Trying to lose weight, losing weight, and 9-year mortality in overweight U.S. adults with XXXX .

@entity28 @entity353 @entity6 @entity2412
OBJECTIVE: The aim of this study was to examine the relationships between intention to lose weight, actual @entity353 , and all-cause mortality among overweight individuals with @entity6 . RESEARCH DESIGN AND METHODS: We performed a prospective analysis among 1,401 overweight @entity6 adults aged > or =35 years sampled in the National Health Interview Survey. The previous year intention to lose weight and weight change were assessed by self-report. Nine-year mortality rates were examined according to intent to lose weight and @entity353 , which were adjusted for age, sex, education, ethnicity, smoking, initial body weight, and @entity2412 . RESULTS: Individuals trying to lose weight had a 23% lower mortality rate (hazard rate ratio [HRR] 0.77, 95% CI 0.61-0.99) than those who reported not trying to lose weight. This association was as strong for those who failed to lose weight (0.72, 0.55-0.96) as for those who succeeded in losing weight (0.83, 0.63-1.08). Trying to lose weight was beneficial for overweight (BMI 25-30 kg/m2) individuals (0.62, 0.46-0.83) but not for @entity28 (BMI>30) individuals (1.17, 0.72-1.92). Overall @entity353 , without regard to intent, was associated with an increase of 22% (1.22, 0.99-1.50) in the mortality rate. This increase was largely explained by unintentional @entity353 , which was associated with a 58% (1.58, 1.08-2.31) higher mortality rate. CONCLUSIONS: Overweight @entity6 adults trying to lose weight have a reduced risk of all-cause mortality, independent of whether they lose weight. Actual @entity353 is associated with increased mortality only if the @entity353 is unintentional.
