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Alcohol consumption is associated with DXA measurement of adiposity: the Pró-Saúde Study, Brazil

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Abstract

Purpose

Evaluate the association between alcohol consumption and body adiposity.

Methods

We analyzed cross-sectional data from a longitudinal investigation (Pró-Saúde Study), comprising a sample of 514 civil servants of both sexes (35–64 years). Daily alcohol consumption (wine, beer, and other alcoholic drinks) over the previous 6 months was assessed via food frequency questionnaire and categorized as no doses, up to 1 dose, and ≥1 dose. The total body mass, total fat mass (TFM), android fat mass (AFM), and gynoid fat mass (GFM) were measured via dual-energy X-ray absorptiometry. AFM (AFM%) and GFM (GFM%) were expressed as percentages relative to TFM. The ratio of AFM% and GFM% was calculated. Multiple linear regression analyses were performed after adjusting for age, calories not originating from alcohol, leisure-time physical activity and education.

Results

Among nondrinkers, 59 % were women, and the age range between 45 and 54 years was predominant (44.3 %); 63.7 % of the nondrinkers were overweight/obese. Among drinkers of 1 dose or more/day, 67 % were males aged between 45 and 54 years (43.7 %); 69.1 % were overweight/obese. Among men, the daily consumption of ≥1 alcohol dose (13 g) was associated with an approximately 2 % (β = 2.2, IC = 0.077; 4.303) adjusted for age, calories not originated from alcohol, leisure-time physical activity and education, increase in TFM, compared to those who reported no alcohol consumption during the previous 6 months. This association was not observed among women. In both sexes, no associations were observed between alcohol consumption and the other evaluated parameters of adiposity.

Conclusion

Among men only, daily consumption of ≥1 alcohol dose was associated with increased adiposity, despite the relatively low average alcohol consumption in this study population.

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References

  1. World Health Organization (WHO) (2000) Obesity: preventing, managing the global epidemic. Report of a WHO consultation. WHO Technical Report Series 894: 253

  2. Brasil (2010) Ministério do Planejamento, Orçamento e Gestão. Instituto Brasileiro de Geografia e Estatística—IBGE. Pesquisa de Orçamento familiares 2008–2009. Análise de disponibilidade domiciliar de alimentos e do estado nutricional no Brasil. Rio de Janeiro

  3. World Health Organization (WHO) (1998) Obesity: preventing and managing the global epidemic: report of a WHO Expert Consultation on Obesity. Geneva

  4. Olinto MT, Nacul LC, Gigante DP, Costa JSD, Menezes AM, Macedo S (2004) Waist circumference as a determinant of hypertension and diabetes in Brazilian women: a population-based study. Public Health Nutr 7:629–635

    Article  CAS  Google Scholar 

  5. Ferreira MG, Valente JG, Gonçalves-Silva RMV, Sichieri R (2006) Acurácia da circunferência da cintura e da relação cintura/quadril como preditores de dislipidemias em estudo transversal de doadores de sangue de Cuiabá, Mato Grosso, Brasil. Cad. Saúde Pública 22:307–314

    Article  Google Scholar 

  6. Wang L, Lee IM, Manson JE, Buring JE, Sesso HD (2010) Alcohol consumption, weight gain, and risk of becoming overweight in middle-aged and older women. Arch Intern Med 170:453–461

    Article  Google Scholar 

  7. Bates B, Alison LAGS (2009) National diet and nutrition survey: headline results from year 1 of the rolling programme (2008/2009). Food Standards Agency, London

    Google Scholar 

  8. Colditz GA, Giovannucci E, Rimm EB, Stampfer MJ, Rosner B, SPEIZER FE et al (1991) Alcohol intake in relation to diet and obesity in women and in men. Am J Clin Nutr 54:49–55

    CAS  Google Scholar 

  9. Crouse JR, Gerson CD, Dercali LM, Lieber CS (1968) Role of acetate in the reduction of plasma free fatty acids produced by ethanol in man. J Lipid Res 9:509–512

    CAS  Google Scholar 

  10. Suter PM (2005) Is alcohol consumption a risk factor for weight gain and obesity? Crit Rev Clin Lab Sci 42(3):197–227

    Article  CAS  Google Scholar 

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

    CAS  Google Scholar 

  12. Dallongeville J, Marécaux N, Ducimetière P, Ferrières 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(12):1178–1183

    Article  CAS  Google Scholar 

  13. Machado PAN, Sichieri R (2002) Relação cintura-quadril e fatores de dieta em adultos. Rev Saúde Pública 36:198–204

    Article  Google Scholar 

  14. Tolstrup JS, Heitmann BL, Tjonneland A, Overvad K, Sorensen TI, Gronbaek M (2005) The relation between drinking pattern and body mass index and waist and hip circumference. Int J Obes 29:490–497

    CAS  Google Scholar 

  15. Ferreira MG, Valente JG, Gonçalves-Silva RMV, Sichieri R (2008) Consumo de bebida alcoólica e adiposidade abdominal em doadores de sangue. Rev Saúde Pública 42:1067–1073

    Article  Google Scholar 

  16. Bergmann MM, Schütze M, Steffen A, Boeing H, Halkjaer J, Tjonneland A et al (2011) The association of lifetime alcohol use with measures of abdominal and general adiposity in a large-scale European cohort. Eur J Clin Nutr 65:1079–1087

    Article  CAS  Google Scholar 

  17. Lapidus L, Bengtsson C, Larsson B, Pennert K, Rybo E, Sjostrom L (1984) Distribution of adipose tissue and risk of cardiovascular disease and death: a 12-year follow-up of participants in the population study of women in Gothenburg, Sweden. Br Med J Clin Res Ed 289:1257–1261

    Article  CAS  Google Scholar 

  18. Hansen K, Remington PL (1992) The effect of alcohol consumption on body weight among Wisconsin adults. Wis Med J 91:348–350

    CAS  Google Scholar 

  19. Grabauskas V, Petkeviciene J, Klumbiene J, Vaisvalavicius V (2003) The prevalence of overweight and obesity in relation to social and behavioral factors (Lithuanian health behavior monitoring). Medicina (Kaunas) 39:1223–1230

    Google Scholar 

  20. Tolstrup JS, Halkjaer J, Heitmann BL, Tjonneland AM, Overvad K, Sorensen TIA et al (2008) Alcohol drinking frequency in relation to subsequent changes in waist circumference. Am J Clin Nutr 87:957–963

    CAS  Google Scholar 

  21. Dorn JM, Hovey K, Muti P (2003) Alcohol drinking patterns differentially affect abdominal adiposity as measured by abdominal height in women and men. J Nutr 133:2655–2662

    CAS  Google Scholar 

  22. Koppes LLJ, Twisk JWR, Van Mechelen W, Snel J, Kemper HCG (2005) Cross-sectional and longitudinal relationships between alcohol consumption and lipids, blood pressure and body weight indices. J Stud Alcohol 66:713–721

    Article  Google Scholar 

  23. Schutze M, Schulz M, Steffen A, Bergmann MM, Kroke A, Lissner L et al (2009) Beer consumption and the ‘beer belly’: scientific basis or common belief? Eur J Clin Nutr 63:1143–1149

    Article  CAS  Google Scholar 

  24. Midanik LT (1988) Validity of self-reported alcohol use: a literature review and assessment. Br J Addict 83:1019–1030

    Article  CAS  Google Scholar 

  25. Sayon-Orea C, Bes-Rastrollo M, Nuñez-Cordoba JM, Basterra-Gortari FJ, Beunza JJ, Martinez-Gonzalez MA (2011) Type of alcoholic beverage and incidence of overweight/obesity in a Mediterranean cohort: the SUN project. Nutrition 27:802–808

    Article  Google Scholar 

  26. Vadstrup ES, Petersen L, Sørensen TIA, Grønbæk M (2003) 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

    Article  CAS  Google Scholar 

  27. Wannamethee SG, Shaper AG, Whincup PH (2005) Alcohol and adiposity: effects of quantity and type of drink and time relation with meals. Int J Obes 29:1436–1444

    Article  CAS  Google Scholar 

  28. Genton L, Hans D, Kyle UG, Pichard C (2002) Dual- energy X-ray absorptiometry and body composition: differences between devices and comparison with reference methods. Nutrition 18:66–70

    Article  CAS  Google Scholar 

  29. Faerstein E, Chor D, Lopes CDS, Werneck GL (2005) Estudo Pro-Saúde: características gerais e aspectos metodológicos. Rev Bras Epidemiol 8:454–466

    Article  Google Scholar 

  30. Sichieri R, Everhart JE (1998) Validity of Brazilian food frequency questionnaire against dietary recalls and estimated energy intake. Nutr Res 18:1649–1659

    Article  CAS  Google Scholar 

  31. iDXA GE Medical Systems enCORE Operator’s Manual and Product Information. Lunar Corp; Madison, WI

  32. Gibson RS (1990) Principles of nutritional assessment. Oxford University Press, New York

    Google Scholar 

  33. Lipschitz DA (1994) Screening for nutritional status in the elderly. Prim Care 21:1

    Google Scholar 

  34. R Development Core Team (2012) R (Version 2.15). www.r-project.org/

  35. Rouillier P, Bertrais S, Daudin JJ (2006) Drinking patterns are associated with variations in atherosclerotic risk factors in French men. Eur J Nutr 45:79–87

    Article  CAS  Google Scholar 

  36. Coulson CE, Williams LJ, Brennan SL, Berk M, Kotowicz MA, Lubman DI et al (2013) Alcohol consumption and body composition in a population-based sample of elderly Australian men. Ging Clin Exp Res 25:183–192

    Article  Google Scholar 

  37. Mcardle WD, Katch FI, Katch VL (2001) Nutrição para o desporto e o exercício. Guanabara Koogan, Rio de Janeiro

    Google Scholar 

  38. Vague J (1947) La differentiation sexuelle, facteur determinant des formes de l’obesite. Press Med 55:339–340

    CAS  Google Scholar 

  39. Petursson H, Sigurdsson JA (2011) Body configuration as a predictor of mortality: comparison of five anthropometric measures in a 12 year follow-up of the Norwegian HUNT 2 study. PLoS ONE 6:1–10

    Article  Google Scholar 

  40. Haswell M (1994) Obesity in men and women. Int J Obes Relat Metab Disord 18:1–7

    Google Scholar 

  41. Folsom AR, Kushi LH, Anderson KE, Milk PJ, Olson JE, Hong CJ et al (2000) Associations of general and abdominal obesity with multiple health outcomes in older women: the Iowa Women’s Health Study. Arch Intern Med 160:2117–2128

    Article  CAS  Google Scholar 

  42. Bjorntorp P (1987) Adipose tissue distribution, plasma insulin, and cardiovascular disease. Diabetes Metabol 13:381–385

    CAS  Google Scholar 

  43. Owens S (1998) Visceral adipose tissue and cardiovascular risk factors in obese children. J Pediatr 133:41–45

    Article  CAS  Google Scholar 

  44. Wajchenberg BL (2000) Subcutaneous and visceral adipose tissue: their relation to the metabolic syndrome. Endocr Rev 2:697–738

    Article  Google Scholar 

  45. Yeomans MR (2004) Effects of alcohol on food and energy intake in human subjects: evidence for passive and active over-consumption of energy. Br J Nutr 1:31–34

    Article  Google Scholar 

  46. Siler SQ, Neese RA, Hellerstein MK (1999) De novo lipogenesis, lipid kinetics, and whole-body lipid balances in humans after acute alcohol consumption. Am J Clin Nutr 70:928–936

    CAS  Google Scholar 

  47. Wannamethee SG, Shaper AG (2003) Alcohol, body weight, and weight gain in middle-aged men. Am J Clin Nutr 77(5):1312–1317

    CAS  Google Scholar 

  48. James H, O’Keefe Salman KB, Ata Bajwa JJ, DiNicolantonio CJ, Lavie H (2014) Alcohol and cardiovascular health: the dose makes the poison or the remedy. Mayo Clin Proc 89:382–393

    Article  Google Scholar 

  49. Yeomans MR (2010) Alcohol, appetite and energy balance: Is alcohol intake a risk factor for obesity? Physiol Behav 100(1):82–89

    Article  CAS  Google Scholar 

  50. Klatsky AL (2002) Alcohol consumption and stroke—the difficulties in giving responsible advice. Addiction 97:103

    Article  Google Scholar 

  51. Renaud S, De Lorgeril M (1992) Wine, alcohol, platelets and the French paradox for coronary heart disease. Lancet 339:1523–1526

    Article  CAS  Google Scholar 

  52. Gorinstein S, Zemser M, Lichman I, Berebi A, Kleipfish A, Libman I et al (1997) Moderate beer consumption and the blood coagulation in patients with coronary artery disease. J Intern Med 241:47–51

    Article  CAS  Google Scholar 

  53. Costa RF (2001) Composição Corporal: teoria e prática da avaliação. Manole

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Acknowledgments

The first author received a scholarship for a Master’s degree course from the Coordination for the Improvement of Higher Education Personnel—CAPES. Thanks to: the Interdisciplinary Nutrition Assessment Laboratory of the State University of Rio de Janeiro. Financing Faperj Project—A epidemia de obesidade, além do balanço energético: fatores contextuais e evidências longitudinais no Rio de Janeiro—Process number—E-26/110.119/2013.

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Authors and Affiliations

  1. Graduate Program in Food, Nutrition and Health, Nutrition Institute, State University of Rio de Janeiro, Rua Alfredo José Gomes, 30. Quitandinha. Petrópolis, Rio de Janeiro, CEP 25650-030, Brazil

    Thalita Fialho da Rocha, Maria Helena Hasselmann, Cíntia Chaves Curioni, Flávia Fioruci Bezerra & Eduardo Faerstein

  2. Department of Epidemiology, Institute of Social Medicine, State University of Rio de Janeiro, Rio de Janeiro, Brazil

    Eduardo Faerstein

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  1. Thalita Fialho da Rocha
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  2. Maria Helena Hasselmann
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  3. Cíntia Chaves Curioni
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Correspondence to Thalita Fialho da Rocha.

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da Rocha, T.F., Hasselmann, M.H., Chaves Curioni, C. et al. Alcohol consumption is associated with DXA measurement of adiposity: the Pró-Saúde Study, Brazil. Eur J Nutr 56, 1983–1991 (2017). https://doi.org/10.1007/s00394-016-1240-y

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  • DOI: https://doi.org/10.1007/s00394-016-1240-y

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