Trends in Obesity and Arthritis Among Baby Boomers and Their Predecessors, 19712002
Suzanne G. Leveille, PhD,
Christina C. Wee, MD, MPH and
Lisa I. Iezzoni, MD, MSc
The authors are with the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, and the Department of Medicine, Harvard Medical School, Boston, Mass.
Correspondence: Requests for reprints should be sent to Suzanne G. Leveille, PhD, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, RO-103, Boston, MA 02215 (e-mail: sleveill{at}bidmc.harvard.edu).
Objectives. We examined trends in obesity and arthritis prevalenceamong the "baby boom" (born 19461965) and "silent" (born19261945) generations.
Methods. We conducted birth cohort analyses using successivewaves of the National Health and Nutrition Examination Survey(19712002).
Results. Obesity rates increased markedly, beginning earlierin life with each successive birth cohort. When the membersof the silent generation were aged 3544 years, 14%18%were obese. At comparable ages, 28%32% of the youngestbaby boomers were obese. Differences in arthritis prevalencewere not evident across birth cohorts. However, the relativerisk of arthritis because of obesity increased over time; consequently,the percentage of arthritis cases attributable to obesity increasedfrom 3% to 18% between 1971 and 2002.
Conclusions. Our results showed that members of the baby boomgeneration were more obese, and became so at younger ages thantheir predecessors. Although differences in arthritis prevalenceare not yet evident, findings suggest that obesity has contributedto more cases of arthritis in recent years than in previousdecades.
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