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Cited by 383Obesity, Physical Activity, DietHealth and Lifestyle StudiesNutritional Studies and Diet

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

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Koh-Banerjee, Pauline, Chu, Nain-Feng, Spiegelman, Donna, Rosner, Bernard, Colditz, Graham, Willett, Walter, Rimm, Eric·2003·The American Journal of Clinical Nutrition
DOI 10.1093/ajcn/78.4.719
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Abstract

Background Although it is known that abdominal obesity increases the risk of chronic diseases, prospective data examining the relation between lifestyle factors and the accumulation of abdominal adipose tissue are sparse.Objective The objective of the study was to determine the associations of changes in diet, physical activity, alcohol consumption, and smoking with 9-y waist gain among US men.Design A prospective cohort comprised 16 587 US men aged 40-75 y at baseline in 1986. Data on lifestyle factors were provided periodically with the use of self-reported questionnaires, and participants measured and reported their waist circumference in 1987 and 1996.Results In multivariate analyses, a 2% increment in energy intake from trans fats that were isocalorically substituted for either polyunsaturated fats or carbohydrates was significantly associated with a 0.77-cm waist gain over 9 y (P < 0.001 for each comparison). An increase of 12 g total fiber/d was associated with a 0.63-cm decrease in waist circumference (P < 0.001), whereas smoking cessation and a 20-h/wk increase in television watching were associated with a 1.98-cm and 0.59-cm waist gain, respectively (P < 0.001). Increases of 25 metabolic equivalent tasks (METs) * h/wk in vigorous physical activity and of >/= 0.5 h/wk in weight training were associated with 0.38-cm and 0.91-cm decreases in waist circumference, respectively (P < 0.001 for each comparison). These associations remained significant after further adjustment for concurrent change in body mass index. Changes in total fat and alcohol consumption and in walking volume were not significantly related to waist gain.Conclusions Waist gain may be modulated by changes in trans fat and fiber consumption, smoking cessation, and physical activity.

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  • In a cohort of 380,296 US men and women, greater adherence to a Mediterranean dietary pattern was associated with a 22% lower cardiovascular mortality.

    “greater versus lower adherence to a Mediterranean dietary pattern, characterized by higher intakes of vegetables, legumes, nuts, fruits, whole grains, fish, and unsaturated fat and lower intakes of red and processed meat, was associated with a 22% lower cardiovascular mortality (RR, 0.78; 95% CI, 0.69–0.87).99”

    From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [99]

  • Over the long term, the mix of macronutrients has little influence on weight gain.

    “Long-term ad libitum dietary trials168 and prospective cohort studies173–175 support that macronutrient composition has little effect on long-term weight gain.”

    From Components of a Cardioprotective Diet: New Insights (2011) · cites this paper as [173]

  • Previous studies investigating diet-disease associations in the MDC cohort have shown that it is important to consider past changes in food habits and energy misreporting in sensitivity analysis.

    “Previous studies investigating diet -disease associations in the Malmo ¨Diet and Cancer (MDC) cohort have shown that it is important to consider past changes in food habits and energy misreporting in sensitivity analysis (27 -29) .”

    From A high eating frequency is associated with an overall healthy lifestyle in middle-aged men and women and reduced likelihood of general and central obesity in men (2010) · cites this paper as [28]

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Research works printed but not linked: 2

  1. Samaras K, Fleury A, Spector T, Kelly P, Campbell L. Is there a rela- tionship between current diet and adiposity in post-menopausal women? Proc Australas Soc Study Obes 1996;4:19 (abstr).
  2. Storlien LH, Kriketos AD, Jenkins AB, et al. Does dietary fat influ- ence insulin action? Ann N Y Acad Sci 1997;827:287-301.

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Authors
Koh-Banerjee, P., Chu, N.-F., Spiegelman, D., Rosner, B., Colditz, G., Willett, W., & Rimm, E.
Affiliations
Brigham and Women's Hospital (US)
Corresponding author
  • Koh-Banerjee, Pauline
  • Rimm, Eric
ORCID
Venue
The American Journal of Clinical Nutrition
Publisher
Elsevier BV
Published
2003-10
Volume
78
Issue
4
Pages
719-727
ISSN
0002-9165 (ISSN-L)
DOI
10.1093/ajcn/78.4.719
OpenAlex
W2165266488
Cited by
383
References
51
Citations by year
2025: 2 · 2024: 10 · 2023: 8 · 2022: 4 · 2021: 12 · 2020: 7 · 2019: 9 · 2018: 14 · 2017: 15 · 2016: 14 · 2015: 25 · 2014: 21 · 2013: 24 · 2012: 30
FWCI
14.90
Type
journal article
Language
en
Open access
Licence
Locations
  • American Journal of Clinical Nutrition (publishedVersion)
  • PubMed (publishedVersion)
  • Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
Funders
  • National Institutes of Health (DK46200, CA55075)
  • National Heart, Lung, and Blood Institute (R01HL035464, HL35464)
  • National Cancer Institute (CA-55075)
  • National Institute of Diabetes and Digestive and Kidney Diseases (P30DK046200, DK46200.)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Health Professions › General Health Professions › Health and Lifestyle Studies
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Keywords
abdominal obesity, trans fatty acids, dietary fat intake, dietary fiber, smoking cessation, physical activity, television viewing, weight training, alcohol consumption, men, lifestyle factors, abdominal fat
MeSH terms
Abdomen, Adipose Tissue, Adult, Aged, Alcohol Drinking, Diet, Humans, Life Style, Male, Middle Aged, Prospective Studies, Surveys and Questionnaires, Weight Gain, Exercise, Body Mass Index, Smoking Cessation

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