Incidence of overweight and obesity in a Mediterranean population-based cohort: The Cornella Health Interview Survey Follow-up Study (CHIS.FU)

PREVENTIVE MEDICINE

卷:50

Article

Ortiz-Moncada, Rocio¹  Garcia, Montse²  Gonzalez-Zapata, Laura I.^3,4  Fernandez, Esteve^2,6  Alvarez-Dardet, Carlos^1,5 

[1] Univ Alicante, Area Prevent Med & Publ Hlth, Publ Policy & Hlth Observ, E-03080 Alicante, Spain

[2] Hosp Llobregat, Catalan Oncol Inst, Canc Prevent & Control Unit, Barcelona, Spain

[3] Univ Antioquia, Sch Nutr, Medellin, Colombia

[4] Univ Antioquia, Dietet Sch, Medellin, Colombia

[5] Univ Alicante, CIBERESP, E-03080 Alicante, Spain

[6] Univ Barcelona, Dept Clin Sci, Barcelona, Spain

关键词: Overweight;    Obesity;    Population;    Male;    Female;    Cohort study;    Body Mass Index;   

DOI  :  10.1016/j.ypmed.2009.11.008

来源: Elsevier

【 摘 要 】

Objective. To study the changes in body mass index (BMI) in a population-based cohort and their relationship with sociodemographic variables in a Mediterranean-country. Method. A prospective population-based cohort with 8-year follow-up. The data used derive from the Cornell-Health-Interview Survey Follow-up (CHIS.FU). 1008 people aged >= 20 years (females=508; males=500) were interviewed in 1994 and in 2002, providing self-reported weight and height data. The BMI was compared using the Wilcoxon test for paired data. Changes in the BMI were calculated and their relationship with sociodemographic-variables and lifestyles using multivariate Breslow-Cox regression. Results. 28.1% of participants had changed from normal-BMI in 1994 to overweight in 2002 (women=25.6%; men=31.6%). 16.8% increased from overweight to obesity (women=25.8%; men=11.2%). The cumulative incidence of overweight: women=26.4%; men=34.0%. The cumulative incidence of obesity: women=29.9%; men=13.1%. The cumulative age and sex-adjusted incidence of overweight showed a significant relationship with marital-status (married: RR = 2.0; 95% CI: 1.2-3.4, divorced/widowed: RR = 4.0; 95% Cl: 1.7-9.3) and moderate alcohol-consumption (RR = 1.86; 95% Cl: 1.1-3.1). We observed a decreased age-adjusted risk in the incidence of obesity for men (RR = 0.49; 95% Cl: 0.3-0.8). Conclusion. The observed changes in the increase in the incidence of obesity and overweight indicated a similar evolution in the obesity epidemic regardless of Mediterranean dietary patterns in our population. (C) 2009 Elsevier Inc. All rights reserved.

【 授权许可】

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