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Does the Association of Sedentary Time or Fruit/Vegetable Intake with Central Obesity Depend on Menopausal Status among Women?

Jing Su, Qingting Li, Ping Mao, Hua Peng, Huiwu Han, James Wiley, Jia Guo () and Jyu-Lin Chen
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Jing Su: Department of Nursing, Medical College, Shantou University, Shantou 515041, China
Qingting Li: Xiangya School of Nursing, Central South University, Changsha 410017, China
Ping Mao: Department of Nursing, The Third Xiangya Hospital of Central South University, Changsha 410013, China
Hua Peng: Department of Nursing, Xiangya Hospital of Central South University, Changsha 410013, China
Huiwu Han: Department of Nursing, Xiangya Hospital of Central South University, Changsha 410013, China
James Wiley: Institute for Health Policy Studies, University of California San Francisco (UCSF), San Francisco, CA 94158, USA
Jia Guo: Xiangya School of Nursing, Central South University, Changsha 410017, China
Jyu-Lin Chen: Department of Family Health Care Nursing, School of Nursing, University of California San Francisco (UCSF), San Francisco, CA 94143, USA

IJERPH, 2022, vol. 19, issue 16, 1-13

Abstract: (1) Background: The prevalence of central obesity is growing rapidly among women, and the prevalence differs by menopausal status. Longer sedentary time and less fruit/vegetable (F/V) intake increased the risk of central obesity. Among women of different menopausal statuses, controversy surrounds the association between sedentary time or F/V intake and central obesity. This study aimed to explore whether the independent and joint associations between sedentary time or F/V intake and menopausal status are correlated with central obesity, respectively. (2) Methods: This cross-sectional study was conducted in Hunan, China. Self-reported questionnaires were used to gather information on demographic characteristics, menopausal status, sedentary time, and F/V intake. Waist circumference was measured at the study site. Binary logistic regression and multiple interaction models were used to explore the independent and joint associations of menopausal status and the above two lifestyle variables with central obesity. (3) Results: A total of 387 women with a mean age of 47.7 ± 6.6 years old participated in the study. The prevalence of central obesity was 52.8%. Peri- and post-menopause statuses and not taking five servings of F/V per day were risk factors of central obesity ( p < 0.05), whereas no significant association was found between sedentary time and central obesity ( p > 0.05). Among peri-menopausal (mutual odds ratio (OR): 2.466, 95% confidence interval [CI]: 0.984–6.182; p < 0.05) and post-menopausal women (mutual OR: 2.274, 95% CI: 1.046–4.943; p < 0.05), more than 4 h of sedentary time per day was associated with a high risk of central obesity. Among pre-menopausal women, the consumption of five servings of F/V per day was associated with a low risk of central obesity (mutual OR: 0.444, 95%CI: 0.236–0.837, p < 0.05). (4) Conclusions: More than half of women in the central south of China presented with central obesity, spent >4 h of sedentary time per day, or did not engage in recommended F/V intake. Healthier lifestyle intervention is warranted to prevent central obesity development, including reducing the sedentary time to <4 h per day for peri- and post-menopausal women, while increasing taking five servings of F/V per day for pre-menopausal women.

Keywords: central obesity; sedentary time; fruit and vegetable intake; menopausal status; women (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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