Combined impact of lifestyle factors on prospective change in body weight and waist circumference in participants of the EPIC-PANACEA study

Anne M May; Dora Romaguera; Noémie Travier; Ulf Ekelund; Manuela M Bergmann; Rudolf Kaaks; Birgit Teucher; Annika Steffen; Heiner Boeing; Jytte Halkjaer; Anne Tjonneland; Marianne Uhre Jakobsen; Kim Overvad; Laureen Dartois; Guy Fagherazzi; Marie-Christine Boutron-Ruault; J Ramón Quirós; Antonio Agudo; Carlos Gonzalez; María-José Sánchez; Pilar Amiano; Jose-Maria Huerta; Eva Ardanaz; Nicholas J Wareham; Francesca L Crowe; Androniki Naska; Philippos Orfanos; Antonia Trichopoulou; Domenico Palli; Claudia Agnoli; Rosario Tumino; Paolo Vineis; Salvatore Panico; H Bas Bueno-de-Mesquita; Monique Verschuren; Isabel Drake; Emily Sonestedt; Tonje Braaten; Sabina Rinaldi; Isabelle Romieu; Nadia Slimani; Teresa Norat; Elio Riboli; Petra H M Peeters

doi:10.1371/journal.pone.0050712

Combined impact of lifestyle factors on prospective change in body weight and waist circumference in participants of the EPIC-PANACEA study

Anne M May, Dora Romaguera, Noémie Travier, Ulf Ekelund, Manuela M Bergmann, Rudolf Kaaks, Birgit Teucher, Annika Steffen, Heiner Boeing, Jytte Halkjaer, Anne Tjonneland, Marianne Uhre Jakobsen, Kim Overvad, Laureen Dartois, Guy Fagherazzi, Marie-Christine Boutron-Ruault, J Ramón Quirós, Antonio Agudo, Carlos Gonzalez, María-José SánchezPilar Amiano, Jose-Maria Huerta, Eva Ardanaz, Nicholas J Wareham, Francesca L Crowe, Androniki Naska, Philippos Orfanos, Antonia Trichopoulou, Domenico Palli, Claudia Agnoli, Rosario Tumino, Paolo Vineis, Salvatore Panico, H Bas Bueno-de-Mesquita, Monique Verschuren, Isabel Drake, Emily Sonestedt, Tonje Braaten, Sabina Rinaldi, Isabelle Romieu, Nadia Slimani, Teresa Norat, Elio Riboli, Petra H M Peeters

Faculty of Natural Science

Research output: Contribution to journal › Article › peer-review

24 Citations (Scopus)

Abstract

BACKGROUND: The evidence that individual dietary and lifestyle factors influence a person's weight and waist circumference is well established; however their combined impact is less well documented. Therefore, we investigated the combined effect of physical activity, nutrition and smoking status on prospective gain in body weight and waist circumference.

METHODS: We used data of the prospective EPIC-PANACEA study. Between 1992 and 2000, 325,537 participants (94,445 men and 231,092 women, aged between 25-70) were recruited from nine European countries. Participants were categorised into two groups (positive or negative health behaviours) for each of the following being physically active, adherent to a healthy (Mediterranean not including alcohol) diet, and never-smoking for a total score ranging from zero to three. Anthropometric measures were taken at baseline and were mainly self-reported after a medium follow-up time of 5 years.

RESULTS: Mixed-effects linear regression models adjusted for age, educational level, alcohol consumption, baseline body mass index and follow-up time showed that men and women who reported to be physically active, never-smoking and adherent to the Mediterranean diet gained over a 5-year period 537 (95% CI -706, -368) and 200 (-478, -87) gram less weight and 0.95 (-1.27, -0.639) and 0.99 (-1.29, -0.69) cm less waist circumference, respectively, compared to participants with zero healthy behaviours.

CONCLUSION: The combination of positive health behaviours was associated with significantly lower weight and waist circumference gain.

Original language	English
Pages (from-to)	e50712
Journal	PLoS ONE
Volume	7
Issue number	11
DOIs	https://doi.org/10.1371/journal.pone.0050712
Publication status	Published - 2012

Keywords

Adult
Aged
Body Weight
Diet/adverse effects
Europe
Female
Health Behavior
Humans
Life Style
Male
Middle Aged
Motor Activity
Prospective Studies
Smoking/adverse effects
Waist Circumference

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10.1371/journal.pone.0050712

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May, A. M., Romaguera, D., Travier, N., Ekelund, U., Bergmann, M. M., Kaaks, R., Teucher, B., Steffen, A., Boeing, H., Halkjaer, J., Tjonneland, A., Jakobsen, M. U., Overvad, K., Dartois, L., Fagherazzi, G., Boutron-Ruault, M.-C., Quirós, J. R., Agudo, A., Gonzalez, C., ... Peeters, P. H. M. (2012). Combined impact of lifestyle factors on prospective change in body weight and waist circumference in participants of the EPIC-PANACEA study. PLoS ONE, 7(11), e50712. https://doi.org/10.1371/journal.pone.0050712

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title = "Combined impact of lifestyle factors on prospective change in body weight and waist circumference in participants of the EPIC-PANACEA study",

abstract = "BACKGROUND: The evidence that individual dietary and lifestyle factors influence a person's weight and waist circumference is well established; however their combined impact is less well documented. Therefore, we investigated the combined effect of physical activity, nutrition and smoking status on prospective gain in body weight and waist circumference.METHODS: We used data of the prospective EPIC-PANACEA study. Between 1992 and 2000, 325,537 participants (94,445 men and 231,092 women, aged between 25-70) were recruited from nine European countries. Participants were categorised into two groups (positive or negative health behaviours) for each of the following being physically active, adherent to a healthy (Mediterranean not including alcohol) diet, and never-smoking for a total score ranging from zero to three. Anthropometric measures were taken at baseline and were mainly self-reported after a medium follow-up time of 5 years.RESULTS: Mixed-effects linear regression models adjusted for age, educational level, alcohol consumption, baseline body mass index and follow-up time showed that men and women who reported to be physically active, never-smoking and adherent to the Mediterranean diet gained over a 5-year period 537 (95% CI -706, -368) and 200 (-478, -87) gram less weight and 0.95 (-1.27, -0.639) and 0.99 (-1.29, -0.69) cm less waist circumference, respectively, compared to participants with zero healthy behaviours.CONCLUSION: The combination of positive health behaviours was associated with significantly lower weight and waist circumference gain.",

keywords = "Adult, Aged, Body Weight, Diet/adverse effects, Europe, Female, Health Behavior, Humans, Life Style, Male, Middle Aged, Motor Activity, Prospective Studies, Smoking/adverse effects, Waist Circumference",

author = "May, {Anne M} and Dora Romaguera and No{\'e}mie Travier and Ulf Ekelund and Bergmann, {Manuela M} and Rudolf Kaaks and Birgit Teucher and Annika Steffen and Heiner Boeing and Jytte Halkjaer and Anne Tjonneland and Jakobsen, {Marianne Uhre} and Kim Overvad and Laureen Dartois and Guy Fagherazzi and Marie-Christine Boutron-Ruault and Quir{\'o}s, {J Ram{\'o}n} and Antonio Agudo and Carlos Gonzalez and Mar{\'i}a-Jos{\'e} S{\'a}nchez and Pilar Amiano and Jose-Maria Huerta and Eva Ardanaz and Wareham, {Nicholas J} and Crowe, {Francesca L} and Androniki Naska and Philippos Orfanos and Antonia Trichopoulou and Domenico Palli and Claudia Agnoli and Rosario Tumino and Paolo Vineis and Salvatore Panico and Bueno-de-Mesquita, {H Bas} and Monique Verschuren and Isabel Drake and Emily Sonestedt and Tonje Braaten and Sabina Rinaldi and Isabelle Romieu and Nadia Slimani and Teresa Norat and Elio Riboli and Peeters, {Petra H M}",

year = "2012",

doi = "10.1371/journal.pone.0050712",

language = "English",

volume = "7",

pages = "e50712",

journal = "PLoS ONE",

issn = "1932-6203",

publisher = "Public Library of Science",

number = "11",

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May, AM, Romaguera, D, Travier, N, Ekelund, U, Bergmann, MM, Kaaks, R, Teucher, B, Steffen, A, Boeing, H, Halkjaer, J, Tjonneland, A, Jakobsen, MU, Overvad, K, Dartois, L, Fagherazzi, G, Boutron-Ruault, M-C, Quirós, JR, Agudo, A, Gonzalez, C, Sánchez, M-J, Amiano, P, Huerta, J-M, Ardanaz, E, Wareham, NJ, Crowe, FL, Naska, A, Orfanos, P, Trichopoulou, A, Palli, D, Agnoli, C, Tumino, R, Vineis, P, Panico, S, Bueno-de-Mesquita, HB, Verschuren, M, Drake, I, Sonestedt, E, Braaten, T, Rinaldi, S, Romieu, I, Slimani, N, Norat, T, Riboli, E & Peeters, PHM 2012, 'Combined impact of lifestyle factors on prospective change in body weight and waist circumference in participants of the EPIC-PANACEA study', PLoS ONE, vol. 7, no. 11, pp. e50712. https://doi.org/10.1371/journal.pone.0050712

TY - JOUR

T1 - Combined impact of lifestyle factors on prospective change in body weight and waist circumference in participants of the EPIC-PANACEA study

AU - May, Anne M

AU - Romaguera, Dora

AU - Travier, Noémie

AU - Ekelund, Ulf

AU - Bergmann, Manuela M

AU - Kaaks, Rudolf

AU - Teucher, Birgit

AU - Steffen, Annika

AU - Boeing, Heiner

AU - Halkjaer, Jytte

AU - Tjonneland, Anne

AU - Jakobsen, Marianne Uhre

AU - Overvad, Kim

AU - Dartois, Laureen

AU - Fagherazzi, Guy

AU - Boutron-Ruault, Marie-Christine

AU - Quirós, J Ramón

AU - Agudo, Antonio

AU - Gonzalez, Carlos

AU - Sánchez, María-José

AU - Amiano, Pilar

AU - Huerta, Jose-Maria

AU - Ardanaz, Eva

AU - Wareham, Nicholas J

AU - Crowe, Francesca L

AU - Naska, Androniki

AU - Orfanos, Philippos

AU - Trichopoulou, Antonia

AU - Palli, Domenico

AU - Agnoli, Claudia

AU - Tumino, Rosario

AU - Vineis, Paolo

AU - Panico, Salvatore

AU - Bueno-de-Mesquita, H Bas

AU - Verschuren, Monique

AU - Drake, Isabel

AU - Sonestedt, Emily

AU - Braaten, Tonje

AU - Rinaldi, Sabina

AU - Romieu, Isabelle

AU - Slimani, Nadia

AU - Norat, Teresa

AU - Riboli, Elio

AU - Peeters, Petra H M

PY - 2012

Y1 - 2012

N2 - BACKGROUND: The evidence that individual dietary and lifestyle factors influence a person's weight and waist circumference is well established; however their combined impact is less well documented. Therefore, we investigated the combined effect of physical activity, nutrition and smoking status on prospective gain in body weight and waist circumference.METHODS: We used data of the prospective EPIC-PANACEA study. Between 1992 and 2000, 325,537 participants (94,445 men and 231,092 women, aged between 25-70) were recruited from nine European countries. Participants were categorised into two groups (positive or negative health behaviours) for each of the following being physically active, adherent to a healthy (Mediterranean not including alcohol) diet, and never-smoking for a total score ranging from zero to three. Anthropometric measures were taken at baseline and were mainly self-reported after a medium follow-up time of 5 years.RESULTS: Mixed-effects linear regression models adjusted for age, educational level, alcohol consumption, baseline body mass index and follow-up time showed that men and women who reported to be physically active, never-smoking and adherent to the Mediterranean diet gained over a 5-year period 537 (95% CI -706, -368) and 200 (-478, -87) gram less weight and 0.95 (-1.27, -0.639) and 0.99 (-1.29, -0.69) cm less waist circumference, respectively, compared to participants with zero healthy behaviours.CONCLUSION: The combination of positive health behaviours was associated with significantly lower weight and waist circumference gain.

AB - BACKGROUND: The evidence that individual dietary and lifestyle factors influence a person's weight and waist circumference is well established; however their combined impact is less well documented. Therefore, we investigated the combined effect of physical activity, nutrition and smoking status on prospective gain in body weight and waist circumference.METHODS: We used data of the prospective EPIC-PANACEA study. Between 1992 and 2000, 325,537 participants (94,445 men and 231,092 women, aged between 25-70) were recruited from nine European countries. Participants were categorised into two groups (positive or negative health behaviours) for each of the following being physically active, adherent to a healthy (Mediterranean not including alcohol) diet, and never-smoking for a total score ranging from zero to three. Anthropometric measures were taken at baseline and were mainly self-reported after a medium follow-up time of 5 years.RESULTS: Mixed-effects linear regression models adjusted for age, educational level, alcohol consumption, baseline body mass index and follow-up time showed that men and women who reported to be physically active, never-smoking and adherent to the Mediterranean diet gained over a 5-year period 537 (95% CI -706, -368) and 200 (-478, -87) gram less weight and 0.95 (-1.27, -0.639) and 0.99 (-1.29, -0.69) cm less waist circumference, respectively, compared to participants with zero healthy behaviours.CONCLUSION: The combination of positive health behaviours was associated with significantly lower weight and waist circumference gain.

KW - Adult

KW - Aged

KW - Body Weight

KW - Diet/adverse effects

KW - Europe

KW - Female

KW - Health Behavior

KW - Humans

KW - Life Style

KW - Male

KW - Middle Aged

KW - Motor Activity

KW - Prospective Studies

KW - Smoking/adverse effects

KW - Waist Circumference

U2 - 10.1371/journal.pone.0050712

DO - 10.1371/journal.pone.0050712

M3 - Article

C2 - 23226361

SN - 1932-6203

VL - 7

SP - e50712

JO - PLoS ONE

JF - PLoS ONE

IS - 11

ER -

Combined impact of lifestyle factors on prospective change in body weight and waist circumference in participants of the EPIC-PANACEA study

Abstract

Keywords

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