Influence of mealtime habits on the risk of weight gain and obesity in Mexican adults.
To prospectively examine the extent to which mealtime habits influences the risk of weight gain and obesity in Mexican adults.



We performed a prospective cohort study. The Mealtime Habits Quality (MHQ) scale was used for assessing participants' MHQ; the outcomes of interest were gain ≥5 % of body weight, developing overweight/obesity and abdominal obesity, after 7 years of follow-up. In order to estimate the independent effect of MHQ on anthropometric indicators, generalized linear models were computed to obtain adjusted relative risks (95 % CI).



The state of Morelos, Mexico.



Mexican adults (n 837) aged 18-70 years participating in a cohort study.



Compared with participants classified in the higher MHQ category, individuals in the middle and lower MHQ groups had a 4·1 (2·5, 6·7) and 6·2 (3·9, 9·7) fold greater risk of gain ≥5 % of body weight, respectively; 6·6 (2·8, 15·5) and 8·6 (3·7, 19·8) fold greater risk of becoming overweight/obese, respectively; and 3·8 (2·0, 7·3) and 5·3 (2·8, 9·8) fold greater risk of developing abdominal obesity, respectively.



This study provides evidence about the influence of a set of mealtime habits on obesity indicators, showing that greater adherence to unadvisable mealtime habits increases the risk of developing unhealthy anthropometric indicators. Since the meal is one of the most important sources of food intake, and consequently weight status, the MHQ scale can be a useful population tool to predict weight gain and obesity.
1École Interdisciplinaire Sciences-Santé,Université Claude Bernard Lyon 1,University of Lyon,Lyon,France.
Libia Darina
LD
Dosamantes-Carrasco
3Facultad de Ciencias de la Salud,Universidad Autónoma de Tlaxcala,Calle Ciencias de la Salud sur No. 11,Guardia,Zacatelco,CP 90750,Tlaxcala,México.
Pablo
P
Méndez-Hernández
2Unidad de Investigación Epidemiológica y en Servicios de Salud,Instituto Mexicano del Seguro Social,Cuernavaca,México.
Yvonne N
YN
Flores
6Aix Marseille University,INSERM,IRD,SESSTIM UMRS912,Marseille,France.
Carole
C
Siani
8Unidad de Investigación en Epidemiología Clínica,Hospital Infantil de México 'Federico Gómez',Ciudad de México,México.
Edgar
E
Denova-Gutiérrez
2Unidad de Investigación Epidemiológica y en Servicios de Salud,Instituto Mexicano del Seguro Social,Cuernavaca,México.
Katia
K
Gallegos-Carrillo
2Unidad de Investigación Epidemiológica y en Servicios de Salud,Instituto Mexicano del Seguro Social,Cuernavaca,México.
Paula
P
Ramírez
2Unidad de Investigación Epidemiológica y en Servicios de Salud,Instituto Mexicano del Seguro Social,Cuernavaca,México.
Berenice
B
Rivera-Paredez
9Centro de Investigación en Salud Poblacional,Instituto Nacional de Salud Pública,Cuernavaca,México.
Eduardo
E
Salazar-Martínez
2Unidad de Investigación Epidemiológica y en Servicios de Salud,Instituto Mexicano del Seguro Social,Cuernavaca,México.
Jorge
J
Salmerón
D000293:Adolescent; D000328:Adult; D000368:Aged; D000886:Anthropometry / Q000379:methods; D001835:Body Weight; D004034:Diet Surveys / Q000379:methods; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D062407:Meals; D008800:Mexico; D008875:Middle Aged; D009765:Obesity / Q000209:etiology*; D050177:Overweight / Q000209:etiology*; D011446:Prospective Studies; D012306:Risk; D015430:Weight Gain; D055815:Young Adult
Abdominal obesity; Mealtime behaviours; Mealtime habits; Obesity; Weight gain
Nutr Rev. 2007 Jun;65(6 Pt 1):268-81
17605303
Am J Epidemiol. 2003 May 15;157(10):940-3
12746247
Am J Clin Nutr. 2010 Dec;92(6):1316-25
20926520
World Health Organ Tech Rep Ser. 1995;854:1-452
8594834
BMJ. 2008 Oct 21;337:a2002
18940848
Am J Clin Nutr. 2001 Aug;74(2):197-200
11470720
Appetite. 2009 Dec;53(3):309-13
19619596
J Nutr. 2010 Oct;140(10):1855-63
20702749
Physiol Behav. 1994 Sep;56(3):445-5
7972393
Prev Chronic Dis. 2008 Jan;5(1):A11
18082000
Appetite. 2009 Feb;52(1):39-43
18692103
J Am Diet Assoc. 2006 Dec;106(12):2001-7
17126631
Public Health Nutr. 2008 Mar;11(3):258-70
17610750
Br J Health Psychol. 2002 Feb;7(Pt 1):1-10
14596713
Obesity (Silver Spring). 2014 May;22(5):E91-5
24123987
Salud Publica Mex. 1998 Mar-Apr;40(2):133-40
9617194
Obes Rev. 2012 Apr;13(4):329-46
22106948
Health Psychol. 2013 Jun;32(6):609-15
22946463
Int J Epidemiol. 1994 Oct;23(5):991-9
7860180
Physiol Behav. 2006 Jul 30;88(4-5):498-505
16757007
N Engl J Med. 2011 Sep 8;365(10):901-8
21899451
World Health Organ Tech Rep Ser. 2003;916:i-viii, 1-149, backcover
12768890
Obesity (Silver Spring). 2013 May;21(5):1070-5
23784912
Salud Publica Mex. 2011 Mar-Apr;53(2):152-9
21537806
J Adolesc Health. 2003 May;32(5):365-73
12729986
Am J Clin Nutr. 2008 May;87(5):1148-55
18469233
Int J Behav Nutr Phys Act. 2013 Aug 09;10:96
23927043
J Nutr Educ Behav. 2003 Jan-Feb;35(1):24-9
12588677
BMC Cardiovasc Disord. 2012 Feb 01;12:3
22292502
Obesity (Silver Spring). 2008 Aug;16(8):1788-93
18551110
Annu Rev Nutr. 2004;24:455-79
15189128
J Am Diet Assoc. 2009 Jan;109(1):72-9
19103325
Am J Epidemiol. 2004 Aug 15;160(4):301-5
15286014
Appetite. 2004 Oct;43(2):175-80
15458803
Am J Clin Nutr. 2004 Jul;80(1):231-6
15213053
Salud Publica Mex. 2012 Jan-Feb;54(1):20-7
22286825
Bull Med Ethics. 2002 Oct;(182):17-23
14983848
BMC Public Health. 2009 Jul 31;9:276
19646257
N Engl J Med. 2010 Dec 2;363(23):2211-9
21121834
Asia Pac J Clin Nutr. 2011;20(1):29-34
21393107
Public Health Nutr. 2005 Oct;8(7):920-7
16277809
Appetite. 2011 Apr;56(2):350-6
21185894
Am J Clin Nutr. 2013 Apr;97(4):728-42
23446890
Appetite. 2006 Nov;47(3):285-9
16723172
J Am Diet Assoc. 2008 Jul;108(7):1186-91
18589027
Ann Intern Med. 1995 Apr 1;122(7):481-6
7872581
Public Health Nutr. 2007 Mar;10(3):256-65
17288623
Appetite. 2013 Mar;62:119-26
23219989