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  • Original Article
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Socio-economic status and abdominal obesity among Finnish adults from 1992 to 2002

International Journal of Obesity volume 30, pages 1653–1660 (2006)Cite this article

Abstract

Objective:

To examine 10-year changes in waist circumference (WC) and identify socio-economic groups having higher WC than expected by their body mass index (BMI).

Design:

Population based cross-sectional surveys carried out in four regions of Finland in 1992, 1997 and 2002.

Subjects:

A total of 9026 women and 8173 men, aged 25–64 years.

Measurements:

Waist circumference, BMI, socio-economic indicators (education, household income, employment status, marital status) and health behaviors (smoking, alcohol use, physical activity).

Results:

In 2002, women had about 2.7 cm and men about 1.0 cm higher WC than subjects 10 years previously. Waist circumference increased more than BMI among women, especially among unemployed women. Higher WC among non-employed women was not explained by socio-economic indicators or health behaviors. Among men, smaller WC was associated with lower socio-economic status. However, associations partly disappeared after adjustment for health behaviors including physical activity at work.

Conclusion:

Socio-economic patterning of WC is divergent and gender-specific. More attention should be paid to increasing waistlines among women.

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References

  1. Molarius A, Seidell JC, Sansa S, Tuomilehto J, Kuulasmaa K . Educational level, body weight and changes in their association over 10 years: an international perspective from the WHO MONICA project. Am J Public Health 2000; 90: 1260–1268.

    Article  CAS  Google Scholar 

  2. Lahti-Koski M, Pietinen P, Männistö S, Vartiainen E . Trends in waist to hip-ratio and its determinants in adults in Finland from 1987 to 1997. Am J Clin Nutr 2000; 72: 1436–1444.

    Article  CAS  Google Scholar 

  3. Ford ES, Mokdad AH, Giles WH . Trends in waist circumference among US adults. Obes Res 2003; 11: 1223–1231.

    Article  Google Scholar 

  4. Visscher TL, Seidell JC . Time trends (1993–1997) and seasonal variation in body mass index and waist circumference in the Netherlands. Int J Obes 2004; 28: 1309–1316.

    Article  CAS  Google Scholar 

  5. Chen R, Tunstall-Pedoe H . Socioeconomic deprivation and waist circumference in men and women: the Scottish MONICA surveys 1989–1995. Eur J Epidemiol 2005; 20: 141–147.

    Article  Google Scholar 

  6. Liese AD, Doring A, Hense HW, Keil U . Five year changes in waist circumference, body mass index and obesity in Augsburg, Germany. Eur J Nutr 2001; 40: 282–288.

    Article  CAS  Google Scholar 

  7. McCarthy HD, Jarrett KV, Emmett PM, Rogers I . Central overweight and obesity in British youth aged 11–16 years: cross-sectional surveys of waist circumference. BMJ 2005; 326: 624–626.

    Article  Google Scholar 

  8. Okosun IS, Chandra KM, Boev A, Boltri JM, Choi ST, Parish DC et al. Abdominal adiposity in US adults: prevalence and trends, 1960–2000. Prev Med 2004; 39: 197–206.

    Article  Google Scholar 

  9. Utriainen I, Sarlio-Lähteenkorva S, Aittomäki A, Lahelma E . Lihavuus ja keskivartalolihavuus Helsingin kaupungin työntekijöiden keskuudessa (Obesity and abdominal obesity among employees of the city of Helsinki). Study reports, City of Helsinki 2006 (in press).

  10. Bigaard J, Tjønneland A, Thomsen BL, Overvad K, Heitmann BL, Sørensen TIA . Waist circumference, BMI, smoking, and mortality in middle-aged men and women. Obes Res 2003; 11: 895–903.

    Article  Google Scholar 

  11. Dagenais GR, Yi Q, Mann JFE, Bosch J, Pogue J, Yusuf S . Prognostic impact of body weight and abdominal obesity in women and men with cardiovascular disease. Am Heart J 2005; 149: 54–60.

    Article  Google Scholar 

  12. Lakka HM, Lakka TA, Tuomilehto J, Salonen JT . Abdominal obesity is associated with increased risk of acute coronary events in men. Eur Heart J 2002; 23: 706–713.

    Article  Google Scholar 

  13. Razak F, Anand S, Vuksan V, Davis B, Jacobs R, Teo KK, et al., on behalf of the SHARE investigators. Ethnic differences in the relationship between obesity and glucose metabolic abnormalitities. A cross-sectional population-based study. Int J Obes Relat Metab Disord 2005; 29: 656–667.

    Article  CAS  Google Scholar 

  14. Cornier MA, Tate CW, Grunwald GK, Bessesen DH . Relationship between waist circumference, body mass index, and medical care costs. Obes Res 2002; 10: 1167–1172.

    Article  Google Scholar 

  15. Sobal J, Stunkard AJ . Socioeconomic status and obesity: a review of the literature. Psychol Bull 1989; 105: 260–275.

    Article  CAS  Google Scholar 

  16. Han TS, Bijnen FC, Lean ME, Seidell JC . Separate associations of waist and hip circumference with lifestyle factors. Int J Epidemiol 1998; 27: 422–430.

    Article  CAS  Google Scholar 

  17. Grol ME, Eimers JM, Alberts JF, Bouter LM, Gerstenbluth I, Halabi Y et al. Alarmingly high prevalence of obesity in Curacao: data from an interview survey stratified for socioeconomic status. Int J Obes Relat Metab Disord 1997; 21: 1002–1009.

    Article  CAS  Google Scholar 

  18. Lahmann PH, Lissner L, Gullberg B, Berglund G . Sociodemographic factors associated with long-term weight gain, current body fatness and central adiposity in Swedish women. Int J Obes Relat Metab Disord 2000; 24: 685–694.

    Article  CAS  Google Scholar 

  19. Langenberg C, Hardy R, Kuh D, Brunner E, Wadsworth M . Central and total obesity in middle aged men and women in relation to lifetime socioeconomic status: evidence from a national birth cohort. J Epidemiol Commun Health 2003; 57: 816–822.

    Article  CAS  Google Scholar 

  20. Ball K, Crawford D . Socioeconomic status and weight change in adults: a review. Soc Sci Med 2005; 60: 1987–2010.

    Article  Google Scholar 

  21. Akbartabartoori M, Lean ME, Hankey CR . Relationships between cigarette smoking, body size and body shape. Int J Obes Relat Metab Disord 2005; 29: 236–243.

    Article  CAS  Google Scholar 

  22. Koh-Banerjee P, Chu NF, Spiegelman D, Rosner B, Colditz G, Willett W et al. Prospective study of the association of changes in dietary intake, physical activity, alcohol consumption, and smoking with 9-y gain in waist circumference among 16 587 US men. Am J Clin Nutr 2003; 78: 719–727.

    Article  CAS  Google Scholar 

  23. Sternfeld B, Wang H, Quesenberry Jr CP, Abrams B, Everson-Rose SA, Greendale GA et al. Physical activity and changes in weight and waist circumference in midlife women: findings from the Study of Women's Health Across the Nation. Am J Epidemiol 2004; 160: 912–922.

    Article  Google Scholar 

  24. Tolstrup JS, Heitmann BL, Tjønneland AM, Overvad OK, Sørensen TIA, Grønbæk MN . The relation between drinking pattern and body mass index and waist and hip circumference. Int J Obes Relat Metab Disord 2004; 29: 490–497.

    Article  Google Scholar 

  25. Tammelin T, Laitinen J, Näyhä S . Change in the level of physical activity from adolescence into adulthood and obesity at the age of 31 years. Int J Obes Relat Metab Disord 2004; 28: 775–782.

    Article  CAS  Google Scholar 

  26. Pajak A, Kuulasmaa K, Tuomilehto J, Ruokokoski E & the WHO MONICA Project. Geographical variation in the major risk factors of coronary heart disease in men and women aged 25–64 years. World Health Stat Q 1988; 41: 115–140.

    Google Scholar 

  27. STATA User's Guide Release 7. Stata Press:College Station TX, 2001.

  28. Helakorpi S, Patja K, Prättälä R, Aro A, Uutela A . Suomalaisen aikuisväestön terveyskäyttäytyminen ja terveys, kevät 2004. (Health behaviour and Health among the Finnish adult population, spring 2004). Publications of the National Public Health Institute B13/2004.

  29. Lahelma E, Arber S, Rahkonen O, Silventoinen K . Widening or narrowing inequalities in health? Comparing Britain and Finland from the 1980s to 1990s. Sociol Health Illness 2000; 22: 110–136.

    Article  Google Scholar 

  30. Laitinen J, Powell C, Ek E, Sovio U, Järvelin MR . Unemployment and obesity among young adults in the northern Finland 1966 cohort. Int J Obes Relat Metab Disord 2002; 26: 1329–1338.

    Article  CAS  Google Scholar 

  31. Rosmond R . Aetiology of obesity: a striving after wind? Obes Rev 2004; 5: 177–181.

    Article  CAS  Google Scholar 

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Acknowledgements

This study was supported by the EU Sixth Framework Programme Diogenes-project (contract FP6-2005-513946) and Eurobese project (SAS6 contract 016646). Karri Silventoinen was supported by the Academy of Finland (Grant #108297).

Author information

Authors and Affiliations

  1. Department of Public Health, University of Helsinki, Helsinki, Finland

    S Sarlio-Lähteenkorva & K Silventoinen

  2. Department of Epidemiology and Health Promotion, National Public Health Institute (KTL), Helsinki, Finland

    M Lahti-Koski, T Laatikainen & P Jousilahti

  3. Finnish Heart Association, Helsinki, Finland

    M Lahti-Koski

  4. School of Public Health, University of Tampere, Helsinki, Finland

    P Jousilahti

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  1. S Sarlio-Lähteenkorva
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  2. K Silventoinen
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Correspondence to S Sarlio-Lähteenkorva.

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Sarlio-Lähteenkorva, S., Silventoinen, K., Lahti-Koski, M. et al. Socio-economic status and abdominal obesity among Finnish adults from 1992 to 2002. Int J Obes 30, 1653–1660 (2006). https://doi.org/10.1038/sj.ijo.0803319

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