Factors associated with obesity in South Asian, Afro-Caribbean and European women

Pomerleau, Joceline; McKeigue, PM; Chaturvedi, Nishi

doi:10.1038/sj.ijo.0800750

Cited by 52 publications

(51 citation statements)

References 27 publications

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“…High prevalence of obesity in women surpassed the levels reported in other developing countries in Latin America (Martorell et al, 2000) and Africa (Martorell et al, 2000;Mokhtar et al, 2001). Of interest, in our international study (Mbanya et al, 1999;Cruickshank et al, 2001), 35% of Afro-Caribbean women in Britain were obese, as were 37% of women in Pomerleau et al's (1999) study. The alarming level of obesity among women is of public health significance and a challenge to scarce resources.…”

Section: Discussionmentioning

confidence: 60%

Social and dietary determinants of body mass index of adult Jamaicans of African origin

et al. 2003

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Objectives: To determine the relationships between body mass index (BMI) and diet, social and behavioural factors among adult Jamaicans of African origin. Design: Cross-sectional. Setting: Urban communities in Jamaica, West Indies. Subjects: Three-hundred and sixty-three males and 561 females of African origin, aged 25 -74 y. Results: Women had higher mean BMIs (27.5 AE 6.4 kg=m 2 ) than men (23.4 AE 4.3 kg=m 2 ); 30.7% of women compared with 6.7% of men were obese. There was a tendency for obese men to have higher percentage of intakes from fat and less from carbohydrate, and women reported diets in which the percentage contribution of protein increased significantly with increasing BMI. In multivariate analyses, BMI was not explained by energy but was associated with protein intakes in females only. Predictors of relative weight were inversely related. Social (marital status) and behavioural (cigarette smoking) factors predicted BMI in both genders; older age in men and increased fibre intakes in women were associated with lower BMI. Conclusions: Social and behavioural factors are important determinants of body weight. Further investigations are needed which consider factors such as physical activity, genetic and other environmental variables as predictors of relative weight.

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Section: Discussionmentioning

confidence: 60%

Social and dietary determinants of body mass index of adult Jamaicans of African origin

et al. 2003

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“…In fact, there was report showing that obesity was inversely associated with social class, education, and distance walked, but positively associated with time spent watching television. 21 People should have time left after a long day's work but they might spend it on watching television or other sedentary activity instead of exercise. In fact, longer working time, especially in sedentary occupation, seems to be a stronger indication for more leisure time physical activity.…”

Section: Discussionmentioning

confidence: 99%

Association between sleeping hours, working hours and obesity in Hong Kong Chinese: the ‘better health for better Hong Kong’ health promotion campaign

et al. 2006

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Objective: To study the inter-relationships between sleeping hours, working hours and obesity in subjects from a working population.Research design: A cross-sectional observation study under the 'Better Health for Better Hong Kong' Campaign, which is a territory-wide health awareness and promotion program. Subjects: 4793 subjects (2353 (49.1%) men and 2440 (50.9%) women). Their mean age (7s.d.) was 42.478.9 years (range 17-83 years, median 43.0 years). Subjects were randomly selected using computer-generated codes in accordance to the distribution of occupational groups in Hong Kong. Results: The mean daily sleeping time was 7.0671.03 h (women vs men: 7.1471.08 h vs 6.9870.96 h, Po0.001). Increasing body mass index (BMI) was associated with reducing number of sleeping hours and increasing number of working hours reaching significance in the whole group as well as among male subjects. Those with short sleeping hour (6 h or less) and long working hours (49 h) had the highest BMI and waist in both men and women. Based on multiple regression analysis with age, smoking, alcohol drinking, systolic and diastolic blood pressure, mean daily sleeping hours and working hours as independent variables, BMI was independently associated with age, systolic and diastolic blood pressure in women, whereas waist was associated with age, smoking and blood pressure. In men, blood pressure, sleeping hours and working hours were independently associated with BMI, whereas waist was independently associated with age, smoking, blood pressure, sleeping hours and working hours in men. Conclusion: Obesity is associated with reduced sleeping hours and long working hours in men among Hong Kong Chinese working population. Further studies are needed to investigate the underlying mechanisms of this relationship and its potential implication on prevention and management of obesity.

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“…The results are comparable in direction but vary in magnitude between men and women. Previous studies have tended to focus on single sex cohorts (Pomerleau et al, 1999;Fung et al, 2000Fung et al, , 2001Hu et al, 2001). In addition, the examination of these associations in a population-based cohort, makes the results more generalisable to the population as a whole when compared to studies that have focused on selected occupationally defined groups.…”

Section: Discussionmentioning

confidence: 99%

“…There are also a growing number of studies that show that physical inactivity might adversely affect cardiovascular disease (CVD) risk and its complications (Fung et al, 2000(Fung et al, , 2001Kronenberg et al, 2000;Hu et al, 2001). These effects might be mediated through obesity and distribution of adipose tissue (Crawford et al, 1999;Pomerleau et al, 1999;Salmon et al, 2000;Vioque et al, 2000). However, most of these previous studies have been undertaken in occupationally defined cohorts with limited socioeconomic heterogeneity, in which the pattern of variation of physical activity between individuals may be somewhat different from that demonstrable in the population as a whole.…”

Section: Introductionmentioning

confidence: 99%

Television viewing and low participation in vigorous recreation are independently associated with obesity and markers of cardiovascular disease risk: EPIC-Norfolk population-based study

Jakes¹,

Day²,

Khaw³

et al. 2003

Eur J Clin Nutr

280

217

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Objective: This study describes the associations between sedentary behaviour (television viewing) and participation in vigorous recreational activity with obesity and with biomarkers of cardiovascular disease (CVD) risk profile. Design: Cross-sectional analysis of the EPIC-Norfolk cohort study. Setting: The study is a population-based study of participants living in Norfolk, UK. Subjects: A total of 15 515 men and women aged between 45 and 74 y, recruited through General Practice lists, who completed the detailed physical activity questionnaire. Results: Following exclusion of those with self-reported myocardial infarction, stroke and diabetes, 14 189 participants remained for the analysis. Self-reported television viewing was positively and participation in vigorous activity negatively associated with markers of obesity, blood pressure and plasma lipids. In multiple regression analysis, adjusting for age, alcohol, smoking, treatment for hypertension, vigorous and total physical activity, these associations remained significant. For women who participated in more than 1 h/week of vigorous activity and who watched fewer than 2 h of television each day, the adjusted mean body mass index was 1.92 kg/m 2 less than for women who reported participating in no vigorous activity and who watched more than 4 h of television each day (Po0.001). The equivalent figure for men was 1.44 kg/m 2 (Po0.001). In a similar analysis, with blood pressure as the outcome, mean diastolic blood pressure difference between the extreme groups of vigorous activity and television viewing was 3.6 mmHg in men (Po0.001) and 2.7 mmHg (P ¼ 0.001) in women. Conclusions: These data suggest that time spent participating in vigorous recreational physical activity and television viewing, an indicator of a sedentary lifestyle, are associated with obesity and markers of CVD disease risk independent of total reported physical activity. Whether these observations represent the true underlying aetiological relations or are a manifestation of the different precision with which the subdimensions of activity are measured remains uncertain.

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Factors associated with obesity in South Asian, Afro-Caribbean and European women

Cited by 52 publications

References 27 publications

Social and dietary determinants of body mass index of adult Jamaicans of African origin

Social and dietary determinants of body mass index of adult Jamaicans of African origin

Association between sleeping hours, working hours and obesity in Hong Kong Chinese: the ‘better health for better Hong Kong’ health promotion campaign

Television viewing and low participation in vigorous recreation are independently associated with obesity and markers of cardiovascular disease risk: EPIC-Norfolk population-based study

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