Predictors of overweight/obesity in a Brazilian cohort after 13 years of follow-up
Abstract Background Obesity is a chronic complex disease with an increasing prevalence around the world. Prospective studies in adult cohorts are needed to provide information about predictors of new-onset overweight/obesity on population-based levels. The aim of this study was to identify factors a...
Main Authors: | , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2018-01-01
|
Series: | Nutrition Journal |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s12937-018-0320-7 |
_version_ | 1819068234566991872 |
---|---|
author | Ludimila Garcia Souza Thiago Veiga Jardim Ana Carolina Rezende Ana Luiza Lima Sousa Humberto Graner Moreira Naiana Borges Perillo Samanta Garcia de Souza Weimar Kunz Sebba Barroso de Souza Ymara Cássia Luciana Araújo Maria do Rosário Gondim Peixoto Paulo César Brandão Veiga Jardim |
author_facet | Ludimila Garcia Souza Thiago Veiga Jardim Ana Carolina Rezende Ana Luiza Lima Sousa Humberto Graner Moreira Naiana Borges Perillo Samanta Garcia de Souza Weimar Kunz Sebba Barroso de Souza Ymara Cássia Luciana Araújo Maria do Rosário Gondim Peixoto Paulo César Brandão Veiga Jardim |
author_sort | Ludimila Garcia Souza |
collection | DOAJ |
description | Abstract Background Obesity is a chronic complex disease with an increasing prevalence around the world. Prospective studies in adult cohorts are needed to provide information about predictors of new-onset overweight/obesity on population-based levels. The aim of this study was to identify factors associated with the risk of an adult individual become overweight/obese after 13 years of follow-up. Methods Second phase of an observational population-based prospective cohort study in a small town in the Midwest region of Brazil. A representative sample of the adult population (≥18 years) was assessed in 2002 (phase 1). Anthropometric, sociodemographic, dietary intake and lifestyle data were collected. After 13 years of follow-up (2015), the same variables were re-evaluated (phase 2). New-onset overweight/obesity was the outcome variable. Results A total of 685 subjects were included with a mean age in phase 1 of 42.7 ± 13.8 years and 56.1 ± 13.8 years in phase 2, the mean follow-up time was 13.2 years and female sex counted for 66.3% of the sample. Total weight gain was 5.9 ± 10.2 Kg, body mass index increased 2.6 ± 3.8 Kg/m2 and waist circumference (WC) values increased 8.0 ± 10.5 cm. The prevalence of overweight/obesity went from 49.1% in phase 1 to 69.8% in phase 2 (p < 0.001). The factors associated with a decreased risk of new-onset overweight/obesity were ages between 50 and 64 (RR 0.40; CI 0.24–0.67 – p = 0.001) and ≥65 years (RR 0.15; CI 0.06–0.35 - p < 0.001), being part of the second quartile of fat consumption (RR 0.59; CI 0.35–0.97 – p = 0.041), no alcohol consumption (RR 0.59; CI 0.37–0.93 – p = 0.024) and smoking (RR 0.58; CI 0.39–0.86 – p = 0,007) in phase 1. Conclusions We identified in thirteen years of follow-up that older ages, a moderate fat consumption compared to low consumption, no alcohol consumption and smoking habit were related to a decreased risk of new-onset overweight/obesity. Obesity prevention actions must focus on subjects at younger ages and include policies to reduce alcohol consumption. |
first_indexed | 2024-12-21T16:30:55Z |
format | Article |
id | doaj.art-67bae8230ce44484b9a0c4b0677e8a83 |
institution | Directory Open Access Journal |
issn | 1475-2891 |
language | English |
last_indexed | 2024-12-21T16:30:55Z |
publishDate | 2018-01-01 |
publisher | BMC |
record_format | Article |
series | Nutrition Journal |
spelling | doaj.art-67bae8230ce44484b9a0c4b0677e8a832022-12-21T18:57:20ZengBMCNutrition Journal1475-28912018-01-011711910.1186/s12937-018-0320-7Predictors of overweight/obesity in a Brazilian cohort after 13 years of follow-upLudimila Garcia Souza0Thiago Veiga Jardim1Ana Carolina Rezende2Ana Luiza Lima Sousa3Humberto Graner Moreira4Naiana Borges Perillo5Samanta Garcia de Souza6Weimar Kunz Sebba Barroso de Souza7Ymara Cássia Luciana Araújo8Maria do Rosário Gondim Peixoto9Paulo César Brandão Veiga Jardim10Nutrition and Health Post Graduation Program. Nutrition School (FANUT), Federal University of Goias (UFG)Hypertension League, Federal University of Goias (UFG)Hypertension League, Federal University of Goias (UFG)Hypertension League, Federal University of Goias (UFG)Hypertension League, Federal University of Goias (UFG)Hypertension League, Federal University of Goias (UFG)Hypertension League, Federal University of Goias (UFG)Hypertension League, Federal University of Goias (UFG)Hypertension League, Federal University of Goias (UFG)Nutrition and Health Post Graduation Program. Nutrition School (FANUT), Federal University of Goias (UFG)Hypertension League, Federal University of Goias (UFG)Abstract Background Obesity is a chronic complex disease with an increasing prevalence around the world. Prospective studies in adult cohorts are needed to provide information about predictors of new-onset overweight/obesity on population-based levels. The aim of this study was to identify factors associated with the risk of an adult individual become overweight/obese after 13 years of follow-up. Methods Second phase of an observational population-based prospective cohort study in a small town in the Midwest region of Brazil. A representative sample of the adult population (≥18 years) was assessed in 2002 (phase 1). Anthropometric, sociodemographic, dietary intake and lifestyle data were collected. After 13 years of follow-up (2015), the same variables were re-evaluated (phase 2). New-onset overweight/obesity was the outcome variable. Results A total of 685 subjects were included with a mean age in phase 1 of 42.7 ± 13.8 years and 56.1 ± 13.8 years in phase 2, the mean follow-up time was 13.2 years and female sex counted for 66.3% of the sample. Total weight gain was 5.9 ± 10.2 Kg, body mass index increased 2.6 ± 3.8 Kg/m2 and waist circumference (WC) values increased 8.0 ± 10.5 cm. The prevalence of overweight/obesity went from 49.1% in phase 1 to 69.8% in phase 2 (p < 0.001). The factors associated with a decreased risk of new-onset overweight/obesity were ages between 50 and 64 (RR 0.40; CI 0.24–0.67 – p = 0.001) and ≥65 years (RR 0.15; CI 0.06–0.35 - p < 0.001), being part of the second quartile of fat consumption (RR 0.59; CI 0.35–0.97 – p = 0.041), no alcohol consumption (RR 0.59; CI 0.37–0.93 – p = 0.024) and smoking (RR 0.58; CI 0.39–0.86 – p = 0,007) in phase 1. Conclusions We identified in thirteen years of follow-up that older ages, a moderate fat consumption compared to low consumption, no alcohol consumption and smoking habit were related to a decreased risk of new-onset overweight/obesity. Obesity prevention actions must focus on subjects at younger ages and include policies to reduce alcohol consumption.http://link.springer.com/article/10.1186/s12937-018-0320-7Body mass indexWaist circumferenceWeight gainObesity |
spellingShingle | Ludimila Garcia Souza Thiago Veiga Jardim Ana Carolina Rezende Ana Luiza Lima Sousa Humberto Graner Moreira Naiana Borges Perillo Samanta Garcia de Souza Weimar Kunz Sebba Barroso de Souza Ymara Cássia Luciana Araújo Maria do Rosário Gondim Peixoto Paulo César Brandão Veiga Jardim Predictors of overweight/obesity in a Brazilian cohort after 13 years of follow-up Nutrition Journal Body mass index Waist circumference Weight gain Obesity |
title | Predictors of overweight/obesity in a Brazilian cohort after 13 years of follow-up |
title_full | Predictors of overweight/obesity in a Brazilian cohort after 13 years of follow-up |
title_fullStr | Predictors of overweight/obesity in a Brazilian cohort after 13 years of follow-up |
title_full_unstemmed | Predictors of overweight/obesity in a Brazilian cohort after 13 years of follow-up |
title_short | Predictors of overweight/obesity in a Brazilian cohort after 13 years of follow-up |
title_sort | predictors of overweight obesity in a brazilian cohort after 13 years of follow up |
topic | Body mass index Waist circumference Weight gain Obesity |
url | http://link.springer.com/article/10.1186/s12937-018-0320-7 |
work_keys_str_mv | AT ludimilagarciasouza predictorsofoverweightobesityinabraziliancohortafter13yearsoffollowup AT thiagoveigajardim predictorsofoverweightobesityinabraziliancohortafter13yearsoffollowup AT anacarolinarezende predictorsofoverweightobesityinabraziliancohortafter13yearsoffollowup AT analuizalimasousa predictorsofoverweightobesityinabraziliancohortafter13yearsoffollowup AT humbertogranermoreira predictorsofoverweightobesityinabraziliancohortafter13yearsoffollowup AT naianaborgesperillo predictorsofoverweightobesityinabraziliancohortafter13yearsoffollowup AT samantagarciadesouza predictorsofoverweightobesityinabraziliancohortafter13yearsoffollowup AT weimarkunzsebbabarrosodesouza predictorsofoverweightobesityinabraziliancohortafter13yearsoffollowup AT ymaracassialucianaaraujo predictorsofoverweightobesityinabraziliancohortafter13yearsoffollowup AT mariadorosariogondimpeixoto predictorsofoverweightobesityinabraziliancohortafter13yearsoffollowup AT paulocesarbrandaoveigajardim predictorsofoverweightobesityinabraziliancohortafter13yearsoffollowup |