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; Noemie 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. Ramon Quiros; Antonio Agudo; Carlos Gonzalez; Maria-Jose Sanchez; 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, Noemie 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. Ramon Quiros, Antonio Agudo, Carlos Gonzalez, Maria-Jose SanchezPilar 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

Aarhus University Hospital

Research output: Contribution to journal › Journal article › Research › peer-review

43 Downloads (Orbit)

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
Journal	P L o S One
Volume	7
Issue number	11
Pages (from-to)	e50712
ISSN	1932-6203
DOIs	https://doi.org/10.1371/journal.pone.0050712
Publication status	Published - 2012
Externally published	Yes

Bibliographical note

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Access to Document

10.1371/journal.pone.0050712

JournalFinal published version, 199 KB

OpenUrl availability

Full text

Cite this

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., Ramon Quiros, J., 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. P L o S One, 7(11), e50712. https://doi.org/10.1371/journal.pone.0050712

@article{ce3b914560f54ca9844df320cf628081,

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.",

author = "May, {Anne M.} and Dora Romaguera and Noemie 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 {Ramon Quiros}, J. and Antonio Agudo and Carlos Gonzalez and Maria-Jose Sanchez 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.}",

note = "This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. ",

year = "2012",

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

language = "English",

volume = "7",

pages = "e50712",

journal = "P L o S One",

issn = "1932-6203",

publisher = "Public Library of Science",

number = "11",

}

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, Ramon Quiros, J, Agudo, A, Gonzalez, C, Sanchez, 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', P L o S 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, Noemie

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 - Ramon Quiros, J.

AU - Agudo, Antonio

AU - Gonzalez, Carlos

AU - Sanchez, Maria-Jose

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.

N1 - This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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.

U2 - 10.1371/journal.pone.0050712

DO - 10.1371/journal.pone.0050712

M3 - Journal article

SN - 1932-6203

VL - 7

SP - e50712

JO - P L o S One

JF - P L o S 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

Bibliographical note

Access to Document

OpenUrl availability

Fingerprint

Cite this