PMID- 33647066 OWN - NLM STAT- MEDLINE DCOM- 20211013 LR - 20221207 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 16 IP - 3 DP - 2021 TI - On the joint role of non-Hispanic Black race/ethnicity and weight status in predicting postmenopausal weight gain. PG - e0247821 LID - 10.1371/journal.pone.0247821 [doi] LID - e0247821 AB - OBJECTIVES: To determine how baseline weight status contributes to differences in postmenopausal weight gain among non-Hispanic Blacks (NHBs) and non-Hispanic Whites (NHWs). METHODS: Data were included from 70,750 NHW and NHB postmenopausal women from the Women's Health Initiative Observational Study (WHI OS). Body Mass Index (BMI) at baseline was used to classify women as having normal weight, overweight, obese class I, obese class II or obese class III. Cox proportional hazards was used to estimate the hazard of a 10% or more increase in weight from baseline. RESULTS: In both crude and adjusted models, NHBs were more likely to experience >/=10% weight gain than NHWs within the same category of baseline weight status. Moreover, NHBs who were normal weight at baseline were most likely to experience >/=10% weight gain in both crude and adjusted models. Age-stratified results were consistent with overall findings. In all age categories, NHBs who were normal weight at baseline were most likely to experience >/=10% weight gain. Based on the results of adjusted models, the joint influence of NHB race/ethnicity and weight status on risk of postmenopausal weight gain was both sub-additive and sub-multiplicative. CONCLUSION: NHBs are more likely to experience postmenopausal weight gain than NHWs, and the disparity in risk is most pronounced among those who are normal weight at baseline. To address the disparity in postmenopausal obesity, future studies should focus on identifying and modifying factors that promote weight gain among normal weight NHBs. FAU - Ford, Christopher N AU - Ford CN AUID- ORCID: 0000-0001-6730-0436 AD - Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, IL, United States of America. FAU - Chang, Shine AU - Chang S AD - Department of Epidemiology, University of Texas MD Anderson Cancer Center, Houston, TX, United States of America. FAU - Wood, Alexis C AU - Wood AC AD - USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, United States of America. FAU - Manson, JoAnn E AU - Manson JE AD - Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States of America. FAU - Garcia, David O AU - Garcia DO AUID- ORCID: 0000-0001-6669-9457 AD - Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, United States of America. FAU - Laroche, Helena AU - Laroche H AUID- ORCID: 0000-0003-3708-5207 AD - Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Hospital, Kansas City and University of Missouri, Kansas City, MO, United States of America. FAU - Bird, Chloe E AU - Bird CE AD - RAND Corporation, Santa Monica, CA, United States of America. FAU - Vitolins, Mara Z AU - Vitolins MZ AD - Department of Epidemiology and Prevention, Wake Forest School of Medicine, Wake Forest, NC, United States of America. LA - eng GR - R25 CA057730/CA/NCI NIH HHS/United States GR - HHSN268201100004I/HL/NHLBI NIH HHS/United States GR - HHSN268201100046C/HL/NHLBI NIH HHS/United States GR - HHSN268201100003C/WH/WHI NIH HHS/United States GR - HHSN271201100004C/AG/NIA NIH HHS/United States GR - HHSN268201100002C/WH/WHI NIH HHS/United States GR - HHSN268201100003I/HL/NHLBI NIH HHS/United States GR - HHSN268201100002I/HL/NHLBI NIH HHS/United States GR - HHSN268201100004C/WH/WHI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20210301 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Aged MH - Black People MH - *Body Mass Index MH - Hispanic or Latino MH - Humans MH - Middle Aged MH - Postmenopause/*ethnology MH - Race Factors MH - United States MH - *Weight Gain MH - White People PMC - PMC7920337 COIS- CEB is employed by the RAND Corporation. This does not alter our adherence to PLOS ONE policies on sharing data and materials. EDAT- 2021/03/02 06:00 MHDA- 2021/10/14 06:00 PMCR- 2021/03/01 CRDT- 2021/03/01 17:10 PHST- 2020/09/09 00:00 [received] PHST- 2021/02/15 00:00 [accepted] PHST- 2021/03/01 17:10 [entrez] PHST- 2021/03/02 06:00 [pubmed] PHST- 2021/10/14 06:00 [medline] PHST- 2021/03/01 00:00 [pmc-release] AID - PONE-D-20-26567 [pii] AID - 10.1371/journal.pone.0247821 [doi] PST - epublish SO - PLoS One. 2021 Mar 1;16(3):e0247821. doi: 10.1371/journal.pone.0247821. eCollection 2021.