The health and lifestyles of people in Fenland

Dr Soren Brage MRC Epidemiology Unit

September 2013

• >10,000 participants tested (53% women)

• Age: 48 (29-63) yrs

The Fenland Study so far…

Diabetes and Body Mass Index (BMI)

Obesity categories (WHO)

14

1390

2242

1008

47

2510

1762

1131

0

500

1000

1500

2000

2500

3000

Underweight Normal Overweight Obese

Men Women

Diabetes categories

88 59319

4578

55 23275

5541

0

1000

2000

3000

4000

5000

6000

DM IFG IGT Normal

1.3% 6.2%

050

100

150

Phys

ical

act

ivity

ene

rgy

expe

nditu

re (k

J/d/

kg)

1 2 3 4

excludes outside values

Physical Activity by BMI group

Under-weight Normal weight Over-weight Obese

Physical activity by age group 0

5010

015

0Ph

ysic

al a

ctiv

ity e

nerg

y ex

pend

iture

(kJ/

d/kg

)

1 2 3 4 5 6 7

excludes outside values<35 35-40 40-45 45-50 50-55 55-60 >60 years

Physical activity by age (UK cohorts)

0

20

40

60

80

100

120

"RO

OTS

"(1

5y) <3

5

35-4

0

40-4

5

45-5

0

50-5

5

55-6

0

>60

"194

6" (6

2y)

Men Women

Physical activity by age with other UK cohorts

< < < < < < Fenland > > > > > >

Cameroon Rural: 60 kJ/d/kg

Cameroon Urban: 45 kJ/d/kg Kenya Rural: 70 kJ/d/kg

Greenland Rural: 50 kJ/d/kg

Greenland Urban: 50 kJ/d/kg

Europe Urban: 45 kJ/d/kg

Alaska Rural: 65 kJ/d/kg

Mexico Rural: 70 kJ/d/kg India Rural: 55 kJ/d/kg

UK adolescents: 74 kJ/d/kg

UK adults: 52 kJ/d/kg UK elderly: 35 kJ/d/kg

Activity Energy Expenditure map (based on combined sensing)

Physical activity by season 0

5010

015

0P

hysi

cal a

ctiv

ity e

nerg

y ex

pend

iture

(kJ/

d/kg

)

1 2 3 4 5 6 7 8 9 10 11 12

excludes outside valuesJan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

050

100

150

Phy

sica

l act

ivity

ene

rgy

expe

nditu

re (k

J/d/

kg)

2006 2007 2008 2009 2010 2011 2012

excludes outside values

Inspire a generation…

Physical activity by year

-2006 2007 2008 2009 2010 2011 2012

Recession...

Thank you