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Correlates of overall and central obesity in adults from seven European countries: Findings from the Food4Me Study

Lookup NU author(s): Dr Carlos Celis Morales, Dr Katherine Livingstone, Professor John Mathers



This is the authors' accepted manuscript of an article that has been published in its final definitive form by Nature Publishing Group, 2018.

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Background/Objectives: To identify predictors of obesity in adults and investigate to what extent these predictors are independent of other major confounding factors.Subjects/Methods: Data collected at baseline from 1,441 participants from the Food4Me study conducted in seven European countries were included in this study. A food frequency questionnaire was used to measure dietary intake; Accelerometers were used to assess physical activity levels (PA), whereas participants self-reported their body weight, height and waist circumference via the internet.Results: The main factors associated (p<0.05) with higher BMI per 1-SD increase in the exposure were age (β:1.11 kg/m2), and intakes of processed meat (β:1.04 kg/m2), red meat (β:1.02 kg/m2), saturated fat (β:0.84 kg/m2), monounsaturated fat (β:0.80 kg/m2), protein (β:0.74 kg/m2), total energy intake (β:0.50 kg/m2), olive oil (β:0.36 kg/m2), sugar sweetened carbonated drinks β:0.33 kg/m2) and sedentary time (β:0.73 kg/m2). In contrast, the main factors associated with lower BMI per 1-SD increase in the exposure were PA (β:-1.36 kg/m2), and intakes of wholegrains (β:-1.05 kg/m2), fibre (β:-1.02 kg/m2), fruits and vegetables (β:-0.52 kg/m2), nuts (β:-0.52 kg/m2), polyunsaturated fat (β:-0.50 kg/m2), Healthy Eating Index (β:-0.42 kg/m2), Mediterranean diet score (β:-0.40 kg/m2), oily fish (β:-0.31 kg/m2), dairy (β:-0.31 kg/m2) and fruit juice (β:-0.25 kg/m2).Conclusions: These findings are important for public health and suggest that, promotion of increased PA, reduced sedentary behaviours and improving the overall quality of dietary patterns are important strategies for addressing the existing obesity epidemic and associated disease burden.

Publication metadata

Author(s): Celis-Morales C, Livingstone KM, Affleck A, Navas-Carretero S, Cristobal RS, Martinez JA, Marsaux CFM, Saris WHM, O'Donovan CB, Forster H, Woolhead C, Gibney ER, Walsh MC, Brennan L, Gibney M, Moschonis G, Lambrinou CP, Mavrogianni C, Manios Y, Macready AL, Fallaize R, Lovegrove JA, Kolossa S, Daniel H, Traczyk I, Drevon CA, Mathers JC, on behalf of the Food4Me Study

Publication type: Article

Publication status: Published

Journal: European Journal of Clinical Nutrition

Year: 2018

Volume: 72

Pages: 207-219

Online publication date: 15/12/2017

Acceptance date: 16/08/2017

Date deposited: 01/12/2017

ISSN (print): 0954-3007

ISSN (electronic): 1476-5640

Publisher: Nature Publishing Group


DOI: 10.1038/s41430-017-0004-y


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Funder referenceFunder name
265494Commission of the European Communities