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Original Research

Open Access Special Issue

Health Benefits of Weight Maintenance and Weight Change: Based on Males’ Data from the Korea Health Panel in 2010 and 2011

  • Sun Mi Shin1,*,

1Department of Nursing, Joongbu University, 32713 Geumsan-gun, Chungnam, Republic of Korea

DOI: 10.31083/j.jomh1806139 Vol.18,Issue 6,June 2022 pp.1-11

Published: 30 June 2022

(This article belongs to the Special Issue Weight maintenance in men)

*Corresponding Author(s): Sun Mi Shin E-mail:


Background: With the increase in obesity, weight change rather than weight maintenance is becoming more popular with the public, but studies evaluating the health benefits between them are rare. This study confirmed the health-related characteristics and benefits of each. Methods: Using 2 years (2010 and 2011) of data from the Korea Health Panel, this study investigated weight change of 5 kg or more within the past year among males after identifying the homogeneity of two years subjects (p > 0.05). Subjects were classified into weight maintenance and weight change categories of gain, recovery, and loss. The author identified the effect variables and health benefit variables, current health status as quality of life (QOL), days spent sick in bed during the past month, and annual out-of-pocket (OOP) expenditure by adjusted odds ratios (AORs) and ANCOVA. Results: Among males, the prevalence of weight maintenance was 89.1% and the prevalence of weight change categories was 10.9% overall, gain 4.8%, recovery 1.5%, and loss 4.6%. The AORs of the weight maintenance group for health-related characteristics were significant: young adult (AOR 0.5, 95% CI 0.4–0.6), no spouse (0.7, 0.6–0.8), overweight (0.7, 0.6–0.8), obesity (0.4, 0.4–0.5), no regular meal (0.7, 0.6–0.9), two meals per day (0.8, 0.7–0.9), four meals or more per day (0.4, 0.2–0.9), depression (0.7, 0.5–0.9), and suicidal impulse (0.7, 0.5–0.9). However, AORs of the weight change group showed among those who gained, no regular meals (AOR 1.3, 95% CI 1.1–1.7) and two meals per day (1.3, 1.1–1.7); among those who recovered, excessive drinking (1.5, 1.1–2.2) and suicidal impulse (2.2, 1.2–4.0); and among those who lost, underweight (2.0, 1.3–3.2) and current smoking (1.2, 1.1–1.5). Health benefits of the weight maintenance group differed significantly from the weight change group: current health status as QOL (74.3 vs. 70.1, p < 0.0001), days spent sick in bed during the past month (4.5 vs. 7.9, p < 0.02), and annual OOP expenditure ($366.3 vs. $562.9, p < 0.0001). Conclusions: The social alternative to obesity management needs to promote that maintaining a stable weight has more health benefits than weight change. It is also necessary to support the cognitive abilities of the public through evidence-based knowledge.


obesity; weight maintenance; weight change; health behavior; psychological health; health benefit; QOL; days spent sick in bed; OOP expenditure

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Sun Mi Shin. Health Benefits of Weight Maintenance and Weight Change: Based on Males’ Data from the Korea Health Panel in 2010 and 2011. Journal of Men's Health. 2022. 18(6);1-11.


[1] World Health Organization. News room. Obesity and over-weight. 2021. Available at: ct-sheets/detail/obesity-and-overweight (Accessed: 6 January 2022).

[2] Korean Society for The Study of Obesity. 2020 Obesity Fact Sheet. 2020. Available at: Obesity_Fact_Sheet_web.pdf?v=2203121025 (Accessed: 12 March 2022).

[3] Esteghamati A, Mazaheri T, Vahidi Rad M, Noshad S. Com-plementary and alternative medicine for the treatment of obe-sity: a critical review. International Journal of Endocrinology and Metabolism. 2015; 13: e19678.

[4] Norte A, Sospedra I, Ortíz-Moncada R. Influence of economic crisis on dietary quality and obesity rates. International Journal of Food Sciences and Nutrition. 2019; 70: 232–239.

[5] Dublin LI, Marks HH. Mortality among insured overweights in recent years. Transactions of the Association of Life Insurance Medical Directors of America. 1951; 35: 235–266.

[6] Dublin LI. Relation of Obesity to Longevity. New England Jour-nal of Medicine. 1953; 248: 971–974.

[7] Higgins M, D’Agostino R, Kannel W, Cobb J. Benefits and ad-verse effects of weight loss. Annals of Internal Medicine. 1993; 119: 758–763.

[8] Pamuk ER, Williamson DF, Madans J, Serdula MK, Kleinman JC, Byers T. Weight loss and mortality in a national cohort of adults, 1971–1987. American Journal of Epidemiology. 1992; 136: 686–697.

[9] Pamuk ER, Williamson DF, Serdula MK, Madans J, Byers TE. Weight loss and subsequent death in a cohort of U.S. adults. An-nals of Internal Medicine. 1993; 119: 744–748.

[10] Lee IM. Change in body weight and longevity. JAMA: the Jour-nal of the American Medical Association. 1992; 268: 2045–2049.

[11] MacLean PS, Wing RR, Davidson T, Epstein L, Goodpaster B, Hall KD, et al. NIH working group report: Innovative research to improve maintenance of weight loss. Obesity. 2015; 23: 7–15.

[12] Tataranni PA, Larson DE, Ravussin E. Body fat distribution and energy metabolism in obese men and women. Journal of the American College of Nutrition. 1994; 13: 569–574.

[13] Kirschner MA, Samojlik E. Sex hormone metabolism in upper and lower body obesity. International Journal of Obesity. 1991; 15: 101–108.

[14] International Physical Activity Questionnaire. Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ)-Short and Long Forms. 2005. Available at: er.html?id=5641f4c36143250eac8b45b7&assetKey=AS%3A 294237418606593%401447163075131 (Accessed: 15 March 2022).

[15] EQ-5D User Guides. 2018. Available at: (Accessed: 12 March 2022).

[16] Historic Exchange Rates (South Korean Won). Available at: date=2011-07-01 (Accessed: 24 December 2021).

[17] Taylor VH, Forhan M, Vigod SN, McIntyre RS, Morrison KM. The impact of obesity on quality of life. Best Practice & Re-search. Clinical Endocrinology & Metabolism. 2013; 27: 139–146.

[18] Colditz GA, Willett WC, Stampfer MJ, London SJ, Segal MR, Speizer FE. Patterns of weight change and their relation to diet in a cohort of healthy women. The American Journal of Clinical Nutrition. 1990; 51: 1100–1105.

[19] Bartfield JK, Stevens VJ, Jerome GJ, Batch BC, Kennedy BM, Vollmer WM, et al. Behavioral transitions and weight change patterns within the PREMIER trial. Obesity. 2011; 19: 1609–1615.

[20] Pearce JW, LeBow MD, Orchard J. Role of spouse involvement in the behavioral treatment of overweight women. Journal of Consulting and Clinical Psychology. 1981; 49: 236–244.

[21] O’Neil PM, Currey HS, Hirsch AA, Riddle FE, Taylor CI, Mal-colm RJ, et al. Effects of sex of subject and spouse involvement on weight loss in a behavioral treatment program: a retrospec-tive investigation. Addictive Behaviors. 1979; 4: 167–177.

[22] Hill JO, Peters JC. Environmental contributions to the obesity epidemic. Science. 1998; 280: 1371–1374.

[23] Jeffery RW, French SA, Schmid TL. Attributions for dietary fail-ures: problems reported by participants in the Hypertension Pre-vention Trial. Health Psychology. 1990; 9: 315–329.

[24] Wadden TA, Butryn ML, Byrne KJ. Efficacy of lifestyle modi-fication for long-term weight control. Obesity Research. 2004; 12: 151S–162S.

[25] Leibel RL, Rosenbaum M, Hirsch J. Changes in energy expendi-ture resulting from altered body weight. The New England Jour-nal of Medicine. 1995; 332: 621–628.

[26] Hill JO, Wyatt HR, Reed GW, Peters JC. Obesity and the en-vironment: where do we go from here? Science. 2003; 299: 853–855.

[27] Laessle RG, Platte P, Schweiger U, Pirke KM. Biological and psychological correlates of intermittent dieting behavior in young women. a model for bulimia nervosa. Physiology & Be-havior. 1996; 60: 1–5.

[28] King CM, Rothman AJ, Jeffery RW. The Challenge study: theory-based interventions for smoking and weight loss. Health Education Research. 2002; 17: 522–530.

[29] Fuglestad PT, Rothman AJ, Jeffery RW. Getting there and hang-ing on: the effect of regulatory focus on performance in smok-ing and weight loss interventions. Health Psychology. 2008; 27: S260–S270.

[30] Wadden TA, West DS, Neiberg RH, Wing RR, Ryan DH, John-son KC, et al. One-year Weight Losses in the Look AHEAD Study: Factors Associated with Success. Obesity. 2009; 17: 713–722.

[31] Szabo-Reed AN, Lee J, Ptomey L, Willis E, Schubert M, Wash-burn R, et al. Longitudinal Weight Loss Patterns and their Be-havioral and Demographic Associations. Annals of Behavioral Medicine. 2016; 50: 147–156.

[32] Bentley TGK, Palta M, Paulsen AJ, Cherepanov D, Dunham NC, Feeny D, et al. Race and gender associations between obe-sity and nine health-related quality-of-life measures. Quality of Life Research. 2011; 20: 665–674.

[33] Duval K, Marceau P, Lescelleur O, Hould F, Marceau S, Biron S, et al. Health-related quality of life in morbid obesity. Obesity Surgery. 2006; 16: 574–579.

[34] Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, et al. Compendium of physical activities: an update of activity codes and MET intensities. Medicine and Science in Sports and Exercise. 2000; 32: S498–S504.

[35] Holtermann A, Mork PJ, Nilsen TIL. Hours lying down per day and mortality from all-causes and cardiovascular disease: the HUNT Study, Norway. European Journal of Epidemiology. 2014; 29: 559–565.

[36] Pan WH, Yeh WT, Chen HJ, Chuang SY, Chang HY, Chen L, et al. The U-shaped relationship between BMI and all-cause mor-tality contrasts with a progressive increase in medical expendi-ture: a prospective cohort study. Asia Pacific Journal of Clinical Nutrition. 2012; 21: 577–587.

[37] Chu N, Wang S, Chang H, Wu D. Medical services utilization and expenditure of obesity-related disorders in Taiwanese adults. Value in Health. 2010; 13: 829–836.

[38] Stevens J, Truesdale KP, McClain JE, Cai J. The definition of weight maintenance. International Journal of Obesity. 2006; 30: 391–399.

[39] Ryoo NY, Shin HY, Kim JH, Moon JS, Lee CG. Change in the height of Korean children and adolescents: analysis from the Korea National Health and Nutrition Survey II and V. Korean Journal of Pediatrics. 2015; 58: 336.

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