Abstract
Background
Previous studies on the association between macronutrient intake and the development
of abdominal obesity, which carries an increased health risk, have not shown a consistent
pattern, possibly due to mixed effects of other aspects of the food intake.
Objective
This study investigated the association between intake from 21 food and beverage groups
and the subsequent 5-year difference in waist circumference.
Methods
The study population consisted of 22,570 women and 20,126 men, aged 50 to 64 years
at baseline, with complete data on baseline and follow-up waist circumference, baseline
diet (192 items food frequency questionnaire), body mass index, and selected potential
confounders (eg, smoking status, sport activities, and intake of alcoholic beverages).
Multiple linear regression analyses were performed.
Results
For women, 5-year difference in waist circumference was inversely related to intake
from red meat, vegetables, fruit, butter, and high-fat dairy products, whereas intake
from potatoes, processed meat, poultry, and snack foods was positively associated.
For men, red meat and fruit intakes were inversely associated with 5-year difference
in waist circumference, whereas snack foods intake was positively associated. Sex
differences occurred for vegetables, high-fat dairy products, and processed meat.
Conclusions
The results suggest that a diet low in fruits and red meat and high in snack foods
was associated with larger waist circumference gains in both sexes. Furthermore, in
women a diet low in vegetables, butter, and high-fat dairy products, and high in poultry,
potatoes, and processed meat were likely determinants of subsequent gain at the waist.
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Biography
J. Halkjær is a postdoctoral researcher, Danish Cancer Society Institute of Cancer Epidemiology, Copenhagen, Denmark, and the Institute of Preventive Medicine, Copenhagen University Hospital, Centre for Health and Society, Copenhagen, Denmark.
Biography
A. Tjønneland is consultant and head of department, Danish Cancer Society Institute of Cancer Epidemiology, Copenhagen, Denmark.
Biography
K. Overvad is consultant, Department of Cardiology and Department of Clinical Epidemiology, Aalborg Hospital, Aarhus University Hospital, Aalborg, Denmark.
Biography
T. I. A. Sørensen is professor of clinical epidemiology at the Faculty of Health Sciences of the University of Copenhagen, Copenhagen, Denmark, and director, Institute of Preventive Medicine, Copenhagen University Hospital, Centre for Health and Society, Copenhagen, Denmark.
Article info
Publication history
Accepted:
December 30,
2008
Footnotes
Meets Learning Need Codes 3000, 3030, 3040, 4000, and 5370. To take the Continuing Professional Education quiz for this article, log in to ADA's Online Business Center at www.eatright.org/obc, click the “Journal Article Quiz” button, click “Additional Journal CPE Articles,” and select this article's title from a list of available quizzes.
Identification
Copyright
© 2009 American Dietetic Association. Published by Elsevier Inc. All rights reserved.
