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High obesity incidence in northern Sweden: how will Sweden look by 2009?
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Public Health Sciences.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Public Health Sciences.
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2006 (English)In: European Journal of Epidemiology, ISSN 0393-2990, E-ISSN 1573-7284, Vol. 21, no 5, p. 377-382Article in journal (Refereed) Published
Abstract [en]

The study objective was to evaluate the incidence of overweight and obesity in two rural areas of Sweden and the U.S. Previously collected data were used from 1990 to 1999 Multinational Monitoring of Trends and Determinants in Cardiovascular Disease (MONICA) studies in northern Sweden. Health censuses of adults in Otsego County, New York were collected in 1989 and 1999. Adults aged 25-64 year in 1989 with reports from both surveys were included. The 10-year change in body mass index (BMI), overweight (BMI 25-29.9 kg/m2) and obesity (BMI>or=30) were obtained from panel studies. Incidences of overweight and obesity were calculated and compared between countries. The 10-year incidence of obesity was 120/1000 in Sweden and 173/1000 in the U.S. (p<0.001 for difference between countries). In 1999, prevalence of obesity rose to 18.4% (Sweden) and 32.3% (U.S.). Cumulative distribution curves show that the BMI distribution in Sweden during 1999 is nearly identical to the U.S. during 1989. The obese proportions of these rural populations increased from 1989 to 1999. Sweden's obesity epidemic has a progression similar to that of the U.S., implying that by 2009, the prevalence of obesity in rural northern Sweden may mimic that present in rural New York during 1999. Attention should be paid to the increased obesity rates in rural areas.

Place, publisher, year, edition, pages
2006. Vol. 21, no 5, p. 377-382
Identifiers
URN: urn:nbn:se:umu:diva-16144DOI: doi:10.1007/s10654-006-9001-5PubMedID: 16763883OAI: oai:DiVA.org:umu-16144DiVA, id: diva2:155817
Available from: 2007-08-28 Created: 2007-08-28 Last updated: 2018-06-09Bibliographically approved
In thesis
1. A population perspective on obesity prevention: lessons learned from Sweden and the U.S.
Open this publication in new window or tab >>A population perspective on obesity prevention: lessons learned from Sweden and the U.S.
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Obesity prevalences are increasing in Sweden and the US. Obesity has many health consequences and health risks are associated with small increases in weight and marked obesity. Cross-sectional and panel surveys from northern Sweden and upstate NY provide the basis for furthering understanding of body mass index (BMI) development. BMI and weight change (+/-3%) were used to evaluate obesity and weight loss, maintenance, or gain. The 1989 prevalences of obesity were 9.6% and 21.3% in Sweden and the US; 1999 prevalences were 18.4% and 32.3%. Ten-year incidences (1989-1999) of overweight and obesity were 337/1000 and 120/1000 for Sweden and 336/1000 and 173/1000 for the US. Cross-sectional data suggest obesity is a problem of older age while panel data show that the young are gaining weight most rapidly. Individual changes in BMI have similar trends for Sweden and the US; the majority of adults are gaining weight. Older age, being a woman, higher BMI, and type 2 diabetes were associated with higher odds of weight non-gain. Younger age, being a man, being married and using snuff (snus) increased the odds of weight gain. The obese were 2-7 times more likely to report self-rated poor health. Healthy behaviours explain more of the person-to-person variability in BMI than do unhealthy behaviours or chronic diseases. Encouraging trends were found among Västerbotten Intervention Programme participants: a higher proportion of adults maintained weight in more recent survey years. The proportion of weight-gaining adults with identified health risk factors is smaller than those without risk factors. Frequently weight maintenance is felt to be important only for those identified as having a problem with weight or an obesity-related health condition. The largest proportion of those gaining weight are those with a normal BMI. Obesity prevention should target those usually considered low-risk (young, without cardiovascular risk factors, normal BMI).

Place, publisher, year, edition, pages
Umeå: Folkhälsa och klinisk medicin, 2006. p. 75
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 1050
Keyword
Public health, body weight changes, body mass index, cross-sectional studies, health behavior, health surveys, New York/epidemiology, obesity, rural health, self-rated health, Sweden/epidemiology, United States/epidemiology, Folkhälsomedicin
Research subject
Epidemiology
Identifiers
urn:nbn:se:umu:diva-893 (URN)91-7264-163-0 (ISBN)
Public defence
2006-11-02, 135, Byggnad 9A, Norrlands universitetssjukhus, Umea, 09:00 (English)
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Available from: 2006-10-12 Created: 2006-10-12 Last updated: 2009-10-20Bibliographically approved

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Stenlund, HansWall, StigWeinehall, Lars

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