Research Article

Postnatal Acute Famine and Risk of Overweight: The Dutch Hungerwinter Study

Table 3

Waist circumference: means, (un)adjusted differences, and 95% confidence intervals (CIs) for women of all ages combined and within each of the three exposure age categories: 0–9 years, 10–17 years, and ≥18 years who reported to be moderately or severely exposed to famine compared to those who reported to be unexposed to famine.

Number of subjects Mean (SD)Crude modelMultivariable model 1Multivariable model 2
Mean difference95% CIMean difference95% CIMean difference95% CI

All ages
 Unexposed3.67083.8 (9.9)referencereferencereference
 Moderately exposed3.07284.7 (10.0)0.910.43 to 1.390.750.28 to 1.231.080.57 to 1.60
 Severely exposed1.33484.9 (10.4)1.190.56 to 1.820.650.02 to 1.270.720.03 to 1.41
P for trend<0.0010.0070.002
Age at famine categories
 0 to 9 years
  Unexposed2.14582.3 (9.6)referencereferencereference
  Moderately exposed1.60983.0 (9.8)0.740.11 to 1.380.840.21 to 1.481.090.40 to 1.77
  Severely exposed66483.8 (10.5)1.560.71 to 2.411.020.17 to 1.880.86−0.09 to 1.81
  P for trend<0.0010.0040.008
 10 to 17 years
  Unexposed1.34385.7 (9.9)referencereferencereference
  Moderately exposed1.24486.4 (9.9)0.69−0.08 to 1.460.72−0.05 to 1.501.220.37 to 2.06
  Severely exposed58485.8 (10.2)0.15−0.82 to 1.120.23−0.75 to 1.200.44−0.64 to 1.52
  P for trend0.450.370.13
 ≥18 years
  Unexposed18287.0 (9.6)referencereferencereference
  Moderately exposed21987.2 (9.9)0.14−1.79 to 2.070.72−1.26 to 2.710.64−1.64 to 2.91
  Severely exposed8687.5 (9.9)0.46−2.06 to 2.980.73−1.82 to 3.281.84−1.02 to 4.70
  P for trend0.730.510.22

Mean difference as compared to those who reported to be unexposed to famine.
P for interaction age at famine * famine exposure: 0.07.
Multivariable model 1: adjusted for age at start of the famine (October 1, 1944), smoking (pack years), alcohol intake (g/day), and level of education (3 categories: low, intermediate, and high).
Multivariable model 2: adjusted for age at start of the famine (October 1, 1944), smoking (pack years), alcohol intake (g/day), level of education (3 categories: low, intermediate, and high), and total energy intake (kcal), among the subgroup of women with reliable energy intake according to Goldberg’s equation.