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Types of fat intake and body mass index in a Mediterranean country

Published online by Cambridge University Press:  02 January 2007

Carlos A González*
Affiliation:
Institut Catalàn d'Oncologia, Barcelona, Spain
Guillem Pera
Affiliation:
Institut Catalàn d'Oncologia, Barcelona, Spain
José R Quirós
Affiliation:
Consejería de Sanidad y Servicios Sociales de Asturias, Oviedo, Spain
Cristina Lasheras
Affiliation:
Consejería de Sanidad y Servicios Sociales de Asturias, Oviedo, Spain
María José Tormo
Affiliation:
Consejería de Sanidad y Política Social, Murcia, Spain
Mauricio Rodriguez
Affiliation:
Escuela Andaluza de Salud Pública, Granada, Spain
Carmen Navarro
Affiliation:
Consejería de Sanidad y Política Social, Murcia, Spain
Carmen Martinez
Affiliation:
Escuela Andaluza de Salud Pública, Granada, Spain
Miren Dorronsoro
Affiliation:
Dirección de Salud de Gipúzkoa, San Sebastián, Spain
María Dolores Chirlaque
Affiliation:
Consejería de Sanidad y Política Social, Murcia, Spain
José M Beguiristain
Affiliation:
Dirección de Salud de Gipúzkoa, San Sebastián, Spain
Aurelio Barricarte
Affiliation:
Departamento de Salud de Navarra, Pamplona, Spain
Pilar Amiano
Affiliation:
Dirección de Salud de Gipúzkoa, San Sebastián, Spain
Antonio Agudo
Affiliation:
Institut Catalàn d'Oncologia, Barcelona, Spain
*
*Corresponding author: Email cagonzalez@iso.scs.es
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Abstract

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Background

Although the fatty acid fractions provide similar metabolizable energy, the type of dietary fat consumed could be relevant to the development of obesity.

Objective

To investigate the relationship between body mass index (BMI), obesity and the consumption of different types of fat and olive oil in a Mediterranean country with high prevalence of obesity, and high intake of monounsaturated fatty acids (MUFA) and olive oil.

Subjects

The study was carried out in Spain among 23 289 women and 14 374 men, aged 29–69 years, who were participants of a large European prospective cohort.

Methods

Information on usual food intake was collected by interviewers by means of a dietary history questionnaire. The association between obesity (BMI ≥ 30 kg m2), dietary fat, other dietary patterns and other non-dietary factors were tested using multilinear regression analysis. The ratio of reported energy intake to energy requirement was used as an estimation of dietary underreporting.

Results

The association between fatty acid fractions intake (saturated fatty acids (SFA) in women, and MUFA and polyunsaturated fatty acids (PUFA) in both sexes) and BMI was very weak, accounting for less than 1% of variance. All dietary and non-dietary variables accounted for 21% of variance in the measurement of BMI in women and only 6.7% of variance in men. Estimated underreporting of energy intake was 17.5% in obese women and 5.5% in obese men.

Conclusions

The association between consumption of specific types of dietary fat, olive oil and obesity in Spain is not very important. However, because of the cross-sectional design and some level of underreporting of energy intake observed in overweight subjects and overreporting in underweight subjects, systematic bias cannot be completely discarded.

Type
Research Article
Copyright
Copyright © CABI Publishing 2000

References

1Stunkard, AJ. Current views on obesity. Am. J. Med. 1996; 100: 230–6.CrossRefGoogle ScholarPubMed
2Seidell, JC. Obesity in Europe: scaling and epidemic. Int. J. Obes. Relat. Metab. Disord. 1995; 19 (Suppl.): S1–4.Google ScholarPubMed
3Seidell, JC. The impact of obesity on health status: some implications for health care costs. Int. J. Obes. Relat. Metab. Disord. 1995; 19 (Suppl.): S13–16.Google ScholarPubMed
4Quiles, J, Vioque, J.Prevalencia de obesidad en la Comunidad Valenciana. Med. Clin. (Barc.) 1996; 106: 529–33.Google Scholar
5Grupo EPIC de España. Patrones de consumo y principales fuentes de ingesta de lípidos y ácidos grasos en la cohorte Española del Estudio Prospectivo Europeo sobre Dieta y Cancer (EPIC). Med. Clin. (Barc.) 1999; 112: 125–32.Google Scholar
6Rosenbaum, M, Leibel, RL, Hirsch, J.Obesity. N. Engl. J. Med. 1997; 337(6): 396407.CrossRefGoogle ScholarPubMed
7Prentice, AM, Jebb, SA. Obesity in Britain: gluttony or sloth?. BMJ 1995; 311: 437–9.CrossRefGoogle ScholarPubMed
8Ley, CJ, Lees, B, Stevenson, JC. Sex- and menopause-associated changes in body-fat distribution. Am. J. Clin. Nutr. 1992; 55: 950–4.CrossRefGoogle ScholarPubMed
9Astrup, A, Toubro, S, Raben, A, Skov, AR. The role of low-fat diets and fat substitutes in body weight management: what have we learned from clinical studies? J. Am. Diet. Assoc. 1997; 97 (Suppl. 7): S82–7.CrossRefGoogle ScholarPubMed
10Rolls, BJ, Bell, EA, Castellanos, VH, Chow, M, Pelkman, CL, Thorwart, ML. Energy density but not fat content of foods affected energy intake in lean and obese women. Am. J. Clin. Nutr. 1999; 69: 863–71.CrossRefGoogle Scholar
11Lissner, L, Heitmann, BL. Dietary fat and obesity: evidence from epidemiology. Eur. J. Clin. Nutr. 1995; 49: 7990.Google ScholarPubMed
12Seidell, J.. Dietary fat and obesity: an epidemiological perspective. Am. J. Clin. Nutr. 1998; 67 (Suppl.): S546–50.CrossRefGoogle Scholar
13Willett, W.. Is dietary fat a major determinant of body fat?. Am. J. Clin. Nutr. 1998; 67 (Suppl.): S556–62.CrossRefGoogle Scholar
14Bray, G, Popkin, B.Dietary fat intake does affect obesity! Am. J. Clin. Nutr. 1998; 68: 1157–73.CrossRefGoogle ScholarPubMed
15Willett, W.. Dietary fat and obesity: an unconvincing relation. Am. J. Clin. Nutr. 1998; 68: 1149–50.CrossRefGoogle ScholarPubMed
16Lissner, L, Heitmann, BL. The dietary fat: carbohydrate ratio in relation to body weight. Curr. Opin. Lipidol. 1995; 6(1): 813.CrossRefGoogle ScholarPubMed
17Katan, MB, Grundy, SM, Willet, WC. Beyond low-fats diet. Clinical debate. N. Engl. J. Med. 1997;337(8): 563–6.Google Scholar
18Shimomura, Y, Tamura, T, Suzuki, M. Effect of dietary polyunsaturated fats on body fat accumulation. In: Romsos, DR, et al. , eds. Obesity: Dietary Factors and Controls. Tokyo: Japanese Science Society Press and Basel: Karger, 1991; 191–8.Google Scholar
19Colditz, GA, Willett, WC, Stampfer, MJ, London, SJ, Segal, MR, Speizer, FE. Patterns of weight change and their relation to diet in a cohort of healthy women. Am. J. Clin. Nutr. 1990; 51: 1100–5.CrossRefGoogle Scholar
20Riboli, E, Kaaks, R.The EPIC project: rationale and study design. Int. J. Epidemiol. 1997; 26 (Suppl.): S6–14.CrossRefGoogle ScholarPubMed
21Burke, BS. The dietary history as a tool in research. J. Am. Diet. Assoc. 1947; 23: 104–11.CrossRefGoogle Scholar
22EPIC group of Spain. Validity and reproducibility of a diet history questionnaire in Spain (I. Foods). Int. J. Epidemiol. 1997; 26 (Suppl.1): S91–9.CrossRefGoogle Scholar
23EPIC group of Spain. Validity and reproducibility of a diet history questionnaire in Spain (II. Nutrients). Int. J. Epidemiol. 1997; 26 (Suppl. 1): S100–9.CrossRefGoogle Scholar
24EPIC group of Spain. Validity and reproducibility of a diet history questionnaire in Spain (III. Biochemical markers). Int. J. Epidemiol. 1997; 26 (Suppl. 1): S110–17.CrossRefGoogle Scholar
25Slimani, N, Torrent, M, Farriol, N, et al. European Prospective Investigation into Cancer and Nutrition (EPIC): Food Composition Tables – Spain. Lyon, France: International Agency for Research on Cancer, 1991.Google Scholar
26Lohman, TR, Roche, AF, Martorell, R, eds. Anthropometric Standardization Manual, 1st edn. Champaign, IL: Human Kinetics Publishers, 1988.Google Scholar
27Pols, MA, Peeters, PHM, Ocké, MC, et al. Estimation of reproducibility and relative validity of the questions included in the EPIC physical activity questionnaire. Int. J. Epidemiol. 1997; 26 (Suppl. 1): S181–9.CrossRefGoogle ScholarPubMed
28Schofield, WN. Predicting basal metabolic rate, new standards and review of previous work. Hum. Nutr. Clin. Nutr. 1985; 39C (Suppl. 1): 541.Google Scholar
29Dreon, DM, Frey-Hewitt, B, Ellsworth, N, Williams, PT, Terry, RB, Wood, PD. Dietary fat: carbohydrate ratio and obesity in middle-aged men. Am. J. Clin. Nutr. 1988; 47: 9951000.CrossRefGoogle ScholarPubMed
30Romieu, I, Willett, WC, Stampfer, MJ, et al. Energy intake and other determinants of relative weight. Am. J. Clin. Nutr. 1988; 47: 406–12.CrossRefGoogle ScholarPubMed
31Tucker, LA, Kano, MJ. Dietary fat and body fat: a multivariate study of 205 adult females. Am. J. Clin. Nutr. 1992; 56: 616–22.CrossRefGoogle ScholarPubMed
32Slattery, ML, McDonald, A, Bild, DE, Caan, BJ, Hilner, JE. Associations of body fat and its distribution with dietary intake, physical activity, alcohol, and smoking in blacks and whites. Am. J. Clin. Nutr. 1992; 55: 943–9.CrossRefGoogle ScholarPubMed
33Tremblay, A, Plourde, G, Després, JP, Bouchard, C.Impact of dietary fat content and fat oxidation on energy intake in humans. Am. J. Clin. Nutr. 1989; 49: 799805.CrossRefGoogle ScholarPubMed
34George, V, Tremblay, A, Després, JP, Leblanc, C, Bouchard, C.Effect of dietary fat content of total and regional adiposity in men and women. Int. J. Obes. 1990; 14: 1085–94.Google ScholarPubMed
35Miller, WC, Lindeman, AK, Wallace, J, Niederpruem, M.Diet composition, energy intake, and exercise in relation to body fat in men and women. Am. J. Clin. Nutr. 1990; 52: 426–30.CrossRefGoogle ScholarPubMed
36Klesges, RC, Klesges, LM, Haddock, CK, Eck, LH. A longitudinal analysis of the impact of dietary intake and physical activity on weight change in adults. Am. J. Clin. Nutr. 1992; 55: 818–22.CrossRefGoogle ScholarPubMed
37Garn, SM, Leonard, WR, Hawthorne, VM. Three limitations of body mass index. Am. J. Clin. Nutr. 1986; 44: 996–7.CrossRefGoogle ScholarPubMed
38Heitmann, BL. Evaluation of body fat estimated from body mass index, skinfolds and impedance. A comparative study. Eur. J. Clin. Nutr. 1990; 44(11): 831–7.Google ScholarPubMed
39Hultén, B, Bengtsson, C, Issaksson, B.Some errors inherent in a longitudinal dietary survey revealed by the urine nitrogen test. Eur. J. Clin. Nutr. 1990; 44: 169–74.Google Scholar
40Heitmann, BL. The influence of fatness, weight change, slimming history and other variables on diet reporting in Danish men and women aged 35–65 years. Int. J. Obes. 1993; 17: 329–36.Google ScholarPubMed
41Heitmann, B, Lissner, L.Dietary underreporting by obese individuals – is it specific or non-specific? BMJ 1995; 311: 986–9.CrossRefGoogle ScholarPubMed
42Pryer, JA, Vrijheid, M, Nichols, R, Kiggins, M, Elliott, P.Who are the ‘low energy reporters’ in the Dietary and Nutritional Survey of British Adults? Int. J. Epidemiol. 1997; 26: 146–54.CrossRefGoogle ScholarPubMed
43Heerstrass, DW, Ocké, MC, Bueno-de-Mesquita, HB, Peeters, PHM, Seidell, JC. Underreporting of energy, protein and potassium intake in relation to body mass index. Int. J. Epidemiol. 1998; 27: 186–93.CrossRefGoogle ScholarPubMed
44Myers, RJ, Klesges, RC, Eck, LH, Hanson, CL, Klem, ML. Accuracy of self-reports of food intake in obese and normal-weight individuals: effects of obesity on self-reports of dietary intake in adult females. Am. J. Clin. Nutr. 1988; 48: 1248–51.CrossRefGoogle ScholarPubMed
45Lissner, L, Habicht, J-P, Strupp, BJ, Levistky, DA, Haas, JD, Roe, DA. Body composition and energy intake: do overweight women overeat and underreport?. Am. J. Clin. Nutr. 1989; 49: 320–5.CrossRefGoogle ScholarPubMed
46Lindroos, A-K, Sjöström, L, Lissner, L.Validity and reproducibility of a self-administered dietary questionnaire in obese and non-obese subjects. Eur. J. Clin. Nutr. 1993; 47: 461–71.Google ScholarPubMed
47Black, AE, Goldberg, GR, Jebb, SA, Livingstone, MBE, Cole, TJ, Prentice, AM. Critical evaluation of energy intake data using fundamental principles of energy physiology: 2. Evaluating the results of published surveys. Eur. J. Clin. Nutr. 1991; 45: 583–99.Google ScholarPubMed