Lifestyle correlates of overweight and obesity among the population of Ukraine

Natalia Chagarna, Tatiana I Andreeva

Abstract


BACKGROUND: Overweight and obesity are among the greatest health challenges nowadays. This study aimed to investigate correlates of overweight among the population ofUkraine.

METHODS: Data from the survey “Health and Well-Being in Transition Societies” (2000) were analyzed. Body mass index (BMI) based on self-reported height and weight was used to estimate the extent of overweight both in continuous and dichotomous form. Binary dependent variable was computed by setting BMI of 25 as the borderline between normal weight and overweight. Education, demographic characteristics, field of activity, level of physical activity, behavioral and eating habits were considered as independent variables.

RESULTS: In 2000, 44% of Ukrainian population (39% of men and 49% of women) were overweight. Risk of overweight increased with age: among those below 40 years old, 16% of men and 12% of women were overweight, about 47% of men and 60% of women were overweight in 40+ groups. Among young men (under 40), those consuming more fruit (OR=0,31) and more physically active (OR=0,43) were less likely to be overweight. In women over 60, those overweight were more physically active (OR=2,32). In men over 40 and women below 40, prevalence of overweight was lower in smokers than in non-smokers. Eating potatoes, meat and milk was associated with increased BMI in some groups. No consistent associations were found for consumption of fish, butter, oil, sugar, and vegetables, as well as for education.

CONCLUSION: In 2000, Ukrainian population did not bear patterns of obesity epidemics found in the West: no associations with either socioeconomic status or foods usually associated with overweight were found. Overweight was more likely related to increased use of traditional foods like dairy products, meat and potatoes. Smoking was related to lower BMI in populations with high prevalence of smoking.


Keywords


overweight; obesity; BMI; eating patterns; smoking; alcohol use

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References


Albanes, D., Jones, D. Y., Micozzi, M. S., & Mattson, M. E. (1987). Associations between smoking and body weight in the US population: analysis of NHANES II. Am J Public Health, 77(4), 439-444. doi: 10.2105/ajph.77.4.439

Barr, S. I. (2003). Increased Dairy Product or Calcium Intake: Is Body Weight or Composition Affected in Humans? The Journal of Nutrition, 133(1), 245S-248S.

Biloukha, O. O., & Utermohlen, V. (2000). Correlates of food consumption and perceptions of foods in an educated urban population in Ukraine. Food Quality and Preference, 11(6), 475-485. doi: 10.1016/s0950-3293(00)00020-3

Bilukha, O. O., & Utermohlen, V. (2002). Internalization of Western standards of appearance, body dissatisfaction and dieting in urban educated Ukrainian females. European Eating Disorders Review, 10(2), 120-137. doi: 10.1002/erv.431

Blanck, H. M., McCullough, M. L., Patel, A. V., Gillespie, C., Calle, E. E., Cokkinides, V. E., . . . Serdula, M. K. (2007). Sedentary Behavior, Recreational Physical Activity, and 7-Year Weight Gain among Postmenopausal U.S. Women[ast]. Obesity, 15(6), 1578-1588.

Cournot, M., Ruidavets, J.-B., Marquié, J.-C., Esquirol, Y., Baracat, B., & Ferrièeres, J. (2004). Environmental factors associated with body mass index in a population of Southern France. European Journal of Cardiovascular Prevention & Rehabilitation, 11(4), 291-297. doi: 10.1097/01.hjr.0000129738.22970.62

Crawford, D., & Ball, K. (2002). Behavioural determinants of the obesity epidemic. Asia Pac J Clin Nutr, 11 Suppl 8, S718-721. doi: 374 [pii]

Epstein, L. H., Gordy, C. C., Raynor, H. A., Beddome, M., Kilanowski, C. K., & Paluch, R. (2001). Increasing Fruit and Vegetable Intake and Decreasing Fat and Sugar Intake in Families at Risk for Childhood Obesity. Obesity, 9(3), 171-178.

Fehily, A., Phillips, K., & Yarnell, J. (1984). Diet, smoking, social class, and body mass index in the Caerphilly Heart Disease Study. The American Journal of Clinical Nutrition, 40(4), 827-833.

Fogelholm, M., & Kukkonen-Harjula, K. (2000). Does physical activity prevent weight gain – a systematic review. Obesity Reviews, 1(2), 95-111. doi: 10.1046/j.1467-789x.2000.00016.x

Friedman, L. S., Lukyanova, E. M., Serdiuk, A., Shkiryak-Nizhnyk, Z. A., Chislovska, N. V., Zvinchuk, A. V., . . . Hryhorczuk, D. (2009). Social-environmental factors associated with elevated body mass index in a Ukrainian cohort of children. Int J Pediatr Obes, 4(2), 81-90. doi: 904886991 [pii] 10.1080/17477160802449264 [doi]

Guh, D., Zhang, W., Bansback, N., Amarsi, Z., Birmingham, C. L., & Anis, A. (2009). The incidence of co-morbidities related to obesity and overweight: A systematic review and meta-analysis. BMC Public Health, 9(1), 88.

Gunther, C. W., Legowski, P. A., Lyle, R. M., McCabe, G. P., Eagan, M. S., Peacock, M., & Teegarden, D. (2005). Dairy products do not lead to alterations in body weight or fat mass in young women in a 1-y intervention. The American Journal of Clinical Nutrition, 81(4), 751-756.

Haslam, D., & James, P. (2005). Prevalence of obesity worldwide. Lancet, 366, 1197-1209.

Huang, T. T., Drewnosksi, A., Kumanyika, S., & Glass, T. A. (2009). A systems-oriented multilevel framework for addressing obesity in the 21st century. Prev Chronic Dis, 6(3), A82. doi: A82 [pii]

Jacobs, D. R., Jr, & Gottenborg, S. (1981). Smoking and weight: the Minnesota Lipid Research Clinic. Am J Public Health, 71(4), 391-396. doi: 10.2105/ajph.71.4.391

James, P. T., Leach, R., Kalamara, E., & Shayeghi, M. (2001). The Worldwide Obesity Epidemic. Obesity, 9(11S), 228S-233S.

Kalabiska, I., Uvacsek, M., Petrekanits, M., Cseprekal, O., Ihasz, F., & Frenkl, R. (2010). Comparison of running performances and prevalence of overweight and obesity in Hungarian and Ukrainian adolescents. Acta Physiol Hung, 97(4), 393-400. doi: 962G21P23331L7L1 [pii] 10.1556/APhysiol.97.2010.4.5 [doi]

Kelishadi, R., Zemel, M. B., Hashemipour, M., Hosseini, M., Mohammadifard, N., & Poursafa, P. (2009). Can a Dairy-Rich Diet Be Effective in Long-Term Weight Control of Young Children? Journal of the American College of Nutrition, 28(5), 601-610.

Khalangot, M., Tronko, M., Kravchenko, V., Kulchinska, J., & Hu, G. (2009). Body mass index and the risk of total and cardiovascular mortality among patients with type 2 diabetes: a large prospective study in Ukraine. Heart, 95(6), 454-460. doi: hrt.2008.150524 [pii] 10.1136/hrt.2008.150524 [doi]

Kuczmarski, M. F., Kuczmarski, R. J., & Najjar, M. (2001). Effects of age on validity of self-reported height, weight, and body mass index: findings from the Third National Health and Nutrition Examination Survey, 1988-1994. J Am Diet Assoc, 101(1), 28-34; quiz 35-26. doi: 10.1016/s0002-8223(01)00008-6

Lin, B. H., & Morrison, R. M. (2002). Higher fruit consumption linked with lower body mass index. Food Review, 25(3), 28-32.

Ma, J., Flanders, W. D., Ward, E. M., & Jemal, A. (2011). Body Mass Index in Young Adulthood and Premature Death: Analyses of the US National Health Interview Survey Linked Mortality Files. Am J Epidemiol, 174(8), 934-944. doi: 10.1093/aje/kwr169

McLaren, L. (2007). Socioeconomic status and obesity. Epidemiol Rev, 29, 29-48. doi: 10.1093/epirev/mxm001

McTigue, K., Hess, R., & Ziouras, J. (2006). Obesity in older adults: a systematic review of the evidence for diagnosis and treatment. Obesity, 14(9), 1485–1497.

Mirmiran, P., Esmaillzadeh, A., & Azizi, F. (2004). Dairy consumption and body mass index: an inverse relationship. Int J Obes Relat Metab Disord, 29(1), 115-121.

Newby, P., Muller, D., Hallfrisch, J., Qiao, N., Andres, R., & Tucker, K. L. (2003). Dietary patterns and changes in body mass index and waist circumference in adults. The American Journal of Clinical Nutrition, 77(6), 1417-1425.

Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006). Prevalence of Overweight and Obesity in the United States, 1999-2004. JAMA: the journal of the American Medical Association, 295(13), 1549-1555. doi: 10.1001/jama.295.13.1549

Page, R. M., Ihasz, F., Uvacsek, M., Kalabiska, I., Johnson, E., Hantiu, I., . . . Simonek, J. (2006). Self-perception of body weight, weight management practices and goals, and other weight-related factors in central and eastern European adolescents. Int Q Community Health Educ, 27(1), 39-58. doi: R803723K48318749 [pii] 10.2190/IQ.27.1.d [doi]

Paniotto, V., Martsinkiv, A., Kharchenko, N., Zakhozha, V., & Buslayeva, E. (2004). A study of health, the need for health and social services, and health-related living conditions in Ukraine. In A. N. Hannu Valtonen (Ed.), Health and Well-Being in Transition Societies (pp. 84-120). Finland: Gummerus Printing Saarijarvi.

Priputina, L. S. (1975). Nutritional characteristics and the prevalence of obesity among individual groups of the population in the Ukrainian SSR. Vopr Pitan(1), 3-6.

Rosell, M., Håkansson, N. N., & Wolk, A. (2006). Association between dairy food consumption and weight change over 9 y in 19 352 perimenopausal women. The American Journal of Clinical Nutrition, 84(6), 1481-1488.

Rosmond, R., & Bjorntorp, P. (1999). Psychosocial and socio-economic factors in women and their relationship to obesity and regional body fat distribution. International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity, 23(2), 138-145.

Schroeder, S. A. (2007). We Can Do Better — Improving the Health of the American People. New England Journal of Medicine, 357(12), 1221-1228. doi: doi:10.1056/NEJMsa073350

Shahar, D. R., Schwarzfuchs, D., Fraser, D., Vardi, H., Thiery, J., Fiedler, G. M., . . . Group, f. t. D. (2010). Dairy calcium intake, serum vitamin D, and successful weight loss. The American Journal of Clinical Nutrition, 92(5), 1017-1022. doi: 10.3945/ajcn.2010.29355

Shimokata, H., Muller, D. C., & Andres, R. (1989). Studies in the Distribution of Body Fat. JAMA: the journal of the American Medical Association, 261(8), 1169-1173. doi: 10.1001/jama.1989.03420080089037

Sobal, J. (1991). Obesity and socioeconomic status: a framework for examining relationships between physical and social variables. Med Anthropol, 13(3), 231-247. doi: 10.1080/01459740.1991.9966050 [doi]

Van Loan, M. (2009). The Role of Dairy Foods and Dietary Calcium in Weight Management. Journal of the American College of Nutrition, 28(Supplement 1), 120S-129S.

Vartanian, L. R., Schwartz, M. B., & Brownell, K. D. (2007). Effects of Soft Drink Consumption on Nutrition and Health: A Systematic Review and Meta-Analysis. Am J Public Health, 97(4), 667-675. doi: 10.2105/ajph.2005.083782

Wang, Y., & Beydoun, M. A. (2007). The Obesity Epidemic in the United States—Gender, Age, Socioeconomic, Racial/Ethnic, and Geographic Characteristics: A Systematic Review and Meta-Regression Analysis. Epidemiologic Reviews, 29(1), 6-28. doi: 10.1093/epirev/mxm007

Wardle, J., Waller, J., & Jarvis, M. J. (2002). Sex Differences in the Association of Socioeconomic Status With Obesity. Am J Public Health, 92(8), 1299-1304. doi: 10.2105/ajph.92.8.1299

Webber, L., Kilpi, F., Marsh, T., Rtveladze, K., McPherson, K., & Brown, M. (2012). Modelling obesity trends and related diseases in Eastern Europe. Obes Rev, 13(8), 744-751. doi: 10.1111/j.1467-789X.2012.00999.x

Williamson, D. F., Forman, M. R., Binkin, N. J., Gentry, E. M., Remington, P. L., & Trowbridge, F. L. (1987). Alcohol and body weight in United States adults. Am J Public Health, 77(10), 1324-1330. doi: 10.2105/ajph.77.10.1324

Zatonski, W., McMichael, A., & Powles, J. (1998). Ecological study of reasons for sharp decline in mortality from ischaemic heart disease in Poland since 1991 British Medical Journal, 316(7137), 1047-1051.




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