Dietary composition and fat to sugar ratios in relation to obesity

C. Bolton-Smith, M. Woodward

Research output: Contribution to journalArticle

Abstract

The aim of this work was to investigate the relationship between dietary composition and prevalent overweight and obesity in a middle-aged Scottish population. An age and sex stratified cross-sectional study was carried out of coronary risk factors and diet. This was based on a personal health and food frequency questionnaire with a clinic attendance for body measurements which included weight and height. The subjects were 11,626 men and women aged 25-64 who participated in the baseline Scottish Heart Health and MONICA studies. Those reporting to be on slimming diets were excluded. The subjects were contacted via ten general practitioners surgeries from each of 22 Scottish districts (12 Mainland Health Boards) surveyed during 1984-1986. The following were measured: (1) the prevalence of overweight (BMI 25-28.6 for women and 25-30 for men) and obesity (BMI > 28.6 for women, and > 30 for men) according to intake fifths of carbohydrates (starch, total, extrinsic, intrinsic and milk sugars) and fat to carbohydrate ratios; (2) the percentage of the variance in BMI explained by multivariate analysis models which included each of the sugar variables and total energy intake. The overall prevalence of overweight and obesity in the Scottish population were 43 and 11% for men and 38 and 14% for women respectively. Their prevalence increased from the lowest to the highest fifth of Fat:ES intake, respectively for men and women, from 5 to 18.5% and from 13 to 26%. The prevalence of overweight and obesity declined from the lowest to the highest fifth of total carbohydrate, total (TS) and extrinsic (ES) sugar intake. For ES as a percentage of energy, overweight fell from 55 to 40% for men and from 43 to 33% for women, whilst obesity declined four-fold for men (18-4.4%) and nearly two-fold for women (23-13%). On multiple regression analysis the model which explained the most variation in BMI for men (43.3%) included the variable FAT: ES, whilst FAT: TS explained 38.3%. For women, the variables Fat: TS and FAT: ES explained virtually the same percentage of variation in BMI, 28.0 and 28.3 respectively. Extrinsic sugar and the Fat:TS and FAT:ES ratios are significant predictors of BMI, independent of total energy intake. These data support the concept that the composition of the diet has a significant effect on relative weight and the prevalence of obesity, independent of total energy intake. Health advice to concomitantly reduce fat and sugar intake may not be practical.

Original languageEnglish (US)
Pages (from-to)820-828
Number of pages9
JournalInternational Journal of Obesity
Volume18
Issue number12
StatePublished - 1994
Externally publishedYes

Fingerprint

Dietary Fats
obesity
Obesity
sugars
lipids
Fats
Energy Intake
energy intake
Carbohydrates
Health
Diet
middle-aged adults
diet
carbohydrates
Weights and Measures
general practitioners
carbohydrate intake
food frequency questionnaires
fat intake
anthropometric measurements

Keywords

  • Body mass index
  • Dietary sugars
  • Energy intake
  • Extrinsic sugar
  • Intrinsic sugar
  • Prevalence of obesity
  • Relative weight

ASJC Scopus subject areas

  • Food Science
  • Endocrinology
  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Public Health, Environmental and Occupational Health

Cite this

Dietary composition and fat to sugar ratios in relation to obesity. / Bolton-Smith, C.; Woodward, M.

In: International Journal of Obesity, Vol. 18, No. 12, 1994, p. 820-828.

Research output: Contribution to journalArticle

Bolton-Smith, C & Woodward, M 1994, 'Dietary composition and fat to sugar ratios in relation to obesity', International Journal of Obesity, vol. 18, no. 12, pp. 820-828.
Bolton-Smith, C. ; Woodward, M. / Dietary composition and fat to sugar ratios in relation to obesity. In: International Journal of Obesity. 1994 ; Vol. 18, No. 12. pp. 820-828.
@article{0d2515739cee46dd9893936ca1eb3cc9,
title = "Dietary composition and fat to sugar ratios in relation to obesity",
abstract = "The aim of this work was to investigate the relationship between dietary composition and prevalent overweight and obesity in a middle-aged Scottish population. An age and sex stratified cross-sectional study was carried out of coronary risk factors and diet. This was based on a personal health and food frequency questionnaire with a clinic attendance for body measurements which included weight and height. The subjects were 11,626 men and women aged 25-64 who participated in the baseline Scottish Heart Health and MONICA studies. Those reporting to be on slimming diets were excluded. The subjects were contacted via ten general practitioners surgeries from each of 22 Scottish districts (12 Mainland Health Boards) surveyed during 1984-1986. The following were measured: (1) the prevalence of overweight (BMI 25-28.6 for women and 25-30 for men) and obesity (BMI > 28.6 for women, and > 30 for men) according to intake fifths of carbohydrates (starch, total, extrinsic, intrinsic and milk sugars) and fat to carbohydrate ratios; (2) the percentage of the variance in BMI explained by multivariate analysis models which included each of the sugar variables and total energy intake. The overall prevalence of overweight and obesity in the Scottish population were 43 and 11{\%} for men and 38 and 14{\%} for women respectively. Their prevalence increased from the lowest to the highest fifth of Fat:ES intake, respectively for men and women, from 5 to 18.5{\%} and from 13 to 26{\%}. The prevalence of overweight and obesity declined from the lowest to the highest fifth of total carbohydrate, total (TS) and extrinsic (ES) sugar intake. For ES as a percentage of energy, overweight fell from 55 to 40{\%} for men and from 43 to 33{\%} for women, whilst obesity declined four-fold for men (18-4.4{\%}) and nearly two-fold for women (23-13{\%}). On multiple regression analysis the model which explained the most variation in BMI for men (43.3{\%}) included the variable FAT: ES, whilst FAT: TS explained 38.3{\%}. For women, the variables Fat: TS and FAT: ES explained virtually the same percentage of variation in BMI, 28.0 and 28.3 respectively. Extrinsic sugar and the Fat:TS and FAT:ES ratios are significant predictors of BMI, independent of total energy intake. These data support the concept that the composition of the diet has a significant effect on relative weight and the prevalence of obesity, independent of total energy intake. Health advice to concomitantly reduce fat and sugar intake may not be practical.",
keywords = "Body mass index, Dietary sugars, Energy intake, Extrinsic sugar, Intrinsic sugar, Prevalence of obesity, Relative weight",
author = "C. Bolton-Smith and M. Woodward",
year = "1994",
language = "English (US)",
volume = "18",
pages = "820--828",
journal = "International Journal of Obesity",
issn = "0307-0565",
publisher = "Nature Publishing Group",
number = "12",

}

TY - JOUR

T1 - Dietary composition and fat to sugar ratios in relation to obesity

AU - Bolton-Smith, C.

AU - Woodward, M.

PY - 1994

Y1 - 1994

N2 - The aim of this work was to investigate the relationship between dietary composition and prevalent overweight and obesity in a middle-aged Scottish population. An age and sex stratified cross-sectional study was carried out of coronary risk factors and diet. This was based on a personal health and food frequency questionnaire with a clinic attendance for body measurements which included weight and height. The subjects were 11,626 men and women aged 25-64 who participated in the baseline Scottish Heart Health and MONICA studies. Those reporting to be on slimming diets were excluded. The subjects were contacted via ten general practitioners surgeries from each of 22 Scottish districts (12 Mainland Health Boards) surveyed during 1984-1986. The following were measured: (1) the prevalence of overweight (BMI 25-28.6 for women and 25-30 for men) and obesity (BMI > 28.6 for women, and > 30 for men) according to intake fifths of carbohydrates (starch, total, extrinsic, intrinsic and milk sugars) and fat to carbohydrate ratios; (2) the percentage of the variance in BMI explained by multivariate analysis models which included each of the sugar variables and total energy intake. The overall prevalence of overweight and obesity in the Scottish population were 43 and 11% for men and 38 and 14% for women respectively. Their prevalence increased from the lowest to the highest fifth of Fat:ES intake, respectively for men and women, from 5 to 18.5% and from 13 to 26%. The prevalence of overweight and obesity declined from the lowest to the highest fifth of total carbohydrate, total (TS) and extrinsic (ES) sugar intake. For ES as a percentage of energy, overweight fell from 55 to 40% for men and from 43 to 33% for women, whilst obesity declined four-fold for men (18-4.4%) and nearly two-fold for women (23-13%). On multiple regression analysis the model which explained the most variation in BMI for men (43.3%) included the variable FAT: ES, whilst FAT: TS explained 38.3%. For women, the variables Fat: TS and FAT: ES explained virtually the same percentage of variation in BMI, 28.0 and 28.3 respectively. Extrinsic sugar and the Fat:TS and FAT:ES ratios are significant predictors of BMI, independent of total energy intake. These data support the concept that the composition of the diet has a significant effect on relative weight and the prevalence of obesity, independent of total energy intake. Health advice to concomitantly reduce fat and sugar intake may not be practical.

AB - The aim of this work was to investigate the relationship between dietary composition and prevalent overweight and obesity in a middle-aged Scottish population. An age and sex stratified cross-sectional study was carried out of coronary risk factors and diet. This was based on a personal health and food frequency questionnaire with a clinic attendance for body measurements which included weight and height. The subjects were 11,626 men and women aged 25-64 who participated in the baseline Scottish Heart Health and MONICA studies. Those reporting to be on slimming diets were excluded. The subjects were contacted via ten general practitioners surgeries from each of 22 Scottish districts (12 Mainland Health Boards) surveyed during 1984-1986. The following were measured: (1) the prevalence of overweight (BMI 25-28.6 for women and 25-30 for men) and obesity (BMI > 28.6 for women, and > 30 for men) according to intake fifths of carbohydrates (starch, total, extrinsic, intrinsic and milk sugars) and fat to carbohydrate ratios; (2) the percentage of the variance in BMI explained by multivariate analysis models which included each of the sugar variables and total energy intake. The overall prevalence of overweight and obesity in the Scottish population were 43 and 11% for men and 38 and 14% for women respectively. Their prevalence increased from the lowest to the highest fifth of Fat:ES intake, respectively for men and women, from 5 to 18.5% and from 13 to 26%. The prevalence of overweight and obesity declined from the lowest to the highest fifth of total carbohydrate, total (TS) and extrinsic (ES) sugar intake. For ES as a percentage of energy, overweight fell from 55 to 40% for men and from 43 to 33% for women, whilst obesity declined four-fold for men (18-4.4%) and nearly two-fold for women (23-13%). On multiple regression analysis the model which explained the most variation in BMI for men (43.3%) included the variable FAT: ES, whilst FAT: TS explained 38.3%. For women, the variables Fat: TS and FAT: ES explained virtually the same percentage of variation in BMI, 28.0 and 28.3 respectively. Extrinsic sugar and the Fat:TS and FAT:ES ratios are significant predictors of BMI, independent of total energy intake. These data support the concept that the composition of the diet has a significant effect on relative weight and the prevalence of obesity, independent of total energy intake. Health advice to concomitantly reduce fat and sugar intake may not be practical.

KW - Body mass index

KW - Dietary sugars

KW - Energy intake

KW - Extrinsic sugar

KW - Intrinsic sugar

KW - Prevalence of obesity

KW - Relative weight

UR - http://www.scopus.com/inward/record.url?scp=0027994801&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027994801&partnerID=8YFLogxK

M3 - Article

C2 - 7894521

AN - SCOPUS:0027994801

VL - 18

SP - 820

EP - 828

JO - International Journal of Obesity

JF - International Journal of Obesity

SN - 0307-0565

IS - 12

ER -