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Combined Impact of Lifestyle Factors on Prospective Change in Body Weight and Waist Circumference in Participants of the EPIC-PANACEA Study

May, Anne M.; Romaguera, Dora; Travier, Noemie; Ekelund, Ulf; Bergmann, Manuela M.; Kaaks, Rudolf; Teucher, Birgit; Steffen, Annika; Boeing, Heiner and Halkjaer, Jytte, et al. (2012) In PLoS ONE 7(11).
Abstract
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... (More)
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. (Less)
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PLoS ONE
volume
7
issue
11
publisher
Public Library of Science
external identifiers
  • wos:000312376100172
  • scopus:84870617661
ISSN
1932-6203
DOI
10.1371/journal.pone.0050712
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English
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yes
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085f6844-f327-453e-bb3c-3499c807a79e (old id 3508129)
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2013-03-01 07:52:01
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@article{085f6844-f327-453e-bb3c-3499c807a79e,
  abstract     = {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.},
  author       = {May, Anne M. and Romaguera, Dora and Travier, Noemie and Ekelund, Ulf and Bergmann, Manuela M. and Kaaks, Rudolf and Teucher, Birgit and Steffen, Annika and Boeing, Heiner and Halkjaer, Jytte and Tjonneland, Anne and Jakobsen, Marianne Uhre and Overvad, Kim and Dartois, Laureen and Fagherazzi, Guy and Boutron-Ruault, Marie-Christine and Ramon Quiros, J. and Agudo, Antonio and Gonzalez, Carlos and Sanchez, Maria-Jose and Amiano, Pilar and Huerta, Jose-Maria and Ardanaz, Eva and Wareham, Nicholas J. and Crowe, Francesca L. and Naska, Androniki and Orfanos, Philippos and Trichopoulou, Antonia and Palli, Domenico and Agnoli, Claudia and Tumino, Rosario and Vineis, Paolo and Panico, Salvatore and Bueno-de-Mesquita, H. Bas and Verschuren, Monique and Drake, Isabel and Sonestedt, Emily and Braaten, Tonje and Rinaldi, Sabina and Romieu, Isabelle and Slimani, Nadia and Norat, Teresa and Riboli, Elio and Peeters, Petra H. M.},
  issn         = {1932-6203},
  language     = {eng},
  number       = {11},
  publisher    = {Public Library of Science},
  series       = {PLoS ONE},
  title        = {Combined Impact of Lifestyle Factors on Prospective Change in Body Weight and Waist Circumference in Participants of the EPIC-PANACEA Study},
  url          = {http://dx.doi.org/10.1371/journal.pone.0050712},
  volume       = {7},
  year         = {2012},
}