The association of education with body mass index and waist circumference in the EPIC-PANACEA study.

The association of education with body mass index and waist circumference in the EPIC-PANACEA study.
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史诗般的帕纳奇研究中,教育与体重指数和腰围的关联。

DOI:
10.1186/1471-2458-11-169
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发表时间:
2011-03-17
期刊:
影响因子:
4.5
通讯作者:
Peeters PH
Peeters PH
中科院分区:
医学2区
文献类型:
--
作者:
Hermann S;Rohrmann S;Linseisen J;May AM;Kunst A;Besson H;Romaguera D;Travier N;Tormo MJ;Molina E;Dorronsoro M;Barricarte A;Rodríguez L;Crowe FL;Khaw KT;Wareham NJ;van Boeckel PG;Bueno-de-Mesquita HB;Overvad K;Jakobsen MU;Tjønneland A;Halkjær J;Agnoli C;Mattiello A;Tumino R;Masala G;Vineis P;Naska A;Orfanos P;Trichopoulou A;Kaaks R;Bergmann MM;Steffen A;Van Guelpen B;Johansson I;Borgquist S;Manjer J;Braaten T;Fagherazzi G;Clavel-Chapelon F;Mouw T;Norat T;Riboli E;Rinaldi S;Slimani N;Peeters PH

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在欧洲癌症与营养前瞻性调查(EPIC)中检查教育程度与体重指数(BMI)和腰围(WC)的关联。这项研究包括141,230名男性和336,637名女性EPIC参与者,他们在1992年至2000年期间招募。教育,这是通过问卷调查进行评估,分为四类; BMI和WC,由训练有素的人员在大多数参与中心测量,作为连续的因变量建模。使用多水平混合效应线性回归模型估计相关性。与最低教育水平相比,所有三个高等教育类别的BMI和WC都显着降低,这在所有国家都是一致的。与教育水平最低的妇女相比,具有大学学位的妇女的BMI低2.1 kg/m2。对于男性,观察到统计学显著但不太明显的差异(1.3 kg/m2)。对妇女来说,腰围与教育水平之间的关联也更大:与最低教育水平相比,最高类别妇女的平均腰围低5.2厘米。男性的差异为2.9厘米。在这个欧洲队列中,较高的BMI和较高的WC与较低的教育水平之间存在负相关。旨在减少超重和肥胖的公共卫生计划应主要关注受教育程度较低的人群。
To examine the association of education with body mass index (BMI) and waist circumference (WC) in the European Prospective Investigation into Cancer and Nutrition (EPIC). This study included 141,230 male and 336,637 female EPIC-participants, who were recruited between 1992 and 2000. Education, which was assessed by questionnaire, was classified into four categories; BMI and WC, measured by trained personnel in most participating centers, were modeled as continuous dependent variables. Associations were estimated using multilevel mixed effects linear regression models. Compared with the lowest education level, BMI and WC were significantly lower for all three higher education categories, which was consistent for all countries. Women with university degree had a 2.1 kg/m2 lower BMI compared with women with lowest education level. For men, a statistically significant, but less pronounced difference was observed (1.3 kg/m2). The association between WC and education level was also of greater magnitude for women: compared with the lowest education level, average WC of women was lower by 5.2 cm for women in the highest category. For men the difference was 2.9 cm. In this European cohort, there is an inverse association between higher BMI as well as higher WC and lower education level. Public Health Programs that aim to reduce overweight and obesity should primarily focus on the lower educated population.
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