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David F. Williamson, PhD; Henry S. Kahn, MD; Patrick L. Remington, MD; Robert F. Anda, MD

Arch Intern Med. 1990;150(3):665-672.

Abstract
• We estimated the 10-year incidence of major weight gain (a gain in body mass index of 5 kg/m² and overweight (a body mass index of 27.8 for men and 27.3 for women) in US adults using data from the First National Health and Nutrition Examination Survey Epidemiologic Follow-up Study. Persons aged 25 to 74 years at baseline were reweighed a decade after their initial examination (men, 3727; women, 6135). The incidence of major weight gain was twice as high in women and was highest in persons aged 25 to 34 years (men, 3.9%; women, 8.4%). Initially overweight women aged 25 to 44 years had the highest incidence of major weight gain of any subgroup (14.2%). For persons not overweight at baseline (men, 2760; women, 4295), the incidence of becoming overweight was similar in both sexes and was highest in those aged 35 to 44 years (men, 16.3%; women, 13.5%). We conclude that obesity pervention should begin among adults in their early 20s and that special emphasis is needed for young women who are already overweight.

(Arch Intern Med. 1990;150:665-672)

Author Affiliations
From the Department of Health and Human Services, Public Health Service, Centers for Disease Control, Center for Chronic Disease Prevention and Health Promotion, Atlanta, Ga (Drs Williamson, Kahn, Remington, and Anda); Department of Community Health, School of Medicine, Emory University, Atlanta (Dr Kahn); and Bureau of Community Health and Prevention, Wisconsin Division of Health, Madison (Dr Remington).

Footnotes
Accepted for publication October 31 1989.

Reprint requests to Division of Nutrition, Bldg 3 SB/45-A, Mailstop (A-41), Centers for Disease Control, Atlanta, GA 30333 (Dr Williamson).

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