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Title

   SUSCEPTIBILITY TO OBESITY


    FaMILY HISTORY
     AGE AT ONSET
6th European Congress on Obesity
Copenhagen, 31 May - 3 June 1995
Authors

     A. Mortoglou
     E. Kapantais
       E. Venaki

 Endocrine & Metabolic Dpt.
Athens Medical Center hospital
 Athens - GREECE
Intro
 Long-term results of the treatment
of obesity are disappointing.
 Primary prevention is preferable
than treatment so as to decline the
incidence of obesity in the community.
 The influence of family history and
the age when body weight initially
increased are critical to identify those
people who are more susceptible to
become obese.
Methods
 955 Females
 Age: 39.8±12.7(M±SD), range: 18 - 78
 BMI: 35.11±6.57

All answered a questionnaire, if they had:
   Obese father (BMI>30)
   Obese mother (BMI>27)
   Obese brothers (BMI>27 for females and >30 for males)
   When body weight increased for the first time,
    more than the 95th percentile for their age
Results

 50
 45
 40
 35                48.3%
 30
 25
 20
 15    34.7%                   34.8%
 10
  5
  0
      ¶·Ù€Ú·˜
      Father       MËÙ€Ú·
                   Mother     A‰€ÏÊÈ·
                              Brothers

Family history of obesity in 955 overweight
                  females
Results

                                                                BMI
                                                              BMI
                                          36.72
     2 °ÔÓ›˜                                                     %
                                                              ¶ÔÛÔÛÙ¼ %
2 parents
                     18.9


                                     35.35
     1 °ÔÓ€·˜
 1 parent
                                                  45.2


                                  33.96
      ηӀӷ˜
     None
                                          35.9

                15          25               35          45               55



   Family history of obesity in 955 overweight
                     females
Results
0.3
           Age at onset obesity
           in 955 obese females
0.2




0.1




      0   15    30       45   60
Results

40
                   35.6

30
           33.9
20                          22.7

10


     0
                     9.6            AgeHÏ.AÚ¯.€ˆ˜ 25
                                        at onset <25
         BMI                       HÏ.AÚ¯. >25
          BMI % Both      Age at onset >25
                2 °ÔÓ›˜
            parents obese
              ¶·¯‡Ú·ÚÎÔÈ
                    %
Results



                                                    60



                                                 40



0 - 11 ÂÙÒÓ 11                                   20
           0-
12 - 18 ÂÙÒÓ
           12 - 18
   19 - 35 ÂÙÒÓ
     Age ÂÙÒÓ 19 - 35                           0
      36 -50
               36 - 50                        %
   group>50 ÂÙÒÓ                         %MËÙ€Ú·
                    > 50         BMI ¶·Ù€Ú· mother
                              % BMI father %
                           ¶ÔÛÔÛÙ¼      %
                              %
Conclusions
 Females with strong family history of obesity
and mainly with obese mother, are in high risk
to become obese.
 Those cases are fatter
 The age of first appearance of obesity is
usually the childhood and adolescence.
 In those age groups and up to the 25th year
of life, prevention strategies must be applied.

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1995 6th eco 1

  • 1. Title SUSCEPTIBILITY TO OBESITY FaMILY HISTORY AGE AT ONSET 6th European Congress on Obesity Copenhagen, 31 May - 3 June 1995
  • 2. Authors A. Mortoglou E. Kapantais E. Venaki Endocrine & Metabolic Dpt. Athens Medical Center hospital Athens - GREECE
  • 3. Intro  Long-term results of the treatment of obesity are disappointing.  Primary prevention is preferable than treatment so as to decline the incidence of obesity in the community.  The influence of family history and the age when body weight initially increased are critical to identify those people who are more susceptible to become obese.
  • 4. Methods  955 Females  Age: 39.8±12.7(M±SD), range: 18 - 78  BMI: 35.11±6.57 All answered a questionnaire, if they had:  Obese father (BMI>30)  Obese mother (BMI>27)  Obese brothers (BMI>27 for females and >30 for males)  When body weight increased for the first time, more than the 95th percentile for their age
  • 5. Results 50 45 40 35 48.3% 30 25 20 15 34.7% 34.8% 10 5 0 ¶·Ù€Ú·˜ Father MËÙ€Ú· Mother A‰€ÏÊÈ· Brothers Family history of obesity in 955 overweight females
  • 6. Results BMI BMI 36.72 2 °ÔÓ›˜ % ¶ÔÛÔÛÙ¼ % 2 parents 18.9 35.35 1 °ÔÓ€·˜ 1 parent 45.2 33.96 ηӀӷ˜ None 35.9 15 25 35 45 55 Family history of obesity in 955 overweight females
  • 7. Results 0.3 Age at onset obesity in 955 obese females 0.2 0.1 0 15 30 45 60
  • 8. Results 40 35.6 30 33.9 20 22.7 10 0 9.6 AgeHÏ.AÚ¯.€ˆ˜ 25 at onset <25 BMI HÏ.AÚ¯. >25 BMI % Both Age at onset >25 2 °ÔÓ›˜ parents obese ¶·¯‡Ú·ÚÎÔÈ %
  • 9. Results 60 40 0 - 11 ÂÙÒÓ 11 20 0- 12 - 18 ÂÙÒÓ 12 - 18 19 - 35 ÂÙÒÓ Age ÂÙÒÓ 19 - 35 0 36 -50 36 - 50 % group>50 ÂÙÒÓ %MËÙ€Ú· > 50 BMI ¶·Ù€Ú· mother % BMI father % ¶ÔÛÔÛÙ¼ % %
  • 10. Conclusions  Females with strong family history of obesity and mainly with obese mother, are in high risk to become obese.  Those cases are fatter  The age of first appearance of obesity is usually the childhood and adolescence.  In those age groups and up to the 25th year of life, prevention strategies must be applied.