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Table 2 Risk for CVD events and diabetes related to weight change patterns

From: Early adulthood weight change, midlife “Life’s essential 8” health status and risk of cardiometabolic diseases: a chinese nationwide cohort study

Outcomes

Model

Weight change between age 20 years and 40 years

Weight loss > 2.5 kg

Weight loss ≤ 2.5 kg or gain < 2.5 kg

Weight gain between ≥ 2.5 kg and < 5.0 kg

Weight gain between ≥ 5.0 kg and < 10.0 kg

Weight gain ≥ 10.0 kg

CVD events

Cases/ Total number

86 / 3,977

290 / 13,618

104 / 6,200

370 / 16,544

415 / 19,209

CVD incidence

2.16%

2.13%

1.68%

2.24%

2.16%

Hazard ratios (95%CI)

Model 1

1.13 (0.89–1.44)

1 [Reference]

0.92 (0.73–1.15)

1.28 (1.10–1.49)

1.52 (1.30–1.77)

Model 2

1.14 (0.89–1.46)

1 [Reference]

0.92 (0.73–1.15)

1.27 (1.09–1.48)

1.49 (1.28–1.74)

Model 3

1.26 (0.99–1.61)

1 [Reference]

0.86 (0.69–1.08)

1.14 (0.98–1.34)

1.22 (1.04–1.43)

Diabetes

Cases/ Total number

155 / 3,443

632 / 11,176

312 / 5,090

858 / 13,075

1179 / 14,024

Diabetes incidence

4.50%

5.65%

6.13%

6.56%

8.41%

Hazard ratios (95%CI)

Model 1

0.79 (0.66–0.95)

1 [Reference]

1.18 (1.03–1.35)

1.25 (1.13–1.39)

1.69 (1.53–1.86)

Model 2

0.80 (0.67–0.95)

1 [Reference]

1.17 (1.02–1.34)

1.24 (1.12–1.38)

1.67 (1.51–1.84)

Model 3

0.88 (0.74–1.05)

1 [Reference]

1.09 (0.95–1.25)

1.12 (1.01–1.24)

1.38 (1.25–1.53)

  1. Model 1 adjusted for age, sex and weight at age 20 years; Model 2 further adjusted for education level, CVD family history (or diabetes family history) based on Model 1; Model 3 further adjusted for baseline smoking points, physical activity points, diet points, sleep points, blood pressure, blood glucose and blood lipids points based on Model 2. CVD, cardiovascular disease