Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Paper
  • Published:

Weight gain and its correlates in Poland between 1983 and 1993

Abstract

BACKGROUND: Weight gain and its unfavorable consequences on coronary heart disease (CHD) risk have been observed worldwide. Determinants of weight gain were studied in a Polish cohort of 1042 men and women age 35–64 at baseline. Participants were randomly selected from an urban population in Warsaw and a rural population in Tarnobrzeg Province surveyed by investigators in Krakow. The surveys, part of the Pol-MONICA project, were conducted in 1983–1984, 1987–1988, and 1992–1993. The purpose of this report is to gain insight into the dynamics of weight gain in this population that could be helpful in identifying high-risk groups for intervention, and to determine if economic changes that took place shortly after the second survey had any impact on weight gain.

METHODS: Weight, height and demographic characteristics were measured at each visit according to Pol-MONICA standard protocol. Body mass index (BMI) was calculated as kg/m2. Years of schooling, 7-day alcohol history and smoking history were self-reported.

RESULTS: Sixty percent of the cohort gained some weight, averaging 0.3–0.7 kg/y. Weight gain was highest in younger rural women, in urban men and in rural women with low education. In multiple linear regression, low education was related to a 1.29 kg greater weight gain (P<0.01), ex-smoking status was related to a 2.54 kg greater weight gain (P<0.001), and younger age was related to a 1.14 kg greater weight gain (P<0.001).

CONCLUSION: Our results indicate a need to target intervention programs at young low SES adults. Developing effective means of reaching these vulnerable groups is a critical research goal.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1

Similar content being viewed by others

References

  1. World Health Organization . Obesity—preventing and managing the global epidemic. WHO/NUT/NCD: Geneva 1998.

    Google Scholar 

  2. Hubert HB, Feinleib M, McNamara PM, Castelli WP . Obesity as an independent risk factor for cardiovascular disease: a 26-year follow-up of participants in the Framingham Heart Study Circulation 1983 67: 968–977.

    Article  CAS  Google Scholar 

  3. Manson JE, Colditz GA, Stampfer MJ, Willett WC, Rosner B, Monson RR, Speizer FE, Hennekens CH . A prospective study of obesity and risk of coronary heart disease in women New Engl J Med 1990 322: 882–889.

    Article  CAS  Google Scholar 

  4. Pi-Sunyer FX . Medical hazards of obesity Ann Intern Med 1993 119: 655–660.

    Article  CAS  Google Scholar 

  5. Brownell KD, Jeffrey RW . Improving long-term weight loss: pushing the limits of treatment Behav Res Ther 1987 18: 353–374.

    Article  Google Scholar 

  6. Nides M, Rand C, Dolce J, Murray R, O'Hara P, Voelker H, Connett J . Weight gain as a function of smoking cessation and 2-mg nicotine gum use among middle-aged smokers with mild lung impairment in the first 2 y of the Lung Health Study Health Psychol 1994 13: 354–361.

    Article  CAS  Google Scholar 

  7. French SA, Jeffery RW, Forster JL, McGovern PG, Keider SH, Baxter JE . Predictors of weight changes over two years among a population of working adults: the Healthy Worker Project Int J Obes Relat Metab Disord 1994 18: 145–154.

    CAS  Google Scholar 

  8. Burke GL, Bild DE, Hilner JE, Folsom AR, Wagenknecht LE, Sidney S . Differences in weight gain in relation to race, gender, age and education in young adults: the CARDIA study. Coronary Artery Risk Development in Young Adults Ethn Health 1996 1: 327–335.

    Article  CAS  Google Scholar 

  9. Lewis CE, Smith DE, Wallace DD, Williams OD, Bild DE, Jacobs DR Jr . Seven-year trends in body weight and associations with lifestyle and behavioral characteristics in black and white young adults: the CARDIA study Am J Public Health 1997 87: 635–642.

    Article  CAS  Google Scholar 

  10. Rissanen AM, Heliovaara M, Knekt P, Reunanen A, Aromaa A . Determinants of weight gain and overweight in adult Finns Eur J Clin Nutr 1991 45: 419–430.

    CAS  PubMed  Google Scholar 

  11. Rissanen A, Heliovaara M, Aromaa A . Overweight and anthropometric changes in adulthood: a prospective studyof 17,000 Finns Int J Obes 1988 12: 391–401.

    CAS  PubMed  Google Scholar 

  12. Seidell JC, Deerenberg I . Obesity in Europe. Prevalence and consequences for use of medical care Pharmaco Economics 1994 5 (Suppl 1): 38–44.

    Article  CAS  Google Scholar 

  13. WHO Geographic variation in the major risk factors of coronary heart disease in men and women aged 35–64 y . The WHO MONICA Project World Health Stat Q 1988 41: 115–140.

    Google Scholar 

  14. Sekula W . The effect of the ‘marketization’ of food economy on changes in the expenditure and consumption Polish J Human Nutr Metab 1991 18: 243–251.

    Google Scholar 

  15. Rywik S, Sznajd J, Williams OD, Pajak A, Przestalska-Malkin H, Thomas RP, Kupse W, Misiowiec P, Irving SH, Magdon M, Wagrowska H, Abernathy JR . Poland and US collaborative study on cardiovascular epidemiology. I. Introduction and basic findings Am J Epidemiol 1989 130: 431–445.

    Article  CAS  Google Scholar 

  16. SAS Software Version 6.1 2. SAS Institute Inc. Cary, NC 1989–1996.

  17. National Institutes of Health, National Heart, Lung and Blood Institute . Total mortality and mortality from heart disease, cancer, and stroke from 1950 to 1987 in 27 countries. NIH Publication No. 92–3088 September 1992.

  18. World Health Organization . Regional office for Europe Health for all data.

  19. Kuczmarski RJ, Flegal KM, Campbell SM, Johnson CL . Increasing prevalence of overweight among US adults. The National Health and Nutrition Examination Surveys 1960–1991 JAMA 1994 272: 205–211.

    Article  CAS  Google Scholar 

  20. Simmons G, Jackson R, Swinburn B, Yee RL . The increasing prevalence of obesity in New Zealand: is it related to recent trends in smoking and physical activity? N Z Med J 1996 109: 90–92.

    CAS  PubMed  Google Scholar 

  21. Dennis BH, Zhou B, Liu X, Yang J, Mai J, Cao T, Ni G, Zhao L, Stamler J . Changes in food, nutrient and energy intake in People's Republic of China samples of urban and rural north and south adults surveyed in 1983–84 and re-surveyed in 1987–88 Asia Pac J Clin Nutr 1997 6: 277–286.

    CAS  PubMed  Google Scholar 

  22. Pajak A, Jamrozik K, Kawalec E, Topor-Madry R, Pikon J, Malczewska-Malec M, Puchalska T . Myocardial infarction—risks and procedures. Longitudinal observation of a population of 280,000 women and men—Project Pol-MONICA Krakow. III: Epidemiology and treatment of myocardial infarction Przegl Lek 1996 53: 767–778.

    CAS  PubMed  Google Scholar 

  23. Williamson DF, Kahn HS, Remington PL, Anda RF . The 10-year incidence of overweight and major weight gain in US adults Arch Intern Med 1990 150: 665–672.

    Article  CAS  Google Scholar 

  24. Braddon FE, Rodgers B, Wadsworth ME, Davies JM . Onset of obesity in a 36 y birth cohort study BMJ 1986 293: 299–303.

    Article  CAS  Google Scholar 

  25. Sobal J, Stunkard AJ . Socioeconomic status and obesity:a review of the literature Psychol Bull 1989 105: 260–275.

    Article  CAS  Google Scholar 

  26. Burke GL, Jacobs DR Jr, Sprafka JM, Savage PJ, Sidney S, Wagenknecht LE . Obesity and overweight in young adults: the CARDIA study Prev Med 1990 19: 476–488.

    Article  CAS  Google Scholar 

  27. Osancova K, Hejda S . Epidemiology of obesity. In: Silverston T (ed). Obesity: Its Pathogenesis and Management Publishing Sciences Group: Acton, MA 1975, pp 57–91.

    Chapter  Google Scholar 

  28. Dennis B, Shestov D, Zhukovsky G, Deev A, Plavinskaya S, Thomas R, Kapustina A, Davis CE . Effect of wartime deprivation on body mass index in women: exploration of an hypothesis Ecol Food Nutr 1995 33: 281–292.

    Article  Google Scholar 

  29. Chabros E, Rywik S, Wagrowska H . Prevalence of cigarette smoking in men aged 40–59 y in Warsaw industrial plants. Part II. Correlation between smoking and cholesterol level, body weight and overweight degree Zdrowie Publiczne 1988 99: 605–611 (in Polish).

    Google Scholar 

  30. Klesges RC, Ward KD, Ray JW, Cutter G, Jacobs DR, Wagenknecht LE . The prospective relationships between smoking and weight in a young, biracial cohort: the Coronary Artery Risk Development in Young Adults Study J Consult Clin Psychol 1998 66: 987–993.

    Article  CAS  Google Scholar 

  31. Hellerstedt WL, Jeffery RW, Murray DM . The association between alcohol intake and adiposity in the general population Am J Epidemiol 1990 132: 594–611.

    Article  CAS  Google Scholar 

  32. Laurier D, Guiguet M, Chau NP, Wells JA, Valleron AJ . Prevalence of obesity: a comparative survey in France, the United Kingdom and the United States Int J Obes Relat Metab Disord 1992 16: 565–572.

    CAS  PubMed  Google Scholar 

  33. Liu S, Serdula MK, Williamson DF, Mokdad AH, Byers T . A prospective study of alcohol intake and change in body weight among US adults Am J Epidemiol 1994 140: 912–920.

    Article  CAS  Google Scholar 

  34. Williamson DF, Forman MR, Binkin NJ, Gentry EM, Remington PL, Trowbridge FL . Alcohol and body weight in United States adults Am J Public Health 1987 77: 1324–1330.

    Article  CAS  Google Scholar 

  35. Heliovaara M, Aromaa A . Parity and obesity J Epidemiol Community Health 1981 35: 197–199.

    Article  CAS  Google Scholar 

  36. Tavani A, Negri E, LaVecchia C . Determinants of body mass index: a study from Northern Italy Int J Obes Relat Metab Disord 1994 18: 497–502.

    CAS  PubMed  Google Scholar 

  37. Brown JE, Kaye SA, Folsom AR . Parity-related weight change in women Int J Obes Relat Metab Disord 1992 16: 627–631.

    CAS  PubMed  Google Scholar 

  38. Lewis CE, Smith DE, Caveny JL, Perkins LL, Burke GL, Bild DE . Associations of body mass and body fat distribution with parity among African American and Caucasian women: the CARDIA study Obes Res 1994 2: 517–525.

    Article  CAS  Google Scholar 

  39. Hofstetter A, Schutz Y, Jequier E, Wahren J . Increased 24-hour energy expenditure in cigarette smokers New Engl J Med 1986 314: 79–82.

    Article  CAS  Google Scholar 

  40. Suter PM, Shultz Y, Jequier E . The effect of ethanol on fat storage in healthy subjects New Engl J Med 1992 326: 983–987.

    Article  CAS  Google Scholar 

  41. Wack JT, Rodin J . Smoking and its effects on body weight and the systems of caloric regulation Am J Clin Nutr 1982 35: 366–380.

    Article  CAS  Google Scholar 

  42. Marti B, Tuomilehto J, Korhonen HJ, Kartovaara L, Vartiainen E, Pietinen P, Puska P . Smoking and leaness: evidence for change in Finland BMJ 1989 298: 1287–1290.

    Article  CAS  Google Scholar 

  43. Williamson DF, Madans J, Anda RF, Kleinman JC, Giovino GA, Byers T . Smoking cessation and severity of weight gain in a national cohort New Engl J Med 1991 324: 739–745.

    Article  CAS  Google Scholar 

  44. Klesges RC, Meyers AW, Klesges LM, LaVasque ME . Smoking, body weight and their effects on smoking behavior: a comprehensive review of the literature Psychol Bull 1989 106: 204–230.

    Article  CAS  Google Scholar 

  45. GA Colditz, Willett WC, Rolnitzky A, Manson JE . Weight gain as a risk factor for clinical diabetes mellitus in women Ann Intern Med 1995 122: 481–486.

    Article  Google Scholar 

  46. GUS Statistical Yearbooks. Main Statistical Office: Warsaw, (in Polish) 1985, 1989, 1994.

Download references

Acknowledgements

Supported by the Polish Governmental Grant, Contract 11.6 and by the State Committee for Scientific Research, Contract Nos: 0253/S4/92, 0380/PO5/95, 4-1474-9101, 4PODO3608 and by the National Heart, Lung, and Blood Institute, Contract Nos: N01-HV-1-2243, N01-HV-1-98112, N01-HV-59224.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to SH Irving.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dennis, B., Pajak, A., Pardo, B. et al. Weight gain and its correlates in Poland between 1983 and 1993. Int J Obes 24, 1507–1513 (2000). https://doi.org/10.1038/sj.ijo.0801435

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ijo.0801435

Keywords

This article is cited by

Search

Quick links