"Weight cycling" -- intentionally
losing weight then gaining it all back
-- may increase men's risk for gallstones,
a University of Kentucky Medical Center
study finds.
Researchers analyzed data from nearly
25,000 men who took part in the Health
Professionals Follow-up Study. The men
provided information about any weight
fluctuations occurring between 1988 and
1992, and whether they developed gallstones
between 1992 and 2002.
The men were grouped as: weight maintainers
(those who remained within five pounds
of their initial weight between 1988 and
1992); light weight cyclers (a maximum
weight loss of between five and nine pounds);
moderate cyclers (weight loss between
10 and 19 pounds); and severe cyclers
(weight loss of 20 pounds or more).
Overall, there were over 1,200 cases
of symptomatic gallstones between 1992
and 2002.
Compared to weight maintainers, light
cyclers had a 21 percent increased risk
of gallstones, moderate cyclers had a
38 percent increased risk, and severe
cyclers had a 76 percent increased risk.
The study was published in the Nov. 27
issue of the journal Archives of Internal
Medicine.
There are a number of likely factors
contributing to the association between
weight cycling and gallstones, the study
authors said. They noted that when a person
loses and then regains weight, much of
the regained weight is made up of body
fat.
"Studies have shown that large swings
of body weight, especially the phase of
weight recovery, are particularly sensitive
to the accumulation of body fat and to
the development of metabolic abnormalities,
including insulin resistance, and thereby
may facilitate gallstone formation,"
the researchers wrote.