Table 3 Effects of weight loss maintenance on cardiovascular risk compared to those with weight loss-weight gain, weight stable-weight loss, and weight stable-weight maintenance groups.

From: Association of weight fluctuation with cardiovascular disease risk among initially obese adults

Outcome

Weight maintenance after weight loss

Weight cycling

Weight loss after weight maintenance

No weight change

CVD

Events (%)

968 (23.6)

311 (24.8)

754 (23.5)

13,141 (23.9)

Person-years

28,210

8,605

21,992

378,601

HR (95% CI)

Reference

1.04 (0.92–1.18)

1.01 (0.91–1.11)

1.10 (1.03–1.18)

P value

Reference

0.535

0.921

0.005

Coronary heart disease

Events (%)

434 (10.6)

124 (9.9)

304 (9.5)

6,190 (11.2)

Person-years

29,845

9,215

23,349

400,747

HR (95% CI)

Reference

0.94 (0.77–1.15)

0.93 (0.80–1.07)

1.13 (1.03–1.25)

P value

Reference

0.569

0.306

0.014

Stroke

Events (%)

539 (13.1)

188 (15.0)

451 (14.1)

7,029 (12.8)

Person-years

30,193

9,121

23,424

406,405

HR (95% CI)

Reference

1.11 (0.94–1.30)

1.05 (0.93–1.20)

1.06 (0.97–1.15)

P value

Reference

0.241

0.416

0.240

CVD-related death

Events (%)

28 (0.7)

5 (0.4)

13 (0.4)

218 (0.4)

Person-years

32,187

9,854

25,137

434,017

HR (95% CI)

Reference

0.53 (0.20–1.38)

0.58 (0.30–1.12)

0.68 (0.45–1.01)

P value

Reference

0.193

0.107

0.056

  1. Statistically significant values are given in bold at P < 0.05. HR calculated by Cox proportional hazards regression analysis after adjustments for age, sex, household income, initial body mass index, systolic blood pressure, fasting serum glucose, total cholesterol, aspartate aminotransferase, Charlson comorbidity index, smoking, alcohol consumption, and exercise. Acronyms: CVD, cardiovascular disease; HR, hazard ratio; CI, confidence interval.