Associations of obesity with socioeconomic and lifestyle factors in middle-aged and elderly men: European Male Aging Study (EMAS).
(2015) In European Journal of Endocrinology 172(1).- Abstract
- Background: Social and lifestyle influences on age-related changes in body morphology are complex because lifestyle and physiological response to social stress can affect body fat differently. Objective: We examined the associations of socioeconomic status (SES) and lifestyle factors with body mass index (BMI) and waist circumference (WC) in middle-aged and elderly European men. Design and setting: Cross-sectional study of 3,319 men aged 40-79 recruited from eight European centres. Outcomes: We estimated relative risk ratios (RRRs) of overweight/obesity associated with unfavourable SES and lifestyles. Results: The prevalence of BMI 30kg/m2 or WC 102cm rose linearly with age, except in the 8th decade when high BMI, but not high WC,... (More)
- Background: Social and lifestyle influences on age-related changes in body morphology are complex because lifestyle and physiological response to social stress can affect body fat differently. Objective: We examined the associations of socioeconomic status (SES) and lifestyle factors with body mass index (BMI) and waist circumference (WC) in middle-aged and elderly European men. Design and setting: Cross-sectional study of 3,319 men aged 40-79 recruited from eight European centres. Outcomes: We estimated relative risk ratios (RRRs) of overweight/obesity associated with unfavourable SES and lifestyles. Results: The prevalence of BMI 30kg/m2 or WC 102cm rose linearly with age, except in the 8th decade when high BMI, but not high WC, declined. Among men aged 40-59y, compared to non-smokers or most active men, centre and BMI adjusted RRRs for having a WC between 94-101.9cm increased by 1.6-fold in current smokers, and 2.7-fold in least active men, maximal at 2.8-fold in least active men who smoked. Similar patterns but greater RRRs were observed for men with WC≥102cm, notably 8.4-fold greater in least active men who smoked. Compared to men in employment, those who were not in employment had increased risk of having a high WC by 1.4-fold in the 40-65y group and by 1.3-fold in the 40-75y group. These relationships were weaker among elderly men. Conclusion: Unfavourable SES and lifestyles associate with increased risk of obesity, especially in middle-aged men. The combination of inactivity and smoking was the strongest predictor of high WC, providing a focus for health promotion and prevention at an early age. (Less)
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https://lup.lub.lu.se/record/4733804
- author
- organization
- publishing date
- 2015
- type
- Contribution to journal
- publication status
- published
- subject
- in
- European Journal of Endocrinology
- volume
- 172
- issue
- 1
- publisher
- Society of the European Journal of Endocrinology
- external identifiers
-
- pmid:25326134
- wos:000349457200013
- scopus:84920363130
- pmid:25326134
- ISSN
- 1479-683X
- DOI
- 10.1530/EJE-14-0739
- language
- English
- LU publication?
- yes
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- 028f91b4-0227-4d19-b725-1530e4532a80 (old id 4733804)
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- http://www.ncbi.nlm.nih.gov/pubmed/25326134?dopt=Abstract
- date added to LUP
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@article{028f91b4-0227-4d19-b725-1530e4532a80,
abstract = {{Background: Social and lifestyle influences on age-related changes in body morphology are complex because lifestyle and physiological response to social stress can affect body fat differently. Objective: We examined the associations of socioeconomic status (SES) and lifestyle factors with body mass index (BMI) and waist circumference (WC) in middle-aged and elderly European men. Design and setting: Cross-sectional study of 3,319 men aged 40-79 recruited from eight European centres. Outcomes: We estimated relative risk ratios (RRRs) of overweight/obesity associated with unfavourable SES and lifestyles. Results: The prevalence of BMI 30kg/m2 or WC 102cm rose linearly with age, except in the 8th decade when high BMI, but not high WC, declined. Among men aged 40-59y, compared to non-smokers or most active men, centre and BMI adjusted RRRs for having a WC between 94-101.9cm increased by 1.6-fold in current smokers, and 2.7-fold in least active men, maximal at 2.8-fold in least active men who smoked. Similar patterns but greater RRRs were observed for men with WC≥102cm, notably 8.4-fold greater in least active men who smoked. Compared to men in employment, those who were not in employment had increased risk of having a high WC by 1.4-fold in the 40-65y group and by 1.3-fold in the 40-75y group. These relationships were weaker among elderly men. Conclusion: Unfavourable SES and lifestyles associate with increased risk of obesity, especially in middle-aged men. The combination of inactivity and smoking was the strongest predictor of high WC, providing a focus for health promotion and prevention at an early age.}},
author = {{Han, Thang S and Lee, David M and Lean, Michael and Finn, Joseph D and O'Neill, Terence W and Bartfai, Gyorgy and Forti, Gianni and Giwercman, Aleksander and Kula, Krzysztof and Pendleton, Neil and Punab, Margus and Rutter, Martin Kenneth and Vanderschueren, Dirk and Huhtaniemi, Ilpo and Wu, Fredrick C W and Casanueva, Felipe F}},
issn = {{1479-683X}},
language = {{eng}},
number = {{1}},
publisher = {{Society of the European Journal of Endocrinology}},
series = {{European Journal of Endocrinology}},
title = {{Associations of obesity with socioeconomic and lifestyle factors in middle-aged and elderly men: European Male Aging Study (EMAS).}},
url = {{http://dx.doi.org/10.1530/EJE-14-0739}},
doi = {{10.1530/EJE-14-0739}},
volume = {{172}},
year = {{2015}},
}