The association of education with long-term weight change in the EPIC-PANACEA cohort.
BACKGROUND/OBJECTIVES: Cross-sectionally, educational attainment is strongly associated with the prevalence of obesity, but this association is less clear for weight change during adult life. The objective of this study is to examine the association between educational attainment and weight change d...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
2012
|
| _version_ | 1826284235735957504 |
|---|---|
| author | Rohrmann, S Steinbrecher, A Linseisen, J Hermann, S May, A Luan, J Ekelund, U Overvad, K Tjønneland, A Halkjær, J Fagherazzi, G Boutron-Ruault, M Clavel-Chapelon, F Agnoli, C Tumino, R Masala, G Mattiello, A Ricceri, F Travier, N Amiano, P Ardanaz, E Chirlaque, MD Sanchez, M Rodríguez, L Nilsson, L |
| author_facet | Rohrmann, S Steinbrecher, A Linseisen, J Hermann, S May, A Luan, J Ekelund, U Overvad, K Tjønneland, A Halkjær, J Fagherazzi, G Boutron-Ruault, M Clavel-Chapelon, F Agnoli, C Tumino, R Masala, G Mattiello, A Ricceri, F Travier, N Amiano, P Ardanaz, E Chirlaque, MD Sanchez, M Rodríguez, L Nilsson, L |
| author_sort | Rohrmann, S |
| collection | OXFORD |
| description | BACKGROUND/OBJECTIVES: Cross-sectionally, educational attainment is strongly associated with the prevalence of obesity, but this association is less clear for weight change during adult life. The objective of this study is to examine the association between educational attainment and weight change during adult life in the European Prospective Investigation into Cancer and Nutrition (EPIC). SUBJECTS/METHODS: EPIC is a cohort study with 361,467 participants and up to 10 years of follow-up. Educational attainment was categorized according to the highest obtained school level (primary school or less, vocational secondary training, other secondary education and university). Multivariate mixed-effects linear regression models were used to study education in relation to weight at age 20 years (self-reported), to annual change in weight between age 20 years and measured weight at recruitment, and to annual change in weight during follow-up time. RESULTS: Higher educational attainment was associated with on average a lower body mass index (BMI) at age 20 years and a lower increase in weight up to recruitment (highest vs lowest educational attainment in men: -60 g per year (95% confidence interval (CI) -80; -40), women -110 g per year (95% CI -130; -80)). Although during follow-up after recruitment an increase in body weight was observed in all educational levels, gain was lowest in men and women with a university degree (high vs low education -120 g per year (95% CI -150; -90) and -70 g per year (95% CI -90; -60), respectively). CONCLUSIONS: Existing differences in BMI between higher and lower educated individuals at early adulthood became more pronounced during lifetime, which possibly impacts on obesity-related chronic disease risk in persons with lower educational attainment. |
| first_indexed | 2024-03-07T01:10:50Z |
| format | Journal article |
| id | oxford-uuid:8cf2e695-83fc-4626-8658-51559783558a |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T01:10:50Z |
| publishDate | 2012 |
| record_format | dspace |
| spelling | oxford-uuid:8cf2e695-83fc-4626-8658-51559783558a2022-03-26T22:48:00ZThe association of education with long-term weight change in the EPIC-PANACEA cohort.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:8cf2e695-83fc-4626-8658-51559783558aEnglishSymplectic Elements at Oxford2012Rohrmann, SSteinbrecher, ALinseisen, JHermann, SMay, ALuan, JEkelund, UOvervad, KTjønneland, AHalkjær, JFagherazzi, GBoutron-Ruault, MClavel-Chapelon, FAgnoli, CTumino, RMasala, GMattiello, ARicceri, FTravier, NAmiano, PArdanaz, EChirlaque, MDSanchez, MRodríguez, LNilsson, LBACKGROUND/OBJECTIVES: Cross-sectionally, educational attainment is strongly associated with the prevalence of obesity, but this association is less clear for weight change during adult life. The objective of this study is to examine the association between educational attainment and weight change during adult life in the European Prospective Investigation into Cancer and Nutrition (EPIC). SUBJECTS/METHODS: EPIC is a cohort study with 361,467 participants and up to 10 years of follow-up. Educational attainment was categorized according to the highest obtained school level (primary school or less, vocational secondary training, other secondary education and university). Multivariate mixed-effects linear regression models were used to study education in relation to weight at age 20 years (self-reported), to annual change in weight between age 20 years and measured weight at recruitment, and to annual change in weight during follow-up time. RESULTS: Higher educational attainment was associated with on average a lower body mass index (BMI) at age 20 years and a lower increase in weight up to recruitment (highest vs lowest educational attainment in men: -60 g per year (95% confidence interval (CI) -80; -40), women -110 g per year (95% CI -130; -80)). Although during follow-up after recruitment an increase in body weight was observed in all educational levels, gain was lowest in men and women with a university degree (high vs low education -120 g per year (95% CI -150; -90) and -70 g per year (95% CI -90; -60), respectively). CONCLUSIONS: Existing differences in BMI between higher and lower educated individuals at early adulthood became more pronounced during lifetime, which possibly impacts on obesity-related chronic disease risk in persons with lower educational attainment. |
| spellingShingle | Rohrmann, S Steinbrecher, A Linseisen, J Hermann, S May, A Luan, J Ekelund, U Overvad, K Tjønneland, A Halkjær, J Fagherazzi, G Boutron-Ruault, M Clavel-Chapelon, F Agnoli, C Tumino, R Masala, G Mattiello, A Ricceri, F Travier, N Amiano, P Ardanaz, E Chirlaque, MD Sanchez, M Rodríguez, L Nilsson, L The association of education with long-term weight change in the EPIC-PANACEA cohort. |
| title | The association of education with long-term weight change in the EPIC-PANACEA cohort. |
| title_full | The association of education with long-term weight change in the EPIC-PANACEA cohort. |
| title_fullStr | The association of education with long-term weight change in the EPIC-PANACEA cohort. |
| title_full_unstemmed | The association of education with long-term weight change in the EPIC-PANACEA cohort. |
| title_short | The association of education with long-term weight change in the EPIC-PANACEA cohort. |
| title_sort | association of education with long term weight change in the epic panacea cohort |
| work_keys_str_mv | AT rohrmanns theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT steinbrechera theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT linseisenj theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT hermanns theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT maya theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT luanj theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT ekelundu theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT overvadk theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT tjønnelanda theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT halkjærj theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT fagherazzig theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT boutronruaultm theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT clavelchapelonf theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT agnolic theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT tuminor theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT masalag theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT mattielloa theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT riccerif theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT traviern theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT amianop theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT ardanaze theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT chirlaquemd theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT sanchezm theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT rodriguezl theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT nilssonl theassociationofeducationwithlongtermweightchangeintheepicpanaceacohort AT rohrmanns associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT steinbrechera associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT linseisenj associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT hermanns associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT maya associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT luanj associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT ekelundu associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT overvadk associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT tjønnelanda associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT halkjærj associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT fagherazzig associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT boutronruaultm associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT clavelchapelonf associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT agnolic associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT tuminor associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT masalag associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT mattielloa associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT riccerif associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT traviern associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT amianop associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT ardanaze associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT chirlaquemd associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT sanchezm associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT rodriguezl associationofeducationwithlongtermweightchangeintheepicpanaceacohort AT nilssonl associationofeducationwithlongtermweightchangeintheepicpanaceacohort |