Evidence map›Paper›PMID 23226361›Full record

Trial reportPloS one2012

Combined impact of lifestyle factors on prospective change in body weight and waist circumference in participants of the EPIC-PANACEA study.

Anne M May, Dora Romaguera, Noémie Travier, Ulf Ekelund, Manuela M Bergmann, Rudolf Kaaks, Birgit Teucher, Annika Steffen, Heiner Boeing, Jytte Halkjaer and 34 more

Abstract readClinical Trial
In one paragraph

Trial report in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Health-related quality of life in adolescents: individual and combined impact of health-related behaviors (DADOS study).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

44 authors.

Anne M MayJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands. a.m.may@umcutrecht.nl
Dora Romaguera
Noémie Travier
Ulf Ekelund
Manuela M Bergmann
Rudolf Kaaks
Birgit Teucher
Annika Steffen
Heiner Boeing
Jytte Halkjaer
Anne Tjonneland
Marianne Uhre Jakobsen
Kim Overvad
Laureen Dartois
Guy Fagherazzi
Marie-Christine Boutron-Ruault
J Ramón Quirós
Antonio Agudo
Carlos Gonzalez
María-José Sánchez
Pilar Amiano
Jose-Maria Huerta
Eva Ardanaz
Nicholas J Wareham
Francesca L Crowe
Androniki Naska
Philippos Orfanos
Antonia Trichopoulou
Domenico Palli
Claudia Agnoli
Rosario Tumino
Paolo Vineis
Salvatore Panico
H Bas Bueno-de-Mesquita
Monique Verschuren
Isabel Drake
Emily Sonestedt
Tonje Braaten
Sabina Rinaldi
Isabelle Romieu
Nadia Slimani
Teresa Norat
Elio Riboli
Petra H M Peeters

Funding

British Heart FoundationDepartment of HealthMedical Research CouncilWellcome Trust
6 · The paper itself

Abstract

backgroundThe evidence that individual dietary and lifestyle factors influence a person's weight and waist circumference is well established; however their combined impact is less well documented. Therefore, we investigated the combined effect of physical activity, nutrition and smoking status on prospective gain in body weight and waist circumference.

methodsWe used data of the prospective EPIC-PANACEA study. Between 1992 and 2000, 325,537 participants (94,445 men and 231,092 women, aged between 25-70) were recruited from nine European countries. Participants were categorised into two groups (positive or negative health behaviours) for each of the following being physically active, adherent to a healthy (Mediterranean not including alcohol) diet, and never-smoking for a total score ranging from zero to three. Anthropometric measures were taken at baseline and were mainly self-reported after a medium follow-up time of 5 years.

resultsMixed-effects linear regression models adjusted for age, educational level, alcohol consumption, baseline body mass index and follow-up time showed that men and women who reported to be physically active, never-smoking and adherent to the Mediterranean diet gained over a 5-year period 537 (95% CI -706, -368) and 200 (-478, -87) gram less weight and 0.95 (-1.27, -0.639) and 0.99 (-1.29, -0.69) cm less waist circumference, respectively, compared to participants with zero healthy behaviours.

conclusionThe combination of positive health behaviours was associated with significantly lower weight and waist circumference gain.

Indexed as

Body WeightHealth BehaviorLife StyleMotor ActivityWaist CircumferenceAdultAgedDietEuropeFemaleHumansMaleMiddle AgedProspective StudiesSmoking

Identifiers

PMID23226361
PMCPMC3511344

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.