Association of socioeconomic status with overall overweight and central obesity in men and women: the French Nutrition and Health Survey 2006

<p>Abstract</p> <p>Background</p> <p>Identification of subpopulations at high risk of overweight and obesity is crucial for prevention and management of obesity in different socioeconomic status (SES) categories. The objective of the study was to describe disparities in the prevalence of overweight and obesity across socioeconomic status (SES) groups in 18–74 year-old French adults.</p> <p>Methods</p> <p>Analyses were based on a multistage stratified random sample of non-institutionalized adults aged 18–74-years-old from the French Nutrition and Health Survey (ENNS), a cross-sectional national survey carried out in 2006/2007. Collected data included measured anthropometry (weight, height and waist circumference (WC)), demographic and SES data (occupation, education and frequency of holiday trips as a marker of family income). SES factors associated with overweight (BMI ≥ 25) and central obesity (WC above gender-specific references) were identified using multiple logistic regression.</p> <p>Results</p> <p>Almost half (49.3%) of French adults were overweight or obese and 16.9% were obese. In men, the risk of overall overweight or obesity was associated with occupation (p < 0.05), whereas the risk of central obesity was independently associated with occupation (p < 0.05) and frequency of holiday trips (p < 0.01). In women, both overall and central overweight and obesity were independently associated with educational level (respectively p < 10^-3and p < 10^-3) and frequency of holiday trips (respectively p < 0.05 and p < 10^-3).</p> <p>Conclusion</p> <p>The prevalence of overweight and obesity was found to be similar to that of several neighbouring western European countries, and lower than the UK and eastern Europe. Risk of being overweight or obese varied across SES groups both in men and women, but associations were different between men and women, indicating differing determinants.</p

Maigreur, obésité et perte d’autonomie chez les personnes âgées à domicile en France: L'enquête nationale Handicap-Santé volet "ménages", 2008

Introduction –L’objectif était de décrire la prévalence de l’obésité et de la maigreur chez les personnes âgées à domicile en France et d’étudier leur association avec la perte d’autonomie.Méthodes –L’enquête nationale Handicap-Santé, volet « ménages », réalisée en 2008, comportait un recueil en face-à-face de données sociodémographiques, anthropométriques et sur les restrictions d’activité de la vie quotidienne. Les relations entre catégories d’indice de masse corporelle (IMC) et perte d’autonomie (au moins une restriction d’activité) ont été analysées par des régressions logistiques multivariées ajustées sur les caractéristiques sociodémographiques.Résultats –Les analyses ont porté sur 4 296 personnes âgées de 75 ans et plus. La prévalence de la maigreur (IMC<21) s’élevait à 14,9% [13,3-16,7]. Elle était plus élevée chez les femmes (19,6%) que chez les hommes (7,6%) et augmentait avec l’âge (p<10-3). La prévalence de l’obésité (IMC≥30) s’élevait à 14,6% [13,1-16,2]. Elle diminuait avec l’âge (p<10-3). Chez les hommes, le risque de perte d’autonomie était augmenté en cas de maigreur (ORa=2,7 ;p=0,007) ou d’obésité (ORa=1,9 ;p=0,005) comparé à la corpulence normale. Chez les femmes, il augmentait en cas de surpoids (ORa=1,7 ;p=10-3) ou d’obésité (ORa=2,9 ;p<10-3) comparé à la corpulence normale.Conclusion –L’obésité et la maigreur sont fréquentes parmi les personnes âgées à domicile et s’accompagnent d’un risque accru de perte d’autonomie. Dans un contexte marqué par le vieillissement de la population et l’augmentation de l’obésité chez les jeunes adultes, la surveillance nutritionnelle des personnes âgées constitue un enjeu de santé publique important.Introduction –The aim was to describe the prevalence of obesity and underweight in elderly living at home in France, and to investigate the association with disability.Methods –The French National Survey on Disability and Health in households, conducted in 2008, included a face-to-face interview on sociodemographic and anthropometric data, and limitation in daily living activities. The relationship between Body Mass Index (BMI) categories and disability (at least one limitation) were analysed using multivariate logistic regression models after adjustment for sociodemographic variables.Results –Analyses were carried out on 4,296 elderly aged 75 years and over. The prevalence of underweight (BMI<21) was 14.9% [13.3-16.7]. The underweight prevalence was higher in women (19.6% versus 7.6% in men) and increased with age (p<10-3). The prevalence of obesity (BMI≥30) was 14.6% [13.1-16.2]. It decreased as age increased (p<10-3). In men, the risk of disability was higher among underweight (ORa=2.7, p=0.007) and obese (ORa=1.9, p=0.005) men compared to normal weight. In women, the risk of disability was increased in overweight (ORa=1.7, p=10-3) and obese (ORa=2.9, p<10-3) women compared to normal weight.Conclusion –Obesity and underweight are frequent among elderly living at home, and are characterized by an increased risk of disability. Due to increasing life expectancy and rising obesity prevalence among younger people, monitoring the nutritional status of elderly is a public health challenge.http://www.invs.sante.fr/beh/2013/33-34/2013_33-34_3.htmlinfo:eu-repo/semantics/publishe

Compliance with French nutrition and health program recommendations is strongly associated with socioeconomic characteristics in the general adult population

BACKGROUND:In many countries, nutrition policies such as the Programme National Nutrition Santé (PNNS), implemented in France since 2001, have been developed to prevent and reduce the risk of chronic disease. However, the way in which such programs might benefit persons having different socioeconomic characteristics is unknown. The French nutrition and health survey (Etude Nationale Nutrition Santé [ENNS]) represented an opportunity to address this issue.OBJECTIVE:To describe compliance with PNNS recommendations in the general population and to investigate the relationship between social, economic, and educational characteristics and poor compliance with French nutrition recommendations.DESIGN:A national cross-sectional multistage sampling survey. Food intake was estimated through three 24-hour recalls. Adherence to French nutrition recommendations was estimated using the PNNS guideline score (15 possible points).PARTICIPANTS:Two thousand five hundred seventy-seven adults aged 18 to 74 years living in France in 2006-2007 were included in these analyses.STATISTICAL ANALYSIS:All analyses were carried out in men and women separately. Sex-specific quartiles of score were estimated. Multiple logistic models were used to identify socioeconomic characteristics (ie, age, marital status, occupational status, education level, and holiday trip in the past 12 months) associated with poor compliance with recommendations (first PNNS guideline score quartile vs three other quartiles), estimating odds ratios (ORs), and their 95% confidence intervals (CIs).RESULTS:The mean PNNS guideline score was 7.67+/-0.17 in men and 8.55+/-0.12 in women. In both sex groups, a difference of approximately four attained recommendations (out of 13 maximum) was observed between the lowest and highest quartiles. In multivariate models, being in the first PNNS guideline score quartile was significantly associated with lower age and lower occupational status for both sexes. Moreover, women living without a partner were at higher risk of poor compliance with recommendations (adjusted OR 1.43; 95% CI 1.01 to 2.04, vs women living with a partner), as were men not having taken a holiday trip during the past 12 months (adjusted OR 1.78, 95% CI 1.05 to 3.02, vs at least one holiday trip).CONCLUSIONS:Compliance with nutrition recommendations can be improved despite several years of public health interventions carried out by the PNNS. Identification of characteristics associated with poor compliance should help to target future public health measures.2010 American Dietetic Association. Published by Elsevier Inc. All rights reserved.info:eu-repo/semantics/publishe

Compliance with French nutritional recommendations, estimated as a score, and socioeconomic characteristics in 18-74-year-old adults: the French nutrition and health survey (ENNS, 2006-2007)

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Physical activity patterns in the French 18-74-year-old population: French Nutrition and Health Survey (Etude Nationale Nutrition Santé, ENNS) 2006-2007.

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Physical activity patterns in the French 18-74-year-old population: French Nutrition and Health Survey (Etude Nationale Nutrition Sante, ENNS) 2006-2007

International audienceObjective: To describe detailed physical activity and sedentary behaviour in French adults across physical activity categories. Design: The French Nutrition and Health Survey (Etude Nationale Nutrition Sante, ENNS), conducted in 2006-2007, was a national cross-sectional survey based on three-stage random sampling. The International Physical Activity Questionnaire (IPAQ) was used to classify participants into three physical activity categories. Time spent in a sitting position and time spent in front of a screen were used as markers of sedentary behaviour. Setting: France. Subjects: Adults (n 2971) aged 18 to 74 years were included. Results: Overall, 29.5% of men and 23.6% of women were classified into the high-IPAQ category, while 36.1% of men and 37.5% of women were in the low-IPAQ category. For each intensity level of physical activity (vigorous intensity, moderate intensity or walking), the number of active days per week decreased from the high-to the low-IPAQ category and daily duration of physical activity was longer in the high-IPAQ category than in the other two categories; 6% of adults declared neither vigorous nor moderate nor walking activities. Conclusions: For most adults in the low-IPAQ category, an increasing number of active days per week would be sufficient to attain the moderate-IPAQ category. This should be taken into account in public health initiatives aimed at promoting physical activity

Anthropometry and sedentariness in 3-17-year-old children: the French nutrition and health survey (ENNS, 2006-2007)

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Dietary intake, physical activity and nutritional status in adults: The French nutrition and health survey (ENNS, 2006-2007)

The French National Programme on Nutrition and Health (Programme national nutrition santé (PNNS)), the aim of which is to reduce nutrition-related chronic diseases, necessitates monitoring of nutritional characteristics. Our objective was to describe dietary intake, physical activity and nutritional status in a national sample of adults, especially according to current French recommendations. The study is based on a cross-sectional population-based survey using a multistage sampling design (Etude nationale nutrition santé (ENNS)). Between February 2006 and March 2007, 3115 18-74-year-old adults were included (participation rate 59.7 %). Energy, macronutrient and food consumption were estimated through three randomly distributed 24 h recalls, and compared to PNNS recommendations; physical activity was described using International Physical Activity Questionnaire guidelines; anthropometry, blood pressure and biochemical measurements were assessed according to national and international references. When compared to current recommendations, intake of carbohydrates (>50 % energy intake without alcohol: 26.4 %), SFA ( 25 g/d: 13.7 %) was frequently unsatisfactory. While overall consumption of 'meat, seafood and eggs' was satisfactory, that of fruits and vegetables ( > or = 400 g/d: 43.8 %) and seafood (two or more servings per week: 29.9 %) was frequently too low. The physical activity level was satisfactory at 63.2 %. Overweight was observed in 49.3 % of adults, while 30.9 % were hypertensive and 44.1 % had dyslipidaemia. Vitamin and iron-poor status was found to affect less than 10 % of the population. Based on the ENNS survey, overall nutrition remains a problem in France. Comparison of these data with those of other countries could contribute to a better understanding of variations in nutrition-related diseases.info:eu-repo/semantics/publishe

Consommations alimentaires des enfants de 3 à 17 ans en France :Etude Nationale Nutrition Santé, 2006-2007

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