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

BMC Public Health

Research Article

Anton Kunst¹  Esther Molina²  Miren Dorronsoro³  Aurelio Barricarte⁴  Francesca L Crowe⁵  Rosario Tumino⁶  Anne Tjønneland⁷  Jytte Halkjær⁷  Kim Overvad⁸  Marianne Uhre Jakobsen⁹  Amalia Mattiello^1,10  Dora Romaguera^1,11  Elio Riboli^1,11  Teresa Norat^1,11  Traci Mouw^1,11  Philippos Orfanos^1,12  Androniki Naska^1,12  Antonia Trichopoulou^1,13  Bethany Van Guelpen^1,14  Ingegerd Johansson^1,15  Signe Borgquist^1,16  Kay-Tee Khaw^1,17  Jonas Manjer^1,18  Rudolf Kaaks^1,19  Silke Hermann^1,19  Sabine Rohrmann^2,20  Jakob Linseisen^2,21  Maria-Jose Tormo^2,22  Annika Steffen^2,23  Manuela M Bergmann^2,23  Paolo Vineis^2,24  Françoise Clavel-Chapelon^2,25  Guy Fagherazzi^2,25  Tonje Braaten^2,26  Nadia Slimani^2,27  Sabina Rinaldi^2,27  Petra HM Peeters^2,28  Herve Besson^2,29  Anne M May^3,30  Nicholas J Wareham^3,31  Giovanna Masala^3,32  Petra GA van Boeckel^3,33  H Bas Bueno-de-Mesquita^3,33  Claudia Agnoli^3,34  Laudina Rodríguez^3,35  Noemie Travier^3,36 

[1]Academic Medical Centre (AMC), University of Amsterdam, Amsterdam, The Netherlands

[2]CIBER Epidemiología y Salud Pública (CIBERESP), Spain

[3]Andalusian School of Public Health, Granada, Spain

[4]CIBER Epidemiología y Salud Pública (CIBERESP), Spain

[5]Public Health Department of Gipuzkoa, San Sebastian, Spain

[6]CIBER Epidemiología y Salud Pública (CIBERESP), Spain

[7]Public Health Institute of Navarra, Pamplona, Spain

[8]Cancer Epidemiology Unit, University of Oxford, Oxford, UK

[9]Cancer Registry and Histopathology Unit, Department of Oncology, "Civile - M.P.Arezzo" Hospital, Ragusa, Italy

[10]Danish Cancer Society, Institute of Cancer Epidemiology, Copenhagen, Denmark

[11]Department of Cardiology, Aalborg Hospital, Aarhus University Hospital, Aalborg, Denmark

[12]Department of Clinical Epidemiology, Aarhus University Hospital, Aalborg, Denmark

[13]Department of Clinical Epidemiology, Aarhus University Hospital, Aalborg, Denmark

[14]Department of Clinical and Experimental Medicine - Federico II University, Naples, Italy

[15]Department of Epidemiology & Public Health, Imperial College London, London, UK

[16]Department of Hygiene and Epidemiology, University of Athens Medical School, Athens, Greece

[17]Department of Hygiene and Epidemiology, University of Athens Medical School, Athens, Greece

[18]Hellenic Health Foundation, Greece

[19]Department of Medical Biosciences, Pathology, Umeå University, Umeå, Sweden

[20]Department of Odontology, Umeå University, Umeå, Sweden

[21]Department of Oncology, Lund University Hospital, Lund, Sweden

[22]Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK

[23]Department of Surgery, Malmö University Hospital, Malmö, Sweden

[24]Division of Cancer Epidemiology, German Cancer Research Centre, Heidelberg, Germany

[25]Division of Cancer Epidemiology, German Cancer Research Centre, Heidelberg, Germany

[26]Insitute of Social and Preventive Medicine, University of Zurich, Zurich, Switzerland

[27]Division of Cancer Epidemiology, German Cancer Research Centre, Heidelberg, Germany

[28]Institute of Epidemiology, Helmholtz Centre Munich, Neuherberg, Germany

[29]Epidemiology Service, Murcia Health Council, Murcia, Spain

[30]Preventive Medicine and Public Health Unit, Murcia Medical School, Murcia, Spain

[31]CIBER Epidemiología y Salud Pública (CIBERESP), Spain

[32]German Institute of Human Nutrition Potsdam-Rehbrücke, Nuthetal, Germany

[33]ISI Foundation, Torino, Italy

[34]Environmental Epidemiology, Imperial College London, London, UK

[35]Inserm ERI20 and Paris South University, Institut Gustave-Roussy, Villejuif, France

[36]Institute of Community Medicine, University of Tromsø, Tromsø, Norway

[37]International Agency for Research on Cancer, Lyon, France

[38]Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, The Netherlands

[39]Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, The Netherlands

[40]Medical Research Council, Epidemiology Unit, Institute of Metabolic Science, Cambridge, UK

[41]Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, The Netherlands

[42]National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands

[43]Medical Research Council, Epidemiology Unit, Institute of Metabolic Science, Cambridge, UK

[44]Molecular and Nutritional Epidemiology Unit, Cancer Research and Prevention Institute (ISPO), Florence, Italy

[45]National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands

[46]Nutritional Epidemiology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy

[47]Public Health and Participation Directorate, Health and Health Care Services Council, Asturias, Spain

[48]Unit of Nutrition, Environment and Cancer, Catalan Institute of Oncology, IDIBELL, Barcelona, Spain

关键词: socioeconomic status;    education;    BMI;    waist circumference;    cohort study;    EPIC;   

DOI  :  10.1186/1471-2458-11-169

 received in 2010-09-06, accepted in 2011-03-17,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundTo examine the association of education with body mass index (BMI) and waist circumference (WC) in the European Prospective Investigation into Cancer and Nutrition (EPIC).MethodThis 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.ResultsCompared 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/m2 lower BMI compared with women with lowest education level. For men, a statistically significant, but less pronounced difference was observed (1.3 kg/m2). 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.ConclusionIn 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.

【 授权许可】

Unknown   
© Hermann et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.