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...

Full description

Bibliographic Details
Main Authors: 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
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