Skip to main content
Top
Published in: European Journal of Nutrition 5/2017

01-08-2017 | Original Contribution

Alcohol consumption is associated with DXA measurement of adiposity: the Pró-Saúde Study, Brazil

Authors: Thalita Fialho da Rocha, Maria Helena Hasselmann, Cíntia Chaves Curioni, Flávia Fioruci Bezerra, Eduardo Faerstein

Published in: European Journal of Nutrition | Issue 5/2017

Login to get access

Abstract

Purpose

Evaluate the association between alcohol consumption and body adiposity.

Methods

We analyzed cross-sectional data from a longitudinal investigation (Pró-Saúde Study), comprising a sample of 514 civil servants of both sexes (35–64 years). Daily alcohol consumption (wine, beer, and other alcoholic drinks) over the previous 6 months was assessed via food frequency questionnaire and categorized as no doses, up to 1 dose, and ≥1 dose. The total body mass, total fat mass (TFM), android fat mass (AFM), and gynoid fat mass (GFM) were measured via dual-energy X-ray absorptiometry. AFM (AFM%) and GFM (GFM%) were expressed as percentages relative to TFM. The ratio of AFM% and GFM% was calculated. Multiple linear regression analyses were performed after adjusting for age, calories not originating from alcohol, leisure-time physical activity and education.

Results

Among nondrinkers, 59 % were women, and the age range between 45 and 54 years was predominant (44.3 %); 63.7 % of the nondrinkers were overweight/obese. Among drinkers of 1 dose or more/day, 67 % were males aged between 45 and 54 years (43.7 %); 69.1 % were overweight/obese. Among men, the daily consumption of ≥1 alcohol dose (13 g) was associated with an approximately 2 % (β = 2.2, IC = 0.077; 4.303) adjusted for age, calories not originated from alcohol, leisure-time physical activity and education, increase in TFM, compared to those who reported no alcohol consumption during the previous 6 months. This association was not observed among women. In both sexes, no associations were observed between alcohol consumption and the other evaluated parameters of adiposity.

Conclusion

Among men only, daily consumption of ≥1 alcohol dose was associated with increased adiposity, despite the relatively low average alcohol consumption in this study population.
Literature
1.
go back to reference World Health Organization (WHO) (2000) Obesity: preventing, managing the global epidemic. Report of a WHO consultation. WHO Technical Report Series 894: 253 World Health Organization (WHO) (2000) Obesity: preventing, managing the global epidemic. Report of a WHO consultation. WHO Technical Report Series 894: 253
2.
go back to reference Brasil (2010) Ministério do Planejamento, Orçamento e Gestão. Instituto Brasileiro de Geografia e Estatística—IBGE. Pesquisa de Orçamento familiares 2008–2009. Análise de disponibilidade domiciliar de alimentos e do estado nutricional no Brasil. Rio de Janeiro Brasil (2010) Ministério do Planejamento, Orçamento e Gestão. Instituto Brasileiro de Geografia e Estatística—IBGE. Pesquisa de Orçamento familiares 2008–2009. Análise de disponibilidade domiciliar de alimentos e do estado nutricional no Brasil. Rio de Janeiro
3.
go back to reference World Health Organization (WHO) (1998) Obesity: preventing and managing the global epidemic: report of a WHO Expert Consultation on Obesity. Geneva World Health Organization (WHO) (1998) Obesity: preventing and managing the global epidemic: report of a WHO Expert Consultation on Obesity. Geneva
4.
go back to reference Olinto MT, Nacul LC, Gigante DP, Costa JSD, Menezes AM, Macedo S (2004) Waist circumference as a determinant of hypertension and diabetes in Brazilian women: a population-based study. Public Health Nutr 7:629–635CrossRef Olinto MT, Nacul LC, Gigante DP, Costa JSD, Menezes AM, Macedo S (2004) Waist circumference as a determinant of hypertension and diabetes in Brazilian women: a population-based study. Public Health Nutr 7:629–635CrossRef
5.
go back to reference Ferreira MG, Valente JG, Gonçalves-Silva RMV, Sichieri R (2006) Acurácia da circunferência da cintura e da relação cintura/quadril como preditores de dislipidemias em estudo transversal de doadores de sangue de Cuiabá, Mato Grosso, Brasil. Cad. Saúde Pública 22:307–314CrossRef Ferreira MG, Valente JG, Gonçalves-Silva RMV, Sichieri R (2006) Acurácia da circunferência da cintura e da relação cintura/quadril como preditores de dislipidemias em estudo transversal de doadores de sangue de Cuiabá, Mato Grosso, Brasil. Cad. Saúde Pública 22:307–314CrossRef
6.
go back to reference Wang L, Lee IM, Manson JE, Buring JE, Sesso HD (2010) Alcohol consumption, weight gain, and risk of becoming overweight in middle-aged and older women. Arch Intern Med 170:453–461CrossRef Wang L, Lee IM, Manson JE, Buring JE, Sesso HD (2010) Alcohol consumption, weight gain, and risk of becoming overweight in middle-aged and older women. Arch Intern Med 170:453–461CrossRef
7.
go back to reference Bates B, Alison LAGS (2009) National diet and nutrition survey: headline results from year 1 of the rolling programme (2008/2009). Food Standards Agency, London Bates B, Alison LAGS (2009) National diet and nutrition survey: headline results from year 1 of the rolling programme (2008/2009). Food Standards Agency, London
8.
go back to reference Colditz GA, Giovannucci E, Rimm EB, Stampfer MJ, Rosner B, SPEIZER FE et al (1991) Alcohol intake in relation to diet and obesity in women and in men. Am J Clin Nutr 54:49–55 Colditz GA, Giovannucci E, Rimm EB, Stampfer MJ, Rosner B, SPEIZER FE et al (1991) Alcohol intake in relation to diet and obesity in women and in men. Am J Clin Nutr 54:49–55
9.
go back to reference Crouse JR, Gerson CD, Dercali LM, Lieber CS (1968) Role of acetate in the reduction of plasma free fatty acids produced by ethanol in man. J Lipid Res 9:509–512 Crouse JR, Gerson CD, Dercali LM, Lieber CS (1968) Role of acetate in the reduction of plasma free fatty acids produced by ethanol in man. J Lipid Res 9:509–512
10.
go back to reference Suter PM (2005) Is alcohol consumption a risk factor for weight gain and obesity? Crit Rev Clin Lab Sci 42(3):197–227CrossRef Suter PM (2005) Is alcohol consumption a risk factor for weight gain and obesity? Crit Rev Clin Lab Sci 42(3):197–227CrossRef
11.
go back to reference Slattery ML, McDonald A, Bild DE, Caan BJ, Hilner JE, Jacobs DR Jr, Liu K (1992) Associations of body fat and its distribution with dietary intake, physical activity, alcohol, and smoking in blacks and whites. Am J Clin Nutr 55:943–949 Slattery ML, McDonald A, Bild DE, Caan BJ, Hilner JE, Jacobs DR Jr, Liu K (1992) Associations of body fat and its distribution with dietary intake, physical activity, alcohol, and smoking in blacks and whites. Am J Clin Nutr 55:943–949
12.
go back to reference Dallongeville J, Marécaux N, Ducimetière P, Ferrières J, Arveiler D, Bingham A et al (1998) Influence of alcohol consumption and various beverages on waist girth and waist-to-hip ratio in a sample of French men and women. Int J Obes 22(12):1178–1183CrossRef Dallongeville J, Marécaux N, Ducimetière P, Ferrières J, Arveiler D, Bingham A et al (1998) Influence of alcohol consumption and various beverages on waist girth and waist-to-hip ratio in a sample of French men and women. Int J Obes 22(12):1178–1183CrossRef
13.
go back to reference Machado PAN, Sichieri R (2002) Relação cintura-quadril e fatores de dieta em adultos. Rev Saúde Pública 36:198–204CrossRef Machado PAN, Sichieri R (2002) Relação cintura-quadril e fatores de dieta em adultos. Rev Saúde Pública 36:198–204CrossRef
14.
go back to reference Tolstrup JS, Heitmann BL, Tjonneland A, Overvad K, Sorensen TI, Gronbaek M (2005) The relation between drinking pattern and body mass index and waist and hip circumference. Int J Obes 29:490–497 Tolstrup JS, Heitmann BL, Tjonneland A, Overvad K, Sorensen TI, Gronbaek M (2005) The relation between drinking pattern and body mass index and waist and hip circumference. Int J Obes 29:490–497
15.
go back to reference Ferreira MG, Valente JG, Gonçalves-Silva RMV, Sichieri R (2008) Consumo de bebida alcoólica e adiposidade abdominal em doadores de sangue. Rev Saúde Pública 42:1067–1073CrossRef Ferreira MG, Valente JG, Gonçalves-Silva RMV, Sichieri R (2008) Consumo de bebida alcoólica e adiposidade abdominal em doadores de sangue. Rev Saúde Pública 42:1067–1073CrossRef
16.
go back to reference Bergmann MM, Schütze M, Steffen A, Boeing H, Halkjaer J, Tjonneland A et al (2011) The association of lifetime alcohol use with measures of abdominal and general adiposity in a large-scale European cohort. Eur J Clin Nutr 65:1079–1087CrossRef Bergmann MM, Schütze M, Steffen A, Boeing H, Halkjaer J, Tjonneland A et al (2011) The association of lifetime alcohol use with measures of abdominal and general adiposity in a large-scale European cohort. Eur J Clin Nutr 65:1079–1087CrossRef
17.
go back to reference Lapidus L, Bengtsson C, Larsson B, Pennert K, Rybo E, Sjostrom L (1984) Distribution of adipose tissue and risk of cardiovascular disease and death: a 12-year follow-up of participants in the population study of women in Gothenburg, Sweden. Br Med J Clin Res Ed 289:1257–1261CrossRef Lapidus L, Bengtsson C, Larsson B, Pennert K, Rybo E, Sjostrom L (1984) Distribution of adipose tissue and risk of cardiovascular disease and death: a 12-year follow-up of participants in the population study of women in Gothenburg, Sweden. Br Med J Clin Res Ed 289:1257–1261CrossRef
18.
go back to reference Hansen K, Remington PL (1992) The effect of alcohol consumption on body weight among Wisconsin adults. Wis Med J 91:348–350 Hansen K, Remington PL (1992) The effect of alcohol consumption on body weight among Wisconsin adults. Wis Med J 91:348–350
19.
go back to reference Grabauskas V, Petkeviciene J, Klumbiene J, Vaisvalavicius V (2003) The prevalence of overweight and obesity in relation to social and behavioral factors (Lithuanian health behavior monitoring). Medicina (Kaunas) 39:1223–1230 Grabauskas V, Petkeviciene J, Klumbiene J, Vaisvalavicius V (2003) The prevalence of overweight and obesity in relation to social and behavioral factors (Lithuanian health behavior monitoring). Medicina (Kaunas) 39:1223–1230
20.
go back to reference Tolstrup JS, Halkjaer J, Heitmann BL, Tjonneland AM, Overvad K, Sorensen TIA et al (2008) Alcohol drinking frequency in relation to subsequent changes in waist circumference. Am J Clin Nutr 87:957–963 Tolstrup JS, Halkjaer J, Heitmann BL, Tjonneland AM, Overvad K, Sorensen TIA et al (2008) Alcohol drinking frequency in relation to subsequent changes in waist circumference. Am J Clin Nutr 87:957–963
21.
go back to reference Dorn JM, Hovey K, Muti P (2003) Alcohol drinking patterns differentially affect abdominal adiposity as measured by abdominal height in women and men. J Nutr 133:2655–2662 Dorn JM, Hovey K, Muti P (2003) Alcohol drinking patterns differentially affect abdominal adiposity as measured by abdominal height in women and men. J Nutr 133:2655–2662
22.
go back to reference Koppes LLJ, Twisk JWR, Van Mechelen W, Snel J, Kemper HCG (2005) Cross-sectional and longitudinal relationships between alcohol consumption and lipids, blood pressure and body weight indices. J Stud Alcohol 66:713–721CrossRef Koppes LLJ, Twisk JWR, Van Mechelen W, Snel J, Kemper HCG (2005) Cross-sectional and longitudinal relationships between alcohol consumption and lipids, blood pressure and body weight indices. J Stud Alcohol 66:713–721CrossRef
23.
go back to reference Schutze M, Schulz M, Steffen A, Bergmann MM, Kroke A, Lissner L et al (2009) Beer consumption and the ‘beer belly’: scientific basis or common belief? Eur J Clin Nutr 63:1143–1149CrossRef Schutze M, Schulz M, Steffen A, Bergmann MM, Kroke A, Lissner L et al (2009) Beer consumption and the ‘beer belly’: scientific basis or common belief? Eur J Clin Nutr 63:1143–1149CrossRef
24.
go back to reference Midanik LT (1988) Validity of self-reported alcohol use: a literature review and assessment. Br J Addict 83:1019–1030CrossRef Midanik LT (1988) Validity of self-reported alcohol use: a literature review and assessment. Br J Addict 83:1019–1030CrossRef
25.
go back to reference Sayon-Orea C, Bes-Rastrollo M, Nuñez-Cordoba JM, Basterra-Gortari FJ, Beunza JJ, Martinez-Gonzalez MA (2011) Type of alcoholic beverage and incidence of overweight/obesity in a Mediterranean cohort: the SUN project. Nutrition 27:802–808CrossRef Sayon-Orea C, Bes-Rastrollo M, Nuñez-Cordoba JM, Basterra-Gortari FJ, Beunza JJ, Martinez-Gonzalez MA (2011) Type of alcoholic beverage and incidence of overweight/obesity in a Mediterranean cohort: the SUN project. Nutrition 27:802–808CrossRef
26.
go back to reference Vadstrup ES, Petersen L, Sørensen TIA, Grønbæk M (2003) Waist circumference in relation to history of amount and type of alcohol: results from the Copenhagen City Heart Study. Int J Obes 27:238–246CrossRef Vadstrup ES, Petersen L, Sørensen TIA, Grønbæk M (2003) Waist circumference in relation to history of amount and type of alcohol: results from the Copenhagen City Heart Study. Int J Obes 27:238–246CrossRef
27.
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 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 29:1436–1444CrossRef
28.
go back to reference Genton L, Hans D, Kyle UG, Pichard C (2002) Dual- energy X-ray absorptiometry and body composition: differences between devices and comparison with reference methods. Nutrition 18:66–70CrossRef Genton L, Hans D, Kyle UG, Pichard C (2002) Dual- energy X-ray absorptiometry and body composition: differences between devices and comparison with reference methods. Nutrition 18:66–70CrossRef
29.
go back to reference Faerstein E, Chor D, Lopes CDS, Werneck GL (2005) Estudo Pro-Saúde: características gerais e aspectos metodológicos. Rev Bras Epidemiol 8:454–466CrossRef Faerstein E, Chor D, Lopes CDS, Werneck GL (2005) Estudo Pro-Saúde: características gerais e aspectos metodológicos. Rev Bras Epidemiol 8:454–466CrossRef
30.
go back to reference Sichieri R, Everhart JE (1998) Validity of Brazilian food frequency questionnaire against dietary recalls and estimated energy intake. Nutr Res 18:1649–1659CrossRef Sichieri R, Everhart JE (1998) Validity of Brazilian food frequency questionnaire against dietary recalls and estimated energy intake. Nutr Res 18:1649–1659CrossRef
31.
go back to reference iDXA GE Medical Systems enCORE Operator’s Manual and Product Information. Lunar Corp; Madison, WI iDXA GE Medical Systems enCORE Operator’s Manual and Product Information. Lunar Corp; Madison, WI
32.
go back to reference Gibson RS (1990) Principles of nutritional assessment. Oxford University Press, New York Gibson RS (1990) Principles of nutritional assessment. Oxford University Press, New York
33.
go back to reference Lipschitz DA (1994) Screening for nutritional status in the elderly. Prim Care 21:1 Lipschitz DA (1994) Screening for nutritional status in the elderly. Prim Care 21:1
35.
go back to reference Rouillier P, Bertrais S, Daudin JJ (2006) Drinking patterns are associated with variations in atherosclerotic risk factors in French men. Eur J Nutr 45:79–87CrossRef Rouillier P, Bertrais S, Daudin JJ (2006) Drinking patterns are associated with variations in atherosclerotic risk factors in French men. Eur J Nutr 45:79–87CrossRef
36.
go back to reference Coulson CE, Williams LJ, Brennan SL, Berk M, Kotowicz MA, Lubman DI et al (2013) Alcohol consumption and body composition in a population-based sample of elderly Australian men. Ging Clin Exp Res 25:183–192CrossRef Coulson CE, Williams LJ, Brennan SL, Berk M, Kotowicz MA, Lubman DI et al (2013) Alcohol consumption and body composition in a population-based sample of elderly Australian men. Ging Clin Exp Res 25:183–192CrossRef
37.
go back to reference Mcardle WD, Katch FI, Katch VL (2001) Nutrição para o desporto e o exercício. Guanabara Koogan, Rio de Janeiro Mcardle WD, Katch FI, Katch VL (2001) Nutrição para o desporto e o exercício. Guanabara Koogan, Rio de Janeiro
38.
go back to reference Vague J (1947) La differentiation sexuelle, facteur determinant des formes de l’obesite. Press Med 55:339–340 Vague J (1947) La differentiation sexuelle, facteur determinant des formes de l’obesite. Press Med 55:339–340
39.
go back to reference Petursson H, Sigurdsson JA (2011) Body configuration as a predictor of mortality: comparison of five anthropometric measures in a 12 year follow-up of the Norwegian HUNT 2 study. PLoS ONE 6:1–10CrossRef Petursson H, Sigurdsson JA (2011) Body configuration as a predictor of mortality: comparison of five anthropometric measures in a 12 year follow-up of the Norwegian HUNT 2 study. PLoS ONE 6:1–10CrossRef
40.
go back to reference Haswell M (1994) Obesity in men and women. Int J Obes Relat Metab Disord 18:1–7 Haswell M (1994) Obesity in men and women. Int J Obes Relat Metab Disord 18:1–7
41.
go back to reference Folsom AR, Kushi LH, Anderson KE, Milk PJ, Olson JE, Hong CJ et al (2000) Associations of general and abdominal obesity with multiple health outcomes in older women: the Iowa Women’s Health Study. Arch Intern Med 160:2117–2128CrossRef Folsom AR, Kushi LH, Anderson KE, Milk PJ, Olson JE, Hong CJ et al (2000) Associations of general and abdominal obesity with multiple health outcomes in older women: the Iowa Women’s Health Study. Arch Intern Med 160:2117–2128CrossRef
42.
go back to reference Bjorntorp P (1987) Adipose tissue distribution, plasma insulin, and cardiovascular disease. Diabetes Metabol 13:381–385 Bjorntorp P (1987) Adipose tissue distribution, plasma insulin, and cardiovascular disease. Diabetes Metabol 13:381–385
43.
go back to reference Owens S (1998) Visceral adipose tissue and cardiovascular risk factors in obese children. J Pediatr 133:41–45CrossRef Owens S (1998) Visceral adipose tissue and cardiovascular risk factors in obese children. J Pediatr 133:41–45CrossRef
44.
go back to reference Wajchenberg BL (2000) Subcutaneous and visceral adipose tissue: their relation to the metabolic syndrome. Endocr Rev 2:697–738CrossRef Wajchenberg BL (2000) Subcutaneous and visceral adipose tissue: their relation to the metabolic syndrome. Endocr Rev 2:697–738CrossRef
45.
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 1:31–34CrossRef 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 1:31–34CrossRef
46.
go back to reference Siler SQ, Neese RA, Hellerstein MK (1999) De novo lipogenesis, lipid kinetics, and whole-body lipid balances in humans after acute alcohol consumption. Am J Clin Nutr 70:928–936 Siler SQ, Neese RA, Hellerstein MK (1999) De novo lipogenesis, lipid kinetics, and whole-body lipid balances in humans after acute alcohol consumption. Am J Clin Nutr 70:928–936
47.
go back to reference Wannamethee SG, Shaper AG (2003) Alcohol, body weight, and weight gain in middle-aged men. Am J Clin Nutr 77(5):1312–1317 Wannamethee SG, Shaper AG (2003) Alcohol, body weight, and weight gain in middle-aged men. Am J Clin Nutr 77(5):1312–1317
48.
go back to reference James H, O’Keefe Salman KB, Ata Bajwa JJ, DiNicolantonio CJ, Lavie H (2014) Alcohol and cardiovascular health: the dose makes the poison or the remedy. Mayo Clin Proc 89:382–393CrossRef James H, O’Keefe Salman KB, Ata Bajwa JJ, DiNicolantonio CJ, Lavie H (2014) Alcohol and cardiovascular health: the dose makes the poison or the remedy. Mayo Clin Proc 89:382–393CrossRef
49.
go back to reference Yeomans MR (2010) Alcohol, appetite and energy balance: Is alcohol intake a risk factor for obesity? Physiol Behav 100(1):82–89CrossRef Yeomans MR (2010) Alcohol, appetite and energy balance: Is alcohol intake a risk factor for obesity? Physiol Behav 100(1):82–89CrossRef
50.
go back to reference Klatsky AL (2002) Alcohol consumption and stroke—the difficulties in giving responsible advice. Addiction 97:103CrossRef Klatsky AL (2002) Alcohol consumption and stroke—the difficulties in giving responsible advice. Addiction 97:103CrossRef
51.
go back to reference Renaud S, De Lorgeril M (1992) Wine, alcohol, platelets and the French paradox for coronary heart disease. Lancet 339:1523–1526CrossRef Renaud S, De Lorgeril M (1992) Wine, alcohol, platelets and the French paradox for coronary heart disease. Lancet 339:1523–1526CrossRef
52.
go back to reference Gorinstein S, Zemser M, Lichman I, Berebi A, Kleipfish A, Libman I et al (1997) Moderate beer consumption and the blood coagulation in patients with coronary artery disease. J Intern Med 241:47–51CrossRef Gorinstein S, Zemser M, Lichman I, Berebi A, Kleipfish A, Libman I et al (1997) Moderate beer consumption and the blood coagulation in patients with coronary artery disease. J Intern Med 241:47–51CrossRef
53.
go back to reference Costa RF (2001) Composição Corporal: teoria e prática da avaliação. Manole Costa RF (2001) Composição Corporal: teoria e prática da avaliação. Manole
Metadata
Title
Alcohol consumption is associated with DXA measurement of adiposity: the Pró-Saúde Study, Brazil
Authors
Thalita Fialho da Rocha
Maria Helena Hasselmann
Cíntia Chaves Curioni
Flávia Fioruci Bezerra
Eduardo Faerstein
Publication date
01-08-2017
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Nutrition / Issue 5/2017
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-016-1240-y

Other articles of this Issue 5/2017

European Journal of Nutrition 5/2017 Go to the issue