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Contributors to the obesity and hyperglycemia epidemics. A prospective study in a population-based cohort
Objective: Relatively unexplored contributors to the obesity and diabetes epidemics may include sleep restriction, increased house temperature (HT), television watching (TW), consumption of restaurant meals (RMs), use of air conditioning (AC) and use of antidepressant/antipsychotic drugs (ADs). Desi...
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Published in: | International Journal of Obesity 2011-11, Vol.35 (11), p.1442-1449 |
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container_end_page | 1449 |
container_issue | 11 |
container_start_page | 1442 |
container_title | International Journal of Obesity |
container_volume | 35 |
creator | Bo, S Ciccone, G Durazzo, M Ghinamo, L Villois, P Canil, S Gambino, R Cassader, M Gentile, L Cavallo-Perin, P |
description | Objective:
Relatively unexplored contributors to the obesity and diabetes epidemics may include sleep restriction, increased house temperature (HT), television watching (TW), consumption of restaurant meals (RMs), use of air conditioning (AC) and use of antidepressant/antipsychotic drugs (ADs).
Design and Subjects:
In a population-based cohort (
n
=1597), we investigated the possible association among these conditions, and obesity or hyperglycemia incidence at 6-year follow-up. Subjects with obesity (
n
=315) or hyperglycemia (
n
=618) at baseline were excluded, respectively, 1282 and 979 individuals were therefore analyzed.
Results:
At follow-up, 103/1282 became obese; these subjects showed significantly higher body mass index, waist circumference, saturated fat intake, RM frequency, TW hours, HT, AC and AD use, and lower fiber intake, metabolic equivalent of activity in h per week (METS) and sleep hours at baseline. In a multiple logistic regression model, METS (odds ratio=0.94; 95% confidence interval (CI) 0.91–0.98), RMs (odds ratio=1.47 per meal per week; 1.21–1.79), being in the third tertile of HT (odds ratio=2.06; 1.02–4.16) and hours of sleep (odds ratio=0.70 per h; 0.57–0.86) were associated with incident obesity. Subjects who developed hyperglycemia (
n
=174/979; 17.8%) had higher saturated fat intake, RM frequency, TW hours, HT, AC and AD use at baseline and lower METS and fiber intake. In a multiple logistic regression model, fiber intake (odds ratio=0.97 for each g per day; 0.95–0.99), RM (1.49 per meal per week; 1.26–1.75) and being in the third tertile of HT (odds ratio=1.95; 1.17–3.26) were independently associated with incident hyperglycemia.
Conclusions:
Lifestyle contributors to the obesity and hyperglycemia epidemics may be regular consumption of RM, sleep restriction and higher HT, suggesting potential adjunctive non-pharmacological preventive strategies for the obesity and hyperglycemia epidemics. |
doi_str_mv | 10.1038/ijo.2011.5 |
format | article |
fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_904225317</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A273528804</galeid><sourcerecordid>A273528804</sourcerecordid><originalsourceid>FETCH-LOGICAL-c569t-f32a5533673938314035d9327c477389b17fb73757a0c48da7ec378bc1155ff3</originalsourceid><addsrcrecordid>eNp90luL1DAUAOAiijuuvvgDJCheUFpzbZLHYfAGC77se0nTdJqhk9QkFfrvTZ1x1xVZ8tDQfjk55_QUxXMEKwSJ-GgPvsIQoYo9KDaI8rpkVPKHxQYSyEvIanZRPInxACFkDOLHxQVGWDBJ0aawO-9SsO2cfIggeZAGA3xrok0LUK4DwzKZsB8XbY5WATPZLm90rMAWTMHHyehkfxoQ09wtwDqgwOSneVTJele2KpoOaD_4kJ4Wj3o1RvPs_Lwsrj9_ut59La--f_m2216VmtUylT3BijFCak4kEQRRSFgnCeaack6EbBHvW0444wpqKjrFjSZctBohxvqeXBZvT2Fzdj9mE1NztFGbcVTO-Dk2ElKMGUE8y3f3ytxbKhCTss705T_04Ofgchk5Xk4Kwlpm9OqE9mo0jXW9T0HpNWazxZwwLASkWVX_UXn97qt3prf5_Z0Db_46MBg1piH6cV4bHO_C9yeo83-JwfTNFOxRhSVXshYjmjwozTooDcv4xbmiuT2a7ob-mYwMXp-BilqNfVBO23jrKCeU1qv7cHIxf3J7E25bc9-1TqU5mJtwmayCkV90oNsu</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>903890069</pqid></control><display><type>article</type><title>Contributors to the obesity and hyperglycemia epidemics. A prospective study in a population-based cohort</title><source>Nature</source><creator>Bo, S ; Ciccone, G ; Durazzo, M ; Ghinamo, L ; Villois, P ; Canil, S ; Gambino, R ; Cassader, M ; Gentile, L ; Cavallo-Perin, P</creator><creatorcontrib>Bo, S ; Ciccone, G ; Durazzo, M ; Ghinamo, L ; Villois, P ; Canil, S ; Gambino, R ; Cassader, M ; Gentile, L ; Cavallo-Perin, P</creatorcontrib><description>Objective:
Relatively unexplored contributors to the obesity and diabetes epidemics may include sleep restriction, increased house temperature (HT), television watching (TW), consumption of restaurant meals (RMs), use of air conditioning (AC) and use of antidepressant/antipsychotic drugs (ADs).
Design and Subjects:
In a population-based cohort (
n
=1597), we investigated the possible association among these conditions, and obesity or hyperglycemia incidence at 6-year follow-up. Subjects with obesity (
n
=315) or hyperglycemia (
n
=618) at baseline were excluded, respectively, 1282 and 979 individuals were therefore analyzed.
Results:
At follow-up, 103/1282 became obese; these subjects showed significantly higher body mass index, waist circumference, saturated fat intake, RM frequency, TW hours, HT, AC and AD use, and lower fiber intake, metabolic equivalent of activity in h per week (METS) and sleep hours at baseline. In a multiple logistic regression model, METS (odds ratio=0.94; 95% confidence interval (CI) 0.91–0.98), RMs (odds ratio=1.47 per meal per week; 1.21–1.79), being in the third tertile of HT (odds ratio=2.06; 1.02–4.16) and hours of sleep (odds ratio=0.70 per h; 0.57–0.86) were associated with incident obesity. Subjects who developed hyperglycemia (
n
=174/979; 17.8%) had higher saturated fat intake, RM frequency, TW hours, HT, AC and AD use at baseline and lower METS and fiber intake. In a multiple logistic regression model, fiber intake (odds ratio=0.97 for each g per day; 0.95–0.99), RM (1.49 per meal per week; 1.26–1.75) and being in the third tertile of HT (odds ratio=1.95; 1.17–3.26) were independently associated with incident hyperglycemia.
Conclusions:
Lifestyle contributors to the obesity and hyperglycemia epidemics may be regular consumption of RM, sleep restriction and higher HT, suggesting potential adjunctive non-pharmacological preventive strategies for the obesity and hyperglycemia epidemics.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/ijo.2011.5</identifier><identifier>PMID: 21285941</identifier><identifier>CODEN: IJOBDP</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/499 ; 692/699/2743/137 ; 692/699/2743/393 ; 692/700/478/174 ; Biological and medical sciences ; Body Mass Index ; Care and treatment ; Cohort Studies ; Diabetes ; Diagnosis ; Epidemics ; Epidemiology ; Feeding Behavior ; Female ; Follow-Up Studies ; General aspects ; Health Promotion and Disease Prevention ; Humans ; Hyperglycemia ; Hyperglycemia - epidemiology ; Hyperglycemia - etiology ; Hyperglycemia - physiopathology ; Internal Medicine ; Italy - epidemiology ; Life Style ; Logistic Models ; Male ; Meals ; Medical sciences ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Middle Aged ; Miscellaneous ; Obesity ; Obesity - epidemiology ; Obesity - etiology ; Obesity - physiopathology ; Odds Ratio ; original-article ; Prospective Studies ; Psychotropic drugs ; Public Health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Restaurants ; Risk Factors ; Sleep ; Sleep Deprivation - complications ; Sleep Deprivation - epidemiology ; Sleep Deprivation - physiopathology ; Surveys and Questionnaires ; Television ; Television - statistics & numerical data ; Temperature</subject><ispartof>International Journal of Obesity, 2011-11, Vol.35 (11), p.1442-1449</ispartof><rights>Macmillan Publishers Limited 2011</rights><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2011 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Nov 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c569t-f32a5533673938314035d9327c477389b17fb73757a0c48da7ec378bc1155ff3</citedby><cites>FETCH-LOGICAL-c569t-f32a5533673938314035d9327c477389b17fb73757a0c48da7ec378bc1155ff3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2727,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24734461$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21285941$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bo, S</creatorcontrib><creatorcontrib>Ciccone, G</creatorcontrib><creatorcontrib>Durazzo, M</creatorcontrib><creatorcontrib>Ghinamo, L</creatorcontrib><creatorcontrib>Villois, P</creatorcontrib><creatorcontrib>Canil, S</creatorcontrib><creatorcontrib>Gambino, R</creatorcontrib><creatorcontrib>Cassader, M</creatorcontrib><creatorcontrib>Gentile, L</creatorcontrib><creatorcontrib>Cavallo-Perin, P</creatorcontrib><title>Contributors to the obesity and hyperglycemia epidemics. A prospective study in a population-based cohort</title><title>International Journal of Obesity</title><addtitle>Int J Obes</addtitle><addtitle>Int J Obes (Lond)</addtitle><description>Objective:
Relatively unexplored contributors to the obesity and diabetes epidemics may include sleep restriction, increased house temperature (HT), television watching (TW), consumption of restaurant meals (RMs), use of air conditioning (AC) and use of antidepressant/antipsychotic drugs (ADs).
Design and Subjects:
In a population-based cohort (
n
=1597), we investigated the possible association among these conditions, and obesity or hyperglycemia incidence at 6-year follow-up. Subjects with obesity (
n
=315) or hyperglycemia (
n
=618) at baseline were excluded, respectively, 1282 and 979 individuals were therefore analyzed.
Results:
At follow-up, 103/1282 became obese; these subjects showed significantly higher body mass index, waist circumference, saturated fat intake, RM frequency, TW hours, HT, AC and AD use, and lower fiber intake, metabolic equivalent of activity in h per week (METS) and sleep hours at baseline. In a multiple logistic regression model, METS (odds ratio=0.94; 95% confidence interval (CI) 0.91–0.98), RMs (odds ratio=1.47 per meal per week; 1.21–1.79), being in the third tertile of HT (odds ratio=2.06; 1.02–4.16) and hours of sleep (odds ratio=0.70 per h; 0.57–0.86) were associated with incident obesity. Subjects who developed hyperglycemia (
n
=174/979; 17.8%) had higher saturated fat intake, RM frequency, TW hours, HT, AC and AD use at baseline and lower METS and fiber intake. In a multiple logistic regression model, fiber intake (odds ratio=0.97 for each g per day; 0.95–0.99), RM (1.49 per meal per week; 1.26–1.75) and being in the third tertile of HT (odds ratio=1.95; 1.17–3.26) were independently associated with incident hyperglycemia.
Conclusions:
Lifestyle contributors to the obesity and hyperglycemia epidemics may be regular consumption of RM, sleep restriction and higher HT, suggesting potential adjunctive non-pharmacological preventive strategies for the obesity and hyperglycemia epidemics.</description><subject>692/499</subject><subject>692/699/2743/137</subject><subject>692/699/2743/393</subject><subject>692/700/478/174</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Care and treatment</subject><subject>Cohort Studies</subject><subject>Diabetes</subject><subject>Diagnosis</subject><subject>Epidemics</subject><subject>Epidemiology</subject><subject>Feeding Behavior</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>General aspects</subject><subject>Health Promotion and Disease Prevention</subject><subject>Humans</subject><subject>Hyperglycemia</subject><subject>Hyperglycemia - epidemiology</subject><subject>Hyperglycemia - etiology</subject><subject>Hyperglycemia - physiopathology</subject><subject>Internal Medicine</subject><subject>Italy - epidemiology</subject><subject>Life Style</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Meals</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Obesity - etiology</subject><subject>Obesity - physiopathology</subject><subject>Odds Ratio</subject><subject>original-article</subject><subject>Prospective Studies</subject><subject>Psychotropic drugs</subject><subject>Public Health</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Restaurants</subject><subject>Risk Factors</subject><subject>Sleep</subject><subject>Sleep Deprivation - complications</subject><subject>Sleep Deprivation - epidemiology</subject><subject>Sleep Deprivation - physiopathology</subject><subject>Surveys and Questionnaires</subject><subject>Television</subject><subject>Television - statistics & numerical data</subject><subject>Temperature</subject><issn>0307-0565</issn><issn>1476-5497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNp90luL1DAUAOAiijuuvvgDJCheUFpzbZLHYfAGC77se0nTdJqhk9QkFfrvTZ1x1xVZ8tDQfjk55_QUxXMEKwSJ-GgPvsIQoYo9KDaI8rpkVPKHxQYSyEvIanZRPInxACFkDOLHxQVGWDBJ0aawO-9SsO2cfIggeZAGA3xrok0LUK4DwzKZsB8XbY5WATPZLm90rMAWTMHHyehkfxoQ09wtwDqgwOSneVTJele2KpoOaD_4kJ4Wj3o1RvPs_Lwsrj9_ut59La--f_m2216VmtUylT3BijFCak4kEQRRSFgnCeaack6EbBHvW0444wpqKjrFjSZctBohxvqeXBZvT2Fzdj9mE1NztFGbcVTO-Dk2ElKMGUE8y3f3ytxbKhCTss705T_04Ofgchk5Xk4Kwlpm9OqE9mo0jXW9T0HpNWazxZwwLASkWVX_UXn97qt3prf5_Z0Db_46MBg1piH6cV4bHO_C9yeo83-JwfTNFOxRhSVXshYjmjwozTooDcv4xbmiuT2a7ob-mYwMXp-BilqNfVBO23jrKCeU1qv7cHIxf3J7E25bc9-1TqU5mJtwmayCkV90oNsu</recordid><startdate>20111101</startdate><enddate>20111101</enddate><creator>Bo, S</creator><creator>Ciccone, G</creator><creator>Durazzo, M</creator><creator>Ghinamo, L</creator><creator>Villois, P</creator><creator>Canil, S</creator><creator>Gambino, R</creator><creator>Cassader, M</creator><creator>Gentile, L</creator><creator>Cavallo-Perin, P</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7TK</scope><scope>7TS</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20111101</creationdate><title>Contributors to the obesity and hyperglycemia epidemics. A prospective study in a population-based cohort</title><author>Bo, S ; Ciccone, G ; Durazzo, M ; Ghinamo, L ; Villois, P ; Canil, S ; Gambino, R ; Cassader, M ; Gentile, L ; Cavallo-Perin, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c569t-f32a5533673938314035d9327c477389b17fb73757a0c48da7ec378bc1155ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>692/499</topic><topic>692/699/2743/137</topic><topic>692/699/2743/393</topic><topic>692/700/478/174</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Care and treatment</topic><topic>Cohort Studies</topic><topic>Diabetes</topic><topic>Diagnosis</topic><topic>Epidemics</topic><topic>Epidemiology</topic><topic>Feeding Behavior</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>General aspects</topic><topic>Health Promotion and Disease Prevention</topic><topic>Humans</topic><topic>Hyperglycemia</topic><topic>Hyperglycemia - epidemiology</topic><topic>Hyperglycemia - etiology</topic><topic>Hyperglycemia - physiopathology</topic><topic>Internal Medicine</topic><topic>Italy - epidemiology</topic><topic>Life Style</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Meals</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Obesity</topic><topic>Obesity - epidemiology</topic><topic>Obesity - etiology</topic><topic>Obesity - physiopathology</topic><topic>Odds Ratio</topic><topic>original-article</topic><topic>Prospective Studies</topic><topic>Psychotropic drugs</topic><topic>Public Health</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Restaurants</topic><topic>Risk Factors</topic><topic>Sleep</topic><topic>Sleep Deprivation - complications</topic><topic>Sleep Deprivation - epidemiology</topic><topic>Sleep Deprivation - physiopathology</topic><topic>Surveys and Questionnaires</topic><topic>Television</topic><topic>Television - statistics & numerical data</topic><topic>Temperature</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bo, S</creatorcontrib><creatorcontrib>Ciccone, G</creatorcontrib><creatorcontrib>Durazzo, M</creatorcontrib><creatorcontrib>Ghinamo, L</creatorcontrib><creatorcontrib>Villois, P</creatorcontrib><creatorcontrib>Canil, S</creatorcontrib><creatorcontrib>Gambino, R</creatorcontrib><creatorcontrib>Cassader, M</creatorcontrib><creatorcontrib>Gentile, L</creatorcontrib><creatorcontrib>Cavallo-Perin, P</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agriculture Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>International Journal of Obesity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bo, S</au><au>Ciccone, G</au><au>Durazzo, M</au><au>Ghinamo, L</au><au>Villois, P</au><au>Canil, S</au><au>Gambino, R</au><au>Cassader, M</au><au>Gentile, L</au><au>Cavallo-Perin, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Contributors to the obesity and hyperglycemia epidemics. A prospective study in a population-based cohort</atitle><jtitle>International Journal of Obesity</jtitle><stitle>Int J Obes</stitle><addtitle>Int J Obes (Lond)</addtitle><date>2011-11-01</date><risdate>2011</risdate><volume>35</volume><issue>11</issue><spage>1442</spage><epage>1449</epage><pages>1442-1449</pages><issn>0307-0565</issn><eissn>1476-5497</eissn><coden>IJOBDP</coden><abstract>Objective:
Relatively unexplored contributors to the obesity and diabetes epidemics may include sleep restriction, increased house temperature (HT), television watching (TW), consumption of restaurant meals (RMs), use of air conditioning (AC) and use of antidepressant/antipsychotic drugs (ADs).
Design and Subjects:
In a population-based cohort (
n
=1597), we investigated the possible association among these conditions, and obesity or hyperglycemia incidence at 6-year follow-up. Subjects with obesity (
n
=315) or hyperglycemia (
n
=618) at baseline were excluded, respectively, 1282 and 979 individuals were therefore analyzed.
Results:
At follow-up, 103/1282 became obese; these subjects showed significantly higher body mass index, waist circumference, saturated fat intake, RM frequency, TW hours, HT, AC and AD use, and lower fiber intake, metabolic equivalent of activity in h per week (METS) and sleep hours at baseline. In a multiple logistic regression model, METS (odds ratio=0.94; 95% confidence interval (CI) 0.91–0.98), RMs (odds ratio=1.47 per meal per week; 1.21–1.79), being in the third tertile of HT (odds ratio=2.06; 1.02–4.16) and hours of sleep (odds ratio=0.70 per h; 0.57–0.86) were associated with incident obesity. Subjects who developed hyperglycemia (
n
=174/979; 17.8%) had higher saturated fat intake, RM frequency, TW hours, HT, AC and AD use at baseline and lower METS and fiber intake. In a multiple logistic regression model, fiber intake (odds ratio=0.97 for each g per day; 0.95–0.99), RM (1.49 per meal per week; 1.26–1.75) and being in the third tertile of HT (odds ratio=1.95; 1.17–3.26) were independently associated with incident hyperglycemia.
Conclusions:
Lifestyle contributors to the obesity and hyperglycemia epidemics may be regular consumption of RM, sleep restriction and higher HT, suggesting potential adjunctive non-pharmacological preventive strategies for the obesity and hyperglycemia epidemics.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>21285941</pmid><doi>10.1038/ijo.2011.5</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0307-0565 |
ispartof | International Journal of Obesity, 2011-11, Vol.35 (11), p.1442-1449 |
issn | 0307-0565 1476-5497 |
language | eng |
recordid | cdi_proquest_miscellaneous_904225317 |
source | Nature |
subjects | 692/499 692/699/2743/137 692/699/2743/393 692/700/478/174 Biological and medical sciences Body Mass Index Care and treatment Cohort Studies Diabetes Diagnosis Epidemics Epidemiology Feeding Behavior Female Follow-Up Studies General aspects Health Promotion and Disease Prevention Humans Hyperglycemia Hyperglycemia - epidemiology Hyperglycemia - etiology Hyperglycemia - physiopathology Internal Medicine Italy - epidemiology Life Style Logistic Models Male Meals Medical sciences Medicine Medicine & Public Health Metabolic Diseases Middle Aged Miscellaneous Obesity Obesity - epidemiology Obesity - etiology Obesity - physiopathology Odds Ratio original-article Prospective Studies Psychotropic drugs Public Health Public health. Hygiene Public health. Hygiene-occupational medicine Restaurants Risk Factors Sleep Sleep Deprivation - complications Sleep Deprivation - epidemiology Sleep Deprivation - physiopathology Surveys and Questionnaires Television Television - statistics & numerical data Temperature |
title | Contributors to the obesity and hyperglycemia epidemics. A prospective study in a population-based cohort |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T16%3A27%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Contributors%20to%20the%20obesity%20and%20hyperglycemia%20epidemics.%20A%20prospective%20study%20in%20a%20population-based%20cohort&rft.jtitle=International%20Journal%20of%20Obesity&rft.au=Bo,%20S&rft.date=2011-11-01&rft.volume=35&rft.issue=11&rft.spage=1442&rft.epage=1449&rft.pages=1442-1449&rft.issn=0307-0565&rft.eissn=1476-5497&rft.coden=IJOBDP&rft_id=info:doi/10.1038/ijo.2011.5&rft_dat=%3Cgale_proqu%3EA273528804%3C/gale_proqu%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c569t-f32a5533673938314035d9327c477389b17fb73757a0c48da7ec378bc1155ff3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=903890069&rft_id=info:pmid/21285941&rft_galeid=A273528804&rfr_iscdi=true |