Abstract

Few studies have examined the association between the accumulation of unhealthy eating habits and the likelihood of obesity or central obesity in a general Japanese population. We examined this association in a sample of 1906 community-dwelling Japanese subjects (age: 40–74 years) who participated in a health check-up in 2014. A face-to-face questionnaire interview was conducted to collect information about three unhealthy eating habits, i.e., snacking, eating quickly, and eating late-evening meals. Obesity was defined as body mass index ≥25 kg/m2 and central obesity was defined as waist circumference ≥90 cm in men and ≥80 cm in women. The odds ratios (OR) were estimated by using a logistic regression analysis. Subjects with any one of the three eating habits had a significantly higher likelihood of obesity than those without that habit after adjusting for confounding factors. The multivariable-adjusted OR for obesity increased linearly with an increase in the number of accumulated unhealthy eating habits (p for trend < 0.001). Similar associations were observed for central obesity. Our findings suggest that modifying each unhealthy eating habit and avoiding an accumulation of multiple unhealthy eating habits might be important to reduce the likelihood of obesity.

Highlights

  • The number of people with obesity is increasing globally [1]

  • The accumulation of these unhealthy eating habits was linearly associated with a higher likelihood of obesity and central obesity after adjusting for demographic, socioeconomic, and lifestyle factors in a general Japanese adult population

  • Our findings suggest that middle-aged male subjects and subjects who do not perform exercise regularly are more likely to be affected by the adverse effects of accumulated unhealthy eating habits on obesity

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Summary

Introduction

The number of people with obesity is increasing globally [1]. Obesity is a major risk factor for chronic diseases, such as hypertension, diabetes, hyperlipidemia, cardiovascular disease, and cancer [2].Central obesity, defined by an increased waist circumference, has been reported to increase the risk of cardiovascular disease and death [3,4]. The number of people with obesity is increasing globally [1]. Obesity is a major risk factor for chronic diseases, such as hypertension, diabetes, hyperlipidemia, cardiovascular disease, and cancer [2]. Central obesity, defined by an increased waist circumference, has been reported to increase the risk of cardiovascular disease and death [3,4]. In order to reduce the burden of obesity-related diseases, the prevention of obesity must be a public health priority. Among the various strategies for health promotion, one commonality is the importance of healthy eating habits to prevent obesity [2]. Several epidemiologic studies have indicated that unhealthy

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