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Food and drinking patterns as predictors of 6-year BMI-adjusted changes in waist circumference

  • Jytte Halkjær (a1) (a2) (a3), Thorkild IA Sørensen (a1), Anne Tjønneland (a4), Per Togo (a1) (a2), Claus Holst (a1) and Berit L Heitmann (a1) (a2)...
Abstract

Few studies have investigated the prospective associations between diet or drinking patterns and abdominal obesity; we therefore investigated whether food and beverage groups or patterns predicted 6-year changes in waist circumference (WC) and whether these associations were independent of concurrent changes in BMI as a measure of general obesity. The subjects were 2300 middle-aged men and women with repeated measurements of dietary intake, BMI and WC from 1982 to 1993. Intakes from ten food groups and from coffee, tea, wine, beer and spirits were assessed; gender-specific food factors were identified by factor analyses. Multiple linear regression analyses were done before and after adjustment for concurrent changes in BMI. A high intake of potatoes seemed to prevent gain in WC for men, while a high intake of refined bread was associated with gain in WC for women. The association persisted for refined bread, but not for potatoes, after adjustment for concurrent BMI changes. Among women, but not men, high intakes of beer and spirits were associated with gain in WC in both models. A high intake of coffee for women and moderate to high intake of tea for men were associated with gain in WC, but the associations were weakened, especially for women, after adjustment for BMI changes. None of the food factors was associated with WC changes. Based on the present study, we conclude that very few food items and no food patterns seem to predict changes in WC, whereas high intakes of beer and spirits among women, and moderate to high tea intake among men, may promote gain in WC.

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Corresponding author
*Corresponding author: Dr Jytte Halkjær, fax +45 33324240, email jh@ipm.hosp.dk
References
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Baecke JA, Burema J, Frijters JE, Hautvast JG & van der Wiel-Wetzels WA (1983) Obesity in young Dutch adults: II, Daily life-style and body mass index. Int J Obes 7, 1324.
Bigaard J, Tjønneland A, Thomsen BL, Overvad K, Heitmann BL & Sørensen TIA (2003) Waist circumference, BMI, smoking, and mortality in middle-aged men and women. Obes Res 11, 895903.
Bjorntorp P (1996) The regulation of adipose tissue distribution in humans. Int J Obes Relat Metab Disord 20, 291302.
Bracco D, Ferrarra JM, Arnaud MJ, Jequier E & Schutz Y (1995) Effects of caffeine on energy metabolism, heart rate, and methylxanthine metabolism in lean and obese women. Am J Physiol 269, E671E678.
Brand-Miller JC, Holt SH, Pawlak DB & McMillan J (2002) Glycemic index and obesity. Am J Clin Nutr 76, 281S285S.
Carey DGP, Nguyen TV, Campbell LV, Chrisholm DJ & Kelly P (1996) Genetic influences on central abdominal fat: a twin Study. Int J Obes Relat Metab Disord 20, 722726.
Chan D, Watts G, Barrett P & Burke V (2003) Waist circumference, waist-to-hip ratio and body mass index as predictors of adipose tissue compartments in men. Q J Med 96, 441447.
Chan JM, Rimm EB, Colditz GA, Stampfer MJ & Willett WC (1994) Obesity, fat distribution, and weight gain as risk factors for clinical diabetes in men. Diabetes Care 17, 961969.
Colditz GA, Willett WC, Stampfer MJ, London SJ, Segal MR & Speizer FE (1990) Patterns of weight change and their relation to diet in a cohort of healthy women. Am J Clin Nutr 51, 11001105.
Dallongeville J, Marecaux N, Ducimetiere P, Ferrieres J, Arveiler D, Bingham A, Ruidavets JB, Simon C & Amouyel P (1998) Influence of alcohol consumption and various beverages on waist girth and waist-to-hip ratio in a sample of French men and women. Int J Obes Relat Metab Disord 22, 11781183.
Delvaux K, Lysens R, Philippaerts R, Thomis M, Vanreusel B, Claessens AL, Vanden Eynde B, Beunen G, Lefevre J (1999) Associations between physical activity, nutritional practices and health-related anthropometry in Flemish males: a 5-year follow-up study. Int J Obes Relat Metab Disord 23, 12331241.
Dobbelsteyn CJ, Joffres MR, MacLean DR & Flowerdew G (2001) A comparative evaluation of waist circumference, waist-to-hip ratio and body mass index as indicators of cardiovascular risk factors. The Canadian Heart Health Surveys. Int J Obes Relat Metab Disord 25, 652661.
Dulloo AG, Geissler CA, Horton T, Collins A & Miller DS (1989) Normal caffeine consumption: influence on thermogenesis and daily energy expenditure in lean and postobese human volunteers. Am J Clin Nutr 49, 4450.
Duncan BB, Chambless LE, Schmidt MI, Folsom AR, Szklo M, Crouse JR III, Carpenter MA (1995) Association of the waist-to-hip ratio is different with wine than with beer or hard liquor consumption. Atherosclerosis Risk in Communities Study Investigators. Am J Epidemiol 142, 10341038.
Ebbeling CB & Ludwig DS (2001) Treating obesity in youth: should dietary glycemic load be a consideration?. Adv Pediatr 48, 179212.
Eck LH, Pascale RW, Klesges RC, Ray JA & Klesges LM (1995) Predictors of waist circumference change in healthy young adults. Int J Obes Relat Metab Disord 19, 765769.
Fung TT, Rimm EB, Spiegelman D, Rifai N, Tofler GH, Willett WC & Hu FB (2001) Association between dietary patterns and plasma biomarkers of obesity and cardiovascular disease risk. Am J Clin Nutr 73, 6167.
George V, Tremblay A, Despres JP, Leblanc C & Bouchard C (1990) Effect of dietary fat content on total and regional adiposity in men and women. Int J Obes 14, 10851094.
Greenwood DC, Cade JE, Draper A, Barrett JH, Calvert C & Greenhalgh A (2000) Seven unique food consumption patterns identified among women in the UK Women's Cohort Study. Eur J Clin Nutr 54, 314320.
Grinker JA, Tucker K, Vokonas PS & Rush D (1995) Body habitus changes among adult males from the normative aging study: relations to aging, smoking history and alcohol intake. Obes Res 3, 435446.
Han TS, Bijnen FC, Lean ME & Seidell JC (1998) Separate associations of waist and hip circumference with lifestyle factors. Int J Epidemiol 27, 422430.
Haveman-Nies A, Tucker KL, de Groot LC, Wilson PW, van Staveren WA (2001) Evaluation of dietary quality in relationship to nutritional and lifestyle factors in elderly people of the US Framingham Heart Study and the European SENECA study. Eur J Clin Nutr 55, 870880.
Heitmann BL & Lissner L (1995) Dietary underreporting by obese individuals – is it specific or nonspecific?. Br Med J 311, 986989.
Heitmann BL, Lissner L & Osler M (2000) Do we eat less fat, or just report so?. Int J Obes Relat Metab Disord 24, 435442.
Hu FB, Rimm EB, Stampfer MJ, Ascherio A, Spiegelman D & Willett WC (2000) Prospective study of major dietary patterns and risk of coronary heart disease in men. Am J Clin Nutr 72, 912921.
Jacobs DR Jr, Meyer KA, Kushi LH, Folsom AR (1998) Whole-grain intake may reduce the risk of ischemic heart disease death in postmenopausal women: the Iowa Women's Health Study. Am J Clin Nutr 68, 248257.
Jacobsen BK & Thelle DS (1987) The Tromso Heart Study: the relationship between food habits and the body mass index. J Chronic Dis 40, 795800.
Johansen D, Andersen PK, Overvad K, Jensen G, Schnohr P, Sørensen TIA, Grønbæk M (2003) Energy adjustment methods applied to alcohol analyses. Alcohol 31, 1117.
Kahn HS, Tatham LM, Rodriguez C, Calle EE, Thun MJ, Heath CW Jr (1997) Stable behaviors associated with adults' 10-year change in body mass index and likelihood of gain at the waist. Am J Public Health 87, 747754.
Kamycheva E, Joakimsen RM & Jorde R (2003) Intakes of calcium and vitamin D predict body mass index in the population of Northern Norway. J Nutr 133, 102106.
Kaye SA, Folsom AR, Prineas RJ, Potter JD & Gapstur M (1990) The association of body fat distribution with life style and reproductive factors in a population study of postmenopausal women. Int J Obes 14, 583591.
Koh-Banerjee P, Chu NF, Spiegelman D, Rosner B, Colditz G, Willett W & Rimm E (2003) Prospective study of the association of changes in dietary intake, physical activity, alcohol consumption, and smoking with 9-y gain in waist circumference among 16 587 US men. Am J Clin Nutr 78, 719727.
Kromhout D, Saris WH & Horst CH (1988) Energy intake, energy expenditure, and smoking in relation to body fatness: the Zutphen Study. Am J Clin Nutr 47, 668674.
Lakka HM, Lakka TA, Tuomilehto J & Salonen JT (2002) Abdominal obesity is associated with increased risk of acute coronary events in men. Eur Heart J 23, 706713.
Lapidus L, Bengtsson C, Hallstrom T & Bjorntorp P (1989) Obesity, adipose tissue distribution and health in women – results from a population study in Gothenburg, Sweden. Appetite 13, 2535.
Larson DE, Hunter GR, Williams MJ, Kekes-Szabo T, Nyikos I & Goran MI (1996) Dietary fat in relation to body fat and intraabdominal adipose tissue: a cross-sectional analysis. Am J Clin Nutr 64, 677684.
Laws A, Terry RB, Barrett-Connor E (1990) Behavioral covariates of waist-to-hip ratio in Rancho Bernardo. Am J Public Health 80, 13581362.
Lean ME, Han TS & Morrison CE (1995) Waist circumference as a measure for indicating need for weight management. Br Med J 311, 158161.
Lemieux S (1997) Genetic susceptibility to visceral obesity and related clinical implications. Int J Obes Relat Metab Disord 21, 831838.
Liebman M, Pelican S, Moore SA, Holmes B, Wardlaw MK, Melcher LM, Liddil AC, Paul LC, Dunnagan T & Haynes GW (2003) Dietary intake, eating behavior, and physical activity-related determinants of high body mass index in rural communities in Wyoming, Montana, and Idaho. Int J Obes Relat Metab Disord 27, 684692.
Lissner L, Bjorkelund C, Heitmann BL, Seidell JC & Bengtsson C (2001) Larger hip circumference independently predicts health and longevity in a Swedish female cohort. Obes Res 9, 644646.
Lissner L, Heitmann BL & Bengtsson C (2000) Population studies of diet and obesity. Br J Nutr 83, Suppl. 1, S21S24.
Ludwig DS (2000) Dietary glycemic index and obesity. J Nutr 130, 280S283S.
Ludwig DS, Pereira MA, Kroenke CH, Hilner JE, Van Horn L, Slattery ML, Jacobs DR Jr (1999) Dietary fiber, weight gain, and cardiovascular disease risk factors in young adults. J Am Med Assoc 282, 15391546.
McKeown NM, Meigs JB, Liu S, Wilson PW & Jacques PF (2002) Whole-grain intake is favorably associated with metabolic risk factors for type 2 diabetes and cardiovascular disease in the Framingham Offspring Study. Am J Clin Nutr 76, 390398.
Merkus MP, Mathus-Vliegen LMH, Broeckhoff C & Heijnen AMP (1995) Extreme obesity: sociodemographic, familial and behavioural correlates in the Nederlands. J Epidemiol Commun Health 49, 2227.
Meyer KA, Kushi LH, Jacobs DR Jr, Slavin J, Sellers TA, Folsom AR (2000) Carbohydrates, dietary fiber, and incident type 2 diabetes in older women. Am J Clin Nutr 71, 921930.
Morris KL & Zemel MB (1999) Glycemic index, cardiovascular disease, and obesity. Nutr Rev 57, 273276.
Nelson TL, Pedersen NL & Miles TP (1999) Genetic and environmental influences on waist-to-hip ratio in an older Swedish twin population. Int J Obes Relat Metab Disord 23, 449455.
Newby P, Muller D, Hallfrisch J, Qiao N, Andres R & Tucker K (2003) Dietary patterns and changes in body mass index and waist circumference in adults. Am J Clin Nutr 77, 14171425.
Osler M & Heitmann BL (1996) The validity of a short food frequency questionnaire and its ability to measure changes in food intake: a longitudinal study. Int J Epidemiol 25, 10231029.
Osler M, Heitmann BL, Gerdes LU, Jorgensen LM & Schroll M (2001) Dietary patterns and mortality in Danish men and women: a prospective observational study. Br J Nutr 85, 219225.
Osler M, Helms AA, Heitmann B, Hoidrup S, Gerdes U, Morch JL & Schroll M (2002) Food intake patterns and risk of coronary heart disease: a prospective cohort study examining the use of traditional scoring techniques. Eur J Clin Nutr 56, 568574.
Rexrode KM, Buring JE & Manson JE (2001) Abdominal and total adiposity and risk of coronary heart disease in men. Int J Obes Relat Metab Disord 25, 10471056.
Rexrode KM, Carey VJ, Hennekens CH, Walters EE, Colditz GA, Stampfer MJ, Willett WC & Manson JE (1998) Abdominal adiposity and coronary heart disease in women. J Assoc Med Assoc 280, 18431848.
Rosell MS, Hellenius ML, de Faire UH & Johansson GK (2003) Associations between diet and the metabolic syndrome vary with the validity of dietary intake data. Am J Clin Nutr 78, 8490.
Sakurai Y, Umeda T, Shinchi K, Honjo S, Wakabayashi K, Todoroki I, Nishikawa H, Ogawa S & Katsurada M (1997) Relation of total and beverage-specific alcohol intake to body mass index and waist-to-hip ratio: a study of self-defense officials in Japan. Eur J Epidemiol 13, 893898.
Singh RB, Rastogi V, Rastogi SS, Niaz MA & Beegom R (1996) Effect of diet and moderate exercise on central obesity and associated disturbances, myocardial infarction and mortality in patients with and without coronary artery disease. J Am Coll Nutr 15, 592601.
Slattery ML, McDonald A, Bild DE, Caan BJ, Hilner JE, Jacobs DR & Liu K (1992) Associations of body fat and its distribution with dietary intake, physical activity, alcohol, and smoking in blacks and whites. Am J Clin Nutr 55, 943949.
Stookey JD, Adair L, Stevens J & Popkin BM (2001) Patterns of long-term change in body composition are associated with diet, activity, income and urban residence among older adults in China. J Nutr 131, 2433S2440S.
Tavani A, Negri E, LaVecchia C (1994) Determinants of body mass index: a study from northern Italy. Int J Obes Relat Metab Disord 18, 497502.
Toeller M, Buyken AE, Heitkamp G, Cathelineau G, Ferriss B & Michel G, The EURODIAB IDDM Complications Study Group (2001) Nutrient intakes as predictors of body weight in European people with type 1 diabetes. Int J Obes Relat Metab Disord 25, 18151822.
Togo P, Heitmann BL, Sørensen TIA & Osler M (2003) Consistency of food intake factors by different dietary assessment methods and population groups. Br J Nutr 90, 667678.
Togo P, Osler M, Sørensen TIA & Heitmann BL (2004) A longitudinal study of food intake patterns and obesity in adult Danish men and women. Int J Obes Relat Metab Disord 28, 583593.
Trichopoulou A, Gnardellis C, Lagiou A, Benetou V, Naska A & Trichopoulos D (2001) Physical activity and energy intake selectively predict the waist-to-hip ratio in men but not in women. Am J Clin Nutr 74, 574578.
Troisi RJ, Heinold JW, Vokonas PS & Weiss ST (1991) Cigarette smoking, dietary intake, and physical activity: effects on body fat distribution - the Normative Aging Study. Am J Clin Nutr 53, 11041111.
Tucker KL, Dallal GE & Rush D (1992) Dietary patterns of elderly Boston-area residents defined by cluster analysis. J Am Diet Assoc 92, 14871491.
Vadstrup ES, Petersen L, Sørensen TIA & Gronbaek M (2003) Waist circumference in relation to history of amount and type of alcohol: results from the Copenhagen City Heart Study. Int J Obes Relat Metab Disord 27, 238246.
Van Lenthe FJ, van Mechelen W, Kemper HC & Post GB (1998) Behavioral variables and development of a central pattern of body fat from adolescence into adulthood in normal-weight whites: the Amsterdam Growth and Health Study. Am J Clin Nutr 67, 846852.
Van Pelt RE, Evans EM, Schechtman KB, Ehsani AA & Kohrt WM (2002) Contributions of total and regional fat mass to risk for cardiovascular disease in older women. Am J Physiol Endocrinol Metab 282, E1023E1028.
Walker SP, Rimm EB, Ascherio A, Kawachi I, Stampfer MJ & Willett WC (1996) Body size and fat distribution as predictors of stroke among US men. Am J Epidemiol 144, 11431150.
Wannamethee SG & Shaper AG (2003) Alcohol, body weight, and weight gain in middle-aged men. Am J Clin Nutr 77, 13121317.
Willett WC (1998) Nutritional Epidemiology 2nd ed Oxford: Oxford University Press Inc.
Williams DE, Prevost AT, Whichelow MJ, Cox BD, Day NE & Wareham NJ (2000) A cross-sectional study of dietary patterns with glucose intolerance and other features of the metabolic syndrome. Br J Nutr 83, 257266.
Williamson DF, Forman MR, Binkin NJ, Gentry EM, Remington PL & Trowbridge FL (1987) Alcohol and body weight in United States adults. Am J Public Health 77, 13241330.
Wirfalt AK & Jeffery RW (1997) Using cluster analysis to examine dietary patterns: nutrient intakes, gender, and weight status differ across food pattern clusters. J Am Diet Assoc 97, 272279.
Wirfalt E, Hedblad B, Gullberg B, Mattisson I, Andren C, Rosander U, Janzon L & Berglund G (2001) Food patterns and components of the metabolic syndrome in men and women: a cross-sectional study within the Malmo diet and cancer cohort. Am J Epidemiol 154, 11501159.
Yoshioka M, Doucet E, Drapeau V, Dionne I & Tremblay A (2001) Combined effects of red pepper and caffeine consumption on 24 h energy balance in subjects given free access to foods. Br J Nutr 85, 203211.
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