Abstract

BackgroundSeveral studies have suggested a link between the type of alcoholic beverage consumption and body weight. However, results from longitudinal studies have been inconsistent, and the association between adolescent alcohol consumption long-term weight gain has generally not been examined.MethodsThe study was based on data from 720 Danish adolescents aged between 15 to 19 years at baseline from the Danish Youth and Sports Study (YSS). Self-reported alcohol use, height, weight, smoking, social economic status (SES) and physical activity levels were assessed in baseline surveys conducted in 1983 and 1985, and in the follow up survey which was conducted in 2005. Multiple linear regression analyses were used to examine the association between alcohol consumption in adolescence and subsequent weight gain later in midlife.ResultsThere was no significant association between total alcohol consumption during adolescence and change in BMI into midlife (P = 0.079) (β − 0.14; 95% CI -0.28, 0.005). Wine consumption was found to be inversely associated to subsequent BMI gain (P = 0.001) (β − 0.46; 95% CI -0.82, − 0.09) while the results were not significant for beer and spirit. The relationship did not differ by gender, but smoking status was found to modify the relationship, and the inverse association between alcohol and BMI gain was seen only among non-smokers (P = 0.01) (β − 0.24; 95% CI -0.41, − 0.06) while no association was found among smokers. Neither adolescent nor attained socioeconomic status in adulthood modified the relationship between alcohol intake and subsequent BMI gain.ConclusionAmong non-smoking adolescents, consumption of alcohol, and in particular wine, seems to be associated with less weight gain until midlife.Trial registrationThe YSS cohort was retrospectively registered on August 2017. (Study ID number: NCT03244150).

Highlights

  • Adolescence is considered a sensitive period for future health as the brain still undergoes maturation [1]

  • Several behavioural traits including eating and drinking habits are formed during adolescence and are likely to sustain throughout life, which may be especially important in relation to adult risk of obesity [2]

  • From baseline to follow-up, mean Body Mass Index (BMI) increased by 4.8 kg/m2 and 3.5 kg/m2 in men and

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Summary

Introduction

Adolescence is considered a sensitive period for future health as the brain still undergoes maturation [1]. Alcohol is considered to be a risk factor for obesity due to a high calorie content [3, 4], and because alcohol inhibits fat oxidation, which may result in accumulation of fat in adipose tissues [5]. Results from previous studies examining the relationship between alcohol consumption and subsequent weight development are conflicting [7,8,9,10,11,12,13,14,15]. Several studies have suggested a link between the type of alcoholic beverage consumption and body weight. Results from longitudinal studies have been inconsistent, and the association between adolescent alcohol consumption long-term weight gain has generally not been examined

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