Body Size Measurements Grouped Independently of Common Clinical Measures of Metabolic Health: An Exploratory Factor Analysis

Obesity is commonly aggregated with indices of metabolic health. Proponents of body positivity approaches question whether body size is a determinant of health and well-being. Our objective was to conduct an exploratory factor analysis (EFA) to determine if body size measurements factor load with or...

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Published inNutrients Vol. 16; no. 17; p. 2874
Main Authors Ellison, Katie M, El Zein, Aseel, Reynolds, Chelsi, Ehrlicher, Sarah E, Clina, Julianne G, Chui, Tsz-Kiu, Smith, Kimberly A, Hill, James O, Wyatt, Holly R, Sayer, R Drew
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 27.08.2024
Subjects
Adult
Behavior
Blood Pressure
Body Mass Index
body positivity
Body Size
cardiometabolic disease
Cholesterol
Cholesterol, LDL - blood
Discriminant analysis
Exercise
exploratory factor analysis
Factor Analysis, Statistical
Female
Glucose
Glycated Hemoglobin - analysis
Glycated Hemoglobin - metabolism
High density lipoprotein
Humans
Jewelry
Laboratories
Lipoproteins
Male
Metabolism
Middle Aged
Obesity
Physiology
Waist Circumference
Weight control
Well being
United States > US
exploratory factor analysis
body positivity
cardiometabolic disease
obesity
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Abstract Obesity is commonly aggregated with indices of metabolic health. Proponents of body positivity approaches question whether body size is a determinant of health and well-being. Our objective was to conduct an exploratory factor analysis (EFA) to determine if body size measurements factor load with or independent of metabolic health measures. The EFA was conducted on = 249 adults using baseline data from four weight loss trials (Sample 1: = 40; Sample 2: = 52; Sample 3: = 53; Sample 4: = 104). An EFA of nine items (systolic blood pressure [SBP], diastolic blood pressure [DBP], hemoglobin A1c [HbA1c], HDL-cholesterol [HDL], LDL-cholesterol [LDL], total cholesterol [TC], body mass index [BMI], body fat percent BF%], and waist circumference [WC]) was conducted with oblique rotation. Three factors were retained, which produced a model explaining 87.5% of the variance. Six items loaded strongly (>0.8) under three components and were selected for retention (Factor 1: LDL and TC; Factor 2: BMI and WC; Factor 3: SBP and DBP). Body size measures loaded separately from measures of metabolic health and metabolic health were further split into lipid- and blood pressure-focused factors. These results support weight-neutral interventions to improve overall health and well-being.
AbstractList Obesity is commonly aggregated with indices of metabolic health. Proponents of body positivity approaches question whether body size is a determinant of health and well-being. Our objective was to conduct an exploratory factor analysis (EFA) to determine if body size measurements factor load with or independent of metabolic health measures. The EFA was conducted on = 249 adults using baseline data from four weight loss trials (Sample 1: = 40; Sample 2: = 52; Sample 3: = 53; Sample 4: = 104). An EFA of nine items (systolic blood pressure [SBP], diastolic blood pressure [DBP], hemoglobin A1c [HbA1c], HDL-cholesterol [HDL], LDL-cholesterol [LDL], total cholesterol [TC], body mass index [BMI], body fat percent BF%], and waist circumference [WC]) was conducted with oblique rotation. Three factors were retained, which produced a model explaining 87.5% of the variance. Six items loaded strongly (>0.8) under three components and were selected for retention (Factor 1: LDL and TC; Factor 2: BMI and WC; Factor 3: SBP and DBP). Body size measures loaded separately from measures of metabolic health and metabolic health were further split into lipid- and blood pressure-focused factors. These results support weight-neutral interventions to improve overall health and well-being.
Background: Obesity is commonly aggregated with indices of metabolic health. Proponents of body positivity approaches question whether body size is a determinant of health and well-being. Our objective was to conduct an exploratory factor analysis (EFA) to determine if body size measurements factor load with or independent of metabolic health measures. Methods: The EFA was conducted on n= 249 adults using baseline data from four weight loss trials (Sample 1: n = 40; Sample 2: n = 52; Sample 3: n = 53; Sample 4: n = 104). An EFA of nine items (systolic blood pressure [SBP], diastolic blood pressure [DBP], hemoglobin A1c [HbA1c], HDL-cholesterol [HDL], LDL-cholesterol [LDL], total cholesterol [TC], body mass index [BMI], body fat percent BF%], and waist circumference [WC]) was conducted with oblique rotation. Results: Three factors were retained, which produced a model explaining 87.5% of the variance. Six items loaded strongly (>0.8) under three components and were selected for retention (Factor 1: LDL and TC; Factor 2: BMI and WC; Factor 3: SBP and DBP). Conclusion: Body size measures loaded separately from measures of metabolic health and metabolic health were further split into lipid- and blood pressure-focused factors. These results support weight-neutral interventions to improve overall health and well-being.
Obesity is commonly aggregated with indices of metabolic health. Proponents of body positivity approaches question whether body size is a determinant of health and well-being. Our objective was to conduct an exploratory factor analysis (EFA) to determine if body size measurements factor load with or independent of metabolic health measures.BACKGROUNDObesity is commonly aggregated with indices of metabolic health. Proponents of body positivity approaches question whether body size is a determinant of health and well-being. Our objective was to conduct an exploratory factor analysis (EFA) to determine if body size measurements factor load with or independent of metabolic health measures.The EFA was conducted on n= 249 adults using baseline data from four weight loss trials (Sample 1: n = 40; Sample 2: n = 52; Sample 3: n = 53; Sample 4: n = 104). An EFA of nine items (systolic blood pressure [SBP], diastolic blood pressure [DBP], hemoglobin A1c [HbA1c], HDL-cholesterol [HDL], LDL-cholesterol [LDL], total cholesterol [TC], body mass index [BMI], body fat percent BF%], and waist circumference [WC]) was conducted with oblique rotation.METHODSThe EFA was conducted on n= 249 adults using baseline data from four weight loss trials (Sample 1: n = 40; Sample 2: n = 52; Sample 3: n = 53; Sample 4: n = 104). An EFA of nine items (systolic blood pressure [SBP], diastolic blood pressure [DBP], hemoglobin A1c [HbA1c], HDL-cholesterol [HDL], LDL-cholesterol [LDL], total cholesterol [TC], body mass index [BMI], body fat percent BF%], and waist circumference [WC]) was conducted with oblique rotation.Three factors were retained, which produced a model explaining 87.5% of the variance. Six items loaded strongly (>0.8) under three components and were selected for retention (Factor 1: LDL and TC; Factor 2: BMI and WC; Factor 3: SBP and DBP).RESULTSThree factors were retained, which produced a model explaining 87.5% of the variance. Six items loaded strongly (>0.8) under three components and were selected for retention (Factor 1: LDL and TC; Factor 2: BMI and WC; Factor 3: SBP and DBP).Body size measures loaded separately from measures of metabolic health and metabolic health were further split into lipid- and blood pressure-focused factors. These results support weight-neutral interventions to improve overall health and well-being.CONCLUSIONBody size measures loaded separately from measures of metabolic health and metabolic health were further split into lipid- and blood pressure-focused factors. These results support weight-neutral interventions to improve overall health and well-being.
Author El Zein, Aseel
Ehrlicher, Sarah E
Chui, Tsz-Kiu
Smith, Kimberly A
Hill, James O
Sayer, R Drew
Wyatt, Holly R
Ellison, Katie M
Reynolds, Chelsi
Clina, Julianne G
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/39275189$$D View this record in MEDLINE/PubMed
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Snippet Obesity is commonly aggregated with indices of metabolic health. Proponents of body positivity approaches question whether body size is a determinant of health...
Background: Obesity is commonly aggregated with indices of metabolic health. Proponents of body positivity approaches question whether body size is a...
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SubjectTerms Adult
Behavior
Blood Pressure
Body Mass Index
body positivity
Body Size
cardiometabolic disease
Cholesterol
Cholesterol, LDL - blood
Discriminant analysis
Exercise
exploratory factor analysis
Factor Analysis, Statistical
Female
Glucose
Glycated Hemoglobin - analysis
Glycated Hemoglobin - metabolism
High density lipoprotein
Humans
Jewelry
Laboratories
Lipoproteins
Male
Metabolism
Middle Aged
Obesity
Physiology
Waist Circumference
Weight control
Well being
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Title Body Size Measurements Grouped Independently of Common Clinical Measures of Metabolic Health: An Exploratory Factor Analysis
URI https://www.ncbi.nlm.nih.gov/pubmed/39275189
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Volume 16
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