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Beer and obesity: a cross-sectional study


Objective: There is a common notion that beer drinkers are, on average, more ‘obese’ than either nondrinkers or drinkers of wine or spirits. This is reflected, for example, by the expression ‘beer belly’. However, the few studies on the association between consumption of beer and abdominal obesity produced inconsistent results. We examined the relation between beer intake and waist–hip ratio (WHR) and body mass index (BMI) in a beer-drinking population.

Design: A cross-sectional study.

Setting: General population of six districts of the Czech Republic.

Subjects: A random sample of 1141 men and 1212 women aged 25–64 y (response rate 76%) completed a questionnaire and underwent a short examination in a clinic. Intake of beer, wine and spirits during a typical week, frequency of drinking, and a number of other factors were measured by a questionnaire. The present analyses are based on 891 men and 1098 women who where either nondrinkers or ‘exclusive’ beer drinkers (ie they did not drink any wine or spirits in a typical week).

Results: The mean weekly beer intake was 3.1 l in men and 0.3 l in women. In men, beer intake was positively related to WHR in age-adjusted analyses, but the association was attenuated and became nonsignificant after controlling for other risk factors. There appeared to be an interaction with smoking: the relation between beer intake and WHR was seen only among nonsmokers. Beer intake was not related to BMI in men. In women, beer intake was not related to WHR, but there was a weak inverse association with BMI.

Conclusions: It is unlikely that beer intake is associated with a largely increased WHR or BMI.

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  • Bobak M, Hertzman C, Skodova Z & Marmot M (1999): Socioeconomic status and cardiovascular risk factors in the Czech Republic. Int. J.Epidemiol. 28, 46–52.

    Article  CAS  Google Scholar 

  • Dallongeville J, Marecaux N, Ducimetiere P, Ferrieres J, Arveiler D, Bingham A et al (1998): Influence of alcohol consumption and various beverages on waist girth and waist-to-hip ratio in a sample of French men and women. Int. J. Obes. 22, 1178–1183.

    Article  CAS  Google Scholar 

  • DeFronzo RA & Ferrannini E (1991): Insulin resistence. A multifaceted syndrome responsible for NIDDM, obesity, hypertension, dyslipidemia, and atherosclerotic cardiovascular disease. Diabetes Care 14, 173–194.

    Article  CAS  Google Scholar 

  • Duncan BB, Chambless LE, Schmidt MI, Folsom AR, Szklo M, Crouse III JR et al (1995): Association of the waist-to-hip ratio is different with wine than with beer or hard liquor consumption. Am. J. Epidemiol. 142, 1034–1038.

    Article  CAS  Google Scholar 

  • Food and Agriculture Organisation of the United Nations (1998): Food Balance Sheets. Rome: United Nations.

  • Grunberg NE (1990): The inverse relationship between tobacco use and body weight. In Research Advances in Alcohol and drung Problems, LT Kozlowski, HM Annis & HD Cappel, eds .Vol. 10, pp 273–315, Plenum Press: New York.

    Chapter  Google Scholar 

  • Kahn HS, Tatham LM, Rodriguez C, Calle EE, Thun MJ & Heath Jr CW (1997): Stable behaviors associated with adults' 10-year change in body mass index and likelihood of gain at the waist. Am. J. Public Health 87, 747–754.

    Article  CAS  Google Scholar 

  • Larsson B (1992): Obesity and body fat distribution as predictiors of coronary heart disease. In Coronary Heart Disease Epidemiology. From Aetiology to Public Health. M. Marmot & P. Elliott eds, pp 233–241 New York: Oxford University Press.

    Google Scholar 

  • Rosmond R & Bjomtorp P (1999): Psychosocial and socio-economic factors in women and their relationship to obesity and regional body fat distribution. Int. J. Obes. 23, 138–145.

    Article  CAS  Google Scholar 

  • Samaras K & Campbell LV (1997): The non-genetic determinants of central adiposity. Int. J. Obes. 21, 839–845.

    Article  CAS  Google Scholar 

  • Slattery ML, McDonald A, Bild DE, Caan BJ, Hilner JE, Jacobs Jr DR et al (1992): Associations of body fat and its distribution with dietary intake, physical activity, alcohol, and smoking in blacks and whites. Am. J. Clin. Nutr. 55(5), 943–949.

    Article  CAS  Google Scholar 

  • Suter PM, Haesler E & Vetter W (1997): Effects of alcohol on energy metabolism and body weight regulation: is alcohol a risk factor for obesity? Nutr. Rev. 55, 157–171.

    Article  CAS  Google Scholar 

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We thank local cardiologists in the participating districts. The study was funded by a grant from the Czech Ministry of Health and from the Wellcome Trust. MB was supported by the Wellcome Trust Training Fellowship in Clinical Epidemiology, and MM is a recipient of an MRC Research Professorship.

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Gurantor: M Bobak.

Contributors: All authors jointly designed the extension of the Czech MONICA Study. ZS coordinated the data collection and commented on a draft of the paper. MB analysed the data and drafted the paper. MM contributed to the interpretation of the results and writing of the paper.

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Correspondence to M Bobak.

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Bobak, M., Skodova, Z. & Marmot, M. Beer and obesity: a cross-sectional study. Eur J Clin Nutr 57, 1250–1253 (2003).

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  • beer
  • alcohol
  • obesity
  • body mass index
  • waist-hip ratio
  • epidemiology

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