Five-year incidence of obesity and its determinants: the ATTICA Study

Abstract

Objectives: To evaluate the 5-year incidence of obesity in a sample of CVD-free adults and investigate the potential effect of several sociodemographic and lifestyle habits on weight change and obesity incidence in these individuals. Methods: Men (n 1514) and women (n 1528) (.18 years) without any clinical evidence of CVD, living in the Attica area of Greece, were enrolled in the ATTICA study from May 2001 to December 2002. The sampling was random, multistage and included information about various sociodemographic, lifestyle (diet, exercise and smoking), biochemical and clinical characteristics. In 2006, the 5-year follow-up was performed through telephone calls or personal visits. Data from the 1364 participants are analysed in the present work. Results: The 5-year incidence of obesity was 21?8 % in men and 11?9 % in women. The ratio of men to women revealed that more men than women developed obesity, while more women than men became overweight during the follow-up period. It was found that men were 1?6 times more likely to develop obesity compared with women; abnormal waist circumference, smoking habits and the presence of hypercholesterolaemia increased the risk for developing obesity, irrespective of age and baseline lifestyle characteristics of the participants. In the multivariate analysis, no association was detected between adherence to a Mediterranean diet and incidence of obesity in initially normalweight individuals. Conclusions: Obesity remains a serious health problem for the Greek population; the alarming rates of excess body weight continue to increase. Preventive measures should be urgently addressed, targeting particularly those with metabolic risk factors.

Association between dietary scores and 13-year weight change and obesity risk in a French prospective cohort

“…7,38,39 Our findings follow recently published results on the association between Dietary scores and long-term weight change C Lassale et al a priori dietary scores and medium-to long-term weight change, mostly in American and Spanish samples. 9 -12,15,40 In the SUN cohort of university graduates in Spain, 15 smaller weight gain (mean follow-up 5.7 years) was observed in higher tertiles of MDS, but the association was modest.…”

O risco de incidência e persistência da obesidade entre adultos Brasileiros segundo seu estado nutricional ao final da adolescência

“…This vigorous development of the incidence of obesity also takes place in other countries: in the United States, obesity doubles from adolescence to early adulthood, and doubles again until the early 30s 5 . In Greece, the five year follow-up of individuals aged 18 years pointed to incidence of obesity in 22% of the men and 12% of the women who were analyzed; among individuals with normal initial BMI, the incidence was 10 and 7%, respectively 7 . One of the impediments to the expansion of obesity has been the socioeconomic condition of the exposed individual, even if the income or schooling strata are more effective for females than males 22,23 .…”

“…Projections based on national surveys performed in the past decades estimate that by the year 2025 obesity may affect 40% of the population of the United States, 30% of the population in England and 20% of the Brazilian population 3 . Current literature indicates that young adults are prone to obesity, or even to being overweight in the transition of infancy or adolescence to adulthood [4][5][6][7] . The most critical periods for the development of obesity happen in early childhood, during the strong oscillation and transition of body adiposity, which takes place between the ages of five, seven and adolescence 8 .…”

“…Some data point out that the period at risk for obesity is the transition from adolescence to the early stages of adulthood, for both genders and different ethnicities 4 . Factors such as the habit of smoking or serum cholesterol levels are risky or may predict the development of obesity in young adults 7 . In Brazil, a secular trend analysis indicates that obesity among adults is increasing, and affected at least 10% of the population in all the regions of the country 11 from 2008 to 2009.…”

Influência da obesidade em adolescentes sobre a atividade da paraoxonase (PON1) e o tamanho da Lipoproteína de Alta Densidade (HDL)

“…De acordo com YANNAKOULIA et al, (2009) crianças e adolescentes com excesso de peso têm mais chances de apresentarem obesidade quando adultos jovens.…”