2018
DOI: 10.3389/fpubh.2018.00276
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Physical Activity, Screen Time, and Dietary Intake in Families: A Cluster-Analysis With Mother-Father-Child Triads

Abstract: Background: The co-occurrence of multiple health behaviors such as physical activity, diet, and sedentary behavior affects individuals' health. Co-occurence of different health behaviors has been shown in a large number of studies. This study extended this perspective by addressing the co-occurrence of multiple health behaviors in multiple persons. The objective was to examine familial health behavioral patterns by (1) identifying clusters of families with similar behavior patterns and (2) characterizing the c… Show more

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Cited by 41 publications
(33 citation statements)
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“…A similar interaction between both behaviors, but with mortality as the outcome measure, was found in a large-scale meta-analysis (including over one million men and women), where high levels of moderate intensity physical activity (about 60-75 min per day) eliminated the increased risk of death associated with high sitting time [71]. In addition, previous studies showed that increased screen time was associated with an overall poor diet quality [72,73]. The above indicates possible triangular interactions, again highlighting the importance of combining all energy balance-related behaviors when investigating their association with burn-out risk.…”
Section: Discussionsupporting
confidence: 54%
“…A similar interaction between both behaviors, but with mortality as the outcome measure, was found in a large-scale meta-analysis (including over one million men and women), where high levels of moderate intensity physical activity (about 60-75 min per day) eliminated the increased risk of death associated with high sitting time [71]. In addition, previous studies showed that increased screen time was associated with an overall poor diet quality [72,73]. The above indicates possible triangular interactions, again highlighting the importance of combining all energy balance-related behaviors when investigating their association with burn-out risk.…”
Section: Discussionsupporting
confidence: 54%
“…Previous studies have explored correlations between child and parent TV viewing (i.e., co-occurrence) [19] and the agreement between clusters of child screen time and clusters of the mother's sitting time (i.e., concordance) [20]. Niermann and colleagues [21] explored clustering of familial (mother/father and child) physical activity, total screen time, and dietary intake and identified three clusters defined by parents and children performing similarly high, similarly low, or differing amounts of screen time [21]. However, screen time behaviors in these studies were limited to time watching TV, computer or internet, and computer games, without consideration of the 'new' screen time behaviors, such as smartphones and digital tablets, which are readily available and commonly used by both parents and children [4,22].…”
Section: Introductionmentioning
confidence: 99%
“…In addition, with the inclusion of covariates, the intraclass correlations increased, suggesting a potential effect of the genetic and shared characteristics on these health-related markers. Regardless, we were only able to retrieve one study based on the person-centered approach that examined the co-occurrence of health-related markers in families [55]. Indeed, Niermann et al [55] used cluster analysis to identify patterns of health behaviors within families based on triads (father, mother, and child) and reported lower intraclass correlation values than in our sample.…”
Section: Discussionmentioning
confidence: 99%