Fat free mass and obesity in relation to educational level.
BACKGROUND
The aim of the study was to describe the body composition of Finnish adults, especially by education, and to investigate whether fat-free mass (FFM) can explain educational gradients relating to body mass index (BMI) and waist-to-hip ratio (WHR).


METHODS
Data for this cross-sectional study were based on data collected in 2000-2001 for the Health 2000 Survey. Of the nationally representative sample of 8,028 Finnish men and women aged 30 years and older, 6,300 (78.5%) were included in the study. Body composition measurements were carried out in the health examination, where FFM was assessed with eight-polar bioelectrical impedance analysis. Questions on education were included in the health interview.


RESULTS
The mean FFM varied by education in older (>or= 65 y.) men only. In the middle-aged group (30-64 y.), highly educated men were less likely to belong to the lowest quintile of FFM (OR 0.67, 95%CI 0.48-0.93) compared with the least educated subjects. The level of education was inversely associated with the prevalence of high BMI and WHR in middle-aged men. In women, the respective associations were found both in middle-aged women and their older counterparts. Adjustment for FFM slightly strengthened the associations of education with BMI and WHR.


CONCLUSIONS
The association between education and FFM is weak. Educational gradients of high BMI and high WHR cannot be explained by FFM.
Seppänen-Nuijten
Elina
E
National Institute for Health and Welfare, Mannerheimintie 166, 00300 Helsinki, Finland. elina.seppanen-nuijten@elisanet.fi
Lahti-Koski
Marjaana
M
Männistö
Satu
S
Knekt
Paul
P
Rissanen
Harri
H
Aromaa
Arpo
A
Heliövaara
Markku
M
D000273:Adipose Tissue; D050154:Adiposity / Q000502:physiology; D000328:Adult; D000367:Age Factors; D000368:Aged; D001823:Body Composition; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D005387:Finland / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D055815:Young Adult