The adiposity of children is associated with their lifestyle behaviours: a cluster analysis of school‐aged children from 12 nations

Dumuid, Dorothea; Olds, Tim; Lewis, Lucy; Martín‐Fernández, Josep Antoni; Barreira, Tiago V.; Broyles, Stephanie T.; Chaput, Jean‐Philippe; Fogelholm, Mikael; Hu, Gang; Kuriyan, Rebecca; Kurpad, Anura; Lambert, Estelle V.; Maia, José; Matsudo, Victor Keihan Rodrigues; Onywera, Vincent; Sarmiento, Olga L.; Standage, Martyn; Tremblay, Mark S.; Tudor–Locke, Catrine; Zhao, Pei; Katzmarzyk, Peter T.; Gillison, Fiona; Maher, Carol

doi:10.1111/ijpo.12196

Cited by 61 publications

(63 citation statements)

References 29 publications

(47 reference statements)

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“…Despite the possibility of this bias, the direction of the target association gains greater relevance if one considers that lifestyle-related behaviors like diet, physical activity, and sedentary behavior generally tend to converge in harmful paths for health 32 . Studies have shown that increased prevalence rates of excess weight are seen in children and adolescents that display clusters of behaviors, including the combination of less physical activity and more sedentary behavior 33 , plus more screen time and less nighttime sleep, less average dinner time duration, and fewer outdoor games 34 . Another possible limitation to the study is the lack of information on cellphone use in the 2015 edition of the PeNSE survey.…”

Section: (N = 102072)mentioning

confidence: 99%

Comportamento sedentário e consumo de alimentos ultraprocessados entre adolescentes brasileiros: Pesquisa Nacional de Saúde do Escolar (PeNSE), 2015

et al. 2018

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Estudo transversal com o objetivo de investigar a associação entre comportamento sedentário e consumo de alimentos ultraprocessados (AUP) em adolescentes brasileiros. Foram utilizados dados da Pesquisa Nacional de Saúde do Escolar (PeNSE) realizada em 2015. O consumo diário de pelo menos um grupo de AUP representou o desfecho, e a exposição principal foi o tempo diário de comportamento sedentário (horas em atividades sentado, excluído o tempo dispendido na escola). Foram calculadas prevalências, razões de prevalências e intervalos de 95% de confiança (IC95%). As análises foram ajustadas para sexo, idade, cor da pele, escolaridade materna, índice de bens, região geográfica e dependência administrativa da escola. Cerca de 40% dos escolares reportaram consumo diário de pelo menos um grupo de AUP (39,7%; IC95%: 39,2-40,3) e 68,1% (IC95%: 67,7-68,7) referiram > 2 horas/dia de comportamento sedentário. Entre os escolares com comportamento sedentário > 2 horas/dia, a prevalência de consumo diário de AUP foi de 42,8% (IC95%: 42,1-43,6%), maior do que entre os sem comportamento sedentário (29,8%; IC95%: 29,0-30,5%). Quanto maior o tempo de comportamento sedentário, maior a prevalência de consumo de AUP (valor de p para tendência linear < 0,001). Estratégias que promovam a alimentação saudável e a diminuição de comportamentos sedentários, bem como regulamentações da publicidade de AUP, tornam-se necessárias a fim de evitar que estilos de vida não saudáveis perdurem à idade adulta.

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Section: (N = 102072)mentioning

confidence: 99%

Comportamento sedentário e consumo de alimentos ultraprocessados entre adolescentes brasileiros: Pesquisa Nacional de Saúde do Escolar (PeNSE), 2015

et al. 2018

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“…Other studies, however, have observed no such association [6]. Nonetheless, most previous studies had cross-sectional designs, only a few used adiposity-specific indicators, and few have considered sleep [14][15][16], although insufficient sleep duration is recognized as an important risk factor for OW-OB [17] and interactions have been shown with TV use, PA and eating behaviors [4,18]. Moreover, few cluster studies have included variables capturing contextual information, in particular eating-or sleep-related routines [14,19], although these data may provide additional useful information for developing targeted interventions.…”

Section: Introductionmentioning

confidence: 98%

Clusters of diet, physical activity, television exposure and sleep habits and their association with adiposity in preschool children: the EDEN mother-child cohort

Saldanha-Gomes

Marbac

Sedki

et al. 2020

Int J Behav Nutr Phys Act

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Background: Despite the growing interest in the relation between adiposity in children and different lifestyle clusters, few studies used a longitudinal design to examine a large range of behaviors in various contexts, in particular eating-and sleep-related routines, and few studies have examined these factors in young children. The objectives of this study were to identify clusters of boys and girls based on diet, sleep and activity-related behaviors and their family environment at 2 and 5 years of age, and to assess whether the clusters identified varied across maternal education levels and were associated with body fat at age 5. Methods: At 2 and 5 years, respectively, 1436 and 1195 parents from the EDEN mother-child cohort completed a questionnaire including behavioral data. A latent class analysis aimed to uncover gender-specific behavioral clusters. Body fat percentage was estimated by anthropometric and bioelectrical impedance measurements. Association between cluster membership and body fat was assessed with mutivariable linear regression models. Results: At 2 years, two clusters emerged that were essentially characterized by opposite eating habits. At 5 years, TV exposure was the most distinguishing feature, but the numbers and types of clusters differed by gender. An association between cluster membership and body fat was found only in girls at 5 years of age, with girls in the cluster defined by very high TV exposure and unfavorable mealtime habits (despite high outdoor playing and walking time) having the highest body fat. Girls whose mother had low educational attainment were more likely to be in this high-risk cluster. Girls who were on a cluster evolution path corresponding to the highest TV viewing time and the least favorable mealtime habits from 2 to 5 years of age had higher body fat at 5 years. Conclusions: Efforts to decrease TV time and improve mealtime routines may hold promise for preventing overweight in young children, especially girls growing up in disadvantaged families. These preventive efforts should start as early in life as possible, ideally before the age of two, and should be sustained over the preschool years.

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“…Although the relationship between long sleep duration and health-related behaviors has not been studied in depth, it seems that longer sleepers are more likely to report less screen time [8] and low PA levels [16]. Clustering sleep duration with other health-related behaviors may therefore contribute to a better understanding of health-related behavioral profiles in adolescents [17][18][19].The clustering pattern of PA, ST, sleep duration, diet quality, and sedentary screen time among children from 12 countries has been recently identified [20,21]. The retained profiles among children were characterized by: (a) mostly healthy behaviors (e.g., high PA, low sedentary screen time, healthy diet, and moderate/high ST), (b) mostly risk behaviors (e.g., low PA, moderate sedentary screen time, unhealthy diet, and high ST), and (c) co-occurrence of healthy and unhealthy behaviors (e.g., high PA, high sedentary screen time, high ST, and healthy, and unhealthy diet).…”

mentioning

confidence: 99%

Healthy or Unhealthy? The Cocktail of Health-Related Behavior Profiles in Spanish Adolescents

Sevil‐Serrano

Solana

Abós

et al. 2019

IJERPH

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The aim of this study was to identify the prevalence and clustering of health-related behaviors in Spanish adolescents and to examine their association with sex, body mass index (BMI), different types of sedentary screen time, and adherence to 24-hour movement guidelines. A final sample of 173 students (M = 12.99 ± 0.51) participated in this study. Cluster analysis was conducted based on five health-related behaviors: PA and sedentary time derived from accelerometers, as well as healthy diet, sedentary screen time, and sleep duration derived from self-reported scales. Recommendations for 24-hour movement guidelines (i.e., physical activity (PA), screen time, and sleep duration) were analyzed both independently and combined. A total of 8.9% of the sample did not meet any of the guidelines, whereas 72.3%, 17.3%, and 1.7% of the sample met 1, 2, or all 3 guidelines, respectively. Six distinct profiles were identified, most of them showing the co-occurrence of healthy- and unhealthy-related behaviors. Given that most of the adolescents failed to meet the combination of PA, screen time, and sleep duration guidelines, these findings suggest the necessity to implement school-based interventions that target multiple health behaviors, especially because (un)healthy behaviors do not always cluster in the same direction.

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The adiposity of children is associated with their lifestyle behaviours: a cluster analysis of school‐aged children from 12 nations

Abstract: Children from different sites clustered into groups of similar lifestyle behaviours. Cluster membership was linked with differing adiposity. Findings support the implementation of activity interventions in all countries, targeting both physical activity and sedentary time.

Cited by 61 publications

References 29 publications

Comportamento sedentário e consumo de alimentos ultraprocessados entre adolescentes brasileiros: Pesquisa Nacional de Saúde do Escolar (PeNSE), 2015

Comportamento sedentário e consumo de alimentos ultraprocessados entre adolescentes brasileiros: Pesquisa Nacional de Saúde do Escolar (PeNSE), 2015

Clusters of diet, physical activity, television exposure and sleep habits and their association with adiposity in preschool children: the EDEN mother-child cohort

Healthy or Unhealthy? The Cocktail of Health-Related Behavior Profiles in Spanish Adolescents

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