University of Groningen
The obesity epidemic in Europe
Vidra, Nikoletta
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Publication date: 2019
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Vidra, N. (2019). The obesity epidemic in Europe: Assessing the past and current mortality burden and the future of obesity. University of Groningen.
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The obesity epidemic in Europe:
Assessing the past and current mortality burden and the future of obesity
2 This PhD thesis is written as part of the VIDI project “Smoking, alcohol and obesity – ingredients for improved and robust mortality projections” by Prof. Fanny Janssen, funded by the Netherlands Organisation for Scientific Research (grant no. 452-13-001, see www.futuremortality.com).
We are grateful to Professor Majid Ezatti and Dr James Bentham (Faculty of Medicine, School of Public Health at Imperial College London); Dr Gretchen A. Stevens (World Health Organization); and the NCD Risk Factor Collaboration (NCD-RisC) (www.ncdrisc.org) for sharing the obesity data, which were used in Chapter 4 and 5. In addition, we thank Miranda Brakels for her contribution to the literature review part of Chapter 2 and Sergi Trias-Llimós (London School of Hygiene and Tropical Medicine) for his contribution to data analysis of the same chapter.
ISBN: 978-94-638-0309-0
ISBN (E-publication): 978-94-6380-306-9
Dutch translation: Translation and Correction Service, University of Groningen Language Center Language editing: Miriam Hills
Cover design: brosk.nl
Print: ProefschriftMaken, www.proefschriftmaken.nl
3
The obesity epidemic in Europe
Assessing the past and current mortality burden and the future of obesity
PhD thesisto obtain the degree of PhD at University of Groningen
on the authority of Rector Magnificus Prof. E. Sterken
and in accordance with the decision by the College of Deans this thesis will be defended in public on
Thursday 25 April 2019 at 11.00 hours
by
Nikoletta Vidra born on 14 April 1978
This PhD thesis is written as part of the VIDI project “Smoking, alcohol and obesity – ingredients for improved and robust mortality projections” by Prof. Fanny Janssen, funded by the Netherlands Organisation for Scientific Research (grant no. 452-13-001, see www.futuremortality.com).
We are grateful to Professor Majid Ezatti and Dr James Bentham (Faculty of Medicine, School of Public Health at Imperial College London); Dr Gretchen A. Stevens (World Health Organization); and the NCD Risk Factor Collaboration (NCD-RisC) (www.ncdrisc.org) for sharing the obesity data, which were used in Chapter 4 and 5. In addition, we thank Miranda Brakels for her contribution to the literature review part of Chapter 2 and Sergi Trias-Llimós (London School of Hygiene and Tropical Medicine) for his contribution to data analysis of the same chapter.
ISBN: 978-94-638-0309-0
ISBN (E-publication): 978-94-6380-306-9
Dutch translation: Translation and Correction Service, University of Groningen Language Center Language editing: Miriam Hills
Cover design: brosk.nl
Print: ProefschriftMaken, www.proefschriftmaken.nl
The obesity epidemic in Europe
Assessing the past and current mortality burden and the future of obesity
PhD thesisto obtain the degree of PhD at University of Groningen
on the authority of Rector Magnificus Prof. E. Sterken
and in accordance with the decision by the College of Deans this thesis will be defended in public on
Thursday 25 April 2019 at 11.00 hours
by
Nikoletta Vidra born on 14 April 1978
4 Supervisors
Prof. F. Janssen Prof. L.J.G. van Wissen Assessment Committee Prof. A.E. Kunst
Prof. S.A. Reijneveld Prof. H.H. Haisma
5
Table of contents
Chapter 1: Introduction... 6
Chapter 2: Impact of different estimation methods on obesity-attributable mortality levels and trends: the Case of the Netherlands ... 37
Chapter 3: Past trends in obesity-attributable mortality in eight European countries: an application of age–period–cohort analysis ... 64
Chapter 4: Impact of obesity on life expectancy among different European countries, 1975-2012 ... 89
Chapter 5: Forecasting obesity in 18 European countries and the United States using the underlying epidemic wave pattern... 114
Chapter 6: Discussion... 143
English Summary ... 170
Nederlandse samenvatting ... 174
Acknowledgements ... 179
Supervisors Prof. F. Janssen Prof. L.J.G. van Wissen Assessment Committee Prof. A.E. Kunst
Prof. S.A. Reijneveld Prof. H.H. Haisma
Table of contents
Chapter 1: Introduction ... 7
Chapter 2: Impact of different estimation methods on obesity-attributable mortality levels and trends: the Case of the Netherlands ... 41
Chapter 3: Past trends in obesity-attributable mortality in eight European countries: an application of age–period–cohort analysis ... 69
Chapter 4: Impact of obesity on life expectancy among different European countries, 1975-2012 ... 95
Chapter 5: Forecasting obesity in 18 European countries and the United States using the underlying epidemic wave pattern ... 121
Chapter 6: Discussion ... 151
English Summary ... 179
Nederlandse samenvatting ... 183
Acknowledgements ... 188
