Keller Kristin, Rodríguez López Santiago, Carmenate Moreno Margarita M
Departamento de Biología, Facultad de Ciencia, Universidad Autónoma de Madrid, Edificio de Biología, Calle Darwin No.2, Ciudad Universitaria de Cantoblanco, Madrid 28049, Spain.
Departamento de Biología, Facultad de Ciencia, Universidad Autónoma de Madrid, Edificio de Biología, Calle Darwin No.2, Ciudad Universitaria de Cantoblanco, Madrid 28049, Spain.
Appetite. 2015 Sep;92:1-6. doi: 10.1016/j.appet.2015.04.077. Epub 2015 May 4.
The study aims to evaluate the association between abdominal obesity with meal intake behaviour such as having a forenoon meal, having an afternoon meal and snacking. This cross-sectional study includes n = 1314 participants aged 20-79 who were interviewed during the Cardiac health "Semanas del Corazon" events in four Spanish cities (Madrid, Las Palmas, Seville and Valencia) in 2008. Waist circumference, weight and height were assessed to determine abdominal obesity (waist circumference: ≥88 cm in women and ≥102 cm in men) and BMI, respectively. The intake of forenoon and afternoon meal and snacking between the participants' regular meals were assessed with a questionnaire that also included individual risk factors. The information obtained about diet was required to calculate an Unhealthy Habit Score and a score reflecting the Achievement of Dietary Guidelines. Adjusted logistic regressions were used to examine the association between abdominal obesity and the mentioned meal intake behaviour controlling for sex, age, individual risk factors, BMI and diet. Having an afternoon meal (OR 0.60; 95% CI (0.41-0.88)) was negatively associated with abdominal obesity after adjusting for all confounders, whereas the positive association of snacking (OR 1.39; 95% CI (1.05-1.85)) was not independent of BMI (OR 1.25; 95% CI (0.84-1.87)). Taking a forenoon meal did not show any associations (OR 0.92; 95% CI (0.63-1.34)) with abdominal obesity. The results obtained could be helpful in the promotion of healthy habits in nutritional education programmes and also in health programmes preventing abdominal obesity.
该研究旨在评估腹部肥胖与进餐行为（如吃上午餐、下午餐和吃零食）之间的关联。这项横断面研究纳入了1314名年龄在20 - 79岁之间的参与者，他们于2008年在西班牙四个城市（马德里、拉斯帕尔马斯、塞维利亚和巴伦西亚）的心脏健康“心脏周”活动期间接受了访谈。分别评估腰围、体重和身高以确定腹部肥胖（女性腰围≥88厘米，男性腰围≥102厘米）和身体质量指数（BMI）。通过一份还包括个体风险因素的问卷，评估参与者在常规餐食之间吃上午餐、下午餐和吃零食的情况。所获得的饮食信息用于计算不健康习惯得分和反映饮食指南达成情况的得分。使用调整后的逻辑回归来检验腹部肥胖与上述进餐行为之间的关联，并对性别、年龄、个体风险因素、BMI和饮食进行控制。在对所有混杂因素进行调整后，吃下午餐（比值比[OR]为0.60；95%置信区间[CI]为(0.41 - 0.88)）与腹部肥胖呈负相关，而吃零食的正相关关系（OR为1.39；95% CI为(1.05 - 1.85)）并不独立于BMI（OR为1.25；95% CI为(0.84 - 1.87)）。吃上午餐与腹部肥胖未显示出任何关联（OR为0.92；95% CI为(0.63 - 1.34)）。所获得的结果可能有助于在营养教育项目以及预防腹部肥胖的健康项目中促进健康习惯的养成。
