Associations between diet, physical activity and body fat distribution: a cross sectional study in an Indian population

BMC Public Health

Hannah Kuper³  Jonathan CK Wells¹  Ulf Ekelund⁷  Yoav Ben-Shlomo²  Bharati Kulkarni⁴  KV Radha Krishna⁴  Sanjay Kinra⁶  Shah Ebrahim⁶  Ruth Sullivan⁶  Amy E Taylor⁸  Liza Bowen⁵ 

[1]Childhood Nutrition Research Centre, UCL Institute of Child Health, London, UK

[2]School of Social and Community Medicine, University of Bristol, Bristol, UK

[3]Department of Clinical Research, London School of Hygiene & Tropical Medicine, London, UK

[4]Clinical Division, National Institute of Nutrition, Hyderabad, India

[5]St George’s University, London, UK

[6]Department of Non Communicable Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK

[7]Department of Sport Medicine, Norwegian School of Sport Sciences, Oslo, Norway

[8]School of Experimental Psychology, University of Bristol, Bristol, UK

关键词: India;    Physical activity;    Diet;    Body fat;    Obesity;   

Others  :  1170975
DOI  :  10.1186/s12889-015-1550-7

 received in 2014-09-17, accepted in 2015-02-16,  发布年份 2015

【 摘 要 】

Background

Obesity is a growing health problem in India and worldwide, due to changes in lifestyle. This study aimed to explore the independent associations between dietary and physical activity exposure variables and total body fat and distribution in an Indian setting.

Methods

Individuals who had participated in the Indian Migration Study (IMS) or the Andhra Pradesh Children And Parents' Study (APCAPS), were invited to participate in the Hyderabad DXA Study. Total and abdominal body fat of study participants was measured using DXA scans. Diet and physical activity (PA) levels were measured using questionnaires.

Results

Data on 2208 participants was available for analysis; mean age was 49 yrs in IMS, 21 yrs in APCAPS. Total energy intake was positively associated with total body fat in the APCAPS sample: a 100 kcal higher energy intake was associated with 45 g higher body fat (95% CI 22, 68). In the IMS sample no association was found with total energy intake, but there was a positive association with percent protein intake (1% higher proportion of energy from protein associated with 509 g (95% CI 138,880) higher total body fat). Broadly the same pattern of associations was found with proportion of fat in the abdominal region as the outcome. PA was inversely associated with total body fat in both populations (in APCAPS, one MET-hour higher activity was associated with 46 g (95% CI 12, 81) less body fat; in the IMS it was associated with 145 g less body fat (95% CI 73, 218)). An inverse association was observed between PA and percentage abdominal fat in the IMS but no association was seen in the APCAPS population.

Conclusions

In this Indian population, there was an inverse association between PA and body fat. Associations between body fat and dietary variables differed between the younger APCAPS population and older IMS population. Further longitudinal research is needed to elucidate causality and directions of these associations across the life course.

【 授权许可】

   
2015 Bowen et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

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