European Journal of Nutrition

, Volume 46, Issue 7, pp 369–376

Relationship of abdominal obesity with alcohol consumption at population scale

Authors

    • Lipids and Cardiovascular Epidemiology Research UnitInstitut Municipal d’Investigació Mèdica, IMIM, Hospital de Mar, Parc de Recerca Biomèdica de Barcelona (PRBB)
  • Jose Antonio Morales-Molina
    • Dept. of PharmacyIMIM-Hospital de Mar
  • Silvia Bermejo
    • Dept. of AnesthesiologyIMIM-Hospital de Mar
  • Diego Barral
    • Pharmacology Research UnitIMIM-Hospital de Mar
    • Universitat Autònoma de Barcelona
  • Eduardo Soler Mándoli
    • Dept. of AnesthesiologyIMIM-Hospital de Mar
  • María Grau
    • Universitat Autònoma de Barcelona
    • Preventive Medicine and Public Health IMAS-UPF-ASPB
  • Monica Guxens
    • Lipids and Cardiovascular Epidemiology Research UnitInstitut Municipal d’Investigació Mèdica, IMIM, Hospital de Mar, Parc de Recerca Biomèdica de Barcelona (PRBB)
  • Elisabet de Jaime Gil
    • IMIM-Hospital de Mar
  • Marisol Domínguez Álvarez
    • Dept. of PneumologyIMIM-Hospital de Mar
  • Jaume Marrugat
    • Lipids and Cardiovascular Epidemiology Research UnitInstitut Municipal d’Investigació Mèdica, IMIM, Hospital de Mar, Parc de Recerca Biomèdica de Barcelona (PRBB)
ORIGINAL CONTRIBUTION

DOI: 10.1007/s00394-007-0674-7

Cite this article as:
Schröder, H., Morales-Molina, J.A., Bermejo, S. et al. Eur J Nutr (2007) 46: 369. doi:10.1007/s00394-007-0674-7

Abstract

Background

The high energy content of alcohol makes its consumption a potential contributor to the obesity epidemic.

Aim of the study

To determine whether alcohol consumption is a risk factor for abdominal obesity, taking into account energy underreporting.

Methods

The subjects were Spanish men (n = 1491) and women (n = 1563) aged 25–74 years who were examined in 1999–2000, in a population-based cross-sectional survey in northeastern Spain (Girona). Dietary intake, including alcohol consumption, was assessed using a food frequency questionnaire. Anthropometric variables were measured.

Results

The mean consumption of alcohol was 18.1 ± 20.7 g/d in men and 5.3 ± 10.4 g/d in women. 19.3% of men and 2.3% of women reported alcohol consumption of more than 3 drinks per day. The consumption of alcohol was directly associated with total energy intake in men (P < 0.001) and women (P = 0.001). The proportion of energy underreporting significantly (P < 0.001) decreased with higher amounts of alcohol drinking in both genders. Multiple logistic regression analysis, controlled for energy underreporting, smoking, educational level, leisure-time physical activity, energy, and diet quality, revealed that consuming more than 3 drinks of alcohol (>30 g ethanol) was significantly associated with the risk of abdominal obesity (Odds ratio 1.80; 1.05, 3.09) and exceeding recommended energy consumption (Odds ratio 1.97; 1.32, 2.93) in men. A very small number (2.13%) of women in this population reported high levels of alcohol consumption.

Conclusions

Alcohol consumption in elevated amounts was associated with risk of abdominal obesity in men, independent of energy underreporting.

Keywords

waistalcoholic beveragesenergy underreporting

Copyright information

© Spinger 2007