Alcohol consumption in the   Greek population: is it related      to abdominal obesity?M. Kaklamanou, D. Kaklamanou, I. Io...
Introduction I  The metabolic syndrome is characterised by a  group of metabolic risk factors. They include:            Ce...
Introduction II  Chronic alcohol consumption has both      adverse effects (e.g. hypertension,      cardiomyopathy and liv...
Aim of this studyis to explore a potential relation of alcohol  consumption to abdominal obesityHellenic Medical Associati...
Patients / Sample                                                 The data analysed were                                  ...
First national epidemiological survey on the prevalence of       obesity in Greece     Public schools throughout Greece we...
Methods IWHR was calculated from waist and hipcircumference and the following categories wereused:        Normal          ...
Methods II Alcohol consumption was calculated by adding the number of units consumed weekly, multiplied by the alcohol com...
Results  8090 men, age 44.6+10.5 years (x+SD),  and 9313 women, 41.5+11.1 years,  were included  WHR was 0.97+0.3 and 0.87...
Waist-to-hip ratio                   in men and women     100%                          32,2                              ...
How much alcohol do                        men drink?                               5,9 %       12,8 %                    ...
How much alcohol do                     women drink?                    10,0 %        1,2 0,3 %                           ...
Results  In men, WHR was associated to alcohol  consumption (Kendall’s tau-b, p=0.044,  statistically significant)   This ...
Waist-to-hip ratio varies with alcohol  consumption in men and women                       1,05                         1 ...
Waist-to-hip ratio Vs alcohol                                consumption in men                            1,05           ...
Waist-to-hip ratio Vs alcohol                              consumption in women                          1,2              ...
Waist-to-hip ratio comparedwith consumption of specific      types of alcohol                                    0,99     ...
Conclusions I  In the Greek population, men drink  more alcohol than women  Women are more likely to have  abnormal WHR th...
Conclusions II  In addition to the effects of alcohol  consumption to risk factors of various  diseases, alcohol is relate...
Discussion I  Jequier introduced the alcohol paradox,  which suggests increased alcohol induced  energy intake without wei...
Discussion II  A survey conducted in Japan, which  studied male self-defense officials,  showed that alcohol consumption i...
Discussion III Simply looking at the total quantity of alcohol consumed over time obscures the importance of the pattern o...
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2005 14th eco2

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2005 14th eco2

  1. 1. Alcohol consumption in the Greek population: is it related to abdominal obesity?M. Kaklamanou, D. Kaklamanou, I. Ioannidis, C. Loupa, E. Kapantais Hellenic Medical Association for Obesity (HMAO), Athens, Greece First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  2. 2. Introduction I The metabolic syndrome is characterised by a group of metabolic risk factors. They include: Central obesity Insulin resistance Atherogenic dyslipidemia Prothrombotic state Raised blood pressure Proinflammatory state BMI is a tool for measuring obesity, but when measuring abdominal obesity waist-to-hip ratio and waist circumference are used In this study waist-to-hip ratio measurements were used http://www.mayoclinic.com/George A. Bray, Claude Bouchard, W.P.T. James; Handbook of Obesity, Marcel Dekker, New York, 1998 Hellenic Medical Association for Obesity (HMAO), Athens, Greece 2 First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  3. 3. Introduction II Chronic alcohol consumption has both adverse effects (e.g. hypertension, cardiomyopathy and liver cancer, etc.) beneficial effects (the French paradox, etc.) http://www.mayoclinic.com/Hellenic Medical Association for Obesity (HMAO), Athens, Greece 3First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  4. 4. Aim of this studyis to explore a potential relation of alcohol consumption to abdominal obesityHellenic Medical Association for Obesity (HMAO), Athens, Greece 4First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  5. 5. Patients / Sample The data analysed were obtained from the first national epidemiological large scale survey on the prevalence of obesity in Greek adults, conducted by the Hellenic Medical Association for Obesity.Hellenic Medical Association for Obesity (HMAO), Athens, Greece 5First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  6. 6. First national epidemiological survey on the prevalence of obesity in Greece Public schools throughout Greece were randomly chosen and questionnaires were filled by the students and all the members of their households The subpopulation used in the adult HMAO study were Greek men and women, 20 to 70 years oldHellenic Medical Association for Obesity (HMAO), Athens, Greece 6First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  7. 7. Methods IWHR was calculated from waist and hipcircumference and the following categories wereused: Normal <1.00 <0.85 Pathologic >1.00 >0.85SPSS version 12.0 was used for statistical analysis,student’s t-test and non parametric tests were used http://www.eiep.gr/Hellenic Medical Association for Obesity (HMAO), Athens, Greece 7First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  8. 8. Methods II Alcohol consumption was calculated by adding the number of units consumed weekly, multiplied by the alcohol comprehensiveness of beverages (in this case beer, wine, whiskey and liqueur). The following categories were applied: 0 mg no alcohol <50 mg moderate alcohol consumption 50 - 150 mg 150 - 300 mg heavy alcohol consumption >300 mgHellenic Medical Association for Obesity (HMAO), Athens, Greece 8First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  9. 9. Results 8090 men, age 44.6+10.5 years (x+SD), and 9313 women, 41.5+11.1 years, were included WHR was 0.97+0.3 and 0.87+0.3 in men and women, respectivelyHellenic Medical Association for Obesity (HMAO), Athens, Greece 9First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  10. 10. Waist-to-hip ratio in men and women 100% 32,2 42,3 80% 60% Above normal 40% 67,8 values (>1,00 in 57,7 men and >0,85 in 20% women) Normal w/h (<1,00 in men and <0,85 0% in women) men womenHellenic Medical Association for Obesity (HMAO), Athens, Greece 10First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  11. 11. How much alcohol do men drink? 5,9 % 12,8 % 21,5 % no alcohol <50 mg 31,2 % 51-150 mg 28,6 151-300 mg % >300 mgHellenic Medical Association for Obesity (HMAO), Athens, Greece 11First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  12. 12. How much alcohol do women drink? 10,0 % 1,2 0,3 % no alcohol <50 mg 33,9 % 51-150 mg 54,6 % 151-300 mg >300 mgHellenic Medical Association for Obesity (HMAO), Athens, Greece 12First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  13. 13. Results In men, WHR was associated to alcohol consumption (Kendall’s tau-b, p=0.044, statistically significant) This was not the case with women (p=0.823, N.S.)Hellenic Medical Association for Obesity (HMAO), Athens, Greece 13First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  14. 14. Waist-to-hip ratio varies with alcohol consumption in men and women 1,05 1 0,95 Waist-to-hip ratio 0,9 0,85 0,8 0,75 no alcohol <50 mg 51-150 mg 151-300 <300 mg mg men Alcohol consumption women p=0.044 , p=0.823, Kendall’s tau-b Hellenic Medical Association for Obesity (HMAO), Athens, Greece 14 First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  15. 15. Waist-to-hip ratio Vs alcohol consumption in men 1,05 1 Waist-to-hip ratio in 0,95 0,9 20-35 yrs 0,85 35-50 yrs >50 yrs 0,8 no alcohol <50 mg 51-150 mg 151-300 <301 mg mg Alcohol consumptionHellenic Medical Association for Obesity (HMAO), Athens, Greece 15First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  16. 16. Waist-to-hip ratio Vs alcohol consumption in women 1,2 20-35 yrs 35-50 yrs 1,1 >50 yrs Waist-to-hip ratio 1 0,9 0,8 0,7 no alcohol <50 mg 51-150 mg 151-300 <301 mg mg Alcohol consumptionHellenic Medical Association for Obesity (HMAO), Athens, Greece 16First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  17. 17. Waist-to-hip ratio comparedwith consumption of specific types of alcohol 0,99 1,00 0,98 0,97 0,96 0,95 Waist-to-hip ratio 0,90 0,89 0,90 0,88 0,87 Men Women 0,85 0,80 only beer only wine only liquer only whiskey Alcohol consumptionHellenic Medical Association for Obesity (HMAO), Athens, Greece 17First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  18. 18. Conclusions I In the Greek population, men drink more alcohol than women Women are more likely to have abnormal WHR than menHellenic Medical Association for Obesity (HMAO), Athens, Greece 18First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  19. 19. Conclusions II In addition to the effects of alcohol consumption to risk factors of various diseases, alcohol is related to abdominal obesity in men onlyHellenic Medical Association for Obesity (HMAO), Athens, Greece 19First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  20. 20. Discussion I Jequier introduced the alcohol paradox, which suggests increased alcohol induced energy intake without weight gain Other studies suggest that alcohol intake promotes leanness in women , but not in men This study shows that there is an association between waist-to-hip ratio to alcohol consumption in Greek men, but not in Greek women Am J Epidemiol 1991;133:810-817 American Journal of Clinical Nutrition, Vol. 69, No. 2, 173-174, February 1999Hellenic Medical Association for Obesity (HMAO), Athens, Greece 20First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  21. 21. Discussion II A survey conducted in Japan, which studied male self-defense officials, showed that alcohol consumption is strongly and independently associated with waist-to-hip ratio in men Eur J Epidemiol. 1997 Dec;13(8):893-8Hellenic Medical Association for Obesity (HMAO), Athens, Greece 21First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults
  22. 22. Discussion III Simply looking at the total quantity of alcohol consumed over time obscures the importance of the pattern of alcohol consumption. 1-2 drinks each day is associated with better health and greater longevity whereas consuming the same quantity (7-14 drinks) once a week is associates with negative health. The same quantity of alcohol can have either beneficial or harmful consequences depending on the pattern of its consumption. National Health Interview Study (NHIS), American Journal of EpidemiologyHellenic Medical Association for Obesity (HMAO), Athens, Greece 22First National Epidemiological Large Scale Survey on the Prevalence of Obesity in Greek Adults

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