CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity

Beacons of Hope forthe Burdens of Obesity Adventist Health Studies

OBESITY– a global problem

Prevalence of obesity (BMI > 30) in the US 2009-10. NHANES.

Source: Behavioral Risk Factor Surveillance System, CDC.

Obesity Trends* Among U.S. Adults BRFSS, 1990, 2000, 2010 (*BMI ≥30, or about 30 lbs. overweight for 5’4” person) 1990 2000 2010 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%Source: Behavioral Risk Factor Surveillance System, CDC.

Seventh-day Adventists (SDAs) have along tradition of focus on healthy lifestyle to reduce risk of disease.

8 “keys” to healthy living:•Nutrition – focus on vegetarian diet•Exercise•Water – inside and outside•Smoking – non-smoking•Temperance•Air – fresh air•Relaxation – adequate sleep•Trust in God

• Is faith in itself associated with lower risk of chronic disease? • Is faith a vehicle or driving force for reducing risk factor levels?

Do we as Christian believers have aresponsibility to promote a healthylifestyle to prevent development of NCDs, including obesity?

Overview –of studies that can possibly address this

Adventist Health Studies USA, 1958-2012 BRHS 2006- 11,000 AMS 1958-1985 1958 1966 1974 23,000 SDA 1988 2001 2002- AHS-2 2011 96,000 SDA 25+ years 5,700 30+ years California overlap USA & Canada1950 1960 1970 1980 1990 2000 2010 AHSMOG 1977-2002 AHSMOG-2 6,328 SDA 2002- 25+ years 96,000 SDA 12,000 California 30+ years overlap AHS-1 1974-1988 USA & Canada 34,192 SDA 25+ years California

Studying Seventh-day AdventistsSTRENGTHS –• homogeneous in many lifestyle choices• heterogeneous in nutritional habits - wide range from strict vegetarian to regular American diet.• Very low smoking and alcohol use: can study effect of lifestyle without the confounding or modifying effects of these..

AHS-2 4,059 4,05913,539 6,578 7,638 8,219 10,47219,790 18,927 6,531

Body weight & longevity How thin is healthy?

Survival by BMI categories –All Adventist men

Survival by BMI –All men with stable weight throughout life

Survival by BMI –All women

Survival by BMI –All women with stable weight

Survival byBMI –stableversus gainAll men

Survival by BMIStable or GainAll women

AHS-2Dietary patterns and their relationship to diseases associated with obesity

Diet & Blood Pressure in Whites

Odds of Hypertension according to baseline BMI.OR5 4.644 (2.66-8.11)32 1 1.53 1 (0.92-2.53)0 <25 25-29.9 30+ BMI

Odds of Hypertension according to dietary patterns.OR1.4 1.221.2 1 1 0.860.8 1 0.920.6 0.520.4 0.57 0.350.2 0 Non-veg Semi-veg LOV Vegan Non-veg Semi-veg LOV Vegan Dietary Pattern

Diet & Risk of Diabetes

Diet & the Metabolic Syndrome

Odds of Metabolic Syndrome according to dietary patterns.OR 1 10.8 (2.66-8.11)0.60.4 0.44 (0.30-0.64)0.2 0 Non-veg Vegetarian Dietary Pattern

Prevalence of Metabolic Syndrome according to dietary patterns.OR40 39.7 37.630 25.22010 0 Non-veg Semi-veg Vegetarian Dietary Pattern

Can we as a faithcommunity do somethingabout this development?

YES,•Use faith as a motivator and driver•Responsibility for future generations

CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity

by Christian Connections for International Health on Jul 01, 2012

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