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Longitudinal Associations of Marital, Parenting, and Employment Transitions with Weight Gain in a Multi-Ethnic Asian Population Aged 21 Years and Above

Bibliographic Data

ID15468249
AuthorsClare Whitton (0000-0003-1991-2432, National University of Singapore, corresponding author), Yvonne Hui Min Wong (National University of Singapore), Rob M van Dam (0000-0002-7354-8734, Harvard University)
Year2021
Volume18
Issue15
Pages8115-8115
Publication date2021-07-31
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18158115
PMID34360408
OpenAlexW3189816938
LanguageEN
Citations received2
References cited34

Identifying when most weight gain occurs throughout the life course can inform targeted public health interventions. We evaluated the association of childbirth, marriage, and employment changes with weight changes in a multi-ethnic Asian cohort. Singapore Multi-Ethnic Cohort participants ≥21 years ( n = 9655) who identified as ethnic Chinese, Malay, or Indian were weighed and interviewed about marital status, employment, and number of children at baseline and after about four years. We used multivariable regression to evaluate life transitions in relation to weight change and major gain (≥5 kg), and adjusted for socio-demographic covariates. Weight gain was 3.55 kg (95% CI 3.17, 3.94) higher in young adults (21-30 years) compared with participants older than 60 years at baseline. Getting married was associated with weight gain in women, but not men ( p interaction < 0.01). Women who got married gained 1.63 kg (95% CI 0.88, 2.38) more weight and were more likely to gain ≥5 kg (OR 1.99, 95% CI 1.35, 2.93) than those remaining unmarried. Having children was not associated with weight gain. Only among ethnic Indians, remaining a homemaker was associated with less weight gain than remaining employed. In this multi-ethnic Asian population, obesity prevention efforts should target young adulthood and, in women, the transition into marriage

Body weight · Cohort · Cohort study · Ethnic group · Malay · Marital status · Obesity · Population · Psychiatry · Psychological intervention · Sociology · Weight change · Weight gain · Weight loss · Birth, Development, and Health · Demography · Medicine · Obesity and Health Practices · Obesity, Physical Activity, Diet · Gerontology

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Citations per year2
Citation span2025 - 2026 (2)
Highly citedNo

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