Περίληψη:
Background: The evidence that individual dietary and lifestyle factors
influence a person’s weight and waist circumference is well established;
however their combined impact is less well documented. Therefore, we
investigated the combined effect of physical activity, nutrition and
smoking status on prospective gain in body weight and waist
circumference.
Methods: We used data of the prospective EPIC-PANACEA study. Between
1992 and 2000, 325,537 participants (94,445 men and 231,092 women, aged
between 25-70) were recruited from nine European countries. Participants
were categorised into two groups (positive or negative health
behaviours) for each of the following being physically active, adherent
to a healthy (Mediterranean not including alcohol) diet, and
never-smoking for a total score ranging from zero to three.
Anthropometric measures were taken at baseline and were mainly
self-reported after a medium follow-up time of 5 years.
Results: Mixed-effects linear regression models adjusted for age,
educational level, alcohol consumption, baseline body mass index and
follow-up time showed that men and women who reported to be physically
active, never-smoking and adherent to the Mediterranean diet gained over
a 5-year period 537 (95% CI -706, -368) and 200 (-478, -87) gram less
weight and 0.95 (-1.27, -0.639) and 0.99 (-1.29, -0.69) cm less waist
circumference, respectively, compared to participants with zero healthy
behaviours.
Conclusion: The combination of positive health behaviours was associated
with significantly lower weight and waist circumference gain.
Συγγραφείς:
May, Anne M.
Romaguera, Dora
Travier, Noemie
Ekelund, Ulf
and Bergmann, Manuela M.
Kaaks, Rudolf
Teucher, Birgit and
Steffen, Annika
Boeing, Heiner
Halkjaer, Jytte
Tjonneland,
Anne
Jakobsen, Marianne Uhre
Overvad, Kim
Dartois, Laureen
and Fagherazzi, Guy
Boutron-Ruault, Marie-Christine
Ramon
Quiros, J.
Agudo, Antonio
Gonzalez, Carlos
Sanchez,
Maria-Jose
Amiano, Pilar
Huerta, Jose-Maria
Ardanaz, Eva and
Wareham, Nicholas J.
Crowe, Francesca L.
Naska, Androniki and
Orfanos, Philippos
Trichopoulou, Antonia
Palli, Domenico and
Agnoli, Claudia
Tumino, Rosario
Vineis, Paolo
Panico,
Salvatore
Bueno-de-Mesquita, H. Bas
Verschuren, Monique and
Drake, Isabel
Sonestedt, Emily
Braaten, Tonje
Rinaldi,
Sabina
Romieu, Isabelle
Slimani, Nadia
Norat, Teresa and
Riboli, Elio
Peeters, Petra H. M.
