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Published in: BMC Public Health 1/2008

Open Access 01-12-2008 | Research article

Prevalence of obesity and abdominal obesity in the Lausanne population

Authors: Pedro Marques-Vidal, Murielle Bochud, Vincent Mooser, Fred Paccaud, Gérard Waeber, Peter Vollenweider

Published in: BMC Public Health | Issue 1/2008

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Abstract

Background

Obesity can be defined using body mass index (BMI) or waist (abdominal obesity). Little information exists regarding its prevalence and determinants in Switzerland. Hence, we assessed the levels of obesity as defined by BMI or waist circumference in a Swiss population-based sample.

Methods

Cross-sectional, population-based non-stratified random sample of 3,249 women and 2,937 men aged 35–75 years living in Lausanne, Switzerland. Overall participation rate was 41%.

Results

In men, the prevalences of overweight (BMI ≥25 kg/m2) and obesity (BMI ≥30 kg/m2) were 45.5% and 16.9%, respectively, higher than in women (28.3% and 14.3%, respectively). The prevalence of abdominal obesity (waist ≥102 in men and ≥88 cm in women) was higher in women than in men (30.6% vs. 23.9%). Obesity and abdominal obesity increased with age and decreased with higher educational level in both genders. In women, the prevalence of obesity was lower among former and current smokers, whereas in men the prevalence of obesity was higher in former smokers but did not differ between current and never smokers. Multivariate analysis showed age to be positively related, and education and physical activity to be negatively related with obesity and abdominal obesity in both genders, whereas differential effects of smoking were found between genders.

Conclusion

The prevalence of abdominal obesity is higher than BMI-derived obesity in the Swiss population. Women presented with more abdominal obesity than men. The association between smoking and obesity levels appears to differ between genders.
Literature
1.
go back to reference World Health Organization: Obesity: preventing and managing the global epidemic: report of a WHO consultation. Geneva, Switzerland. 1999 World Health Organization: Obesity: preventing and managing the global epidemic: report of a WHO consultation. Geneva, Switzerland. 1999
2.
go back to reference Janssen I, Katzmarzyk PT, Ross R: Waist circumference and not body mass index explains obesity-related health risk. Am J Clin Nutr. 2004, 79: 379-384.PubMed Janssen I, Katzmarzyk PT, Ross R: Waist circumference and not body mass index explains obesity-related health risk. Am J Clin Nutr. 2004, 79: 379-384.PubMed
3.
go back to reference Stolk RP, Suriyawongpaisal P, Aekplakorn W, Woodward M, Neal B: Fat distribution is strongly associated with plasma glucose levels and diabetes in Thai adults-the InterASIA study. Diabetologia. 2005, 48: 657-660. 10.1007/s00125-005-1677-7.CrossRefPubMed Stolk RP, Suriyawongpaisal P, Aekplakorn W, Woodward M, Neal B: Fat distribution is strongly associated with plasma glucose levels and diabetes in Thai adults-the InterASIA study. Diabetologia. 2005, 48: 657-660. 10.1007/s00125-005-1677-7.CrossRefPubMed
4.
go back to reference Menke A, Muntner P, Wildman RP, Reynolds K, He J: Measures of adiposity and cardiovascular disease risk factors. Obesity. 2007, 15: 785-795. 10.1038/oby.2007.593.CrossRefPubMed Menke A, Muntner P, Wildman RP, Reynolds K, He J: Measures of adiposity and cardiovascular disease risk factors. Obesity. 2007, 15: 785-795. 10.1038/oby.2007.593.CrossRefPubMed
5.
go back to reference Simpson JA, MacInnis RJ, Peeters A, Hopper JL, Giles GG, English DR: A comparison of adiposity measures as predictors of all-cause mortality: the Melbourne Collaborative Cohort Study. Obesity (Silver Spring). 2007, 15: 994-1003. 10.1038/oby.2007.622.CrossRef Simpson JA, MacInnis RJ, Peeters A, Hopper JL, Giles GG, English DR: A comparison of adiposity measures as predictors of all-cause mortality: the Melbourne Collaborative Cohort Study. Obesity (Silver Spring). 2007, 15: 994-1003. 10.1038/oby.2007.622.CrossRef
6.
go back to reference Ito H, Nakasuga K, Ohshima A, Sakai Y, Maruyama T, Kaji Y, Harada M, Jingu S, Sakamoto M: Excess accumulation of body fat is related to dyslipidemia in normal-weight subjects. Int J Obes Relat Metab Disord. 2004, 28: 242-247.PubMed Ito H, Nakasuga K, Ohshima A, Sakai Y, Maruyama T, Kaji Y, Harada M, Jingu S, Sakamoto M: Excess accumulation of body fat is related to dyslipidemia in normal-weight subjects. Int J Obes Relat Metab Disord. 2004, 28: 242-247.PubMed
7.
go back to reference Miyawaki T, Abe M, Yahata K, Kajiyama N, Katsuma H, Saito N: Contribution of visceral fat accumulation to the risk factors for atherosclerosis in non-obese Japanese. Intern Med. 2004, 43: 1138-1144. 10.2169/internalmedicine.43.1138.CrossRefPubMed Miyawaki T, Abe M, Yahata K, Kajiyama N, Katsuma H, Saito N: Contribution of visceral fat accumulation to the risk factors for atherosclerosis in non-obese Japanese. Intern Med. 2004, 43: 1138-1144. 10.2169/internalmedicine.43.1138.CrossRefPubMed
8.
go back to reference Akpinar E, Bashan I, Bozdemir N, Saatci E: Which is the best anthropometric technique to identify obesity: body mass index, waist circumference or waist-hip ratio?. Coll Antropol. 2007, 31: 387-393.PubMed Akpinar E, Bashan I, Bozdemir N, Saatci E: Which is the best anthropometric technique to identify obesity: body mass index, waist circumference or waist-hip ratio?. Coll Antropol. 2007, 31: 387-393.PubMed
9.
go back to reference Himes JH, Bouchard C, Pheley AM: Lack of correspondence among measures identifying the obese. Am J Prev Med. 1991, 7: 107-111.PubMed Himes JH, Bouchard C, Pheley AM: Lack of correspondence among measures identifying the obese. Am J Prev Med. 1991, 7: 107-111.PubMed
10.
go back to reference Firmann M, Mayor V, Marques-Vidal P, Bochud M, Pécoud A, Hayoz D, Paccaud F, Preisig M, Song KS, Yuan X, et al: The CoLaus study: a population-based study to investigate the epidemiology and genetic determinants of cardiovascular risk factors and metabolic syndrome. BMC Cardiovasc Disord. 2008, 8: 6-10.1186/1471-2261-8-6.CrossRefPubMedPubMedCentral Firmann M, Mayor V, Marques-Vidal P, Bochud M, Pécoud A, Hayoz D, Paccaud F, Preisig M, Song KS, Yuan X, et al: The CoLaus study: a population-based study to investigate the epidemiology and genetic determinants of cardiovascular risk factors and metabolic syndrome. BMC Cardiovasc Disord. 2008, 8: 6-10.1186/1471-2261-8-6.CrossRefPubMedPubMedCentral
12.
go back to reference Haftenberger M, Lahmann PH, Panico S, Gonzalez CA, Seidell JC, Boeing H, Giurdanella MC, Krogh V, Bueno-de-Mesquita HB, Peeters PH, et al: Overweight, obesity and fat distribution in 50- to 64-year-old participants in the European Prospective Investigation into Cancer and Nutrition (EPIC). Public Health Nutr. 2002, 5: 1147-1162.CrossRefPubMed Haftenberger M, Lahmann PH, Panico S, Gonzalez CA, Seidell JC, Boeing H, Giurdanella MC, Krogh V, Bueno-de-Mesquita HB, Peeters PH, et al: Overweight, obesity and fat distribution in 50- to 64-year-old participants in the European Prospective Investigation into Cancer and Nutrition (EPIC). Public Health Nutr. 2002, 5: 1147-1162.CrossRefPubMed
13.
go back to reference Kapantais E, Tzotzas T, Ioannidis I, Mortoglou A, Bakatselos S, Kaklamanou M, Lanaras L, Kaklamanos I: First national epidemiological survey on the prevalence of obesity and abdominal fat distribution in Greek adults. Ann Nutr Metab. 2006, 50: 330-338. 10.1159/000094296.CrossRefPubMed Kapantais E, Tzotzas T, Ioannidis I, Mortoglou A, Bakatselos S, Kaklamanou M, Lanaras L, Kaklamanos I: First national epidemiological survey on the prevalence of obesity and abdominal fat distribution in Greek adults. Ann Nutr Metab. 2006, 50: 330-338. 10.1159/000094296.CrossRefPubMed
14.
go back to reference Andreyeva T, Michaud PC, van Soest A: Obesity and health in Europeans aged 50 years and older. Public Health. 2007, 121: 497-509. 10.1016/j.puhe.2006.11.016.CrossRefPubMed Andreyeva T, Michaud PC, van Soest A: Obesity and health in Europeans aged 50 years and older. Public Health. 2007, 121: 497-509. 10.1016/j.puhe.2006.11.016.CrossRefPubMed
15.
go back to reference Kyle UG, Kossovsky MP, Genton L, Pichard C: Overweight and obesity in a Swiss city: 10-year trends. Public Health Nutr. 2007, 10: 914-919. 10.1017/S136898000765798X.CrossRefPubMed Kyle UG, Kossovsky MP, Genton L, Pichard C: Overweight and obesity in a Swiss city: 10-year trends. Public Health Nutr. 2007, 10: 914-919. 10.1017/S136898000765798X.CrossRefPubMed
16.
go back to reference Lorenzo C, Serrano-Rios M, Martinez-Larrad MT, Gonzalez-Villalpando C, Williams K, Gabriel R, Stern MP, Haffner SM: Which obesity index best explains prevalence differences in type 2 diabetes mellitus?. Obesity (Silver Spring). 2007, 15: 1294-1301. 10.1038/oby.2007.151.CrossRef Lorenzo C, Serrano-Rios M, Martinez-Larrad MT, Gonzalez-Villalpando C, Williams K, Gabriel R, Stern MP, Haffner SM: Which obesity index best explains prevalence differences in type 2 diabetes mellitus?. Obesity (Silver Spring). 2007, 15: 1294-1301. 10.1038/oby.2007.151.CrossRef
17.
go back to reference Bigaard J, Frederiksen K, Tjønneland A, Thomsen BL, Overvad K, Heitmann BL, Sørensen TI: Waist circumference and body composition in relation to all-cause mortality in middle-aged men and women. Int J Obes (Lond). 2005, 29: 778-784. 10.1038/sj.ijo.0802976.CrossRef Bigaard J, Frederiksen K, Tjønneland A, Thomsen BL, Overvad K, Heitmann BL, Sørensen TI: Waist circumference and body composition in relation to all-cause mortality in middle-aged men and women. Int J Obes (Lond). 2005, 29: 778-784. 10.1038/sj.ijo.0802976.CrossRef
18.
go back to reference Rexrode KM, Buring JE, Manson JE: Abdominal and total adiposity and risk of coronary heart disease in men. Int J Obes Relat Metab Disord. 2001, 25: 1047-1056. 10.1038/sj.ijo.0801615.CrossRefPubMed Rexrode KM, Buring JE, Manson JE: Abdominal and total adiposity and risk of coronary heart disease in men. Int J Obes Relat Metab Disord. 2001, 25: 1047-1056. 10.1038/sj.ijo.0801615.CrossRefPubMed
19.
go back to reference Booth ML, Hunter C, Gore CJ, Bauman A, Owen N: The relationship between body mass index and waist circumference: implications for estimates of the population prevalence of overweight. Int J Obes Relat Metab Disord. 2000, 24: 1058-1061. 10.1038/sj.ijo.0801359.CrossRefPubMed Booth ML, Hunter C, Gore CJ, Bauman A, Owen N: The relationship between body mass index and waist circumference: implications for estimates of the population prevalence of overweight. Int J Obes Relat Metab Disord. 2000, 24: 1058-1061. 10.1038/sj.ijo.0801359.CrossRefPubMed
20.
go back to reference Ko GT, Tang J, Chan JC, Sung R, Wu MM, Wai HP, Chen R: Lower BMI cut-off value to define obesity in Hong Kong Chinese: an analysis based on body fat assessment by bioelectrical impedance. Br J Nutr. 2001, 85: 239-242. 10.1079/BJN2000251.CrossRefPubMed Ko GT, Tang J, Chan JC, Sung R, Wu MM, Wai HP, Chen R: Lower BMI cut-off value to define obesity in Hong Kong Chinese: an analysis based on body fat assessment by bioelectrical impedance. Br J Nutr. 2001, 85: 239-242. 10.1079/BJN2000251.CrossRefPubMed
21.
go back to reference Al-Lawati JA, Jousilahti P: Body mass index, waist circumference and waist-to-hip ratio cut-off points for categorisation of obesity among Omani Arabs. Public Health Nutr. 2008, 11: 102-108. 10.1017/S1368980007000183.CrossRefPubMed Al-Lawati JA, Jousilahti P: Body mass index, waist circumference and waist-to-hip ratio cut-off points for categorisation of obesity among Omani Arabs. Public Health Nutr. 2008, 11: 102-108. 10.1017/S1368980007000183.CrossRefPubMed
22.
go back to reference Janssen I: Morbidity and mortality risk associated with an overweight BMI in older men and women. Obesity (Silver Spring). 2007, 15: 1827-1840. 10.1038/oby.2007.217.CrossRef Janssen I: Morbidity and mortality risk associated with an overweight BMI in older men and women. Obesity (Silver Spring). 2007, 15: 1827-1840. 10.1038/oby.2007.217.CrossRef
23.
go back to reference Kaluski DN, Keinan-Boker L, Stern F, Green MS, Leventhal A, Goldsmith R, Chinich A, Berry EM: BMI may overestimate the prevalence of obesity among women of lower socioeconomic status. Obesity (Silver Spring). 2007, 15: 1808-1815. 10.1038/oby.2007.215.CrossRef Kaluski DN, Keinan-Boker L, Stern F, Green MS, Leventhal A, Goldsmith R, Chinich A, Berry EM: BMI may overestimate the prevalence of obesity among women of lower socioeconomic status. Obesity (Silver Spring). 2007, 15: 1808-1815. 10.1038/oby.2007.215.CrossRef
24.
go back to reference Cournot M, Ruidavets JB, Marquie JC, Esquirol Y, Baracat B, Ferrières J: Environmental factors associated with body mass index in a population of Southern France. Eur J Cardiovasc Prev Rehabil. 2004, 11: 291-297. 10.1097/01.hjr.0000129738.22970.62.CrossRefPubMed Cournot M, Ruidavets JB, Marquie JC, Esquirol Y, Baracat B, Ferrières J: Environmental factors associated with body mass index in a population of Southern France. Eur J Cardiovasc Prev Rehabil. 2004, 11: 291-297. 10.1097/01.hjr.0000129738.22970.62.CrossRefPubMed
25.
go back to reference 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: 1141-1145. 10.1038/oby.2005.135.CrossRefPubMed 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: 1141-1145. 10.1038/oby.2005.135.CrossRefPubMed
26.
go back to reference Pikhart H, Bobak M, Malyutina S, Pajak A, Kubinova R, Marmot M: Obesity and education in three countries of the Central and Eastern Europe: the HAPIEE study. Cent Eur J Public Health. 2007, 15: 140-142.PubMed Pikhart H, Bobak M, Malyutina S, Pajak A, Kubinova R, Marmot M: Obesity and education in three countries of the Central and Eastern Europe: the HAPIEE study. Cent Eur J Public Health. 2007, 15: 140-142.PubMed
27.
go back to reference Darmon N, Drewnowski A: Does social class predict diet quality?. Am J Clin Nutr. 2008, 87: 1107-1117.PubMed Darmon N, Drewnowski A: Does social class predict diet quality?. Am J Clin Nutr. 2008, 87: 1107-1117.PubMed
28.
go back to reference Drewnowski A, Monsivais P, Maillot M, Darmon N: Low-energy-density diets are associated with higher diet quality and higher diet costs in French adults. J Am Diet Assoc. 2007, 107: 1028-1032. 10.1016/j.jada.2007.03.013.CrossRefPubMed Drewnowski A, Monsivais P, Maillot M, Darmon N: Low-energy-density diets are associated with higher diet quality and higher diet costs in French adults. J Am Diet Assoc. 2007, 107: 1028-1032. 10.1016/j.jada.2007.03.013.CrossRefPubMed
29.
go back to reference Audrain JE, Klesges RC, DePue K, Klesges LM: The individual and combined effects of cigarette smoking and food on resting energy expenditure. Int J Obes. 1991, 15: 813-821.PubMed Audrain JE, Klesges RC, DePue K, Klesges LM: The individual and combined effects of cigarette smoking and food on resting energy expenditure. Int J Obes. 1991, 15: 813-821.PubMed
30.
go back to reference Padrão P, Lunet N, Santos AC, Barros H: Smoking, alcohol, and dietary choices: evidence from the Portuguese National Health Survey. BMC Public Health. 2007, 7: 138-10.1186/1471-2458-7-138.CrossRefPubMedPubMedCentral Padrão P, Lunet N, Santos AC, Barros H: Smoking, alcohol, and dietary choices: evidence from the Portuguese National Health Survey. BMC Public Health. 2007, 7: 138-10.1186/1471-2458-7-138.CrossRefPubMedPubMedCentral
31.
go back to reference Chiolero A, Jacot-Sadowski I, Faeh D, Paccaud F, Cornuz J: Association of cigarettes smoked daily with obesity in a general adult population. Obesity (Silver Spring). 2007, 15: 1311-1318. 10.1038/oby.2007.153.CrossRef Chiolero A, Jacot-Sadowski I, Faeh D, Paccaud F, Cornuz J: Association of cigarettes smoked daily with obesity in a general adult population. Obesity (Silver Spring). 2007, 15: 1311-1318. 10.1038/oby.2007.153.CrossRef
32.
go back to reference Wolf HK, Kuulasmaa K, Tolonen H, Ruokokoski E: Participation rates, quality of sampling frames and sampling fractions in the MONICA surveys. Helsinki, Finland. 1998 Wolf HK, Kuulasmaa K, Tolonen H, Ruokokoski E: Participation rates, quality of sampling frames and sampling fractions in the MONICA surveys. Helsinki, Finland. 1998
33.
go back to reference Galea S, Tracy M: Participation rates in epidemiologic studies. Ann Epidemiol. 2007, 17: 643-653. 10.1016/j.annepidem.2007.03.013.CrossRefPubMed Galea S, Tracy M: Participation rates in epidemiologic studies. Ann Epidemiol. 2007, 17: 643-653. 10.1016/j.annepidem.2007.03.013.CrossRefPubMed
34.
go back to reference Taylor AW, Dal GE, Gill T, Chittleborough CR, Wilson DH, Adams RJ, Grant JF, Phillips P, Ruffin RE: Do people with risky behaviours participate in biomedical cohort studies?. BMC Public Health. 2006, 6: 11-10.1186/1471-2458-6-11.CrossRefPubMedPubMedCentral Taylor AW, Dal GE, Gill T, Chittleborough CR, Wilson DH, Adams RJ, Grant JF, Phillips P, Ruffin RE: Do people with risky behaviours participate in biomedical cohort studies?. BMC Public Health. 2006, 6: 11-10.1186/1471-2458-6-11.CrossRefPubMedPubMedCentral
Metadata
Title
Prevalence of obesity and abdominal obesity in the Lausanne population
Authors
Pedro Marques-Vidal
Murielle Bochud
Vincent Mooser
Fred Paccaud
Gérard Waeber
Peter Vollenweider
Publication date
01-12-2008
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2008
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-8-330

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