Predictors of increased body weight and waist circumference for middle-aged adults
Predictors of increased body weight and waist circumference for middle-aged adults
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DOI：
10.1017/s1368980013001031
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发表时间：
2014-05-01
影响因子：
3.2
通讯作者：
Giles, Graham G.
中科院分区：
文献类型：
--
作者：
MacInnis, Robert J.;Hodge, Allison M.;Giles, Graham G.
目的通过不同的肥胖测量方法确定肥胖增加的预测因子。设计前瞻性队列研究，墨尔本协作队列研究（MCCS），基线数据（1990-1994年）和第二波（2003-2007）.设置从社区招募的参与者.对象澳大利亚出生的参与者（n 5879）年龄40 - 69岁，目前不吸烟，招募时无常见慢性病。在基线和第2波，体重和腰围进行了测量，而人口统计学和生活方式变量在基线通过结构化interviews.ResultsParticipants谁报告任何娱乐性的身体活动在基线有较低的体重和较小的腰围在第2波比那些谁没有，特别是年轻的参与者和剧烈的体力活动。休闲散步没有相关性，工作时更多的体力活动与波2时更大的肥胖测量相关。低碳水化合物和纤维，但高脂肪和蛋白质的饮食，预示着在第二波时体重和腰围会更大。参与者不太可能有升高的体重或腰围在波2.ConclusionsOur研究结果表明，促进剧烈的体育活动，鼓励高碳水化合物和纤维，但低脂肪和蛋白质的饮食，并限制酒精的摄入量可能是有前途的方法，预防中年人肥胖。类似的干预措施应该成功地解决体重和腰围的管理，因为它们是由类似的因素预测的。
ObjectiveTo identify predictors of increased adiposity for different measures of adiposity.DesignProspective cohort study, the Melbourne Collaborative Cohort Study (MCCS), with data at baseline (1990-1994) and wave 2 (2003-2007).SettingParticipants recruited from the community.SubjectsAustralian-born participants (n 5879) aged 40 to 69 years who were not current smokers and who were free from common chronic diseases at recruitment. At baseline and at wave 2, weight and waist circumference were measured; while demographic and lifestyle variables were obtained at baseline via structured interviews.ResultsParticipants who reported any recreational physical activity at baseline had lower weight and smaller waist circumference at wave 2 than those who did not, particularly for younger participants and for vigorous physical activity. Walking for leisure was not associated, and greater physical activity at work was associated, with greater adiposity measures at wave 2. A diet low in carbohydrates and fibre, but high in fat and protein, predicted greater weight and waist circumference at wave 2. Participants were less likely to have elevated weight or waist circumference at wave 2 if they consumed low to moderate amounts of alcohol.ConclusionsOur findings indicate that promoting vigorous physical activity, encouraging a diet high in carbohydrate and fibre but low in fat and protein, and limiting alcohol intake could be promising approaches for preventing obesity in middle-aged adults. Similar interventions should successfully address the management of both weight and waist circumference, as they were predicted by similar factors.