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Articles by H. Boeing
Total Records ( 3 ) for H. Boeing
  B Buijsse , E. J Feskens , M. B Schulze , D Palli , G Tognon , J Halkjaer , A Tjonneland , M. U Jakobsen , D. L van der A , T. I Sorensen and H. Boeing

Background: High fruit and vegetable intakes may limit weight gain, particularly in susceptible persons, such as those who stop smoking.

Objective: The objective was to assess the association of fruit and vegetable intake with subsequent weight change in a large-scale prospective study.

Design: The data used were from 89,432 men and women from 5 countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC). The association between fruit and vegetable intake and weight change after a mean follow-up of 6.5 y was assessed by linear regression. Polytomous logistic regression was used to evaluate whether fruit and vegetable intake relates to weight gain, weight loss, or both.

Results: Per 100-g intake of fruit and vegetables, weight change was –14 g/y (95% CI: –19, –9 g/y). In those who stopped smoking during follow-up, this value was –37 g/y (95% CI: –58, –15 g/y; P for interaction < 0.0001). When weight gain and loss were analyzed separately per 100-g intake of fruit and vegetables in a combined model, the odds ratios (95% CIs) were 0.97 (0.95, 0.98) for weight gain ≥0.5 and <1 kg/y, 0.94 (0.92, 0.96) for weight gain ≥1 kg/y, and 0.97 (0.95, 0.99) for weight loss ≥0.5 kg/y. In those who stopped smoking during follow-up, the odds ratios (95% CIs) were 0.93 (0.88, 0.99), 0.87 (0.81, 0.92), and 0.97 (0.88, 1.07), respectively (P for interaction < 0.0001).

Conclusions: Fruit and vegetable intake relates significantly, albeit weakly inversely, to weight change. For persons who stop smoking, high fruit and vegetable intakes may be recommended to reduce the risk of weight gain.

  E. S Ford , M. M Bergmann , J Kroger , A Schienkiewitz , C Weikert and H. Boeing

Background  Our objective was to describe the reduction in relative risk of developing major chronic diseases such as cardiovascular disease, diabetes, and cancer associated with 4 healthy lifestyle factors among German adults.

Methods  We used data from 23 153 German participants aged 35 to 65 years from the European Prospective Investigation Into Cancer and Nutrition–Potsdam study. End points included confirmed incident type 2 diabetes mellitus, myocardial infarction, stroke, and cancer. The 4 factors were never smoking, having a body mass index lower than 30 (calculated as weight in kilograms divided by height in meters squared), performing 3.5 h/wk or more of physical activity, and adhering to healthy dietary principles (high intake of fruits, vegetables, and whole-grain bread and low meat consumption). The 4 factors (healthy, 1 point; unhealthy, 0 points) were summed to form an index that ranged from 0 to 4.

Results  During a mean follow-up of 7.8 years, 2006 participants developed new-onset diabetes (3.7%), myocardial infarction (0.9%), stroke (0.8%), or cancer (3.8%). Fewer than 4% of participants had zero healthy factors, most had 1 to 3 healthy factors, and approximately 9% had 4 factors. After adjusting for age, sex, educational status, and occupational status, the hazard ratio for developing a chronic disease decreased progressively as the number of healthy factors increased. Participants with all 4 factors at baseline had a 78% (95% confidence interval [CI], 72% to 83%) lower risk of developing a chronic disease (diabetes, 93% [95% CI, 88% to 95%]; myocardial infarction, 81% [95% CI, 47% to 93%]; stroke, 50% [95% CI, –18% to 79%]; and cancer, 36% [95% CI, 5% to 57%]) than participants without a healthy factor.

Conclusion  Adhering to 4 simple healthy lifestyle factors can have a strong impact on the prevention of chronic diseases.

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