Περίληψη:
BACKGROUND/OBJECTIVES: Cross-sectionally, educational attainment is
strongly associated with the prevalence of obesity, but this association
is less clear for weight change during adult life. The objective of this
study is to examine the association between educational attainment and
weight change during adult life in the European Prospective
Investigation into Cancer and Nutrition (EPIC).
SUBJECTS/METHODS: EPIC is a cohort study with 361 467 participants and
up to 10 years of follow-up. Educational attainment was categorized
according to the highest obtained school level (primary school or less,
vocational secondary training, other secondary education and
university). Multivariate mixed-effects linear regression models were
used to study education in relation to weight at age 20 years
(self-reported), to annual change in weight between age 20 years and
measured weight at recruitment, and to annual change in weight during
follow-up time.
RESULTS: Higher educational attainment was associated with on average a
lower body mass index (BMI) at age 20 years and a lower increase in
weight up to recruitment (highest vs lowest educational attainment in
men: -60 g per year (95% confidence interval (CI) -80; -40), women -110
g per year (95% CI -130; -80)). Although during follow-up after
recruitment an increase in body weight was observed in all educational
levels, gain was lowest in men and women with a university degree (high
vs low education -120 g per year (95% CI -150; -90) and -70 g per year
(95% CI -90; -60), respectively).
CONCLUSIONS: Existing differences in BMI between higher and lower
educated individuals at early adulthood became more pronounced during
lifetime, which possibly impacts on obesity-related chronic disease risk
in persons with lower educational attainment.
Συγγραφείς:
Rohrmann, S.
Steinbrecher, A.
Linseisen, J.
Hermann, S. and
May, A.
Luan, J.
Ekelund, U.
Overvad, K.
Tjonneland, A.
and Halkjaer, J.
Fagherazzi, G.
Boutron-Ruault, M-C and
Clavel-Chapelon, F.
Agnoli, C.
Tumino, R.
Masala, G. and
Mattiello, A.
Ricceri, F.
Travier, N.
Amiano, P. and
Ardanaz, E.
Chirlaque, M-D
Sanchez, M-J
Rodriguez, L. and
Nilsson, L. M.
Johansson, I.
Hedblad, B.
Rosvall, M. and
Lund, E.
Braaten, T.
Naska, A.
Orfanos, P.
Trichopoulou,
A.
van den Berg, S.
Bueno-de-Mesquita, H. B.
Bergmann, M. M.
and Steffen, A.
Kaaks, R.
Teucher, B.
Wareham, N. J. and
Khaw, K-T
Crowe, F. L.
Illner, A-K
Slimani, N.
Gallo, V.
and Mouw, T.
Norat, T.
Peeters, P. H. M.
