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The association of education with body mass index and waist circumference in the EPIC-PANACEA study

Hermann, Silke; Rohrmann, Sabine; Linseisen, Jakob; May, Anne M.; Kunst, Anton; Besson, Herve; Romaguera, Dora; Travier, Noemie; Tormo, Maria-Jose and Molina, Esther, et al. (2011) In BMC Public Health 11.
Abstract
Background: To examine the association of education with body mass index (BMI) and waist circumference (WC) in the European Prospective Investigation into Cancer and Nutrition (EPIC). Method: This study included 141,230 male and 336,637 female EPIC-participants, who were recruited between 1992 and 2000. Education, which was assessed by questionnaire, was classified into four categories; BMI and WC, measured by trained personnel in most participating centers, were modeled as continuous dependent variables. Associations were estimated using multilevel mixed effects linear regression models. Results: Compared with the lowest education level, BMI and WC were significantly lower for all three higher education categories, which was consistent... (More)
Background: To examine the association of education with body mass index (BMI) and waist circumference (WC) in the European Prospective Investigation into Cancer and Nutrition (EPIC). Method: This study included 141,230 male and 336,637 female EPIC-participants, who were recruited between 1992 and 2000. Education, which was assessed by questionnaire, was classified into four categories; BMI and WC, measured by trained personnel in most participating centers, were modeled as continuous dependent variables. Associations were estimated using multilevel mixed effects linear regression models. Results: Compared with the lowest education level, BMI and WC were significantly lower for all three higher education categories, which was consistent for all countries. Women with university degree had a 2.1 kg/m(2) lower BMI compared with women with lowest education level. For men, a statistically significant, but less pronounced difference was observed (1.3 kg/m(2)). The association between WC and education level was also of greater magnitude for women: compared with the lowest education level, average WC of women was lower by 5.2 cm for women in the highest category. For men the difference was 2.9 cm. Conclusion: In this European cohort, there is an inverse association between higher BMI as well as higher WC and lower education level. Public Health Programs that aim to reduce overweight and obesity should primarily focus on the lower educated population. (Less)
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BMC Public Health
volume
11
publisher
BioMed Central
external identifiers
  • wos:000289072600002
  • scopus:79952695573
ISSN
1471-2458
DOI
10.1186/1471-2458-11-169
language
English
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yes
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39c36503-0896-414a-be20-a60a8cc3bca5 (old id 1925473)
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2011-05-02 09:29:28
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2017-10-22 04:15:26
@article{39c36503-0896-414a-be20-a60a8cc3bca5,
  abstract     = {Background: To examine the association of education with body mass index (BMI) and waist circumference (WC) in the European Prospective Investigation into Cancer and Nutrition (EPIC). Method: This study included 141,230 male and 336,637 female EPIC-participants, who were recruited between 1992 and 2000. Education, which was assessed by questionnaire, was classified into four categories; BMI and WC, measured by trained personnel in most participating centers, were modeled as continuous dependent variables. Associations were estimated using multilevel mixed effects linear regression models. Results: Compared with the lowest education level, BMI and WC were significantly lower for all three higher education categories, which was consistent for all countries. Women with university degree had a 2.1 kg/m(2) lower BMI compared with women with lowest education level. For men, a statistically significant, but less pronounced difference was observed (1.3 kg/m(2)). The association between WC and education level was also of greater magnitude for women: compared with the lowest education level, average WC of women was lower by 5.2 cm for women in the highest category. For men the difference was 2.9 cm. Conclusion: In this European cohort, there is an inverse association between higher BMI as well as higher WC and lower education level. Public Health Programs that aim to reduce overweight and obesity should primarily focus on the lower educated population.},
  author       = {Hermann, Silke and Rohrmann, Sabine and Linseisen, Jakob and May, Anne M. and Kunst, Anton and Besson, Herve and Romaguera, Dora and Travier, Noemie and Tormo, Maria-Jose and Molina, Esther and Dorronsoro, Miren and Barricarte, Aurelio and Rodriguez, Laudina and Crowe, Francesca L. and Khaw, Kay-Tee and Wareham, Nicholas J. and van Boeckel, Petra G. A. and Bueno-de-Mesquita, H. Bas and Overvad, Kim and Jakobsen, Marianne Uhre and Tjonneland, Anne and Halkjaer, Jytte and Agnoli, Claudia and Mattiello, Amalia and Tumino, Rosario and Masala, Giovanna and Vineis, Paolo and Naska, Androniki and Orfanos, Philippos and Trichopoulou, Antonia and Kaaks, Rudolf and Bergmann, Manuela M. and Steffen, Annika and Van Guelpen, Bethany and Johansson, Ingegerd and Borgquist, Signe and Manjer, Jonas and Braaten, Tonje and Fagherazzi, Guy and Clavel-Chapelon, Francoise and Mouw, Traci and Norat, Teresa and Riboli, Elio and Rinaldi, Sabina and Slimani, Nadia and Peeters, Petra H. M.},
  issn         = {1471-2458},
  language     = {eng},
  publisher    = {BioMed Central},
  series       = {BMC Public Health},
  title        = {The association of education with body mass index and waist circumference in the EPIC-PANACEA study},
  url          = {http://dx.doi.org/10.1186/1471-2458-11-169},
  volume       = {11},
  year         = {2011},
}