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A cross-sectional analysis of physical activity and obesity indicators in European participants of the EPIC-PANACEA study

Besson, H.; Ekelund, U.; Luan, J.; May, A. M.; Sharp, S.; Travier, N.; Agudo, A.; Slimani, N.; Rinaldi, S. and Jenab, M., et al. (2009) In International Journal of Obesity 33(4). p.497-506
Abstract
Objectives: Cross-sectional data suggest a strong association between low levels of physical activity and obesity. The EPIC-PANACEA ( European Prospective Investigation into Cancer-Physical Activity, Nutrition, Alcohol, Cessation of Smoking, Eating out of home And obesity) project was designed to investigate the associations between physical activity and body mass index (BMI) and waist circumference based on individual data collected across nine European countries. Methods: In the European Prospective Investigation into Cancer and Nutrition ( EPIC), 519 931 volunteers were recruited between 1992 and 2000, of whom 405 819 had data on main variables of interest. Height, body weight and waist circumference were measured using standardized... (More)
Objectives: Cross-sectional data suggest a strong association between low levels of physical activity and obesity. The EPIC-PANACEA ( European Prospective Investigation into Cancer-Physical Activity, Nutrition, Alcohol, Cessation of Smoking, Eating out of home And obesity) project was designed to investigate the associations between physical activity and body mass index (BMI) and waist circumference based on individual data collected across nine European countries. Methods: In the European Prospective Investigation into Cancer and Nutrition ( EPIC), 519 931 volunteers were recruited between 1992 and 2000, of whom 405 819 had data on main variables of interest. Height, body weight and waist circumference were measured using standardized procedures. Physical activity was assessed using a validated four-category index reflecting a self-reported usual activity during work and leisure time. The associations between physical activity and BMI and waist circumference were estimated using multilevel mixed effects linear regression models, adjusted for age, total energy intake, smoking status, alcohol consumption and educational level. Results: A total of 125 629 men and 280 190 women with a mean age of 52.9 (s.d. 9.7) and 51.5 (s.d. 10.0) years, respectively were included. The mean BMI was 26.6 kg/m(2) (s.d. 3.6) in men and 25.0 kg/m(2) (s.d. 4.5) in women. Fifty percent of men and 30% of women were categorized as being active or moderately active. A one-category difference in the physical activity index was inversely associated with a difference of 0.18 kg/m(2) in the mean BMI (95% confidence interval, CI, 0.11, 0.24) and 1.04-cm (95% CI 0.82, 1.26) difference in waist circumference in men. The equivalent figures for women were 0.31 kg/m(2) (95% CI 0.23, 0.38) and 0.90 cm ( 95% CI 0.71, 1.08), respectively. Conclusions: Physical activity is inversely associated with both BMI and waist circumference across nine European countries. Although we cannot interpret the association causally, our results were observed in a large and diverse cohort independently from many potential confounders. (Less)
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Contribution to journal
publication status
published
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keywords
cross-sectional analysis, waist circumference, physical activity, BMI, Europe
in
International Journal of Obesity
volume
33
issue
4
pages
497 - 506
publisher
Nature Publishing Group
external identifiers
  • wos:000265106900013
  • scopus:64849083677
ISSN
1476-5497
DOI
10.1038/ijo.2009.25
language
English
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yes
id
9afad117-032e-42c3-9104-53e203a83ac6 (old id 1400279)
date added to LUP
2009-06-15 14:56:45
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2017-11-19 03:37:40
@article{9afad117-032e-42c3-9104-53e203a83ac6,
  abstract     = {Objectives: Cross-sectional data suggest a strong association between low levels of physical activity and obesity. The EPIC-PANACEA ( European Prospective Investigation into Cancer-Physical Activity, Nutrition, Alcohol, Cessation of Smoking, Eating out of home And obesity) project was designed to investigate the associations between physical activity and body mass index (BMI) and waist circumference based on individual data collected across nine European countries. Methods: In the European Prospective Investigation into Cancer and Nutrition ( EPIC), 519 931 volunteers were recruited between 1992 and 2000, of whom 405 819 had data on main variables of interest. Height, body weight and waist circumference were measured using standardized procedures. Physical activity was assessed using a validated four-category index reflecting a self-reported usual activity during work and leisure time. The associations between physical activity and BMI and waist circumference were estimated using multilevel mixed effects linear regression models, adjusted for age, total energy intake, smoking status, alcohol consumption and educational level. Results: A total of 125 629 men and 280 190 women with a mean age of 52.9 (s.d. 9.7) and 51.5 (s.d. 10.0) years, respectively were included. The mean BMI was 26.6 kg/m(2) (s.d. 3.6) in men and 25.0 kg/m(2) (s.d. 4.5) in women. Fifty percent of men and 30% of women were categorized as being active or moderately active. A one-category difference in the physical activity index was inversely associated with a difference of 0.18 kg/m(2) in the mean BMI (95% confidence interval, CI, 0.11, 0.24) and 1.04-cm (95% CI 0.82, 1.26) difference in waist circumference in men. The equivalent figures for women were 0.31 kg/m(2) (95% CI 0.23, 0.38) and 0.90 cm ( 95% CI 0.71, 1.08), respectively. Conclusions: Physical activity is inversely associated with both BMI and waist circumference across nine European countries. Although we cannot interpret the association causally, our results were observed in a large and diverse cohort independently from many potential confounders.},
  author       = {Besson, H. and Ekelund, U. and Luan, J. and May, A. M. and Sharp, S. and Travier, N. and Agudo, A. and Slimani, N. and Rinaldi, S. and Jenab, M. and Norat, T. and Mouw, T. and Rohrmann, S. and Kaaks, R. and Bergmann, M. and Boeing, H. and Clavel-Chapelon, F. and Boutron-Ruault, M. C. and Overvad, K. and Andreasen, E. L. and Johnsen, N. Fons and Halkjaer, J. and Gonzalez, C. and Rodriguez, L. and Sanchez, M. J. and Arriola, L. and Barricarte, A. and Navarro, C. and Key, T. J. and Spencer, E. A. and Orfanos, P. and Naska, A. and Trichopoulou, A. and Manjer, J. and Wirfält, Elisabet and Lund, E. and Palli, D. and Agnoli, C. and Vineis, P. and Panico, S. and Tumino, R. and Bueno-de-Mesquita, H. B. and van den Berg, S. W. and Odysseos, A. D. and Riboli, E. and Wareham, N. J. and Peeters, P. H.},
  issn         = {1476-5497},
  keyword      = {cross-sectional analysis,waist circumference,physical activity,BMI,Europe},
  language     = {eng},
  number       = {4},
  pages        = {497--506},
  publisher    = {Nature Publishing Group},
  series       = {International Journal of Obesity},
  title        = {A cross-sectional analysis of physical activity and obesity indicators in European participants of the EPIC-PANACEA study},
  url          = {http://dx.doi.org/10.1038/ijo.2009.25},
  volume       = {33},
  year         = {2009},
}