Associations between Lifestyle Patterns and Body Mass Index in a Sample of Greek Children and Adolescents

Kontogianni, Meropi D.; Farmaki, Anastasia-Eleni; Vidra, Nikoletta; Sofrona, Stavroula; Magkanari, Flora; Yannakoulia, Mary

doi:10.1016/j.jada.2009.10.035

Cited by 93 publications

(131 citation statements)

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“…Two other studies performed in Greece and in Great Britain also revealed a negative association between a dietary pattern comprising high-fibre food consumption and excess adiposity in children (6,40) . Other recent research has shown that fibre supplementation in obese individuals can significantly enhance weight loss (41) .…”

Section: Discussionmentioning

confidence: 78%

“…Still, it is not safe to claim that increasing the consumption of dairy foods results in a reduction in body weight or fat mass levels (32) . Regarding breakfast consumption, a previous study which attempted to identify the possible interactions between lifestyle patterns and BMI revealed that a pattern also comprised of regular breakfast consumption was inversely associated with excess body weight in children (6) . Furthermore, other studies have shown that regular consumption of breakfast that comprises dairy products, cereals and fruits is associated with a lower risk of overweight among children (33)(34)(35) .…”

Section: Discussionmentioning

confidence: 99%

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Identification of lifestyle patterns associated with obesity and fat mass in children: the Healthy Growth Study

Moschonis

Kalliora

Costarelli

et al. 2013

Public Health Nutr.

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Objective: To investigate possible associations of lifestyle patterns with obesity and fat mass in children. Design: Cross-sectional epidemiological study. Principal component analysis was used to identify lifestyle patterns. Setting: Primary schools from four regions in Greece. Subjects: A total of 2073 schoolchildren (aged 9-13 years). Results: Children in the fourth quartile of the lifestyle pattern combining higher dairy foods with more adequate breakfast consumption were 39?4 %, 45?2 % and 32?2 % less likely to be overweight/obese and in the highest quartile of sum of skinfold thicknesses and fat mass, respectively, than children in the first quartile of this pattern. Similarly, children in the fourth quartile of a lifestyle pattern comprising consumption of high-fibre foods, such as fruits, vegetables and wholegrain products, were 27?4 % less likely to be in the highest quartile of sum of skinfold thicknesses than children in the first lifestyle pattern quartile. Finally, children in the fourth quartile of a lifestyle pattern characterized by more time spent on moderate-tovigorous physical activity and more frequent meals were 38?0 %, 26?3 % and 29?5 % less likely to be overweight, centrally obese and in the highest quartile of fat mass, respectively, than their peers in the first quartile of this lifestyle pattern (all P , 0?05). Conclusions: The current study identified three lifestyle patterns (i.e. one pattern comprising higher dairy consumption with a more adequate breakfast; a second pattern characterized by increased consumption of high-fibre foods; and a third pattern combining higher physical activity levels with more frequent meals), which were all related with lower odds of obesity and/or increased fat mass levels. From a public health perspective, promotion of these patterns among children and their families should be considered as one of the components of any childhood obesity preventive initiative.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Identification of lifestyle patterns associated with obesity and fat mass in children: the Healthy Growth Study

Moschonis

Kalliora

Costarelli

et al. 2013

Public Health Nutr.

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“…28 Many of the above-mentioned studies on the Mediterranean diet in children described the cross-sectional association with health outcomes such as asthma 41 or overweight. 42 Most were set up in a Mediterranean country such as Greece, [42][43][44] Cyprus, 45,46 Spain 47,48 and Turkey. 49 A few studies were based on children living in a non-Mediterranean country like UK 22 and Mexico.…”

Section: Discussionmentioning

confidence: 99%

Adherence to a Mediterranean-like dietary pattern in children from eight European countries. The IDEFICS study

et al. 2014

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on behalf of the IDEFICS consortium BACKGROUND: Despite documented benefits of a Mediterranean-like dietary pattern, there is a lack of knowledge about how children from different European countries compare with each other in relation to the adherence to this pattern. In response to this need, we calculated the Mediterranean diet score (MDS) in 2-9-year-old children from the Identification and prevention of dietary-and lifestyle-induced health effects in children and infants (IDEFICS) eight-country study. SUBJECTS AND METHODS:Using 24 h dietary recall data obtained during the IDEFICS study (n = 7940), an MDS score was calculated based on the age-and sex-specific population median intakes of six food groups (vegetables and legumes, fruit and nuts, cereal grains and potatoes, meat products and dairy products) and the ratio of unsaturated to saturated fats. For fish and seafood, which was consumed by 10% of the population, one point was given to consumers. The percentages of children with high MDS levels (43) were calculated and stratified by sex, age and by having at least one migrant parent or both native parents. Demographic (sex and age) and socioeconomic characteristics (parental education and income) of children showing high (43) vs low (⩽3) MDS levels were examined. RESULTS: The highest prevalence of children with MDS 43 was found among the Italian pre-school boys (55.9%) and the lowest among the Spanish school-aged girls (26.0%). Higher adherence to a Mediterranean-like dietary pattern was not associated with living in a Mediterranean country or in a highly educated or high-income family, although with some exceptions. Differences in adherence between boys and girls or age groups varied between countries without any general pattern. CONCLUSIONS: With the exception of Italian pre-schoolers, similar adherence levels to a Mediterranean-like dietary pattern have been observed among European children.

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“…Other studies have aimed to identify the occurrence of behavior patterns using PCA (6)(7)(8). Among them, Busch et al (6) identified four patterns among adolescents in the Netherlands: "behavior prone to risk" (alcohol consumption, smoking, drug use, and early sexual activity), "bully behavior" (bullying and compulsive use of the Internet), "problematic screen time" (excessive time using video games and internet), and "sedentary behavior, unhealthy eating habits, and insufficient physical activity" (excessive weekly time watching TV and using the internet, unhealthy eating habits, and insufficient physical activity).…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, it has been shown that certain risk behaviors increase the risk of involvement in others, forming clusters of behaviors (6)(7)(8), that is, the occurrence of concurrent risk behaviors in adolescents (9,10). Simultaneity of different risk behaviors may have a synergistic effect on the deterioration of individual health; in other words, it may result in a multiplicative deleterious effect, rather than an additive effect of each behavior (11).…”

Section: Introductionmentioning

confidence: 99%

Risk Behaviour Patterns for Chronic Diseases and Associated Factors Among Adolescents

et al. 2017

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ResumenIntroducción/objetivo: la participación simultánea en los comportamientos de riesgo para las enfermedades no transmisibles (ENT) podría ejercer un efecto sinérgico sobre la salud de los adolescentes. El propósito del estudio fue identifi car patrones de comportamiento de riesgo para las ENT en adolescentes y analizar factores asociados. Métodos: se realizó un estudio transversal entre 2009-2011, con 1.716 participantes de entre 10 y 17 años, de un estudio de cohorte en la Región Centro-Oeste, Brasil. Se recogieron las características demográfi cas, económicas, antropométricas y de estilo de vida. Los comportamientos de riesgo evaluados fueron el consumo de alcohol, la experimentación con el tabaco, la actividad física insufi ciente, el comportamiento sedentario, omitir el desayuno y la baja calidad de la dieta. El análisis de componentes principales se utilizó para identifi car patrones de comportamientos de riesgo y el análisis de regresión lineal múltiple para cuantifi car la asociación entre las variables independientes y los patrones de comportamiento de riesgo. Resultados: Se identifi caron tres patrones de comportamientos de riesgo: "drogas legales", "dieta y pantallas" y "omisión". Después del ajuste, el patrón de drogas legales mostró asociación directa con la edad (β = 0,13; IC del 95% = 0,09; 0,16) e inverso con la educación materna (β = -0,07; IC del 95% = -0,14; -0,01). El patrón de dieta y pantallas se asoció directamente con el sexo femenino (β = 0,14; IC del 95% = 0,04; 0,23), la edad (β = 0,11; IC del 95% = 0,08; 0,14) y la clase económica (β = 0,15; IC del 95% = 0,04; 0,25). El patrón de omisión se relacionó directamente con la educación materna (β = 0,09; IC del 95% = 0,03; 0,15), el sobrepeso (β = 0,17; IC del 95% = 0,06; 0,28) y el sexo femenino (β = 0,32; IC del 95% = 0,22; 0,41). Conclusiones: se identifi caron tres patrones de comportamiento de riesgo y los factores asociados fueron el nivel socioeconómico, la edad y el sexo femenino. AbstractBackground/objective: Simultaneous engagement in risk behaviors for chronic non-communicable diseases (NCDs) might exert a synergistic effect on adolescent health. This study aimed to identify risk behavior patterns for NCDs in adolescents and analyze associated factors. Methods: Cross-sectional study conducted between 2009 and 2011, with 1,716 participants aged 10-17 years of a cohort study in Central-West Region, Brazil. Demographic, economic, anthropometric, and lifestyle characteristics were collected. Risk behaviors evaluated were alcohol consumption, tobacco experimentation, insuffi cient physical activity, sedentary behavior, skipping breakfast, and low diet quality. Principal component analysis was used to identify patterns of risk behaviors and multiple linear regression analysis to quantify the association between independent variables and patterns of risk behavior. Results: Three patterns of risk behaviors were identifi ed: "legal drugs", "diet and screens", and "silent". After adjustment, legal drugs pattern showed direct associatio...

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Associations between Lifestyle Patterns and Body Mass Index in a Sample of Greek Children and Adolescents

Cited by 93 publications

References 53 publications

Identification of lifestyle patterns associated with obesity and fat mass in children: the Healthy Growth Study

Identification of lifestyle patterns associated with obesity and fat mass in children: the Healthy Growth Study

Adherence to a Mediterranean-like dietary pattern in children from eight European countries. The IDEFICS study

Risk Behaviour Patterns for Chronic Diseases and Associated Factors Among Adolescents

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