Past and current smoking in relation to body fat distribution in older men and women.

BACKGROUND Smoking is reported to be positively related to abdominal fat in young and middle-aged persons; however, it is unclear whether this relationship exists in elderly persons. Behavioral influence on fat distribution is of importance because of the accumulation of abdominal fat with age and its associated health risks. METHODS The relationship was investigated in a population-based sample of 1,178 men and 1,163 women aged 55-85 years, representative of the Dutch older population in 1992-1993. Waist and hip circumference and their ratio were used as indices of fat distribution. Past and current smoking habits were obtained by questionnaire. RESULTS Smoking was associated with waist/hip-ratio (WHR) in men, with current smokers having the highest WHR and never smokers the lowest. A dose-response relationship between the daily number of cigarettes smoked and WHR was observed in men. These associations remained significant after adjustment for confounding due to age, education, body mass index, health status, alcohol intake, and sports activity. The dose-response relationship did not change after additional adjustment for duration of smoking. Among former male smokers, recent quitters had a higher WHR compared to long-term quitters. Additional analysis showed that smoking was more strongly associated with waist than with hip circumference. In women the relationship between smoking and fat distribution was not clear. CONCLUSIONS Past and current smoking habits are positively associated with abdominal fat in older men, but not in older women.

[1]  P. Knekt,et al.  Smoking and risk of colorectal cancer. , 1998, British Journal of Cancer.

[2]  E. Riboli,et al.  Breast‐cancer incidence in relation to height, weight and body‐fat distribution in the Dutch “DOM” cohort , 1998, International journal of cancer.

[3]  M. Kraut,et al.  Cigarette smoking and other risk factors for silent cerebral infarction in the general population. , 1998, Stroke.

[4]  J. Vestbo,et al.  Smoking and risk of myocardial infarction in women and men: longitudinal population study , 1998, BMJ.

[5]  A. Beekman,et al.  Autonomy and well-being in the aging population II: Report from the Longitudinal Aging Study Amsterdam 1992-1996 , 1998 .

[6]  M. Visser,et al.  Total and sports activity in older men and women: relation with body fat distribution. , 1997, American journal of epidemiology.

[7]  M. Sowers,et al.  Longitudinal changes in body composition in women approaching the midlife. , 1996, Annals of Human Biology.

[8]  C. Björkelund,et al.  Reproductive history in relation to relative weight and fat distribution. , 1996, International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity.

[9]  F. Speizer,et al.  Cigarette smoking and incidence of chronic bronchitis and asthma in women. , 1995, Chest.

[10]  D Spiegelman,et al.  Body size and fat distribution as predictors of coronary heart disease among middle-aged and older US men. , 1995, American journal of epidemiology.

[11]  E. Rimm,et al.  Prospective study of cigarette smoking, alcohol use, and the risk of diabetes in men , 1995, BMJ.

[12]  G. Colditz,et al.  The relation of smoking, age, relative weight, and dietary intake to serum adrenal steroids, sex hormones, and sex hormone-binding globulin in middle-aged men. , 1994, The Journal of clinical endocrinology and metabolism.

[13]  R. Kronmal,et al.  Prevalence and Correlates of Respiratory Symptoms and Disease in the Elderly , 1994 .

[14]  Diane C. Thompson,et al.  The validity of self-reported smoking: a review and meta-analysis. , 1994, American journal of public health.

[15]  P. Deurenberg,et al.  Visceral fat accumulation in relation to sex hormones in obese men and women undergoing weight loss therapy. , 1994, The Journal of clinical endocrinology and metabolism.

[16]  D. Jacobs,et al.  Changes in measurements of body fat distribution accompanying weight change. , 1994, International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity.

[17]  R. Kronmal,et al.  Prevalence and correlates of respiratory symptoms and disease in the elderly. Cardiovascular Health Study. , 1994, Chest.

[18]  J. Stevens,et al.  Body mass index and fat patterning as correlates of lipids and hypertension in an elderly, biracial population. , 1993, Journal of gerontology.

[19]  C. Christiansen,et al.  Relationships and independence of body composition, sex hormones, fat distribution and other cardiovascular risk factors in overweight postmenopausal women. , 1993, International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity.

[20]  A. Folsom,et al.  Central adiposity and increased risk of coronary artery disease mortality in older women. , 1993, Annals of epidemiology.

[21]  C. Björkelund,et al.  Smoking initiation and cessation in relation to body fat distribution based on data from a study of Swedish women. , 1992, American journal of public health.

[22]  P. Deurenberg,et al.  A physical activity questionnaire for the elderly. , 1991, Medicine and science in sports and exercise.

[23]  C. Caspersen,et al.  The prevalence of selected physical activities and their relation with coronary heart disease risk factors in elderly men: the Zutphen Study, 1985. , 1991, American journal of epidemiology.

[24]  A. Folsom,et al.  Increased incidence of diabetes mellitus in relation to abdominal adiposity in older women. , 1991, Journal of clinical epidemiology.

[25]  L. Sjöström,et al.  Visceral fat accumulation in men is positively associated with insulin, glucose, and C-peptide levels, but negatively with testosterone levels. , 1990, Metabolism: clinical and experimental.

[26]  J. Seidell,et al.  Fat distribution in relation to age, degree of obesity, smoking habits, parity and estrogen use: a cross-sectional study in 11,825 Dutch women participating in the DOM-project. , 1990, International journal of obesity.

[27]  D. Carmelli,et al.  Genetic and behavioral influences on body fat distribution. , 1990, International Journal of Obesity.

[28]  J. Potter,et al.  The association of body fat distribution with lifestyle and reproductive factors in a population study of postmenopausal women. , 1990, International journal of obesity.

[29]  R. Klesges,et al.  Smoking status: effects on the dietary intake, physical activity, and body fat of adult men. , 1990, The American journal of clinical nutrition.

[30]  A. Folsom,et al.  Incidence of hypertension and stroke in relation to body fat distribution and other risk factors in older women. , 1990, Stroke.

[31]  R. Andres,et al.  Studies in the distribution of body fat. III. Effects of cigarette smoking. , 1989, JAMA.

[32]  J T Dwyer,et al.  Accuracy of recalled smoking data. , 1989, American journal of public health.

[33]  T. French,et al.  Validity of cigarette smoking habits in three epidemiologic studies in Utah. , 1989, Preventive medicine.

[34]  L. Kuller,et al.  Cigarette smoking and serum sex hormones in men. , 1988, American journal of epidemiology.

[35]  J H Ruijs,et al.  Abdominal fat depots measured with computed tomography: effects of degree of obesity, sex, and age. , 1988, European journal of clinical nutrition.

[36]  E. Barrett-Connor,et al.  Cigarette smoking and levels of adrenal androgens in postmenopausal women. , 1988, The New England journal of medicine.

[37]  P. Elwood,et al.  Sex hormones, insulin, lipids, and prevalent ischemic heart disease. , 1987, American journal of epidemiology.

[38]  E. Barrett-Connor,et al.  Cigarette smoking and increased endogenous estrogen levels in men. , 1987, American journal of epidemiology.

[39]  S. Haffner,et al.  Upper body and centralized adiposity in Mexican Americans and non-Hispanic whites: relationship to body mass index and other behavioral and demographic variables. , 1986, International journal of obesity.

[40]  C. Christiansen,et al.  Cigarette smoking, serum estrogens, and bone loss during hormone-replacement therapy early after menopause. , 1985, The New England journal of medicine.

[41]  Robert F. Erbacher,et al.  Data Collection , 1985 .

[42]  G. Borkan,et al.  Age changes in body composition revealed by computed tomography. , 1983, Journal of gerontology.

[43]  H. Garretsen.  Probleemdrinken: Prevalentiebepaling, beïnvloedende factoren en preventiemogelijkheden: Theoretische overwegingen en onderzoek in Rotterdam , 1983 .

[44]  F. Gyntelberg,et al.  Coronary risk factors and plasma sex hormones. , 1982, The American journal of medicine.

[45]  A. Bruce,et al.  Longitudinal studies of anthropometric data and body composition The population study of women in G#{246}teborg, , 1980 .

[46]  B. Isaksson,et al.  Longitudinal studies of anthropometric data and body composition. The population study of women in Götenberg, Sweden. , 1980, The American journal of clinical nutrition.