scholarly journals Investigating nutrition and lifestyle factors as determinants of abdominal obesity: an environment-wide study

2016 ◽  
Vol 41 (2) ◽  
pp. 340-347 ◽  
Author(s):  
W Wulaningsih ◽  
M Van Hemelrijck ◽  
K K Tsilidis ◽  
I Tzoulaki ◽  
C Patel ◽  
...  
Author(s):  
Myriam Galfo ◽  
Antonino Morocutti ◽  
Laura D’Addezio ◽  
Francesca Melini

Objective: Neurological disorders are increasing, because of demographic and epidemiologic changes occurring in both developed and developing countries. This study was aimed at examining and clustering lifestyle factors in an Italian sample of neurological outpatients. Material and Methods: A total of 153 subjects were recruited from the ambulatory Unit Operative Complex of neurology, of S. Eugenio Hospital in Rome. This study was conducted from January, 2017 to May, 2019. Body Mass Index (general obesity) and Waist Circumference (abdominal obesity) were used as outcome measures. Lifestyle behaviours were assessed via questionnaires. Results: The percentage of overweight/obesity was74.0% (77.0% in males and 70.0% in females); whereas, the percentage of subjects with abdominal obesity (67.0%) was significantly higher in females than in males (76.0% vs 60.0%, p-value= 0.038). Also, among patients suffering from neurological diseases there was a significant prevalence of: (i) males, (ii) subjects with low education levels, iii) elderly adults (aged over 75), and iv) people having a significantly lower percentage of appropriate hours of sleep. Three clusters were identified for males and four for females, according to lifestyles. The ‘unhealthy habits’ cluster, dominant among males (38.4%), was characterized by high prevalence of overweight/obese, and abdominal obese subjects; high prevalence of wine and alcoholic beverages consumers, high prevalence of inactive subjects; especially in females and high prevalence of neurological diseases among males.Conclusion: The clusters were identified according to lifestyles, and the main, important findings showed a high prevalence of unhealthy lifestyle clustering was dominant among male, elderly people with neurological diseases.


Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Akira Fujiyoshi ◽  
Katsuyuki Miura ◽  
Sayaka Kadowaki ◽  
Aya Kadota ◽  
Takayoshi Ohkubo ◽  
...  

Background: Literature has suggested that smoking is causally associated with insulin resistance and type 2 diabetes. The smoking-diabetes association is often believed to be mediated by abdominal obesity. However, literature is scarce concerning whether smoking is related to visceral adipose tissue (VAT) beyond body mass and other lifestyle factors that influence abdominal fatness. We examined whether lifetime cigarette smoking is independently associated with VAT among Japanese men. Method: We cross-sectionally investigated community-based samples of Japanese men recruited from Shiga, Japan from 2006 to 2008, aged 40 to 64 years and free of cardiovascular disease. Areas of VAT and subcutaneous adipose tissues (SAT) were calculated upon a computer tomography image taken at the level of participant’s L 4-5 . Adipose tissue was defined as -190 to -30 Hounsfield Unit. Amount of cigarette smoking was assessed using structured self-administered questionnaire, and quantified as Brinkman Index (BI, the number of cigarettes smoked per day multiplied by the number of years of smoking). Using linear regression, we calculated adjusted means of abdominal obesity indices (VAT, SAT, VAT-SAT ratio [VSR], and waist-hip ratio [WHR]) according to tertiles. Adjusting covariates included age, education, body mass index (BMI), physical activity at workplace, and drinking. Results: 533 men were studied (mean age 56.1 years; 40.1% for current-, 43.5% for former-smoker). Average BMI, VAT, SAT, and VSR were 23.8 kg/m 2 , 117 (cm 2 ),122 (cm 2 ), and 1.01. Although significant associations between smoking and VAT and SAT were absent, VSR increased significantly with increasing BI ( p =0.02) independent of BMI and other covariates (Table). Conclusion: In Japanese men, cigarette smoking is adversely associated with a rise in the faction of visceral to subcutaneous adipose tissue independent of BMI and other lifestyle factors. Visceral fat may, in part, mediate the smoking-diabetes association.


Author(s):  
Abdelhamid Kerkadi ◽  
Abdelmonem H. Sadig ◽  
Hiba Bawadi ◽  
Al Anoud Mohammed Al Thani ◽  
Walaa Al Chetachi ◽  
...  

Background: Physical inactivity, sedentary behaviour and an unhealthy diet are factors that may increase weight and general and/or abdominal obesity. Objective: To evaluate the relationship between general and abdominal obesity and lifestyle factors among adolescents in Qatar. Methods: The study data are based on the Arab Teens Lifestyle Study (ATLS). The target population consisted of 1184 adolescents aged between 14 and 18 years old (563 boys and 621 girls), randomly selected through multistage sampling. A validated questionnaire was used to collect data on lifestyle indicators. Anthropometric indicators, which included body weight, height and waist circumference (WC), were measured according to standardised procedures. International Obesity Task Force (IOTF) age- and sex-specific body mass index (BMI) reference values were used to define overweight and obesity. Abdominal obesity was defined by the ‘waist-to-height ratio’ (WHtR > 0.5) and by sex- and age-specific WC cutoff values. Results: Females were more inactive than males (63.7% vs. 36.3%; p < 0.001). The proportion of adolescents who reported screen time of over 2 h per day was 82.5%. Females engaged in more sedentary behaviour than males (53.4% vs. 46.4%, p = 0.009). Being male (OR: 1.3; CI: 1.0–1.7) and skipping breakfast (OR: 1.5; CI: 1.2–2) were significantly associated with overweight/obesity. In contrast, high intake of fast food, fries, sweets and cake were negative predictors of general and abdominal obesity. Conclusions: The findings revealed the prevalence of unhealthy lifestyle habits among adolescents in Qatar and indicated relationships between certain dietary habits and obesity. The findings of this study may help in advocating for the implementation of an intervention that includes lifestyle changes targeting adolescents.


2015 ◽  
Vol 19 (3) ◽  
pp. 486-493 ◽  
Author(s):  
Raquel Burrows ◽  
Paulina Correa-Burrows ◽  
Marcela Reyes ◽  
Estela Blanco ◽  
Cecilia Albala ◽  
...  

AbstractObjectiveTo analyse the prevalence of cardiovascular risk factors in healthy adolescents of low to middle socio-economic status and to study the influence of anthropometric, biological and lifestyle factors on the risk of metabolic syndrome (MetS).DesignCross-sectional study. BMI, waist circumference, blood pressure, fat and lean mass (by dual-energy X-ray absorptiometry), TAG, HDL-cholesterol, glucose, insulin, homeostatic model assessment–insulin resistance index (HOMA-IR), food intake and physical activity were measured. Cardiovascular risk factors were defined using the International Diabetes Federation criteria and insulin resistance using HOMA-IR ≥2·6. Bivariate and multivariate regressions examined the associations between MetS and anthropometric, biological and lifestyle factors.SettingObservational cohort study including Chilean adolescents, who were part of a follow-up study beginning in infancy.SubjectsAdolescents aged 16–17 years (n 667).ResultsIn the sample, 16·2 % had obesity and 9·5 % had MetS. Low HDL-cholesterol (69·9 %), abdominal obesity (33·3 %) and fasting hyperglycaemia (8·7 %) were the most prevalent cardiovascular risk factors. In males, obesity (OR=3·7; 95 % CI 1·2, 10·8), insulin resistance (OR=3·0; 95 % CI 1·1, 8·2), physical inactivity (OR=2·9; 95 % CI 1·1, 7·7) and sarcopenia (OR=21·2; 95 % CI 4·2, 107·5) significantly increased the risk of MetS. In females, insulin resistance (OR=4·9; 95 % CI 1·9, 12·6) and sarcopenia (OR=3·6; 95 % CI 1·1, 11·9) were significantly associated with MetS.ConclusionsHigh prevalences of obesity, abdominal obesity, dyslipidaemia, fasting hyperglycaemia and MetS were found in healthy adolescents. In both sexes, sarcopenia and insulin resistance were important risk factors of MetS. Promotion of active lifestyles at the school level and regulation of the sale of energy-dense foods are needed.


Author(s):  
Dennis Anheyer ◽  
Anna K. Koch ◽  
Meral S. Thoms ◽  
Gustav Dobos ◽  
Holger Cramer

2021 ◽  
Vol 46 (4) ◽  
pp. 402-409
Author(s):  
Jin Hee Jeong ◽  
Hye-Ja Park

Objectives: This study examined the associations between lifestyle factors and obesity among university students.Methods: In this cross-sectional correlational study, 671 students completed measures of lifestyle factors (dietary habit, exercise, smoking, and alcohol drinking), health concern, academic stress, and anthropometric indices. Obesity was classified by body mass index (BMI) and abdominal circumference (AC). The data were analyzed with χ2 test, Mann-Whitney U test and logistic regression.Results: The frequencies of obesity and abdominal obesity were higher in male students than in female students (17.6% vs. 3.4% by BMI, 18.9% vs. 5.9% by AC). Abdominal obesity in students with diabetic parent was higher (16.8%) than in students without diabetic family history (9.2%). Obesity of BMI ≥ 25 kg/m2 associated with breakfast absence of 5-7 times/week (odds ratio, OR: 1.98, 95% confidence interval, CI: 1.05-3.71). Abdominal obesity associated with instant foods intake of 5-7 times/week (OR: 2.65, 95% CI: 1.14-6.17), fast foods intake of 3-4 times/week (OR: 2.87, 95% CI: 1.48-5.56), snacks of 3-4 times/wk (OR: 2.15, 95% CI: 1.15-4.00), and consumed alcohol of ≥ 1 glass a day (OR: 2.11, 95% CI: 1.19-3.73).Conclusions: Breakfast absence is associated with obesity. Instant foods, fast foods, snacks, and alcohol consumption are the associated factors with abdominal obesity among university students.


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