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Published in: European Journal of Nutrition 7/2007

01-10-2007 | ORIGINAL CONTRIBUTION

Relationship of abdominal obesity with alcohol consumption at population scale

Authors: Helmut Schröder, Jose Antonio Morales-Molina, Silvia Bermejo, Diego Barral, Eduardo Soler Mándoli, María Grau, Monica Guxens, Elisabet de Jaime Gil, Marisol Domínguez Álvarez, Jaume Marrugat

Published in: European Journal of Nutrition | Issue 7/2007

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Abstract

Background

The high energy content of alcohol makes its consumption a potential contributor to the obesity epidemic.

Aim of the study

To determine whether alcohol consumption is a risk factor for abdominal obesity, taking into account energy underreporting.

Methods

The subjects were Spanish men (n = 1491) and women (n = 1563) aged 25–74 years who were examined in 1999–2000, in a population-based cross-sectional survey in northeastern Spain (Girona). Dietary intake, including alcohol consumption, was assessed using a food frequency questionnaire. Anthropometric variables were measured.

Results

The mean consumption of alcohol was 18.1 ± 20.7 g/d in men and 5.3 ± 10.4 g/d in women. 19.3% of men and 2.3% of women reported alcohol consumption of more than 3 drinks per day. The consumption of alcohol was directly associated with total energy intake in men (P < 0.001) and women (P = 0.001). The proportion of energy underreporting significantly (P < 0.001) decreased with higher amounts of alcohol drinking in both genders. Multiple logistic regression analysis, controlled for energy underreporting, smoking, educational level, leisure-time physical activity, energy, and diet quality, revealed that consuming more than 3 drinks of alcohol (>30 g ethanol) was significantly associated with the risk of abdominal obesity (Odds ratio 1.80; 1.05, 3.09) and exceeding recommended energy consumption (Odds ratio 1.97; 1.32, 2.93) in men. A very small number (2.13%) of women in this population reported high levels of alcohol consumption.

Conclusions

Alcohol consumption in elevated amounts was associated with risk of abdominal obesity in men, independent of energy underreporting.
Literature
1.
2.
go back to reference Okosun IS, Chandra KM, Boev A, Boltri JM, Choi ST, Parish DC, Dever GE (2004) Abdominal adiposity in U.S. adults: prevalence and trends, 1960–2000. Prev Med 39:197–206CrossRef Okosun IS, Chandra KM, Boev A, Boltri JM, Choi ST, Parish DC, Dever GE (2004) Abdominal adiposity in U.S. adults: prevalence and trends, 1960–2000. Prev Med 39:197–206CrossRef
3.
go back to reference Schroder H, Elosua R, Vila J, Martin H, Covas MI, Marrugat J (2007) Secular trends of obesity and cardiovascular risk factors in a Mediterranean population. Obesity 15:557–562 Schroder H, Elosua R, Vila J, Martin H, Covas MI, Marrugat J (2007) Secular trends of obesity and cardiovascular risk factors in a Mediterranean population. Obesity 15:557–562
4.
go back to reference Bigaard J, Frederiksen K, Tjonneland A, Thomsen BL, Overvad K, Heitmann BL, Sorensen TI (2005) Waist circumference and body composition in relation to all-cause mortality in middle-aged men and women. Int J Obes (Lond) 29:778–784CrossRef Bigaard J, Frederiksen K, Tjonneland A, Thomsen BL, Overvad K, Heitmann BL, Sorensen TI (2005) Waist circumference and body composition in relation to all-cause mortality in middle-aged men and women. Int J Obes (Lond) 29:778–784CrossRef
5.
go back to reference Rexrode KM, Carey VJ, Hennekens CH, Walters EE, Colditz GA, Stampfer MJ, Willett WC, Manson JE (1998) Abdominal adiposity and coronary heart disease in women. JAMA 280:1843–1848CrossRef Rexrode KM, Carey VJ, Hennekens CH, Walters EE, Colditz GA, Stampfer MJ, Willett WC, Manson JE (1998) Abdominal adiposity and coronary heart disease in women. JAMA 280:1843–1848CrossRef
6.
go back to reference Despres JP (2006) Is visceral obesity the cause of the metabolic syndrome? Ann Med 38:52–63CrossRef Despres JP (2006) Is visceral obesity the cause of the metabolic syndrome? Ann Med 38:52–63CrossRef
7.
go back to reference Wang Y, Rimm EB, Stampfer MJ, Willett WC, Hu FB (2005) Comparison of abdominal adiposity and overall obesity in predicting risk of type 2 diabetes among men. Am J Clin Nutr 81:555–563 Wang Y, Rimm EB, Stampfer MJ, Willett WC, Hu FB (2005) Comparison of abdominal adiposity and overall obesity in predicting risk of type 2 diabetes among men. Am J Clin Nutr 81:555–563
8.
go back to reference Zhu S, Wang Z, Heshka S, Heo M, Faith MS, Heymsfield SB (2002) Waist circumference and obesity-associated risk factors among whites in the third National Health and Nutrition Examination Survey: clinical action thresholds. Am J Clin Nutr 76:743–749 Zhu S, Wang Z, Heshka S, Heo M, Faith MS, Heymsfield SB (2002) Waist circumference and obesity-associated risk factors among whites in the third National Health and Nutrition Examination Survey: clinical action thresholds. Am J Clin Nutr 76:743–749
9.
go back to reference Weinbrenner T, Schroder H, Escurriol V, Fito M, Elosua R, Vila J, Marrugat J, Covas MI (2006) Circulating oxidized LDL is associated with increased waist circumference independent of body mass index in men and women. Am J Clin Nutr 83:30–35 Weinbrenner T, Schroder H, Escurriol V, Fito M, Elosua R, Vila J, Marrugat J, Covas MI (2006) Circulating oxidized LDL is associated with increased waist circumference independent of body mass index in men and women. Am J Clin Nutr 83:30–35
10.
go back to reference Koh-Banerjee P, Wang Y, Hu FB, Spiegelman D, Willett WC, Rimm EB (2004) Changes in body weight and body fat distribution as risk factors for clinical diabetes in US men. Am J Epidemiol 159:1150–1159CrossRef Koh-Banerjee P, Wang Y, Hu FB, Spiegelman D, Willett WC, Rimm EB (2004) Changes in body weight and body fat distribution as risk factors for clinical diabetes in US men. Am J Epidemiol 159:1150–1159CrossRef
11.
go back to reference Trichopoulou A, Gnardellis C, Lagiou A, Benetou V, Naska A, Trichopoulos D (2001) Physical activity and energy intake selectively predict the waist-to-hip ratio in men but not in women. Am J Clin Nutr 74:574–578 Trichopoulou A, Gnardellis C, Lagiou A, Benetou V, Naska A, Trichopoulos D (2001) Physical activity and energy intake selectively predict the waist-to-hip ratio in men but not in women. Am J Clin Nutr 74:574–578
12.
go back to reference Henley on Thames, World Avertising Research Center LTD. World Drink Trends 2003 Henley on Thames, World Avertising Research Center LTD. World Drink Trends 2003
13.
go back to reference Halkjaer J, Sorensen TI, Tjonneland A, Togo P, Holst C, Heitmann BL (2004) Food and drinking patterns as predictors of 6-year BMI-adjusted changes in waist circumference. Br J Nutr 92:735–748CrossRef Halkjaer J, Sorensen TI, Tjonneland A, Togo P, Holst C, Heitmann BL (2004) Food and drinking patterns as predictors of 6-year BMI-adjusted changes in waist circumference. Br J Nutr 92:735–748CrossRef
14.
go back to reference Wannamethee SG, Shaper AG (2003) Alcohol, body weight, and weight gain in middle-aged men. Am J Clin Nutr 77:1312–1317 Wannamethee SG, Shaper AG (2003) Alcohol, body weight, and weight gain in middle-aged men. Am J Clin Nutr 77:1312–1317
15.
go back to reference Vadstrup ES, Petersen L, Sorensen TI, Gronbaek M (2003) Waist circumference in relation to history of amount and type of alcohol: results from the Copenhagen City Heart Study. Int J Obes Relat Metab Disord 27:238–246CrossRef Vadstrup ES, Petersen L, Sorensen TI, Gronbaek M (2003) Waist circumference in relation to history of amount and type of alcohol: results from the Copenhagen City Heart Study. Int J Obes Relat Metab Disord 27:238–246CrossRef
16.
go back to reference Lukasiewicz E, Mennen LI, Bertrais S, Arnault N, Preziosi P, Galan P, Hercberg S (2005) Alcohol intake in relation to body mass index and waist-to-hip ratio: the importance of type of alcoholic beverage. Public Health Nutr 8:315–320CrossRef Lukasiewicz E, Mennen LI, Bertrais S, Arnault N, Preziosi P, Galan P, Hercberg S (2005) Alcohol intake in relation to body mass index and waist-to-hip ratio: the importance of type of alcoholic beverage. Public Health Nutr 8:315–320CrossRef
17.
go back to reference Wannamethee SG, Shaper AG, Whincup PH (2005) Alcohol and adiposity: effects of quantity and type of drink and time relation with meals. Int J Obes (Lond) 29:1436–1444CrossRef Wannamethee SG, Shaper AG, Whincup PH (2005) Alcohol and adiposity: effects of quantity and type of drink and time relation with meals. Int J Obes (Lond) 29:1436–1444CrossRef
18.
go back to reference Laitinen J, Pietilainen K, Wadsworth M, Sovio U, Jarvelin MR (2004) Predictors of abdominal obesity among 31-y-old men and women born in Northern Finland in 1966. Eur J Clin Nutr 58:180–190CrossRef Laitinen J, Pietilainen K, Wadsworth M, Sovio U, Jarvelin MR (2004) Predictors of abdominal obesity among 31-y-old men and women born in Northern Finland in 1966. Eur J Clin Nutr 58:180–190CrossRef
19.
go back to reference Johansson G, Wikman A, Ahren AM, Hallmans G, Johansson I (2001) Underreporting of energy intake in repeated 24-hour recalls related to gender, age, weight status, day of interview, educational level, reported food intake, smoking habits and area of living. Public Health Nutr 4:919–927CrossRef Johansson G, Wikman A, Ahren AM, Hallmans G, Johansson I (2001) Underreporting of energy intake in repeated 24-hour recalls related to gender, age, weight status, day of interview, educational level, reported food intake, smoking habits and area of living. Public Health Nutr 4:919–927CrossRef
20.
go back to reference Schroder H, Covas MI, Marrugat J, Vila J, Pena A, Alcantara M, Masia R (2001) Use of a three-day estimated food record, a 72-hour recall and a food-frequency questionnaire for dietary assessment in a Mediterranean Spanish population. Clin Nutr 20:429–437CrossRef Schroder H, Covas MI, Marrugat J, Vila J, Pena A, Alcantara M, Masia R (2001) Use of a three-day estimated food record, a 72-hour recall and a food-frequency questionnaire for dietary assessment in a Mediterranean Spanish population. Clin Nutr 20:429–437CrossRef
21.
go back to reference Trichopoulou A, Kouris-Blazos A, Wahlqvist ML, Gnardellis C, Lagiou P, Polychronopoulos E, Vassilakou T, Lipworth L, Trichopoulos D (1995) Diet and overall survival in elderly people. BMJ 311:1457–1460 Trichopoulou A, Kouris-Blazos A, Wahlqvist ML, Gnardellis C, Lagiou P, Polychronopoulos E, Vassilakou T, Lipworth L, Trichopoulos D (1995) Diet and overall survival in elderly people. BMJ 311:1457–1460
22.
go back to reference Willett W (2007) Nutritional Epidemiology. Oxford University Press 1998 Willett W (2007) Nutritional Epidemiology. Oxford University Press 1998
23.
go back to reference Standing Committee on the Scientific Evaluation of Dietary Reference Intakes FaNBIoM2 (2007) Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. National Academy Press, Washington DC Standing Committee on the Scientific Evaluation of Dietary Reference Intakes FaNBIoM2 (2007) Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. National Academy Press, Washington DC
24.
go back to reference FAO/WHO/UNU (2007) Energy and protein requirements. Technical Report Series No 724, World Health Organization, Geneva, 1985 FAO/WHO/UNU (2007) Energy and protein requirements. Technical Report Series No 724, World Health Organization, Geneva, 1985
25.
go back to reference Elosua R, Garcia M, Aguilar A, Molina L, Covas MI, Marrugat J (2000) Validation of the Minnesota leisure time physical activity questionnaire in Spanish women. Investigators of the MARATDON Group. Med Sci Sports Exerc 32:1431–1437CrossRef Elosua R, Garcia M, Aguilar A, Molina L, Covas MI, Marrugat J (2000) Validation of the Minnesota leisure time physical activity questionnaire in Spanish women. Investigators of the MARATDON Group. Med Sci Sports Exerc 32:1431–1437CrossRef
26.
go back to reference Elosua R, Marrugat J, Molina L, Pons S, Pujol E (1994) Validation of the Minnesota leisure time physical activity questionnaire in Spanish men. The MARATHOM Investigators. Am J Epidemiol 139:1197–1209 Elosua R, Marrugat J, Molina L, Pons S, Pujol E (1994) Validation of the Minnesota leisure time physical activity questionnaire in Spanish men. The MARATHOM Investigators. Am J Epidemiol 139:1197–1209
28.
go back to reference Obesity: preventing, managing the global epidemic (2000) Report of a WHO consultation. World Health Organ Tech Rep Ser 894:i-253 Obesity: preventing, managing the global epidemic (2000) Report of a WHO consultation. World Health Organ Tech Rep Ser 894:i-253
29.
go back to reference Yeomans MR (2004) Effects of alcohol on food and energy intake in human subjects: evidence for passive and active over-consumption of energy. Br J Nutr 92 Suppl 1:S31-S34CrossRef Yeomans MR (2004) Effects of alcohol on food and energy intake in human subjects: evidence for passive and active over-consumption of energy. Br J Nutr 92 Suppl 1:S31-S34CrossRef
30.
go back to reference Yeomans MR, Caton S, Hetherington MM (2003) Alcohol and food intake. Curr Opin Clin Nutr Metab Care 6:639–644CrossRef Yeomans MR, Caton S, Hetherington MM (2003) Alcohol and food intake. Curr Opin Clin Nutr Metab Care 6:639–644CrossRef
31.
go back to reference Koh-Banerjee P, Chu NF, Spiegelman D, Rosner B, Colditz G, Willett W, Rimm E (2003) Prospective study of the association of changes in dietary intake, physical activity, alcohol consumption, and smoking with 9-y gain in waist circumference among 16 587 US men. Am J Clin Nutr 78:719–727 Koh-Banerjee P, Chu NF, Spiegelman D, Rosner B, Colditz G, Willett W, Rimm E (2003) Prospective study of the association of changes in dietary intake, physical activity, alcohol consumption, and smoking with 9-y gain in waist circumference among 16 587 US men. Am J Clin Nutr 78:719–727
32.
go back to reference Greenfield JR, Samaras K, Jenkins AB, Kelly PJ, Spector TD, Campbell LV (2003) Moderate alcohol consumption, estrogen replacement therapy, and physical activity are associated with increased insulin sensitivity: is abdominal adiposity the mediator? Diabetes Care 26:2734–2740CrossRef Greenfield JR, Samaras K, Jenkins AB, Kelly PJ, Spector TD, Campbell LV (2003) Moderate alcohol consumption, estrogen replacement therapy, and physical activity are associated with increased insulin sensitivity: is abdominal adiposity the mediator? Diabetes Care 26:2734–2740CrossRef
33.
go back to reference Gonzalez CA, Pera G, Agudo A, Amiano P, Barricarte A, Beguiristain JM, Chirlaque MD, Dorronsoro M, Martinez C, Navarro C, Quiros JR, Rodriguez M, Tormo MJ (2000) Factors associated with the accumulation of abdominal fat estimated with anthropometric indexes. Med Clin (Barc) 114:401–406 Gonzalez CA, Pera G, Agudo A, Amiano P, Barricarte A, Beguiristain JM, Chirlaque MD, Dorronsoro M, Martinez C, Navarro C, Quiros JR, Rodriguez M, Tormo MJ (2000) Factors associated with the accumulation of abdominal fat estimated with anthropometric indexes. Med Clin (Barc) 114:401–406
34.
go back to reference Buemann B, Astrup A (2001) How does the body deal with energy from alcohol? Nutrition 17:638–641CrossRef Buemann B, Astrup A (2001) How does the body deal with energy from alcohol? Nutrition 17:638–641CrossRef
35.
go back to reference Gianoulakis C (1998) Alcohol-seeking behavior: the roles of the hypothalamic-pituitary-adrenal axis and the endogenous opioid system. Alcohol Health Res World 22:202–210 Gianoulakis C (1998) Alcohol-seeking behavior: the roles of the hypothalamic-pituitary-adrenal axis and the endogenous opioid system. Alcohol Health Res World 22:202–210
36.
go back to reference Bjorntorp P (2001) Do stress reactions cause abdominal obesity and comorbidities? Obes Rev 2:73–86CrossRef Bjorntorp P (2001) Do stress reactions cause abdominal obesity and comorbidities? Obes Rev 2:73–86CrossRef
Metadata
Title
Relationship of abdominal obesity with alcohol consumption at population scale
Authors
Helmut Schröder
Jose Antonio Morales-Molina
Silvia Bermejo
Diego Barral
Eduardo Soler Mándoli
María Grau
Monica Guxens
Elisabet de Jaime Gil
Marisol Domínguez Álvarez
Jaume Marrugat
Publication date
01-10-2007
Publisher
D. Steinkopff-Verlag
Published in
European Journal of Nutrition / Issue 7/2007
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-007-0674-7

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