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Beacons of Hope for
the Burdens of Obesity
     Adventist Health Studies
OBESITY
 a global problem
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
Prevalence of obesity (BMI > 30) in the US 2009-10. NHANES.
Source: Behavioral Risk Factor Surveillance System, CDC.
Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults
                     BRFSS, 1990, 2000, 2010
                   (*BMI 30, or about 30 lbs. overweight for 54 person)

                       1990                                                  2000




                                                    2010




    No Data     <10%      10%14%       15%19%       20%24%   25%29%   30%


Source: Behavioral Risk Factor Surveillance System, CDC.
Seventh-day Adventists (SDAs) have a
long tradition of focus on healthy lifestyle
        to reduce risk of disease.
8 keys to healthy living:
Nutrition  focus on vegetarian diet
Exercise
Water  inside and outside

Smoking  non-smoking
Temperance
Air  fresh air
Relaxation  adequate sleep
Trust in God
 Is faith in itself associated with lower
  risk of chronic disease?

  Is faith a vehicle or driving force for
         reducing risk factor levels?
Do we as Christian believers have a
responsibility to promote a healthy
lifestyle to prevent development of
      NCDs, including obesity?
Overview 
of studies that can possibly address
                 this
Adventist Health Studies
                  USA, 1958-2012                   BRHS
                                                   2006-
                                                   11,000
           AMS 1958-1985
 1958    1966      1974
            23,000 SDA
                                    1988      2001 2002-
                                                AHS-2 2011
                                                96,000 SDA
             25+ years                  5,700    30+ years
             California                overlap USA & Canada
1950    1960      1970       1980      1990   2000     2010
                          AHSMOG 1977-2002        AHSMOG-2
                             6,328 SDA               2002-
                             25+ years            96,000 SDA
           12,000            California            30+ years
           overlap       AHS-1 1974-1988
                                                 USA & Canada
                           34,192 SDA
                            25+ years
                            California
Studying Seventh-day Adventists

STRENGTHS 
 homogeneous in many lifestyle choices
 heterogeneous in nutritional habits - wide range from
  strict vegetarian to regular American diet.
 Very low smoking and alcohol use: can study effect of
  lifestyle without the confounding or modifying effects of
  these.
.
AHS-2

                 4,059
         4,059



13,539
                                       6,578
                 7,638   8,219
                                     10,472
19,790


                            18,927
            6,531
Body weight &
  longevity
  How thin is healthy?
Survival by BMI
  categories 

All Adventist men
Survival by BMI 

All men with stable
 weight
 throughout life
Survival by BMI 

All women
Survival by BMI
  

All women with
 stable weight
Survival by
BMI 
stable
versus gain


All men
Survival by
  BMI
Stable or Gain

All women
AHS-2
Dietary patterns and their relationship to diseases
             associated with obesity
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
Diet & Blood Pressure
      in Whites
Odds of Hypertension according to
              baseline BMI.
OR
5

                                 4.64
4
                                (2.66-8.11)

3

2

 1                  1.53
             1    (0.92-2.53)

0
           <25   25-29.9         30+
                 BMI
Odds of Hypertension according to
              baseline BMI.
OR
5

                                 4.64
4
                                (2.66-8.11)

3

2

 1                  1.53
             1    (0.92-2.53)

0
           <25   25-29.9         30+
                 BMI
Odds of Hypertension according to
              dietary patterns.
OR
1.4
                                            1.22
1.2
                                        1
  1
                                                   0.86
0.8      1
              0.92
0.6                                                       0.52
0.4                  0.57   0.35

0.2

 0
       Non-veg Semi-veg LOV Vegan   Non-veg Semi-veg LOV Vegan

                Dietary Pattern
Diet & Risk of Diabetes
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
Diet & the Metabolic
     Syndrome
CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity
Odds of Metabolic Syndrome
      according to dietary patterns.
OR

  1
                1

0.8                         (2.66-8.11)

0.6

0.4                      0.44
                      (0.30-0.64)
0.2

 0
          Non-veg   Vegetarian
          Dietary Pattern
Prevalence of Metabolic Syndrome
       according to dietary patterns.
OR
40
            39.7
                       37.6
30                                 25.2


20


10


 0
           Non-veg   Semi-veg Vegetarian
           Dietary Pattern
Can we as a faith
community do something
about this development?
YES,
Use faith as a motivator
 and driver
Responsibility for future
 generations

More Related Content

CCIH 2012 Conference, Plenary Session 1, Dr. Synnove Knutsen, Beacons of Hope for the Burdens of Obesity

  • 1. Beacons of Hope for the Burdens of Obesity Adventist Health Studies
  • 4. Prevalence of obesity (BMI > 30) in the US 2009-10. NHANES.
  • 5. Source: Behavioral Risk Factor Surveillance System, CDC.
  • 6. Source: Behavioral Risk Factor Surveillance System, CDC.
  • 7. Obesity Trends* Among U.S. Adults BRFSS, 1990, 2000, 2010 (*BMI 30, or about 30 lbs. overweight for 54 person) 1990 2000 2010 No Data <10% 10%14% 15%19% 20%24% 25%29% 30% Source: Behavioral Risk Factor Surveillance System, CDC.
  • 8. Seventh-day Adventists (SDAs) have a long tradition of focus on healthy lifestyle to reduce risk of disease.
  • 9. 8 keys to healthy living: Nutrition focus on vegetarian diet Exercise Water inside and outside Smoking non-smoking Temperance Air fresh air Relaxation adequate sleep Trust in God
  • 10. Is faith in itself associated with lower risk of chronic disease? Is faith a vehicle or driving force for reducing risk factor levels?
  • 11. Do we as Christian believers have a responsibility to promote a healthy lifestyle to prevent development of NCDs, including obesity?
  • 12. Overview of studies that can possibly address this
  • 13. Adventist Health Studies USA, 1958-2012 BRHS 2006- 11,000 AMS 1958-1985 1958 1966 1974 23,000 SDA 1988 2001 2002- AHS-2 2011 96,000 SDA 25+ years 5,700 30+ years California overlap USA & Canada 1950 1960 1970 1980 1990 2000 2010 AHSMOG 1977-2002 AHSMOG-2 6,328 SDA 2002- 25+ years 96,000 SDA 12,000 California 30+ years overlap AHS-1 1974-1988 USA & Canada 34,192 SDA 25+ years California
  • 14. Studying Seventh-day Adventists STRENGTHS homogeneous in many lifestyle choices heterogeneous in nutritional habits - wide range from strict vegetarian to regular American diet. Very low smoking and alcohol use: can study effect of lifestyle without the confounding or modifying effects of these. .
  • 15. AHS-2 4,059 4,059 13,539 6,578 7,638 8,219 10,472 19,790 18,927 6,531
  • 16. Body weight & longevity How thin is healthy?
  • 17. Survival by BMI categories All Adventist men
  • 18. Survival by BMI All men with stable weight throughout life
  • 19. Survival by BMI All women
  • 20. Survival by BMI All women with stable weight
  • 22. Survival by BMI Stable or Gain All women
  • 23. AHS-2 Dietary patterns and their relationship to diseases associated with obesity
  • 32. Diet & Blood Pressure in Whites
  • 33. Odds of Hypertension according to baseline BMI. OR 5 4.64 4 (2.66-8.11) 3 2 1 1.53 1 (0.92-2.53) 0 <25 25-29.9 30+ BMI
  • 34. Odds of Hypertension according to baseline BMI. OR 5 4.64 4 (2.66-8.11) 3 2 1 1.53 1 (0.92-2.53) 0 <25 25-29.9 30+ BMI
  • 35. Odds of Hypertension according to dietary patterns. OR 1.4 1.22 1.2 1 1 0.86 0.8 1 0.92 0.6 0.52 0.4 0.57 0.35 0.2 0 Non-veg Semi-veg LOV Vegan Non-veg Semi-veg LOV Vegan Dietary Pattern
  • 36. Diet & Risk of Diabetes
  • 39. Diet & the Metabolic Syndrome
  • 41. Odds of Metabolic Syndrome according to dietary patterns. OR 1 1 0.8 (2.66-8.11) 0.6 0.4 0.44 (0.30-0.64) 0.2 0 Non-veg Vegetarian Dietary Pattern
  • 42. Prevalence of Metabolic Syndrome according to dietary patterns. OR 40 39.7 37.6 30 25.2 20 10 0 Non-veg Semi-veg Vegetarian Dietary Pattern
  • 43. Can we as a faith community do something about this development?
  • 44. YES, Use faith as a motivator and driver Responsibility for future generations

Editor's Notes