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Published 21 October 2008, doi:10.1136/bmj.a2002
Cite this as: BMJ 2008;337:a2002
Koutatsu Maruyama, graduate student1,2, Shinichi Sato, director2,3, Tetsuya Ohira, associate professor1,2, Kenji Maeda, chief physician2, Hiroyuki Noda, research fellow1,4, Yoshimi Kubota, graduate student 1,2, Setsuko Nishimura, dietitian2, Akihiko Kitamura, director2, Masahiko Kiyama, director2, Takeo Okada, director2, Hironori Imano, chief physician2, Masakazu Nakamura, director2, Yoshinori Ishikawa, deputy president2, Michinori Kurokawa, dietitian5, Satoshi Sasaki, professor 6, Hiroyasu Iso, professor1
1 Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, Yamadaoka, 2-2 Suita-shi, Osaka, Japan 565-0871, 2 Osaka Medical Center for Health Science and Promotion, Osaka, Japan, 3 Chiba Prefectural Institute of Public Health, Chiba-City, Japan, 4 Harvard Center for Population and Development Studies, Harvard University, MA, USA, 5 Division of Health and Welfare, Osaka Prefecture, Japan, 6 Department of Social and Preventive Epidemiology, School of Public Health, University of Tokyo, Japan
Correspondence to: H Iso fvgh5640{at}mb.infoweb.ne.jp
Design and participants Cross sectional survey.
Setting Two communities in Japan.
Participants 3287 adults (1122 men, 2165 women) aged 30-69 who participated in surveys on cardiovascular risk from 2003 to 2006.
Main outcome measures Body mass index (overweight
25.0) and the dietary habits of eating until full (lifestyle questionnaire) and speed of eating (validated brief self administered questionnaire).
Results 571 (50.9%) men and 1265 (58.4%) women self reported eating until full, and 523 (45.6%) men and 785 (36.3%) women self reported eating quickly. For both sexes the highest age adjusted mean values for height, weight, body mass index, and total energy intake were in the eating until full and eating quickly group compared with the not eating until full and not eating quickly group. The multivariable adjusted odds ratio of being overweight for eating until full was 2.00 (95% confidence interval 1.53 to 2.62) for men and 1.92 (1.53 to 2.40) for women and for eating quickly was 1.84 (1.42 to 2.38) for men and 2.09 (1.69 to 2.59) for women. The multivariable odds ratio of being overweight with both eating behaviours compared with neither was 3.13 (2.20 to 4.45) for men and 3.21 (2.41 to 4.29) for women.
Conclusion Eating until full and eating quickly are associated with being overweight in Japanese men and women, and these eating behaviours combined may have a substantial impact on being overweight.
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