Doctoral
Thesis: Factors affecting
weight change in mid-aged women
Supervisors:
Professor Wendy Brown & Dr Anne
Young
University: Research
Centre for Gender and Health, University of Newcastle,
Australia
This thesis describes research exploring factors that
affect weight change in a population-based sample of
mid-aged Australian women.
Two
separate studies were conducted.
In
Study One, data from successive surveys of the Mid-age
ALSWH cohort were used to explore patterns of weight
change over a two-year period in a cohort of 14,100
women. Cross-sectional analysis using a linear regression
model showed that body mass index tended to be higher
in the late peri-menopause compared with other categories
of menopause status. Prospective investigation of weight
change and menopause transition showed that women who
were peri-menopausal for two years gained slightly more
weight (1.3 kg) than those who remained pre-menopausal
(0.8 kg) over a two year period.
Study
Two, of the Weight Change at Menopause Study, involved
a series of focus group discussions with menopausal
women, aimed at identifying factors that the women believed
influenced their body weight. Based on the findings,
a 16-page survey was mailed to 1161 Mid-age ALSWH women
who had experienced a change in menopausal status; 875
(77%) responded.
The
326 women who gained weight were compared with the 483
who avoided weight gain. While there was no significant
difference between the two groups on dietary intake,
there were several key differences in lifestyle and
behavioural factors. The weight-gainers reported a higher
frequency of hot flushes and night sweats than the non-gainers.
The weight-gainers were more likely to attribute their
weight gain to factors beyond their control, while non-gainers
reported taking steps to control their weight. The weight–gainers
were more likely than the non-gainers to be in full-time
employment, to view their career as their main role
in life, and to report that being under time pressure
meant that they had increased energy intake in comparison
with three years previously. The weight-gainers were
also more likely to have quit smoking, and reported
more dieting behaviour than the non-gainers and less
vigorous physical activity.
In
investigating both the prevalence and factors associated
with weight gain in middle-aged women, these research
findings have the potential to inform development of
population-based strategies to prevent weight gain at
this life stage.
To contact Lauren:
Dr Lauren Williams
Womens Health Australia
Research centre for Gender Health and ageing
The University of Newcastle
University Drive
Callaghan NSW 2308
AUSTRALIA
Email: Lauren.Williams@newcastle.edu.au
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