RESEARCH PAPER
Prevalence of obesity – baseline assessment in the prospective cohort ‘PONS’ study
 
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1
Wroclaw Medical University, Department of Social Medicine, Wroclaw, Poland
2
Department of Cancer Epidemiology and Prevention, the Maria Sklodowska-Curie Cancer Center and Institute of Oncology, Warsaw, Poland
3
Wroclaw Medical University, Department of Dietetics, Wroclaw, Poland
4
Wroclaw Medical University, Department of Food Science and Dietetics, Wroclaw, Poland
5
Wroclaw Medical University, Department of Internal Medicine, Wroclaw, Poland
6
The Norwegian University of Science and Technology, Faculty of Medicine, Department of Public Health, University Medical Center Trondheim, Norway
7
Laboratory of Functional Diagnostics, Institute of Rural Health, Lublin, Poland
8
Department of Health Promotion, Food and Nutrition, Institute of Rural Health, Lublin, Poland
9
European Health Inequalities Observatory, Institute of Rural Health, Lublin, Poland
 
Ann Agric Environ Med. 2011;18(2):246–250
KEYWORDS
ABSTRACT
Objective:
The aim of the study was to evaluate the prevalence of overweight and obesity in the population of Świętokrzyskie Province in Poland.

Material and Methods:
Body mass index (BMI), waist to hip ratio (WHR) and waist circumference (WC) in the Polish-Norwegian Study (PONS) was measured in 2,567 females and 1,287 males. Anthropometric measurements included fat mass, height, weight, waist and hip circumference. BMI and WHR were calculated.

Results:
Data showed that 52% of males and 42% of females were overweight (25.0≤BMI<30.0 kg/m2), and the prevalence of obesity (BMI≥30.0 kg/m2) was 35% in both genders. The average BMI was higher in males (28.5 kg/m2) than in females (28.2 kg/m2). Analysis of WC showed that 36% of males and 45% of females had abdominal obesity, whereas measurements of WHR showed abdominal obesity in 64% of males and 79% of females. Generally, the prevalence of obesity was higher in the older age group (55-64 years) and in rural inhabitants. The prevalence of overweight increased with educational level, but the prevalence of obesity decreased with level of education in both males and females.

Conclusions:
Almost 80% of the PONS population were either overweight or obese; therefore, the PONS population is at increased risk of developing obesity-related diseases.

 
REFERENCES (31)
1.
Ball K, Crawford D. Socioeconomic status and weight change in adults: a review. Soc Sci Med 2005;60(9):1987-2010.
 
2.
Misra A, Khurana L. Obesity and the metabolic syndrome in developing countries. J Clin Endocr Metab 2008;93(11):S9-S30.
 
3.
Popkin BM. Th e shift in stages of the nutrition transition in the developing words diff ers from past experiences. Publ Health Nutr 2002;5:205-214.
 
4.
Prentice AM. Th e emerging epidemic of obesity in developing countries. Int J Epidemiol 2006;35:93-99.
 
5.
Berghofer A, Pischon T, Reinhold T, Apovian C. M, Sharma A. M, Willich SN. Obesity prevalence from European perspective: a systematic review. BMC Publ Health 2008;8:200-209.
 
6.
Chow WH, Dong LM, Devesa SS. Epidemiology and risk factors for kidney cancer. Nat Rev Urol 2010;7(5):245-257.
 
7.
Knight JA. Diseases and disorders associated with excess body weight. Ann Clin Lab Sci 2011;41(2):107-121.
 
8.
Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. WHO Technical Report Series 894. World Health Organization, Geneva 2000.
 
9.
World Cancer Research Fund / American Institute for Cancer Research. Food, nutrition, physical activity, and the prevention of cancer: a global perspective. American Institute for Cancer Research, Washington 2007.
 
10.
Krzyżak M, Maślach D, Bielska-Lasota M, Juczewska M, Rabczenko D, Marcinkowski JT, Szpak A. Breast cancer survival gap between urban and rural female population in Podlaskie Voivodship, Poland, in 2001– 2002. Population study. Ann Agric Environ Med 2010;17:277–282.
 
11.
Powles JW, Zatonski W, Vander HS, Ezzati M. Th e contribution of leading diseases and risk factors to excess losses of healthy life in Eastern Europe: burden of disease study. BMC Publ Health 2005;5:116-125.
 
12.
Faeh D, Braun J, Tarnutzer S, Bopp M. Obesity but not overweight is associated with increased mortality risk. Eur J Epidemiol 2011;26(8):647- 655.
 
13.
Flegal KM, Graubard BI, Williamson DF, Gail MH. Cause-specifi c excess deaths associated with underweight, overweight, and obesity. JAMA 2007;298(17):2028-2037.
 
14.
Seidell JC, Verschuren WM, van Leer EM, Kromhout D. Overweight, underweight, and mortality. A prospective study of 48287 men and women. Arch Intern Med 1996;156(9):958-963.
 
15.
Visscher TL, Seidell JC, Molarius A, van der Kuip D, Hofman A, Witteman JC. A comparison of body mass index, waist-hip ratio and waist circumference as predictors of all-cause mortality among the elderly: Th e Rotterdam Study. Int J Obes Relat Metab Disord 2001;25(11):1730-1735.
 
16.
Visscher TL, Seidell JC, Menotti A, Blackburn H, Nissinen A, Feskens EJ, Kromhout D. Underweight and overweight in relation to mortality among men aged 40-59 and 50-69 years: the Seven Countries Study. Am J Epidemiol 2000;151(7):660-666.
 
17.
Prospective Study Collaboration. Body-mass index and cause-specifi c mortality in 900000 adults: collaborative analyses of 57 prospective studies. Lancet 2009, 373: 1083-1096.
 
18.
Biela U, Pająk A, Kaczmarczyk-Chałas K, Głuszek J, Tendera M, Waśkiewicz A, et al. Incidence of overweight and obesity in women and men between the ages of 20-74. Results of the WOBASZ program. Kardiol Pol 2009;373:1083-1096.
 
19.
Jarosz M, Szponar L, Rychlik E, et al. Nadwaga, otyłość, niedożywienie w Polsce. In: Jarosz M (Ed.): Otyłość, żywienie, aktywność fi zyczna, zdrowie Polaków. Diagnoza stanu odżywienia, aktywności fi zycznej i żywieniowych czynników ryzyka otyłości oraz przewlekłych chorób niezakaźnych w Polsce (1960-2005). Instytut Żywności i Żywienia, Warsaw 2006.
 
20.
Zatoński W, (Ed.), with: Mańczuk M, Sulkowska U, and the HEM Project team. Closing the health gap in European Union. Cancer Center and Institute of Oncology, Warsaw 2008.
 
21.
National Cholesterol Education Program. Th ird report of the expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). Circulation 2002;106:3143- 3421.
 
22.
Haft enberger M, Lahmann PH, Panico S et al. Overweight, obesity and fat distribution in 50- to 64-year-old participants in the European Prospective Investigation into Cancer and Nutrition (EPIC). Publ Health Nutr 2002;5(6B):1147-1162.
 
23.
Park JY, Mitrou PN, Keogh RH, Luben RN, Wareham NJ, Khaw KT. Eff ects of body size and sociodemographic characteristics on diff erences between self-reported and measured anthropometric data in middle-aged men and women: the EPIC-Norfolk Study. Eur J Clin Nutr 2011;65:357-367.
 
24.
Angleman SB, Harris TB, Melzer D. Th e role of waist circumference in predicting disability in periretirement age adults. Int J Obes 2006;30:364-373.
 
25.
Szponar L, Sekuła W, Rychlik E, Ołtarzewski M, Figurska K: Badania indywidualnego spożycia żywności i stanu odżywienia w gospodarstwach domowych. Instytut Żywności i Żywienia, Prace IŻŻ 101. Warsaw; 2003.
 
26.
Jarosz M, Rychlik E. Overweight and obesity among adults in Poland 1983-2005. Adv Med Sci 2008;53(2):158-166.
 
27.
Vainio H, Bianchini F (Ed.). Weight control and physical activity. IARC Handbooks of Cancer Prevention, vol. 6. International Agency for Research on Cancer, World Health Organization, IARC Press, Lyon 2002.
 
28.
Lawlor DA, Chaturvedi N. Treatment and prevention of obesity – are there critical periods for intervention. Int J Epidemiol 2006;35:3-9.
 
29.
Low S, Chew Chin M, Deurenberg-Yap M. Review on epidemic of obesity. Ann Acad Med Singapore 2009;38:57-65.
 
30.
Gallagher D, Visser M, Sepulveda D, Pierson RN, Harris T, Heymsfi eld SB. How useful is body mass index for comparison of body fatness across age, sex, and ethnic groups? Am J Epidemiol 2006;143:228-239.
 
31.
Hu F (Ed.): Obesity epidemiology. Oxford University Press. Oxford; 2008.
 
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