Changes in body mass index in a Finnish population between 1972 and 1982

Jalkanen, Laura; Tuomilehto, Jaakko; Nissinen, Aulikki; Puska, Pekka

doi:10.1111/j.1365-2796.1989.tb01374.x

Cited by 26 publications

(21 citation statements)

References 15 publications

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“…29 Also in our cohort, BMI was higher in hypertensive patients than in the Finnish general population. 30 In the cross-sectional survey in 1972 in Eastern Finland, the mean BMI among men aged 30-59 years was 26.0 kg/m 2 and among women 26.8 kg/m 2 , whereas in our cohort it was 27.6 and 29.6 kg/m 2 , respectively. On the other hand, the prevalence of smoking was lower among the hypertensive patients in our cohort than in the general population, as discussed below.…”

Section: Discussioncontrasting

confidence: 54%

Cancer pattern among hypertensive patients in North Karelia, Finland

et al. 2005

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The objective of this study was to determine the sitespecific cancer incidence of hypertensive patients and examine the effect of blood pressure-related variables on the risk of cancers with elevated incidence among the hypertensive patients. A record linkage study of Hypertension Register of the North Karelia Project and the Finnish Cancer Registry was conducted. The mean follow-up time was 16 years. A total of 20 529 hypertensive patients were studied. Main outcome measures were standardised incidence ratios and hazard ratios. The overall cancer incidence was close to that of the general population for both men and women. The incidence rate for the kidney cancer was significantly increased in hypertensive patients (standardised incidence ratio 1.34, 95% confidence interval (CI) 1.11-1.60), as well as incidence rates for cancers of pancreas (1.26, 1.02-1.54), and endometrium (1.22, 1.01-1.44) in hypertensive women. The incidence of lung cancer was significantly decreased (0.86, 0.77-0.95). The incidence of liver cancer was elevated with borderline significance (1.36, 0.99-1.82). In Cox regression models, the use of antihypertensive drugs at baseline was a significant predictor of kidney (hazard ratio for use of antihypertensive drugs 1.89, 95% CI 0.96-3.75) and pancreatic cancer (1.78, 0.99-3.22) in women but not in men. The incidence of endometrial cancer or liver cancer was not related to blood pressure levels or the use of antihypertensive drugs. In women, obesity was a significant predictor of cancers of the endometrium, kidney and liver. In conclusion, increased occurrence of some cancer types among hypertensive patients seem to be partly explained by obesity and the use of antihypertensive drugs.

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Section: Discussioncontrasting

confidence: 54%

Cancer pattern among hypertensive patients in North Karelia, Finland

et al. 2005

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“…This study, as well as others from the USA 16 and Europe 12,18,19,22,23,25 shows, in most cases, that BMI and the risk of obesity increases over time. (1985 and 1988, BMI !…”

Section: Discussionmentioning

confidence: 99%

Changes in body mass index (BMI) and prevalence of obesity among Kuwaitis 1980–1994

1997

Int J Obes

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OBJECTIVES: To compare temporal changes in body mass index (BMI) (kg/m 2 ) and prevalence of obesity (BMI b 25 and b 30 kg/m 2 ) among adult Kuwaitis between two periods 14 y apart. DESIGN: Comparison of two independent cross-sectional samples of Kuwaitis studied in 1980 ±1981 and 1993±1994. SUBJECTS: 2067 (896 men and 1171 women) and 3435 (1730 men and 1705 women) adult Kuwaitis (aged ! 18 y), drawn from primary health care (PHC) clinics and studied for nutritional assessment and for prevalence of obesity in 1980 ±1981 and 1993±1994, respectively. MEASUREMENTS: BMI, which is the weight in kilograms divided by the height in meters squared (kg/m 2 ), was based on measured weight and height. Obesity was de®ned as BMI b 25 kg/m 2 (grade 1) and BMI b 30 kg/m 2 (grade 2). RESULTS: Mean BMI increased signi®cantly (P`0.001) by 10.0% and 6.2% (2.5 and 1.7 kg/m 2 ) among men and women, respectively. Prevalence of obesity (BMI b 25 and b 30 kg/m 2 ) increased by 20.6% and 15.4% and by 13.7% and 8.4% among men and women, respectively. After controlling for sociodemographic differences between the two study periods, BMI was 2.0 and 1.6 kg/m 2 higher in 1993±1994 than in 1980±1981 among men and women, respectively. The risk of obesity (BMI b 25 and b 30 kg/m 2 ) also increased among both genders between the two periods (OR 2.1, 95% CI 1.7±2.7 and OR 1.9, 95% CI 1.5±2.4, for men and OR 2.2, 95% CI 1.6±3.0 and OR 1.4, 95% CI 2.2 CI-1.0±1.9, for women). CONCLUSION: BMI and prevalence of obesity increased among Kuwaitis between 1980±1981 and 1993Kuwaitis between 1980±1981 and and 1994 probably due to the effects of modernization, af¯uence, increased food consumption and the concomitant changes to sedentary lifestyles. The rate of temporal changes in BMI and obesity were higher, by comparison, in Kuwait than in selected other countries.

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“…This study, as well as similar others from the USA (Burke et al, 1989) and in Europe (Kuskowska-Wolk & Bergstro Èm, 1993;The Research Group, 1987;Jalkanen et al, 1989;Blokstra & Kromhout, 1991;Skodova et al, 1991;Kuskowska-Wolk & Bergstro Èm, 1993b) show, in most cases, that mean BMI and prevalence of obesity increased over time.…”

Section: Discussionmentioning

confidence: 83%

“…Temporal changes in body mass index (BMI) and in prevalence of obesity have been reported in a number of countries (Kuskowska-Wolk & Bergstro Èm, 1993;Feinleib, 1985;Flegal et al, 1988;Harlan et al, 1988;Burke et al, 1989;Shah et al, 1991;The Research Group, 1987;Jalkanen et al, 1989;Sorensen & Price, 1990;Price et al, 1991;Blokstra & Kromhout, 1991;Skodova et al, 1991;Noppa et al, 1978;Kuskowska-Wolk & Bergstro Èm, 1993b). For the populations of most countries outside of Western Europe and North America, data on BMI and prevalence of obesity are scarce.…”

Section: Introductionmentioning

confidence: 99%

Body mass index and prevalence of obesity changes among Kuwaitis

1997

Eur J Clin Nutr

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Objectives: To compare temporal changes in BMI, overweight (BMI b 25 kg/m 2 ) and obesity (BMI b 30 kg/ m 2 ) between two periods, among adult Kuwaitis. Design: Comparison of two independent cross-sectional samples of Kuwaitis studied in 1980±81 and 1993±94. Subjects: 2067 (896 men and 1171 women) and 3435 (1730 men and 1705 women) adult Kuwaitis (aged ! 18 y), drawn from primary health care (PHC) clinics and studied for nutritional assessment and for prevalence of obesity in 1980±81 and 1993±94, respectively. Measurements: Weight was measured in kilograms and height in meters to obtain the body mass index (BMI), which is the weight in kilograms divided by the height in meters squared (kg/m 2 ). BMI b 25 and b 30 kg/m 2 were classi®ed as overweight and obesity, respectively. Results: Mean BMI (kg/m 2 ) increased signi®cantly (P`0.001) by 10.0 and 6.2% (2.5 and 1.7 kg/m 2 ) among men and women, respectively. Prevalence of overweight and obesity (BMI b 25 and b 30 kg/m 2 ) increased by 20.6 and 15.4% and by 13.7 and 8.4% among men and women, respectively. After controlling for sociodemographic differences between the two study periods, mean BMI was 2.0 and 1.6 kg/m 2 higher in 1993±94 than in 1980±81 among men and women, respectively. Prevalence of overweight and obesity (BMI b 25 and b 30 kg/m 2 ) also increased among both genders between the two periods (OR 2.1, 95% CI 1.7±2.7 and OR 1.9, 95% CI 1.5±2.4, for men and OR 2.2, 95% CI 1.6±3.0 and OR 1.4, 95% CI±1.0±1.9, for women). Conclusions: BMI, prevalence of overweight and obesity increased among Kuwaitis between 1980±81 and 1993±94, probably due to the effects of modernization, af¯uence, increased food consumption and the concomitant changes to sedentary lifestyles. The rate of temporal changes in BMI and obesity were higher, by comparison, in Kuwait than in selected other countries.

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Changes in body mass index in a Finnish population between 1972 and 1982

Cited by 26 publications

References 15 publications

Cancer pattern among hypertensive patients in North Karelia, Finland

Cancer pattern among hypertensive patients in North Karelia, Finland

Changes in body mass index (BMI) and prevalence of obesity among Kuwaitis 1980–1994

Body mass index and prevalence of obesity changes among Kuwaitis

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