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.
Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults                     BRFSS, 1990, 2000, 2010                   (*BMI ≥30, or about 30 lbs...
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...
• Is faith in itself associated with lower  risk of chronic disease? • Is faith a vehicle or driving force for         red...
Do we as Christian believers have aresponsibility to promote a healthylifestyle to prevent development of      NCDs, inclu...
Overview –of studies that can possibly address                 this
Adventist Health Studies                  USA, 1958-2012                   BRHS                                           ...
Studying Seventh-day AdventistsSTRENGTHS –• homogeneous in many lifestyle choices• heterogeneous in nutritional habits - w...
AHS-2                 4,059         4,05913,539                                       6,578                 7,638   8,219 ...
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                     ...
Odds of Hypertension according to              baseline BMI.OR5                                 4.644                     ...
Odds of Hypertension according to              dietary patterns.OR1.4                                            1.221.2  ...
Diet & Risk of Diabetes
Diet & the Metabolic     Syndrome
Odds of Metabolic Syndrome      according to dietary patterns.OR  1                10.8                         (2.66-8.11...
Prevalence of Metabolic Syndrome       according to dietary patterns.OR40            39.7                       37.630    ...
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
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
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CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity

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Dr. Synnove Knutsen, Chair of the Department of Epidemiology and Biostatistics at Loma Linda University School of Public Health presents finding from a study of Seventh Day Adventists analyzing the relationships of body weight and longevity, and eating habits and health outcomes. Dr. Knutsen also discusses how faith plays an important role.

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

    1. 1. Beacons of Hope forthe Burdens of Obesity Adventist Health Studies
    2. 2. OBESITY– a global problem
    3. 3. Prevalence of obesity (BMI > 30) in the US 2009-10. NHANES.
    4. 4. Source: Behavioral Risk Factor Surveillance System, CDC.
    5. 5. Source: Behavioral Risk Factor Surveillance System, CDC.
    6. 6. 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.
    7. 7. Seventh-day Adventists (SDAs) have along tradition of focus on healthy lifestyle to reduce risk of disease.
    8. 8. 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
    9. 9. • Is faith in itself associated with lower risk of chronic disease? • Is faith a vehicle or driving force for reducing risk factor levels?
    10. 10. Do we as Christian believers have aresponsibility to promote a healthylifestyle to prevent development of NCDs, including obesity?
    11. 11. Overview –of studies that can possibly address this
    12. 12. 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
    13. 13. 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..
    14. 14. AHS-2 4,059 4,05913,539 6,578 7,638 8,219 10,47219,790 18,927 6,531
    15. 15. Body weight & longevity How thin is healthy?
    16. 16. Survival by BMI categories –All Adventist men
    17. 17. Survival by BMI –All men with stable weight throughout life
    18. 18. Survival by BMI –All women
    19. 19. Survival by BMI –All women with stable weight
    20. 20. Survival byBMI –stableversus gainAll men
    21. 21. Survival by BMIStable or GainAll women
    22. 22. AHS-2Dietary patterns and their relationship to diseases associated with obesity
    23. 23. Diet & Blood Pressure in Whites
    24. 24. 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
    25. 25. 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
    26. 26. 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
    27. 27. Diet & Risk of Diabetes
    28. 28. Diet & the Metabolic Syndrome
    29. 29. 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
    30. 30. Prevalence of Metabolic Syndrome according to dietary patterns.OR40 39.7 37.630 25.22010 0 Non-veg Semi-veg Vegetarian Dietary Pattern
    31. 31. Can we as a faithcommunity do somethingabout this development?
    32. 32. YES,•Use faith as a motivator and driver•Responsibility for future generations

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