Information de reference pour ce titreAccession Number: | 00004348-201303000-00011.
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Author: | Golubic, R 1; Ekelund, U 1; Wijndaele, K 1; Luben, R 2; Khaw, K-T 2; Wareham, N J 1; Brage, S 1
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Institution: | (1)Medical Research Council Epidemiology Unit, Institute of Metabolic Science, Cambridge, UK and (2)Department of Public Health and Primary Care, Institute of Public Health, University of Cambridge, Cambridge, UK.
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Title: | Rate of weight gain predicts change in physical activity levels: a longitudinal analysis of the EPIC-Norfolk cohort.[Article]
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Source: | International Journal of Obesity. 37(3):404-409, March 2013.
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Abstract: | OBJECTIVE: To investigate the relationship of body weight and its changes over time with physical activity (PA).
DESIGN: Population-based prospective cohort study (Norfolk cohort of the European Prospective Investigation into Cancer and Nutrition, EPIC-Norfolk, United Kingdom).
SUBJECTS: A total of 25 639 men and women aged 39-79 years at baseline. PA was self-reported. Weight and height were measured by standard clinical procedures at baseline and self-reported at 18-month and 10-year follow-ups (calibrated against clinical measures). Main outcome measure was PA at the 10-year follow-up.
RESULTS: Body weight and PA were inversely associated in cross-sectional analyses. In longitudinal analyses, an increase in weight was associated with higher risk of being inactive 10 years later, after adjusting for baseline activity, 18-month activity, sex, baseline age, prevalent diseases, socioeconomic status, education, smoking, total daily energy intake and alcohol intake. Compared with stable weight, a gain in weight of >2kg per year in the short-, medium- and long-term was consistently and significantly associated with greater likelihood of physical inactivity after 10 years, with the most pronounced effect for long-term weight gain, OR = 1.89 (95% CI: 1.30-2.70) in fully adjusted analysis. Weight gain of 0.5-2 kg per year over long-term was substantially associated with physical inactivity after full adjustment, OR =1.26 (95% CI: 1.11-1.41).
CONCLUSION: Weight gain (during short-, medium- and long-term) is a significant determinant of future physical inactivity independent of baseline weight and activity. Compared with maintaining weight, moderate (0.5-2 kg per year) and large weight gain (>2kg per year) significantly predict future inactivity; a potentially vicious cycle including further weight gain, obesity and complications associated with a sedentary lifestyle. On the basis of current predictions of obesity trends, we estimate that the prevalence of inactivity in England would exceed 60% in the year 2020.
Copyright (C) 2013 Nature Publishing Group
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Author Keywords: | physical activity; weight gain; cohort study; epidemiology.
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Language: | English.
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Document Type: | ORIGINAL ARTICLE.
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Journal Subset: | Clinical Medicine. Life & Biomedical Sciences.
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ISSN: | 0307-0565
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NLM Journal Code: | 7703240
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DOI Number: | https://dx.doi.org/10.1038/ijo.2...- ouverture dans une nouvelle fenêtre
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