The association of lifetime alcohol use with measures of abdominal and general adiposity in a large-scale European cohort

被引:31
作者
Bergmann, M. M. [1 ]
Schuetze, M. [1 ]
Steffen, A. [1 ]
Boeing, H. [1 ]
Halkjaer, J. [2 ]
Tjonneland, A. [2 ]
Travier, N. [3 ]
Agudo, A. [3 ]
Slimani, N. [4 ]
Rinaldi, S. [4 ]
Norat, T. [5 ]
Romaguera, D. [5 ]
Rohrmann, S. [6 ]
Kaaks, R. [6 ]
Jakobsen, M. U. [7 ]
Overvad, K. [7 ,8 ]
Ekelund, U. [9 ]
Spencer, E. A. [10 ]
Rodriguez, L. [11 ]
Sanchez, M. J. [12 ,13 ]
Dorronsoro, M. [14 ]
Barricarte, A. [15 ]
Chirlaque, M-D [16 ]
Orfanos, P. [17 ,18 ]
Naska, A. [17 ,18 ]
Trichopoulou, A. [17 ,18 ]
Palli, D. [19 ]
Grioni, S. [20 ]
Vineis, P. [5 ,21 ]
Panico, S. [22 ]
Tumino, R. [23 ,24 ]
Riboli, E. [5 ]
Wareham, N. J. [9 ]
Bueno-de-Mesquita, B. [25 ]
May, A. [25 ,26 ]
Peeters, P. H. M. [5 ,26 ]
机构
[1] German Inst Human Nutr Potsdam Rehbrucke, Dept Epidemiol, D-14558 Nuthetal, Germany
[2] Danish Canc Soc, Inst Canc Epidemiol, Dept Diet Canc & Hlth, Copenhagen, Denmark
[3] IDIBELL, Catalan Inst Oncol, Unit Nutr Environm & Canc, Barcelona, Spain
[4] WHO, IARC, Dietary Exposure Assessment Grp, Lyon, France
[5] Univ London Imperial Coll Sci Technol & Med, Dept Epidemiol & Publ Hlth, London SW7 2AZ, England
[6] German Canc Res Ctr, Div Canc Epidemiol, D-6900 Heidelberg, Germany
[7] Aarhus Univ Hosp, Dept Clin Epidemiol, Aalborg, Denmark
[8] Aarhus Univ Hosp, Aalborg Hosp, Dept Cardiol, Aalborg, Denmark
[9] MRC, Epidemiol Unit, Cambridge, England
[10] Univ Oxford, Nuffield Dept Clin Med, Canc Epidemiol Unit, Oxford, England
[11] Hlth & Hlth Care Serv Council, Publ Hlth & Participat Directorate, Asturias, Spain
[12] CIBERESP, Granada, Spain
[13] Andalusian Sch Publ Hlth, Granada Canc Registry, Granada, Spain
[14] Publ Hlth Dept Gipuzkoa, San Sebastian, Spain
[15] Publ Hlth Inst Navarra, Serv Epidemiol Prevent & Hlth Promot, Pamplona, Spain
[16] Murcia Reg Hlth Author, Dept Epidemiol, Murcia, Spain
[17] Univ Athens, Sch Med, Dept Hyg & Epidemiol, GR-10679 Athens, Greece
[18] Hellen Hlth Fdn, Athens, Greece
[19] CSPO Sci Inst Tuscany, Mol & Nutr Epidemiol Unit, Florence, Italy
[20] Natl Canc Inst, Nutr Epidemiol Unit, I-20133 Milan, Italy
[21] Inst Sci Interchange Fdn, Dept Epidemiol & Life Sci, Turin, Italy
[22] Univ Naples Federico II, Dipartimento Med Clin & Sperimentale, Naples, Italy
[23] Civile MP Arezzo Hosp, Histopathol Unit, Ragusa, Italy
[24] Civile MP Arezzo Hosp, Canc Registry, Ragusa, Italy
[25] Natl Inst Publ Hlth & Environm RIVM, Ctr Nutr & Hlth, Bilthoven, Netherlands
[26] Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Utrecht, Netherlands
基金
英国惠康基金; 英国医学研究理事会;
关键词
alcohol; waist circumference; waist-to-hip ratio; BMI; multi-centric cohort study; TO-HIP RATIO; BODY-FAT DISTRIBUTION; PHYSICAL-ACTIVITY; DIETARY-INTAKE; WAIST CIRCUMFERENCE; RISK-FACTOR; CONSUMPTION; SMOKING; ANDROGENS; CANCER;
D O I
10.1038/ejcn.2011.70
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 [营养与食品卫生学];
摘要
Background/Objectives: The relation between lifetime use of alcohol and measures of abdominal and general adiposity is unknown. Subjects/Methods: Among 99 381 men and 158 796 women of the European Prospective Investigation into Cancer and Nutrition (EPIC) study, means of waist circumference (WC), waist-to-hip-ratio (WHR) and body mass index (BMI), and odds ratios (OR) for a larger WC than predicted for a given BMI (WClp = positive residuals of gender specific linear regression of BMI on WC) across categories of average lifetime use of alcohol (total, from wine and from beer) were calculated, all adjusted for socio-demographic, lifestyle and health factors. Results: WC, WHR and BMI in men using lifetime <= 6 g/d alcohol were 95.1 cm, 0.942 and 27.3 kg/m(2), and 96.2 cm, 0.961 and 28.3 kg/m(2) when using 496 g/d. WC and WHR in women was 83.2 cm and 0.813 for <= 6 g/d, and 84.6 cm and 0.830 for 460 g/d, whereas BMI deviated only slightly with the lowest BMI (26.7 kg/m(2)) observed for 46-24 g/d. Compared with <= 6 g/d, OR for a WClp in both genders increased steadily across categories of alcohol use (up to 1.40 (95% confidence interval 1.32, 1.49) in men using >60 g/d and 1.63 (1.54, 1.73) in women using >24 g/d), though increase was higher for alcohol from beer than from wine (P for difference between beer and wine <0.001 (men) and = 0.002 (women)). Conclusion: Lifetime alcohol use is positively related to abdominal and general adiposity in men, possibly following the male weight gain pattern; in women, it is positively related only to abdominal adiposity. In this context, beer may contribute additionally to abdominal adiposity. European Journal of Clinical Nutrition (2011) 65, 1079-1087; doi: 10.1038/ejcn.2011.70; published online 11 May 2011
引用
收藏
页码:1079 / 1087
页数:9
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