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BMC Public Health
Published in: BMC Public Health 1/2010

Open Access 01-12-2010 | Research article

Levelling off of prevalence of obesity in the adult population of Sweden between 2000/01 and 2004/05

Authors: Jan Sundquist, Sven-Erik Johansson, Kristina Sundquist

Published in: BMC Public Health | Issue 1/2010

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Abstract

Background

The escalating global epidemic of obesity is of worldwide concern because of its association with several chronic diseases and premature mortality. Some subgroups seem to be more affected than others. The aim of this study was to examine whether the mean BMI (adjusted for age) and the prevalence of obesity (adjusted for all the explanatory variables) changed between 2000/01 and 2004/05 in different subgroups of the Swedish population.

Methods

This study compared two cross-sectional, nationwide random samples of persons aged 16 to 84 years: the first from 2000/01 (5515 men, 5838 women) and the second from 2004/05 (4681 men, 4821 women). After stratification by gender, a logistic regression model was applied to analyse possible changes in mean BMI and the prevalence of obesity between 2000/01 and 2004/05.

Results

Total mean BMI remained almost unchanged between 2000/01 and 2004/05 for both men and women. The prevalence of obesity increased slightly in both men and women, but not significantly (from 9.7 to 10.8% and from 9.6 to 10.2%, respectively). The prevalence of obesity in 2004/05 was especially high in some subgroups: men aged 45-54 (14.3%) or 55-64 (16.5%), women aged 65-74 (15.9%) or 75-84 (16.8%), men and women of middle educational level (15.6% and 14.4%, respectively), male former smokers (13.4%), and men from small towns or rural areas (13.1%).

Conclusions

Although the mean BMI and obesity were almost unchanged in the Swedish adult population between 2000/01 and 2004/05, obesity levels in Sweden remained unacceptably high, especially in certain subgroups. Primary and secondary intervention actions should strive to decrease the prevalence of obesity in Sweden.
Appendix
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Literature
1.
Lau DC, Dhillon B, Yan H, Szmitko PE, Verma S: Adipokines: molecular links between obesity and atheroslcerosis. Am J Physiol Heart Circ Physiol. 2005, 288 (5): H2031-2041. 10.1152/ajpheart.01058.2004.CrossRefPubMed
2.
Helmersson J: Prostaglandins and isoprostanes in relation to risk factors for atherosclerosis - Role of inflammation and oxidative stress. 2005, Faculty of Medicine, University of Uppsala
3.
Wernstedt: Metabolic effects of Interleukin-6. 2005, Department of Internal Medicine, Sahlgrenska Academy, University of Goteborg
4.
Calle EE, Kaaks R: Overweight, obesity and cancer: epidemiological evidence and proposed mechanisms. Nat Rev Cancer. 2004, 4 (8): 579-591. 10.1038/nrc1408.CrossRefPubMed
5.
Kloting N, Bluher M: Extended longevity and insulin signaling in adipose tissue. Exp Gerontol. 2005, 40 (11): 878-883. 10.1016/j.exger.2005.07.004.CrossRefPubMed
6.
Roth GS, Lane MA, Ingram DK, Mattison JA, Elahi D, Tobin JD, Muller D, Metter EJ: Biomarkers of caloric restriction may predict longevity in humans. Science. 2002, 297 (5582): 811-10.1126/science.1071851.CrossRefPubMed
7.
Rossner S: Obesity: the disease of the twenty-first century. Int J Obes Relat Metab Disord. 2002, 26 (Suppl 4): S2-4. 10.1038/sj.ijo.0802209.CrossRefPubMed
8.
Sundquist K, Qvist J, Johansson SE, Sundquist J: Increasing trends of obesity in Sweden between 1996/97 and 2000/01. Int J Obes Relat Metab Disord. 2004, 28 (2): 254-261.PubMed
9.
Kuczmarski RJ, Flegal KM, Campbell SM, Johnson CL: Increasing prevalence of overweight among US adults. The National Health and Nutrition Examination Surveys, 1960 to 1991. Jama. 1994, 272 (3): 205-211. 10.1001/jama.272.3.205.CrossRefPubMed
10.
11.
Seidell JC, Verschuren WM, Kromhout D: Prevalence and trends of obesity in The Netherlands 1987-1991. Int J Obes Relat Metab Disord. 1995, 19 (12): 924-927.PubMed
12.
Aranceta J, Perez Rodrigo C, Serra Majem L, Ribas Barba L, Quiles Izquierdo J, Vioque J, Tur Mari J, Mataix Verdu J, Llopis Gonzalez J, Tojo R, et al: [Prevalence of obesity in Spain: results of the SEEDO 2000 study]. Med Clin (Barc). 2003, 120 (16): 608-612. 10.1157/13046926.CrossRef
13.
Katzmarzyk PT: The Canadian obesity epidemic: an historical perspective. Obes Res. 2002, 10 (7): 666-674. 10.1038/oby.2002.90.CrossRefPubMed
14.
Panagiotakos DB, Pitsavos C, Chrysohoou C, Risvas G, Kontogianni MD, Zampelas A, Stefanadis C: Epidemiology of overweight and obesity in a Greek adult population: the ATTICA Study. Obes Res. 2004, 12 (12): 1914-1920. 10.1038/oby.2004.239.CrossRefPubMed
15.
Bendixen H, Holst C, Sorensen TI, Raben A, Bartels EM, Astrup A: Major increase in prevalence of overweight and obesity between 1987 and 2001 among Danish adults. Obes Res. 2004, 12 (9): 1464-1472. 10.1038/oby.2004.183.CrossRefPubMed
16.
Dal Grande E, Gill T, Taylor AW, Chittleborough C, Carter P: Obesity in South Australian adults--prevalence, projections and generational assessment over 13 years. Aust N Z J Public Health. 2005, 29 (4): 343-348. 10.1111/j.1467-842X.2005.tb00205.x.CrossRefPubMed
17.
Kark M, Rasmussen F: Growing social inequalities in the occurrence of overweight and obesity among young men in Sweden. Scand J Public Health. 2005, 33 (6): 472-477. 10.1080/14034940510032130.CrossRefPubMed
18.
Faskunger J, Eriksson U, Johansson SE, Sundquist K, Sundquist J: Risk of obesity in immigrants compared with Swedes in two deprived neighbourhoods. BMC Public Health. 2009, 9: 304-10.1186/1471-2458-9-304.CrossRefPubMedPubMedCentral
19.
Rasmussen F, Johansson M, Hansen HO: Trends in overweight and obesity among 18-year-old males in Sweden between 1971 and 1995. Acta Paediatr. 1999, 88 (4): 431-437. 10.1080/08035259950169837.CrossRefPubMed
20.
Eiben G, Dey DK, Rothenberg E, Steen B, Bjorkelund C, Bengtsson C, Lissner L: Obesity in 70-year-old Swedes: secular changes over 30 years. Int J Obes (Lond). 2005, 29 (7): 810-817. 10.1038/sj.ijo.0802940.CrossRef
21.
Statistics Sweden: The Swedish survey of living conditions. Design and method. 1996, Stockholm: Statistics Sweden, Appendix 16
22.
WHO: Obesity. Preventing and managing the global epidemic. 1998, Geneva: World Health Organization: Programme of Nutrition, Family and Reproductive Health
23.
The National Heart, Lung and Blood Institute Expert Panel on the Identification, Evaluation and Treatment of Overweight and Obesity in Adults: Executive summary of the clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. J Am Diet Assoc. 1998, 98: 1178-1191. 10.1016/S0002-8223(98)00276-4.
24.
Ong KK, Frystyk J, Flyvbjerg A, Petry CJ, Ness A, Dunger DB: Sex-discordant associations with adiponectin levels and lipid profiles in children. Diabetes. 2006, 55 (5): 1337-1341. 10.2337/db05-1272.CrossRefPubMed
25.
Adams KF, Schatzkin A, Harris TB, Kipnis V, Mouw T, Ballard-Barbash R, Hollenbeck A, Leitzmann MF: Overweight, obesity, and mortality in a large prospective cohort of persons 50 to 71 years old. N Engl J Med. 2006, 355 (8): 763-778. 10.1056/NEJMoa055643.CrossRefPubMed
26.
Godfrey R, Julien M: Urbanisation and health. Clin Med. 2005, 5 (2): 137-141.CrossRef
27.
Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM: Prevalence of overweight and obesity in the United States, 1999-2004. Jama. 2006, 295 (13): 1549-1555. 10.1001/jama.295.13.1549.CrossRefPubMed
28.
SAS Institute Inc.: SAS/STAT User's Guide, Version 9.2. 2009, Cary, NC: SAS Institute Inc.
29.
Marques-Vidal P, Dias CM: Trends in overweight and obesity in Portugal: the National Health Surveys 1995-6 and 1998-9. Obes Res. 2005, 13 (7): 1141-1145. 10.1038/oby.2005.135.CrossRefPubMed
30.
Health and functional capacity in Finland. 2004, Helsinki, Finland: KTL, National Public Health Institute
31.
Berghofer A, Pischon T, Reinhold T, Apovian CM, Sharma AM, Willich SN: Obesity prevalence from a European perspective: a systematic review. BMC Public Health. 2008, 8: 200-10.1186/1471-2458-8-200.CrossRefPubMedPubMedCentral
32.
Rosengren A, Eriksson H, Hansson PO, Svardsudd K, Wilhelmsen L, Johansson S, Welin C, Welin L: Obesity and trends in cardiovascular risk factors over 40 years in Swedish men aged 50. J Intern Med. 2009, 266 (3): 268-276. 10.1111/j.1365-2796.2009.02116.x.CrossRefPubMed
33.
Sundblom E, Petzold M, Rasmussen F, Callmer E, Lissner L: Childhood overweight and obesity prevalences levelling off in Stockholm but socioeconomic differences persist. Int J Obes (Lond). 2008, 32 (10): 1525-1530. 10.1038/ijo.2008.104.CrossRef
34.
Leijon ME, Bendtsen P, Nilsen P, Ekberg K, Stahle A: Physical activity referrals in Swedish primary health care - prescriber and patient characteristics, reasons for prescriptions, and prescribed activities. BMC Health Serv Res. 2008, 8: 201-10.1186/1472-6963-8-201.CrossRefPubMedPubMedCentral
35.
Padwal RS: Trends in obesity and overweight-related office visits and drug prescriptions in Canada, 1998 to 2004. Obes Res. 2005, 13 (11): 1905-1908. 10.1038/oby.2005.234.CrossRefPubMed
36.
Freedman DS, Khan LK, Serdula MK, Ogden CL, Dietz WH: Racial and ethnic differences in secular trends for childhood BMI, weight, and height. Obesity (Silver Spring). 2006, 14 (2): 301-308. 10.1038/oby.2006.39.CrossRef
37.
Zhang Q, Wang Y: Trends in the association between obesity and socioeconomic status in U.S. adults: 1971 to 2000. Obes Res. 2004, 12 (10): 1622-1632. 10.1038/oby.2004.202.CrossRefPubMed
38.
Astrup A: Macronutrient balances and obesity: the role of diet and physical activity. Public Health Nutr. 1999, 2 (3A): 341-347. 10.1017/S1368980099000464.CrossRefPubMed
39.
Heilbronn LK, de Jonge L, Frisard MI, DeLany JP, Larson-Meyer DE, Rood J, Nguyen T, Martin CK, Volaufova J, Most MM, et al: Effect of 6-month calorie restriction on biomarkers of longevity, metabolic adaptation, and oxidative stress in overweight individuals: a randomized controlled trial. Jama. 2006, 295 (13): 1539-1548. 10.1001/jama.295.13.1539.CrossRefPubMedPubMedCentral
40.
Fontana L, Meyer TE, Klein S, Holloszy JO: Long-term calorie restriction is highly effective in reducing the risk for atherosclerosis in humans. Proc Natl Acad Sci USA. 2004, 101 (17): 6659-6663. 10.1073/pnas.0308291101.CrossRefPubMedPubMedCentral
41.
Sundquist J, Johansson SE: The influence of socioeconomic status, ethnicity and lifestyle on body mass index in a longitudinal study. Int J Epidemiol. 1998, 27 (1): 57-63. 10.1093/ije/27.1.57.CrossRefPubMed
42.
Lahti-Koski M, Pietinen P, Heliovaara M, Vartiainen E: Associations of body mass index and obesity with physical activity, food choices, alcohol intake, and smoking in the 1982-1997 FINRISK Studies. Am J Clin Nutr. 2002, 75 (5): 809-817.PubMed
43.
Sundquist K, Qvist J, Sundquist J, Johansson SE: Frequent and occasional physical activity in the elderly: a 12-year follow-up study of mortality. Am J Prev Med. 2004, 27 (1): 22-27. 10.1016/j.amepre.2004.03.011.CrossRefPubMed
44.
Sundquist K, Qvist J, Johansson SE, Sundquist J: The long-term effect of physical activity on incidence of coronary heart disease: a 12-year follow-up study. Prev Med. 2005, 41 (1): 219-225. 10.1016/j.ypmed.2004.09.043.CrossRefPubMed
45.
Kuskowska-Wolk A, Karlsson P, Stolt M, Rossner S: The predictive validity of body mass index based on self-reported weight and height. Int J Obes. 1989, 13 (4): 441-453.PubMed
46.
Bostrom G, Diderichsen F: Socioeconomic differentials in misclassification of height, weight and body mass index based on questionnaire data. Int J Epidemiol. 1997, 26 (4): 860-866. 10.1093/ije/26.4.860.CrossRefPubMed
47.
Kaufman JS, Cooper RS, McGee DL: Socioeconomic status and health in blacks and whites: The problem of residual confounding and the resiliency of race. Epidemiology. 1997, 8 (6): 621-628. 10.1097/00001648-199710000-00002.PubMed
48.
Braveman P, Cubbin C, Marchi K, Egerter S, Chavez G: Measuring socioeconomic status/position in studies of racial/ethnic disparities: maternal and infant health. Public Health Rep. 2001, 116 (5): 449-463.CrossRefPubMedPubMedCentral
Metadata
Title
Levelling off of prevalence of obesity in the adult population of Sweden between 2000/01 and 2004/05
Authors
Jan Sundquist
Sven-Erik Johansson
Kristina Sundquist
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2010
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-10-119

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