    Article  PubMed  CAS  Google Scholar 

  42. Timmerman GM, Stevenson JS. The relationship between binge eating severity and body fat in non-purge binge eating women. Res. Nurs. Health 1996; 19: 389–398.

    Article  PubMed  CAS  Google Scholar 

  43. Kieman M, Rodin J, Brownell KD. Relation of level of exercise, age, and weight-cycling history to weight and eating concerns in male and female runners. Health Psychol. 1992; 11: 418–421.

    Article  Google Scholar 

  44. Jeffery RW. Does weight cycling present a health risk? [Review] Am. J. Clin. Nutr. 1996; 63 (3 Suppl): 452S-455S.

    PubMed  CAS  Google Scholar 

  45. Muls E, Kempen K, Vansant G, Saris W. Is weight cycling detrimental to health? A review of the literature in humans. [Review] Int. J. Obes. Relat. Metab. Disord. 1995; 19: (Suppl 3): S46-S50.

    PubMed  Google Scholar 

  46. Clain DJ, Lefkowitch JH. Gastroenterol fatty liver disease in morbid obesity. Clin. North. Am. 1987; 16: 239–252.

    CAS  Google Scholar 

  47. Sheila Sherlock (Ed.) Eighth edition diseases of the liver and biliary system. Blackwell Scientific Publications. Oxford, London, Edinburgh, Boston, Melbourne 1989.

    Google Scholar 

  48. Ueno T, Sugawara H, Sujaku K, Hashimoto O, Tsuji R, Tamaki S, Torimura T, Inuzuka S, Sata M, Tanikawa K. Therapeutic effects of restricted diet and exercise in obese patients with fatty liver. J. Hepatol. 1997; 27: 103–107.

    Article  PubMed  CAS  Google Scholar 

  49. Mickley D, Greenfeld D, Quinlan DM, Roloff P, Zwas F. Abnormal liver enzymes in outpatients with eating disorders. Int. J. Eat. Disord. 1996; 20: 325–329.

    Article  PubMed  CAS  Google Scholar 

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Wakui, S., Odagiri, Y., Takamiya, T. et al. Relation between self-reported weight cycling history, dieting and bio-behavioral health in Japanese adult males. Environ Health Prev Med 6, 248–255 (2002). https://doi.org/10.1007/BF02897977

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  • DOI: https://doi.org/10.1007/BF02897977

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