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Eating behaviours and obesity in the adult population of Spain

  • A. C. Marín-Guerrero (a1), J. L. Gutiérrez-Fisac (a2) (a3), P. Guallar-Castillón (a2) (a3), J. R. Banegas (a2) (a3) and F. Rodríguez-Artalejo (a2) (a3)...

To examine the association between several eating behaviours and obesity, data were taken from a cross-sectional study conducted with 34 974 individuals aged 25–64 years, representative of the non-institutionalised Spanish population. Obesity was defined as BMI ≥ 30 kg/m2. Study associations were summarised with OR obtained from logistic regression, with adjustment for socio-demographic and lifestyle factors. The results showed that those skipping breakfast were more likely to be obese, both in men (OR 1·58; 95 % CI 1·29, 1·93) and women (OR 1·53; 95 % CI 1·15, 2·03). Moreover, obesity was more prevalent in those having only two meals per day than in those having three or four meals in men (OR 1·63; 95 % CI 1·37, 1·95) and women (OR 1·30; 95 % CI 1·05, 1·62). Also, snacking was associated with obesity in women (OR 1·51; 95 % CI 1·17, 1·95). However, no association was observed between obesity and having one or more of the main meals away from home, in either sex. In conclusion, skipping breakfast and eating frequency were associated with obesity. The lack of association between eating away from home and obesity is in contrast to most previous research conducted in Anglo-Saxon countries. Differences in the type of establishment frequented when eating out or in the characteristics of restaurant customers in a Mediterranean population might explain these conflicting results.

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*Corresponding author: Dr A. C. Marín-Guerrero, fax +34 925 815 444, email
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1 JO Hill & EL Melanson (1999) Overview of the determinants of overweight and obesity: current evidence and research issues. Med Sci Sports Exerc 31, Suppl. 11, 515521.

2 A Marti , MJ Moreno-Aliaga , J Hebebrand & JA Martinez (2004) Genes, lifestyle and obesity. Int J Obes Relat Metab Disord 28, Suppl. 3, 2936.

3 BM Popkin & CM Doak (1998) The obesity epidemic is a worldwide phenomenon. Nutr Rev 56, 106114.

4 JM De Castro (2006) Heredity influences the dietary energy density of free-living humans. Physiol Behav 87, 192198.

5 SA French , M Store & RW Jeffery (2001) Environmental influences on eating and physical activity. Annu Rev Public Health 22, 309335.

6 JL Gutiérrez-Fisac , MA Royo-Bordonada & F Rodríguez-Artalejo (2006) Riesgos asociados a la dieta occidental y al sedentarismo: la epidemia de la obesidad. Gac Sanit 20, Suppl. 1, 4854.

7 JL Gutierrez-Fisac , JR Banegas , F Rodríguez-Artalejo & E Regidor (2000) Increasing prevalence of overweight and obesity among Spanish adults, 1987–1997. Int J Obes 24, 16771682.

8 AF Heini & RL Weinsier (1997) Divergent trends in obesity and fat intake patterns: the American paradox. Am J Med 102, 259264.

13 Y Ma , ER Bertone , EJ Stanek 3rd, GW Reed , JR Hebert , NL Cohen , PA Merriam & IS Ockene (2003) Association between eating patterns and obesity in a free-living US adult population. Am J Epidemiol 158, 8592.

14 SE Drummond , NE Crombie , MC Cursiter & TR Kirk (1998) Evidence that eating frequency is inversely related to body weight status in male, but not female, non-obese adults reporting valid dietary intakes. Int J Obes Relat Metab Disord 22, 105112.

16 A Sjoberg , L Hallberg , D Hoglund & L Hulthen (2003) Meal pattern, food choice, nutrient intake and lifestyle factors in the Göteborg Adolescence Study. Eur J Clin Nutr 57, 15691578.

17 S Cho , M Dietrich , CJ Brown , CA Clark & G Block (2003) The effect of breakfast type on daily energy intake and body mass index: results from the Third National Health and Nutrition Examination Survey (NHANES III). J Am Coll Nutr 22, 296302.

18 AM Kant & BI Graubard (2004) Eating out in America, 1987–2000: trends and nutritional correlates. Prev Med 38, 243249.

20 SA French , L Harnack & RW Jeffrey (2000) Fast food restaurant use among women in the Pound of Prevention study: dietary, behavioural and demographic correlates. Int J Obes Relat Metab Disord 24, 13531359.

21 N Diliberti , PL Bordi , MT Conklin , LS Roe & BJ Rolls (2003) Increasing portion size leads to increased energy intake in a restaurant meal. Obes Res 12, 562568.

22 WO Song , OK Chun , S Obayashi , S Cho & CE Chung (2005) Is consumption of breakfast associated with body mass index in US adults? J Am Diet Assoc 105, 13731382.

24 H Wyatt , G Grunwald , C Mosca , M Klem , R Wing & J Hill (2002) Long-term weight loss and breakfast in subjects in the national weight control registry. Obes Res 10, 7882.

27 CL Bish , HM Blanck , MK Serdula , M Marcus , HW Kohl 3rd & LK Khan (2005) Diet and physical activity behaviours among Americans trying to lose weight: 2000 Behavioural Risk Factor Surveillance System. Obes Res 13, 596607.

29 C Zizza , AM Siega-Riz & BM Popkin (2001) Significant increase in young adults' snacking between 1977–1978 and 1994–1996 represents a cause for concern! Prev Med 32, 303310.

31 JS Hampl , CL Heaton & CA Taylor (2003) Snacking patterns influence energy and nutrient intakes but not body mass index. J Hum Nutr Diet 16, 311.

33 SJ Nielsen , AM Siega-Riz & BM Popkin (2002) Trends in energy intake in U.S. between 1977 and 1996: similar shifts seen across age groups. Obes Res 10, 370378.

35 AM Prentice & SA Jebb (2003) Fast foods, energy density and obesity: a possible mechanistic link. Obes Rev 4, 187194.

36 MA Pereira , AI Kartashov , CB Ebbeling , L Van Horn , ML Slattery , DR Jacobs & DS Ludwing (2005) Fast-food habits, weight gain, and insulin resistance (The Cardia Study): 15-year prospective analysis. Lancet 365, 3642.

40 H Schroder (2007) Protective mechanisms of the Mediterranean diet in obesity and type 2 diabetes. J Nutr Biochem 18, 149160.

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British Journal of Nutrition
  • ISSN: 0007-1145
  • EISSN: 1475-2662
  • URL: /core/journals/british-journal-of-nutrition
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