Title |
Diet and physical activity as possible mediators of the association between educational attainment and body mass index gain among Australian adults
|
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Published in |
International Journal of Public Health, April 2018
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DOI | 10.1007/s00038-018-1100-z |
Pubmed ID | |
Authors |
Emma Gearon, Anna Peeters, Winda Ng, Allison Hodge, Kathryn Backholer |
Abstract |
To quantify the mediating role of leisure time physical activity (LTPA) and five dietary behaviours on educational differences in 13-year body mass index (BMI) gain across adulthood. Participants from the Melbourne Collaborative Cohort Study (4791 women; 3103 men) who maintained or gained BMI over 1990-1994 to 2003-2007 and met our inclusion criteria were selected. Education, potential mediators and confounders (age, alcohol, and smoking) were measured at baseline. We conducted sex-specific multiple mediation analyses using MacKinnon's product of coefficients method. A higher educational attainment was associated with a 0.27 kg m-2 (95% CI 0.14, 0.39) lesser 13-year BMI gain among women only. We observed significant indirect effects of educational attainment on 13-year BMI gain through LTPA and nutrient-rich foods (each associated with a higher educational attainment and lesser 13-year BMI gain) and diet soft drink (associated with a lower educational attainment and greater 13-year BMI gain), which mediated 10, 15 and 20% of this relationship, respectively (45% in total). Nutrient-rich foods, LTPA and diet soft drink may represent effective public health targets to reduce inequities in excess weight across adulthood. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Australia | 6 | 30% |
Ireland | 1 | 5% |
Finland | 1 | 5% |
United States | 1 | 5% |
Netherlands | 1 | 5% |
Unknown | 10 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 13 | 65% |
Scientists | 3 | 15% |
Practitioners (doctors, other healthcare professionals) | 3 | 15% |
Science communicators (journalists, bloggers, editors) | 1 | 5% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 56 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 11 | 20% |
Student > Ph. D. Student | 9 | 16% |
Lecturer | 4 | 7% |
Student > Doctoral Student | 3 | 5% |
Student > Bachelor | 3 | 5% |
Other | 6 | 11% |
Unknown | 20 | 36% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 7 | 13% |
Nursing and Health Professions | 6 | 11% |
Psychology | 4 | 7% |
Engineering | 4 | 7% |
Social Sciences | 4 | 7% |
Other | 7 | 13% |
Unknown | 24 | 43% |