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Influence of dietary pattern on the development of overweight in a Chinese population

Abstract

Objective:

To examine dietary factors predisposing to overweight and obesity, taking into account age, gender, education level and physical activity.

Design:

Longitudinal population study.

Setting:

Community living subjects in Hong Kong.

Subjects:

One thousand and ten Chinese subjects participating in a territory wide dietary and cardiovascular risk factor prevalence survey in 1995–1996 were followed up for 5–9 years.

Measurements:

Body mass index (BMI) was measured. Information was collected on factors predisposing to development of overweight and obesity (age, gender, education level, physical activity, macronutrient intake, Mediterranean diet score and food variety), and the predisposing dietary factors examined, adjusted for other confounding factors, using logistic regression.

Results:

The 5–9-year incidence of overweight is 22.6% (BMI 23 kg/m2, 95% confidence interval (CI)=15.0–30.1%) or 11.5% (BMI 25 kg/m2, 95% CI=7.3–15.7%), and for obesity (BMI 30 kg/m2) is 0.6% (95% CI=−0.2–1.4%). The corresponding figures for women were 14.1% (95% CI=8.8–19.5%), 9.7% (95% CI=6.0–13.4%) and 3% (95% CI=1.3–4.8%). After adjusting for confounding factors (age, sex, education and physical activity), increased variety of snack consumption was associated with increased risk of developing overweight (BMI 23 kg/m2) in the Hong Kong Chinese population over a 5–9-year period.

Conclusion:

Increased variety of snack consumption may predispose to weight gain over a 5–9-year period.

Sponsorship:

Research Grants Council and Health Services Research Fund, Hong Kong Government

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Acknowledgements

The study was funded by the Research Grants Council of Hong Kong, project No. CUHK 7229/01M, and Health Services Research Grant No. 421001 1994–1995, Hong Kong Government.

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Correspondence to J Woo.

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Woo, J., Cheung, B., Ho, S. et al. Influence of dietary pattern on the development of overweight in a Chinese population. Eur J Clin Nutr 62, 480–487 (2008). https://doi.org/10.1038/sj.ejcn.1602702

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  • DOI: https://doi.org/10.1038/sj.ejcn.1602702

Keywords

  • food variety
  • Mediterranean diet
  • overweight

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