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Waist circumference in relation to history of amount and type of alcohol: results from the Copenhagen City Heart Study


OBJECTIVE: To examine the long-term association between the amount and type of alcohol consumed and subsequent high waist circumference.

DESIGN: Prospective population study with baseline assessment of alcohol intake, body mass index, smoking habit, physical activity, education, income and deliveries, and after 10 y, examination of waist circumference.

SUBJECTS: A sample of 2916 men and 3970 women aged 20–83 y from Copenhagen City Heart Study, Denmark.

MEASUREMENTS: A large waist circumference defined as a waist circumference more than 102 cm in men and 88 cm in women.

RESULTS: The odds ratios of having a high waist circumference after 10 y showed a linear increase in both men and women, and they were 1.65 (95% confidence interval (CI) 1.07–2.55) in men and 2.16 (0.86–5.14) in women who drank more than 28 beverages per week of total alcohol compared to those who drank one to six beverages per week. Men drinking more than 21 beers per week had odds ratio of having a large waist circumference after 10 y of 1.63 (0.99–2.67) and women drinking more than 14 beers per week had odds ratio of 2.53 (0.92–6.34), compared to men and women who drank no beer. Also for spirits, there was an increase in both men and women. No linear trend was found for wine in either men or women.

CONCLUSIONS: Moderate-to-high consumption of alcohol and of beer and spirits was associated with later high waist circumference, whereas moderate-to-high wine consumption may have the opposite effect.

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  1. Han TS, Bijnen FC, Lean ME, Seidell JC . Separate associations of waist and hip circumference with lifestyle factors. Int J Epidemiol 1998; 27: 422–430.

    Article  CAS  PubMed  Google Scholar 

  2. Laws A, Terry RB, Barrett-Connor E . Behavioral covariates of waist-to-hip ratio in Rancho Bernardo. Am J Public Health 1990; 80: 1358–1362.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Marti B, Toumilehto J, Salomaa V, Kartovaara L, Korhonen HJ, Pietinen P . Body fat distribution in the Finnish population: environmental determinants and predictive power for cardiovascular risk factor levels. J Epidemiol Community Health 1991; 45: 131–137.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Dallongeville J, Marecaux N, Ducimetiere P, Ferrieres J, Arveiler D, Bingham A, Ruidavets JB, Simon C, Amouyel P . Influence of alcohol consumption and various beverage on waist girth and waist-to-hip ratio in a sample of French men and women. Int J Obes Relat Metab Disord 1998; 22: 1178–1183.

    Article  CAS  PubMed  Google Scholar 

  5. Cigolini M, Targher G, Bergamo Andreis IA, Tonoli M, Filippi F, Muggeo M, De Sandre G . Moderate alcohol consumption and its relation to visceral fat and plasma androgens in healthy women. Int J Obes Relat Metab Disord 1996; 20: 206–212.

    CAS  PubMed  Google Scholar 

  6. Kaye SA, Folsom AR, Prineas RJ, Potter JD, Gapstur SM . The association of body fat distribution with lifestyle and reproductive factors in a population study of postmenopausal women. Int J Obes Relat Metab Disord 1990; 14: 583–591.

    CAS  Google Scholar 

  7. Keenan NL, Strogatz DS, James SA, Ammerman AS, Rice BL . Distribution and correlates of waist-to-hip ratio in black adults: the Pitt County Study. Am J Epidemiol 1992; 135: 678–684.

    Article  CAS  PubMed  Google Scholar 

  8. Haffner SM, Stern MP, Hazuda HP, Pugh J, Patterson JK, Malina R . Upper body and centralized adiposity in Mexican Americans and non-Hispanic whites: relationship to body mass index and other behavioral and demographic variables. Int J Obes Relat Metab Disord 1986; 10: 493–502.

    CAS  Google Scholar 

  9. Slattery ML, McDonald A, Bild DE, Caan BJ, Hilner JE, Jacobs Jr, DR, Liu K . 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: 943–949.

    Article  CAS  PubMed  Google Scholar 

  10. Duncan BB, Chambless LE, Schmidt MI, Folsom AR, Szklo M, Crouse 3rd JR, Carpenter MA . Association of the waist-to-hip ratio is different with wine than with beer or hard liquor consumption. Atherosclerosis Risk in Communities Study Investigators. Am J Epidemiol 1995; 142: 1034–1038.

    Article  CAS  PubMed  Google Scholar 

  11. Gordon T, Kannel WB . Drinking and its relation to smoking, BP, blood lipids, and uric acid. The Framingham study. Arch Intern Med 1983; 143: 1366–1374.

    Article  CAS  PubMed  Google Scholar 

  12. 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 

  13. WHO. Obesity—Preventing and managing the global epidemic. Geneva: WHO, 2000.

  14. Shaper AG, Wannamethee SG . The J-shaped curve and changes in drinking habit. Novartis Foundation Symp 1998; 216: 173–188.

    CAS  Google Scholar 

  15. SAS. SAS/STAT software: the GENMOD procedure, release 6.09. Cary, NC: SAS Institute; 1993.

  16. VanItallie TB . Waist circumference: a useful index in clinical care and health promotion. Nutr Rev 1998; 56: 300–302.

    Article  Google Scholar 

  17. Han TS, van Leer EM, Seidell JC, Lean ME . Waist circumference action levels in the identification of cardiovascular risk factors: prevalence study in a random sample. Br Med J 1995; 311: 1401–1405.

    Article  CAS  Google Scholar 

  18. Lean ME, Han TS, Morrison CE . Waist circumference as a measure for indicating need for weight management. Br Med J 1995; 311: 158–161.

    Article  CAS  Google Scholar 

  19. Dobbelsteyn CJ, Joffres MR, MacLean DR, Flowerdew G and the Canadian Heart Health Surveys Research Group. A comparative evaluation of waist circumference, waist-to-hip ratio and body mass index as indicators of cardiovascular risk factors. The Canadian Heart Health Surveys. Int J Obes Metab Disord 2001; 25: 652–661.

    Article  CAS  Google Scholar 

  20. Han TS, McNeill G, Lean ME . Predicting intra-abdominal fatness from anthropometric measures: the influence of stature. Int J Obes Metab Disord 1997; 21: 587–593.

    Article  CAS  Google Scholar 

  21. Lemieux S, Prud'homme D, Bouchard C, Trembley A, Despres JP . A single threshold value of waist girth identifies normal-weight and overweight subjects with excess visceral adipose tissue. Am J Clin Nutr 1996; 64: 685–693.

    Article  CAS  PubMed  Google Scholar 

  22. Bigaard J, Tjønneland A, Thomsen BL, Overvad K, Heitmann BL, Sørensen TIA . Waist circumference, body mass index, and all-cause mortality in men and women aged 50–64 y. Int J Obes Metab Disord 2001; 25: 9–10.

    Article  Google Scholar 

  23. Grønbæk M, Heitmann B . Validity of self-reported intakes of wine, beer and spirits in population studies. Eur J Clin Nutr 1996; 50: 487–490.

    PubMed  Google Scholar 

  24. Tjønneland A, Grønbæk M, Stripp C, Overvad K . Wine intake and diet in a random sample of 48763 Danish men and women. Am J Clin Nutr 1999; 69: 49–54.

    Article  PubMed  Google Scholar 

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Correspondence to M Grønbæk.

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Vadstrup, E., Petersen, L., Sørensen, T. et al. Waist circumference in relation to history of amount and type of alcohol: results from the Copenhagen City Heart Study. Int J Obes 27, 238–246 (2003).

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  • waist circumference
  • alcohol
  • alcoholic beverages

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