Monday, April 9, 2012

The Spread of Obesity in a Large Social Network over 32 Years


BACKGROUND


The prevalence of obesity has increased substantially over the past 30 years. We performed a quantitative analysis of the nature and extent of the person-to-person spread of obesity as a possible factor contributing to the obesity epidemic.

METHODS

We evaluated a densely interconnected social network of 12,067 people assessed repeatedly from 1971 to 2003 as part of the Framingham Heart Study. The body-mass index was available for all subjects. We used longitudinal statistical models to examine whether weight gain in one person was associated with weight gain in his or her friends, siblings, spouse, and neighbors.

RESULTS

Discernible clusters of obese persons (body-mass index [the weight in kilograms divided by the square of the height in meters], ≥30) were present in the network at all time points, and the clusters extended to three degrees of separation. These clusters did not appear to be solely attributable to the selective formation of social ties among obese persons. A person's chances of becoming obese increased by 57% (95% confidence interval [CI], 6 to 123) if he or she had a friend who became obese in a given interval. Among pairs of adult siblings, if one sibling became obese, the chance that the other would become obese increased by 40% (95% CI, 21 to 60). If one spouse became obese, the likelihood that the other spouse would become obese increased by 37% (95% CI, 7 to 73). These effects were not seen among neighbors in the immediate geographic location. Persons of the same sex had relatively greater influence on each other than those of the opposite sex. The spread of smoking cessation did not account for the spread of obesity in the network.

CONCLUSIONS

Network phenomena appear to be relevant to the biologic and behavioral trait of obesity, and obesity appears to spread through social ties. These findings have implications for clinical and public health interventions.

Critique by Jon Bautista
Throughout the semester I've posted various videos and articles all pertaining to the topic of obesity in the United States.The article discusses research findings on how a person's chances of becoming obese increases by 57% if he or she had a friend who became obese in a given time. Furthermore, the article gives brief descriptions about social relationships between sets of siblings, spouses, friends, and neighbors and how there is a correlation between the social relationships and obesity.  I decided to post this particular article because not only does it make for an interesting read, but  people underestimate the effects that obesity has on society. I truly believe that society doesn't realize the various complications obesity has on long term health effects, as a result, some have coined it as the silent killer. Ultimately what I am trying to get at by posting this article is to show how even social relationships can have an influence on obesity. Just one of the many factors that contribute to the cause of obesity making it more of a complex problem. My overall opinion about this article is that it just makes sense, if you hang around people who tend to have poor eating habits, there is a good chance you will too, as their diet may have an influence yours. 

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