Diet and physical activity as possible mediators of the association between educational attainment and body mass index gain among Australian adults.

Emma Gearon; Anna Peeters; Winda Ng; Allison Hodge; Kathryn Backholer
Abstract
To quantify the mediating role of leisure time physical activity (LTPA) and five dietary behaviours on educational differences in 13-year body mass index (BMI) gain across adulthood.Participants from the Melbourne Collaborative Cohort Study (4791 women; 3103 men) who maintained or gained BMI over 1990-1994 to 2003-2007 and met our inclusion criteria were selected. Education, potential mediators and confounders (age, alcohol, and smoking) were measured at baseline. We conducted sex-specific multiple mediation analyses using MacKinnon's product of coefficients method.A higher educational attainment was associated with a 0.27 kg m (95% CI 0.14, 0.39) lesser 13-year BMI gain among women only. We observed significant indirect effects of educational attainment on 13-year BMI gain through LTPA and nutrient-rich foods (each associated with a higher educational attainment and lesser 13-year BMI gain) and diet soft drink (associated with a lower educational attainment and greater 13-year BMI gain), which mediated 10, 15 and 20% of this relationship, respectively (45% in total).-2Nutrient-rich foods, LTPA and diet soft drink may represent effective public health targets to reduce inequities in excess weight across adulthood.
Journal INTERNATIONAL JOURNAL OF PUBLIC HEALTH
ISSN 1661-8564
Published 01 Sep 2018
Volume 63
Issue 7
Pages 883-893
DOI 10.1007/s00038-018-1100-z
Type Journal Article
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