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Body mass index, change in body silhouette, and risk of asthma in the E3N cohort study.
Romieu I., Avenel V., Leynaert B., Kauffmann F., Clavel-Chapelon F.
American Journal of Epidemiology 158, 2 (2003) 165-74 - http://www.hal.inserm.fr/inserm-00131299
(12851230)
Body mass index, change in body silhouette, and risk of asthma in the E3N cohort study.
Isabelle Romieu () 1, Valérie Avenel2, Bénédicte Leynaert3, Francine Kauffmann4, Françoise Clavel-Chapelon2
1 :  National Institute of Public Health
National Institute of Public Health
Cuernavaca, Mexico
Mexique
2 :  Epidémiologie des cancers
INSERM : U521
Institut Gustave Roussy Villejuif
France
3 :  Mécanismes physiopathologiques de l'insuffisance respiratoire et des complications de l'anesthésie
INSERM : U408
Faculté de médecine Xavier Bichat 16, rue Henri Huchard 75018 PARIS
France
4 :  Epidémiologie et Biostatistique
http://ifr69.vjf.inserm.fr
INSERM : IFR69
Hôpital Paul Brousse 16 av Paul Vaillant Couturier 94807 VILLEJUIF CEDEX
France
To evaluate the impact of body mass index (BMI) (weight (kg)/height (m)(2)) and change in body silhouette on asthma risk, the authors investigated a cohort of women participating in the E3N Cohort Study in France from 1990 to 1993. The authors identified 372 incident cases of asthma among 67229 women aged 40-65 years at baseline. Data were analyzed using proportional hazard models to determine the risk of asthma incidence in relation to BMI and body silhouette. Reported BMI at baseline was related to the incidence of asthma, with a significantly increased risk corresponding to increasing BMI quintiles (test for trend: p < 0.001). Compared with a BMI of 20-21.4 (second quintile), women with a BMI >or=27 had double the risk of incident asthma after adjustment for potentially confounding factors (multivariate relative risk = 2.02, 95% confidence interval: 1.38, 2.98). Increase in body mass between menarche and the start of the follow-up study was significantly related to asthma risk (for an increase of two silhouettes, relative risk = 1.66, 95% confidence interval: 1.18, 2.32). The authors conclude that a high BMI is significantly related to the risk of asthma incidence and that an increase in body silhouette between menarche and adulthood is related to the incidence of asthma later in life.
Sciences du Vivant/Santé publique et épidémiologie
Sciences du Vivant/Médecine humaine et pathologie/Pneumologie et système respiratoire
Anglais
0002-9262

Articles dans des revues avec comité de lecture
American Journal of Epidemiology (Am J Epidemiol)
Publisher Oxford University Press (OUP): Policy B
ISSN 0002-9262 (eISSN : 1476-6256)
15/07/2003
158
2
165-74

Adult – Age of Onset – Aged – Anthropometry – Asthma – Body Mass Index – Confounding Factors (Epidemiology) – Female – France – Humans – Incidence – Middle Aged – Proportional Hazards Models – Prospective Studies – Questionnaires – Risk Factors – Weight Gain
This study was supported by the French League against Cancer, the European Community, the 3M Company (St. Paul, Minnesota), the Mutuelle Générale de l'Education Nationale, the Institut Gustave Roussy, and the Institut National de la Santé et de la Recherche Médicale. Dr. I. Romieu was supported by the US Centers for Disease Control and Prevention (Atlanta, Georgia).
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