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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
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