title: The association between body shape silhouette and dietary pattern among Mexican women.
abstract: OBJECTIVE
  To investigate the relationship between dietary patterns and self-perceived body shape silhouette and BMI in a sample of Mexican women.
  
  
  METHODS
  A cross-sectional analysis of dietary habits from baseline data of a large cohort study (EsMaestra) conducted in 2006-2008.
  
  
  METHODS
  The state of Veracruz, Mexico.
  
  
  METHODS
  Mexican teachers (n 20 330) provided information on body shape silhouette at baseline, changes in body shape silhouette and BMI, as well as information on sociodemographic variables and lifestyle.
  
  
  RESULTS
  The median BMI was 26·8 kg/m2; 43 % of women were overweight and 24 % were obese. The carbohydrates, sweet drinks and refined foods pattern was associated with a greater risk of having a large silhouette and a large BMI (BMI ≥ 30·0 kg/m2                   v. BMI < 25·0 kg/m2; ORT1-3 = 1·86, 95 % CI 1·56, 2·22 and 1·47, 95 % CI 1·28, 1·69, respectively) with a significant trend when comparing the first and third tertiles of intake. The fruit and vegetable pattern was associated with a lower risk of having a large silhouette and a large BMI (ORT1-3 = 0·68, 95 % CI 0·57, 0·82 and ORT1-3 = 0·77, 95 % CI 0·67, 0·88, respectively) with a significant decreasing trend. Similar results were observed when change in silhouette (from 18 years of age to current silhouette) was considered.
  
  
  CONCLUSIONS
  High intakes of carbohydrates, sweet drinks and refined foods are related to larger silhouettes. Public health intervention improving access to healthy dietary guidelines, healthy food choice in the work place, promotion of physical activity and regulation of beverages with a high sugar content and of refined foods should be considered.
authors.affiliation: International Agency for Research on Cancer, Lyon, France. iromieu@correo.insp.mx
authors.forename: Isabelle
authors.initials: I
authors.lastname: Romieu
authors.forename: María C
authors.initials: MC
authors.lastname: Escamilla-Núñez
authors.forename: Luisa M
authors.initials: LM
authors.lastname: Sánchez-Zamorano
authors.forename: Ruy
authors.initials: R
authors.lastname: Lopez-Ridaura
authors.forename: Gabriela
authors.initials: G
authors.lastname: Torres-Mejía
authors.forename: Elsa M
authors.initials: EM
authors.lastname: Yunes
authors.forename: Martin
authors.initials: M
authors.lastname: Lajous
authors.forename: Juan A
authors.initials: JA
authors.lastname: Rivera-Dommarco
authors.forename: Eduardo
authors.initials: E
authors.lastname: Lazcano-Ponce
mesh_terms: D000328:Adult; D000886:Anthropometry; D001628:Beverages; D001828:Body Image; D015992:Body Mass Index; D002755:Choice Behavior; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D004032:Diet; D004040:Dietary Carbohydrates / Q000008:administration & dosage; D002149:Energy Intake; D005247:Feeding Behavior; D005260:Female; D005500:Follow-Up Studies; D005638:Fruit; D017408:Guidelines as Topic; D006801:Humans; D008019:Life Style; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009043:Motor Activity; D009765:Obesity / Q000453:epidemiology*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014675:Vegetables
chemical_list: D004040:Dietary Carbohydrates