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Changes in prevalence of obesity and high waist circumference over four years across European regions: the European male ageing study (EMAS)
Diversity in lifestyles and socioeconomic status among European populations, and recent socio-political and economic changes in transitional countries, may affect changes in adiposity. We aimed to determine whether change in the prevalence of obesity varies between the socio-politically transitional...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5272876/ https://www.ncbi.nlm.nih.gov/pubmed/27734258 http://dx.doi.org/10.1007/s12020-016-1135-y |
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author | Han, Thang S. Correa, Elon Lean, Michael E. J. Lee, David M. O’Neill, Terrence W. Bartfai, György Forti, Gianni Giwercman, Aleksander Kula, Krzysztof Pendleton, Neil Punab, Margus Rutter, Martin K. Vanderschueren, Dirk Huhtaniemi, Ilpo T. Wu, Frederick C. W. Casanueva, Felipe F. |
author_facet | Han, Thang S. Correa, Elon Lean, Michael E. J. Lee, David M. O’Neill, Terrence W. Bartfai, György Forti, Gianni Giwercman, Aleksander Kula, Krzysztof Pendleton, Neil Punab, Margus Rutter, Martin K. Vanderschueren, Dirk Huhtaniemi, Ilpo T. Wu, Frederick C. W. Casanueva, Felipe F. |
author_sort | Han, Thang S. |
collection | PubMed |
description | Diversity in lifestyles and socioeconomic status among European populations, and recent socio-political and economic changes in transitional countries, may affect changes in adiposity. We aimed to determine whether change in the prevalence of obesity varies between the socio-politically transitional North-East European (Łódź, Poland; Szeged, Hungary; Tartu, Estonia), and the non-transitional Mediterranean (Santiago de Compostela, Spain; Florence, Italy) and North-West European (Leuven, Belgium; Malmö, Sweden; Manchester, UK) cities. This prospective observational cohort survey was performed between 2003 and 2005 at baseline and followed up between 2008 and 2010 of 3369 community-dwelling men aged 40–79 years. Main outcome measures in the present paper included waist circumference, body mass index and mid-upper arm muscle area. Baseline prevalence of waist circumference ≥ 102 cm and body mass index ≥ 30 kg/m(2), respectively, were 39.0, 29.5 % in North-East European cities, 32.4, 21.9 % in Mediterranean cities, and 30.0, 20.1 % in North-West European cities. After median 4.3 years, men living in cities from transitional countries had mean gains in waist circumference (1.1 cm) and body mass index (0.2 kg/m(2)), which were greater than men in cities from non-transitional countries (P = 0.005). North-East European cities had greater gains in waist circumference (1.5 cm) than in Mediterranean cities (P < 0.001). Over 4.3 years, the prevalence of waist circumference ≥ 102 cm had increased by 13.1 % in North-East European cities, 5.8 % in the Mediterranean cities, 10.0 % in North-West European cities. Odds ratios (95 % confidence intervals), adjusted for lifestyle factors, for developing waist circumference ≥ 102 cm, compared with men from Mediterranean cities, were 2.3 (1.5–3.5) in North-East European cities and 1.6 (1.1–2.4) in North-West European cities, and 1.6 (1.2–2.1) in men living in cities from transitional, compared with cities from non-transitional countries. These regional differences in increased prevalence of waist circumference ≥ 102 cm were more pronounced in men aged 60–79 years than in those aged 40–59 years. Overall there was an increase in the prevalence of obesity (body mass index ≥ 30 kg/m(2)) over 4.3 years (between 5.3 and 6.1 %) with no significant regional differences at any age. Mid-upper arm muscle area declined during follow-up with the greatest decline among men from North-East European cities. In conclusion, increasing waist circumference is dissociated from change in body mass index and most rapid among men living in cities from transitional North-East European countries, presumably driven by economic and socio–political changes. Information on women would also be of value and it would be of interest to relate the changes in adiposity to dietary and other behavioural habits. |
format | Online Article Text |
id | pubmed-5272876 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-52728762017-02-10 Changes in prevalence of obesity and high waist circumference over four years across European regions: the European male ageing study (EMAS) Han, Thang S. Correa, Elon Lean, Michael E. J. Lee, David M. O’Neill, Terrence W. Bartfai, György Forti, Gianni Giwercman, Aleksander Kula, Krzysztof Pendleton, Neil Punab, Margus Rutter, Martin K. Vanderschueren, Dirk Huhtaniemi, Ilpo T. Wu, Frederick C. W. Casanueva, Felipe F. Endocrine Original Article Diversity in lifestyles and socioeconomic status among European populations, and recent socio-political and economic changes in transitional countries, may affect changes in adiposity. We aimed to determine whether change in the prevalence of obesity varies between the socio-politically transitional North-East European (Łódź, Poland; Szeged, Hungary; Tartu, Estonia), and the non-transitional Mediterranean (Santiago de Compostela, Spain; Florence, Italy) and North-West European (Leuven, Belgium; Malmö, Sweden; Manchester, UK) cities. This prospective observational cohort survey was performed between 2003 and 2005 at baseline and followed up between 2008 and 2010 of 3369 community-dwelling men aged 40–79 years. Main outcome measures in the present paper included waist circumference, body mass index and mid-upper arm muscle area. Baseline prevalence of waist circumference ≥ 102 cm and body mass index ≥ 30 kg/m(2), respectively, were 39.0, 29.5 % in North-East European cities, 32.4, 21.9 % in Mediterranean cities, and 30.0, 20.1 % in North-West European cities. After median 4.3 years, men living in cities from transitional countries had mean gains in waist circumference (1.1 cm) and body mass index (0.2 kg/m(2)), which were greater than men in cities from non-transitional countries (P = 0.005). North-East European cities had greater gains in waist circumference (1.5 cm) than in Mediterranean cities (P < 0.001). Over 4.3 years, the prevalence of waist circumference ≥ 102 cm had increased by 13.1 % in North-East European cities, 5.8 % in the Mediterranean cities, 10.0 % in North-West European cities. Odds ratios (95 % confidence intervals), adjusted for lifestyle factors, for developing waist circumference ≥ 102 cm, compared with men from Mediterranean cities, were 2.3 (1.5–3.5) in North-East European cities and 1.6 (1.1–2.4) in North-West European cities, and 1.6 (1.2–2.1) in men living in cities from transitional, compared with cities from non-transitional countries. These regional differences in increased prevalence of waist circumference ≥ 102 cm were more pronounced in men aged 60–79 years than in those aged 40–59 years. Overall there was an increase in the prevalence of obesity (body mass index ≥ 30 kg/m(2)) over 4.3 years (between 5.3 and 6.1 %) with no significant regional differences at any age. Mid-upper arm muscle area declined during follow-up with the greatest decline among men from North-East European cities. In conclusion, increasing waist circumference is dissociated from change in body mass index and most rapid among men living in cities from transitional North-East European countries, presumably driven by economic and socio–political changes. Information on women would also be of value and it would be of interest to relate the changes in adiposity to dietary and other behavioural habits. Springer US 2016-10-13 2017 /pmc/articles/PMC5272876/ /pubmed/27734258 http://dx.doi.org/10.1007/s12020-016-1135-y Text en © The Author(s) 2016 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Article Han, Thang S. Correa, Elon Lean, Michael E. J. Lee, David M. O’Neill, Terrence W. Bartfai, György Forti, Gianni Giwercman, Aleksander Kula, Krzysztof Pendleton, Neil Punab, Margus Rutter, Martin K. Vanderschueren, Dirk Huhtaniemi, Ilpo T. Wu, Frederick C. W. Casanueva, Felipe F. Changes in prevalence of obesity and high waist circumference over four years across European regions: the European male ageing study (EMAS) |
title | Changes in prevalence of obesity and high waist circumference over four years across European regions: the European male ageing study (EMAS) |
title_full | Changes in prevalence of obesity and high waist circumference over four years across European regions: the European male ageing study (EMAS) |
title_fullStr | Changes in prevalence of obesity and high waist circumference over four years across European regions: the European male ageing study (EMAS) |
title_full_unstemmed | Changes in prevalence of obesity and high waist circumference over four years across European regions: the European male ageing study (EMAS) |
title_short | Changes in prevalence of obesity and high waist circumference over four years across European regions: the European male ageing study (EMAS) |
title_sort | changes in prevalence of obesity and high waist circumference over four years across european regions: the european male ageing study (emas) |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5272876/ https://www.ncbi.nlm.nih.gov/pubmed/27734258 http://dx.doi.org/10.1007/s12020-016-1135-y |
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