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Change in the level of physical activity from adolescence into adulthood and obesity at the age of 31 years

International Journal of Obesity volume 28, pages 775–782 (2004)Cite this article

Abstract

OBJECTIVE: To evaluate how a change in the level of leisure-time physical activity from adolescence into adulthood is associated with overall and abdominal obesity at the age of 31 y.

DESIGN: Prospective follow-up study of Northern Finland birth cohort of 1966.

SUBJECTS: In all, a population of 2834 males and 2872 females aged 31 y was studied.

MEASUREMENTS: At the age of 31 y, overweight was defined as a body mass index (BMI) of 25.0–29.9 kg/m2 and obesity as a BMI of 30.0 kg/m2 or more. The cutoff points of waist circumference for mild and severe abdominal obesity were 94.0 and 102.0 cm in males and 80.0 and 88.0 cm in females. The change in the level of physical activity (at least moderately active vs inactive) was evaluated by inquiries conducted at the ages of 14 and 31 y. The odds ratios (OR) and their 95% confidence intervals (CI) obtained from logistic regression were adjusted for maternal BMI before pregnancy, BMI at the age of 14 y, alcohol intake, occupational physical activity, smoking, and, in the case of females, for parity at age 31 y.

RESULTS: Becoming inactive during the transition from adolescence to adulthood was associated with overall overweight in males (OR 1.49, CI 1.18–1.89), overall obesity in males (OR 1.53, CI 0.99–2.37) and females (OR 1.51, CI 0.94–2.44), and with severe abdominal obesity in females (OR 1.80, CI 1.13–2.86). Being persistently inactive from adolescence to adulthood was associated with mild abdominal obesity in males (OR 1.83, CI 1.13–2.95), but not with other obesity measures in either gender after adjustment for confounding factors.

CONCLUSIONS: Becoming inactive during the transition from adolescence to adulthood is related to overall obesity in both genders, and to severe abdominal obesity in females at the age of 31 y. The results emphasize the role of continued physical activity from adolescence into adulthood in the prevention of adult obesity.

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References

  1. Lahti-Koski M . Body mass index and obesity among adults in Finland, Academic dissertation. Publications of the National Public Health Institute (KTL) A12/2001 Helsinki: Hakapaino Oy; 2001.

    Google Scholar 

  2. WHO. Obesity. Preventing and managing the global epidemic, Report of a WHO consultation on obesity World Health Organisation: Geneva; 1998.

  3. Samaras K, Campbell LV . The non-genetic determinants of central adiposity. Int J Obes Relat Metab Disord 1997; 21: 839–845.

    Article  CAS  PubMed  Google Scholar 

  4. Lahti-Koski M, Pietinen P, Heliövaara M, Vartiainen E . Associations of body mass index and obesity with physical activity, food choices, alcohol intake, and smoking in the 1982-1997 FINRISK Studies. Am J Clin Nutr 2002; 75: 809–817.

    Article  CAS  PubMed  Google Scholar 

  5. Lahti-Koski M, Vartiainen E, Männistö S, Pietinen P . Age, education and occupation as determinants of trends in body mass index in Finland from 1982 to 1997. Int J Obes Relat Metab Disord 2000; 24: 1669–1976.

    Article  CAS  PubMed  Google Scholar 

  6. Telama R, Yang X . Decline of physical activity from youth to young adulthood in Finland. Med Sci Sports Exerc 2000; 32: 1617–1622.

    Article  CAS  PubMed  Google Scholar 

  7. van Mechelen W, Twisk JW, Post GB, Snel J, Kemper HC . Physical activity of young people: the Amsterdam Longitudinal Growth and Health Study. Med Sci Sports Exerc 2000; 32: 1610–1616.

    Article  CAS  PubMed  Google Scholar 

  8. Parsons TJ, Power C, Logan S, Summerbell CD . Childhood predictors of adult obesity: a systematic review. Int J Obes Relat Metab Disord 1999; 23 (Suppl 8): S1–S107.

    PubMed  Google Scholar 

  9. Laitinen J, Power C, Järvelin MR . Family social class, maternal body mass index, childhood body mass index, and age at menarche as predictors of adult obesity. Am J Clin Nutr 2001; 74: 287–294.

    Article  CAS  PubMed  Google Scholar 

  10. Raitakari OT, Porkka KV, Taimela S, Telama R, Räsänen L, Viikari JS . Effects of persistent physical activity and inactivity on coronary risk factors in children and young adults. The Cardiovascular Risk in Young Finns Study. Am J Epidemiol 1994; 140: 195–205.

    Article  CAS  PubMed  Google Scholar 

  11. Twisk JW, Van Mechelen W, Kemper HC, Post GB . The relation between "long-term exposure" to lifestyle during youth and young adulthood and risk factors for cardiovascular disease at adult age. J Adolesc Health 1997; 20: 309–319.

    Article  CAS  PubMed  Google Scholar 

  12. van Lenthe FJ, van Mechelen W, Kemper HC, Post GB . Behavioral variables and development of a central pattern of body fat from adolescence into adulthood in normal-weight whites: the Amsterdam Growth and Health Study. Am J Clin Nutr 1998; 67: 846–852.

    Article  CAS  PubMed  Google Scholar 

  13. Kemper HC, Post GB, Twisk JW, van Mechelen W . Lifestyle and obesity in adolescence and young adulthood: results from the Amsterdam Growth And Health Longitudinal Study (AGAHLS). Int J Obes Relat Metab Disord 1999; 23 (Suppl 3): S34–S40.

    Article  PubMed  Google Scholar 

  14. Lefevre J, Philippaerts R, Delvaux K, Thomis M, Claessens AL, Lysens R, Renson R, Vanden Eynde B, Vanreusel B, Beunen, G . Relation between cardiovascular risk factors at adult age, and physical activity during youth and adulthood: the Leuven Longitudinal Study on Lifestyle, Fitness and Health. Int J Sports Med 2002; 23 (Suppl 1): S32–S38.

    Article  PubMed  Google Scholar 

  15. Hasselström H, Hansen SE, Froberg K, Andersen LB . Physical fitness and physical activity during adolescence as predictors of cardiovascular disease risk in young adulthood. Danish Youth and Sports Study. An eight-year follow-up study. Int J Sports Med 2002; 23 (Suppl 1): S27–31.

    Article  PubMed  Google Scholar 

  16. Twisk JW, Kemper HC, van Mechelen W . The relationship between physical fitness and physical activity during adolescence and cardiovascular disease risk factors at adult age. The Amsterdam Growth and Health Longitudinal Study. Int J Sports Med 2002; 23 (Suppl 1): S8–S14.

    Article  PubMed  Google Scholar 

  17. Rantakallio P . The longitudinal study of the Northern Finland birth cohort of 1966. Paediatr Perinat Epidemiol 1988; 2: 59–88.

    Article  CAS  PubMed  Google Scholar 

  18. Despres JP, Lemieux I, Prud'homme D . Treatment of obesity: need to focus on high risk abdominally obese patients. BMJ 2001; 322: 716–720.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Tammelin T, Näyhä S, Hills AP, Järvelin MR . Adolescent participation in sports and adult physical activity. Am J Prev Med 2003; 24: 22–28.

    Article  PubMed  Google Scholar 

  20. American College of Sports Medicine Position Stand. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exerc 1998; 30: 975–991.

  21. Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, Buchner D, Ettinger W, Heath GW, King AC . Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 1995; 273: 402–407.

    Article  CAS  PubMed  Google Scholar 

  22. Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH . Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med 1997; 337: 869–873.

    Article  CAS  PubMed  Google Scholar 

  23. Mälkiä E, Impivaara O, Maatela J, Aromaa A, Heliövaara M, Knekt P . Physical activity of Finnish adults. Turku: Publications of the Social Insurance Institution, Finland, ML:8, Finnish report, abstract in English 1988.

    Google Scholar 

  24. Tammelin T, Näyhä S, Rintamäki H, Zitting P . Occupational physical activity is related to physical fitness in young workers. Med Sci Sports Exerc 2002; 34: 158–165.

    Article  PubMed  Google Scholar 

  25. Bouchard C . Genetic determinants of regional fat distribution. Hum Reprod 1997; 12 (Suppl 1): 1–5.

    Article  PubMed  Google Scholar 

  26. Ross R, Janssen I . Physical activity, total and regional obesity: dose-response considerations. Med Sci Sports Exerc 2001; 33 (Suppl 6): S521–527.

    Article  CAS  PubMed  Google Scholar 

  27. Ross R, Dagnone D, Jones PJ, Smith H, Paddags A, Hudson R, Janssen I . Reduction in obesity and related comorbid conditions after diet-induced weight loss or exercise-induced weight loss in men. A randomized, controlled trial. Ann Intern Med 2000; 133: 92–103.

    Article  CAS  PubMed  Google Scholar 

  28. Williamson DF, Madans J, Anda RF, Kleinman JC, Kahn HS, Byers T . Recreational physical activity and ten-year weight change in a US national cohort. Int J Obes Relat Metab Disord 1993; 17: 279–286.

    CAS  PubMed  Google Scholar 

  29. Haapanen N, Miilunpalo S, Pasanen M, Oja P, Vuori I . Association between leisure time physical activity and 10-year body mass change among working-aged men and women. Int J Obes Relat Metab Disord 1997; 21: 288–296.

    Article  CAS  PubMed  Google Scholar 

  30. Wing RR, Matthews KA, Kuller LH, Meilahn EN, Plantinga P . Waist to hip ratio in middle-aged women. Associations with behavioral and psychosocial factors and with changes in cardiovascular risk factors. Arterioscler Thromb 1991; 11: 1250–1257.

    Article  CAS  PubMed  Google Scholar 

  31. James WP . A public health approach to the problem of obesity. Int J Obes Relat Metab Disord 1995; 19 (Suppl 3): S37–45.

    PubMed  Google Scholar 

  32. DiPietro L . Physical activity, body weight, and adiposity: an epidemiologic perspective. Exerc Sport Sci Rev 1995; 23: 275–303.

    Article  CAS  PubMed  Google Scholar 

  33. Lichtman SW, Pisarska K, Berman ER, Pestone M, Dowling H, Offenbacher E, Weisel H, Heshka S, Matthews DE, Heymsfield SB . Discrepancy between self-reported and actual caloric intake and exercise in obese subjects. N Engl J Med 1992; 327: 1893–1898.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

This study was funded by the Ministry of Education, the Academy of Finland, the Ministry of Health and Social Affairs, the Juho Vainio Foundation, Urheiluopistosäätiö (the Research Foundation of the Institute of Sports), and the Oulu University Hospital.

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  1. Oulu Regional Institute of Occupational Health, Oulu, Finland

    T Tammelin & J Laitinen

  2. Department of Public Health Science and General Practice, University of Oulu, Oulu, Finland

    S Näyhä

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  1. T Tammelin
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Correspondence to T Tammelin.

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Tammelin, T., Laitinen, J. & Näyhä, S. Change in the level of physical activity from adolescence into adulthood and obesity at the age of 31 years. Int J Obes 28, 775–782 (2004). https://doi.org/10.1038/sj.ijo.0802622

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