{"doi":"10.1093/aje/kwaa059","title":"A Dyadic Growth Modeling Approach for Examining Associations Between Weight Gain and Lung Function Decline","abstract":"The relationship between body weight and lung function is complex. Using a dyadic multilevel linear modeling approach, treating body mass index (BMI; weight (kg)/height (m)2) and lung function as paired, within-person outcomes, we tested the hypothesis that persons with more rapid increase in BMI exhibit more rapid decline in lung function, as measured by forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and their ratio (FEV1:FVC). Models included random intercepts and slopes and adjusted for sociodemographic and smoking-related factors. A sample of 9,115 adults with paired measurements of BMI and lung function taken at ≥3 visits were selected from a pooled set of 5 US population-based cohort studies (1983-2018; mean age at baseline = 46 years; median follow-up, 19 years). At age 46 years, average annual rates of change in BMI, FEV1, FVC, and FEV1:FVC ratio were 0.22 kg/m2/year, -25.50 mL/year, -21.99 mL/year, and -0.24%/year, respectively. Persons with steeper BMI increases had faster declines in FEV1 (r = -0.16) and FVC (r = -0.26) and slower declines in FEV1:FVC ratio (r = 0.11) (all P values < 0.0001). Results were similar in subgroup analyses. Residual correlations were negative (P < 0.0001), suggesting additional interdependence between BMI and lung function. Results show that greater rates of weight gain are associated with greater rates of lung function loss.","journal":"American Journal of Epidemiology","year":2020,"id":88105,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":10,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9558,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":106993,"name":"Joseph E. Schwartz","orcid":"0000-0002-8944-3566","position":1,"is_corresponding":false},{"id":274763,"name":"Pallavi Balte","orcid":"0000-0001-5610-3744","position":2,"is_corresponding":false},{"id":274766,"name":"Surya P. Bhatt","orcid":"0000-0002-8418-4497","position":3,"is_corresponding":false},{"id":447120,"name":"Patricia A. Cassano","orcid":"0000-0003-4827-5073","position":4,"is_corresponding":false},{"id":447121,"name":"David C. Currow","orcid":"0000-0003-1988-1250","position":5,"is_corresponding":false},{"id":65159,"name":"DAVID R. JACOBS","orcid":"0000-0002-7232-0543","position":6,"is_corresponding":false},{"id":448208,"name":"Miriam Johnson","orcid":null,"position":7,"is_corresponding":false},{"id":233262,"name":"Ravi Kalhan","orcid":"0000-0003-2443-0876","position":8,"is_corresponding":false},{"id":447122,"name":"Richard A. Kronmal","orcid":"0000-0002-9897-7076","position":9,"is_corresponding":false},{"id":321568,"name":"Laura R. Loehr","orcid":"0000-0002-9054-1825","position":10,"is_corresponding":false},{"id":91957,"name":"George O'connor","orcid":"0000-0002-6476-3926","position":11,"is_corresponding":false},{"id":326331,"name":"Benjamin M. Smith","orcid":"0000-0002-0619-5799","position":12,"is_corresponding":false},{"id":228532,"name":"Wendy White","orcid":"0000-0003-0923-8165","position":13,"is_corresponding":false},{"id":295493,"name":"Sachin Yende","orcid":"0000-0002-6596-8034","position":14,"is_corresponding":false},{"id":350034,"name":"Elizabeth C. Oelsner","orcid":"0000-0002-7481-9671","position":15,"is_corresponding":false},{"id":106980,"name":"Talea Cornelius","orcid":"0000-0001-7181-0981","position":0,"is_corresponding":true}],"reference_count":69,"raw_metadata":null,"created_at":"2026-07-18T22:00:56.736935Z","pmid":"32286615","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}