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Background <p>The aim of this study is to investigate the association between weight change patterns across adulthood and gallstones in the United States.</p> Methods <p>The analysis is based on data from participants aged 40–70 years taken from the National Health and Nutrition Examination Survey 2017–2020. Weight status and weight change patterns were categorized based on body mass index at three time points. Weighted logistic regression was used to estimate the association of weight status at the three time points and weight change patterns over the three periods with gallstones.</p> Result <p>Compared with normal weight, obese status at age 25 was associated with an 86% increased risk of gallstones (OR 1.86, 95%CI 1.07–3.24). No significant associations were observed for underweight or overweight status. Weight status at baseline or 10 years before baseline showed no relation to gallstones. Notably, the stable obese pattern from age 25 to baseline was positively associated with gallstones (OR 1.94, 95%CI 1.03–3.65). A similar association was observed from age 25 to 10 years before baseline (OR 1.92, 95%CI 1.05–3.49). However, weight change patterns from 10 years before baseline to baseline were not significantly associated with gallstone risk. Subgroup analyses revealed stronger associations among females, diabetic individuals, and those with low physical activity.</p> Conclusion <p>The stable obese pattern starting from early adulthood is associated with an increased risk of gallstones in Americans. Preventing or controlling obesity in early adulthood may be helpful in the primary prevention of gallstones.</p>

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Long-term weight change patterns in American adulthood in relation to gallstones: evidence from NHANES

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年4月12日

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  • Peng Chen,
  • Mingxin Bai,
  • Yunbing Wang,
  • Xiong Ding

摘要

Background

The aim of this study is to investigate the association between weight change patterns across adulthood and gallstones in the United States.

Methods

The analysis is based on data from participants aged 40–70 years taken from the National Health and Nutrition Examination Survey 2017–2020. Weight status and weight change patterns were categorized based on body mass index at three time points. Weighted logistic regression was used to estimate the association of weight status at the three time points and weight change patterns over the three periods with gallstones.

Result

Compared with normal weight, obese status at age 25 was associated with an 86% increased risk of gallstones (OR 1.86, 95%CI 1.07–3.24). No significant associations were observed for underweight or overweight status. Weight status at baseline or 10 years before baseline showed no relation to gallstones. Notably, the stable obese pattern from age 25 to baseline was positively associated with gallstones (OR 1.94, 95%CI 1.03–3.65). A similar association was observed from age 25 to 10 years before baseline (OR 1.92, 95%CI 1.05–3.49). However, weight change patterns from 10 years before baseline to baseline were not significantly associated with gallstone risk. Subgroup analyses revealed stronger associations among females, diabetic individuals, and those with low physical activity.

Conclusion

The stable obese pattern starting from early adulthood is associated with an increased risk of gallstones in Americans. Preventing or controlling obesity in early adulthood may be helpful in the primary prevention of gallstones.