Can lifestyle factors explain why body mass index and waist-to-hip ratio increase with increasing tobacco consumption? The Inter99 study
Can lifestyle factors explain why body mass index and waist-to-hip ratio increase with increasing tobacco consumption? The Inter99 study
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DOI：
10.1016/j.puhe.2008.10.021
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发表时间：
2009-02-01
期刊：
影响因子：
5.2
通讯作者：
Jorgensen, T.
中科院分区：
文献类型：
--
作者：
Pisinger, C.;Toft, U.;Jorgensen, T.
背景资料：吸烟，生活方式，体重，体重指数（BMI）和腰臀比（WH比）之间的关系是复杂的，并没有完全understood.Methods：在总的，6784例（2408日吸烟者）被纳入一项基于人群的研究（Inter99研究）在丹麦。测量体重、身高、腰围和臀围。结果：每日吸烟者的BMI显著低于从不吸烟者（P <0.001），WH显著高于从不吸烟者（P < 0.001）。不健康的生活方式随着烟草消费的增加而增加（所有变量P < 0.001）。BMI和WH比值均随烟草消费量的增加而增加。WH比率的增加和烟草消费的增加之间的关联在很大程度上是由社会人口因素而不是生活方式因素解释的。然而，无论是社会人口学因素还是生活方式因素都不能完全解释与较重的smoking.Conclusions：社会人口学和生活方式因素不能完全解释为什么BMI随着每日烟草消费量的增加而增加，但这些因素在很大程度上解释了WH比率的增加。BMI和烟草消费之间的关系是复杂的，公众需要被告知吸烟不是“饮食”。(C)2008年，皇家公共卫生学会。由爱思唯尔有限公司出版。保留所有权利。
Background: The relationship between smoking, lifestyle, and weight, body mass index (BMI) and waist-to-hip ratio (WH ratio) is complex, and not fully understood.Methods: In total, 6784 subjects (2408 daily smokers) were included in a population-based study (the Inter99 study) in Denmark. Weight, height, and waist and hip circumference were measured. Self-reported tobacco consumption and lifestyle variables (dietary quality, energy intake, physical activity in leisure time and alcohol consumption) were registered.Results: Daily smokers had a significantly lower BMI and significantly higher WH ratio than never smokers (P < 0.001). Unhealthy lifestyle increased with increasing tobacco consumption (P < 0.001 for all variables). Both BMI and WH ratio increased with increasing tobacco consumption. The association between increasing WH ratio and increasing tobacco consumption was largely explained by sociodemographic factors, rather than lifestyle factors. However, neither sociodemographic nor lifestyle factors could fully explain the increased BMI associated with heavier smoking.Conclusions: Sociodemographic and lifestyle factors could not fully explain why BMI increased with increasing daily tobacco consumption, but these factors did largely explain the increasing WH ratio. The relationship between BMI and tobacco consumption is complex, and the public needs to be informed that smoking is not a 'diet'. (C) 2008 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.