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Title: Association between a healthy lifestyle and general obesity and abdominal obesity in an elderly population at high cardiovascular risk
Authors: Bulló, Mònica
Garcia-Aloy, Mar
Martínez-González, Miguel A.
Corella, Dolores
Fernández-Ballart, Joan D.
Fiol, Miquel
Gómez-Gracia, Enrique
Estruch, Ramón
Ortega-Calvo, Manuel
Francisco, Silvia
Flores-Mateo, Gemma
Serra-Majem, Lluis 
Pintó, Xavier
Covas, María Isabel
Ros, Emilio
Lamuela-Raventós, Rosa
Salas-Salvadó, Jordi
Keywords: Physical-Activity Questionnaire
Body-Fat Distribution
Mediterranean Diet
Waist Circumference, et al
Issue Date: 2011
Publisher: 0091-7435
Journal: Preventive Medicine 
Abstract: Background: Diet, smoking and physical activity are important modifiable lifestyle factors that can influence body weight and fat accumulation. We assessed the relationship between lifestyle and obesity risk in a baseline analysis of the PREDIMED study, a randomized dietary primary prevention trial conducted in Spain.Methods: 7000 subjects at high cardiovascular risk were assessed cross-sectionally. A healthy lifestyle pattern (HLP) was determined using a score including: adherence to the Mediterranean diet, moderate alcohol consumption, expending >= 200 kcal/day in leisure-time physical activity, and non-smoking.Results: Inverse linear trends were observed between the HLP-score and body-mass-index (BMI) or waist circumference (p<0.001). The BMI and waist circumference of participants with a HLP-score=4 were, respectively, 1.3 kg/m(2) (95% CI: 0.9 to 1.7) and 4.3 cm (3.1 to 5.4) lower than those of subjects with an HLP The odds ratios of general obesity and abdominal obesity for an HLP score of 4 compared to an HPL score <= 1 were 0.50 (0.42 to 0.60) and 0.51 (0.41 to 0.62), respectivelyConclusion: A combination of four healthy lifestyle behaviors was associated with a lower prevalence of general obesity and abdominal obesity in Mediterranean elderly subjects at high cardiovascular risk. (C) 2011 Elsevier Inc. All rights reserved.
ISSN: 0091-7435
DOI: 10.1016/j.ypmed.2011.06.008
Source: Preventive Medicine[ISSN 0091-7435],v. 53, p. 155-161
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