Clustering of Lifestyle Behaviours and Relation to Body Composition in European Children: The IDEFICS study

Alba María Santaliestra-Pasías, Theodora Mouratidou, Lucia Reisch, Iris Pigeot, Wolfgang Ahrens, Staffan Mårild, Dénes Molnar, Alfonso Siani, Sabina Sieri, Michael Tornaritis, Toomas Veidebaum, Vera Verbestel, Ilse De Bourdeaudhuij, Luis A. Moreno

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    Background:Dietary patterns, physical activity (PA) and sedentary behaviours are some of the main behavioural determinants of obesity; their combined influence in children has been addressed in a limited number of studies.Subjects/Methods:Children (16 228) aged 2-9 years old from eight European countries participated in the baseline survey of the IDEFICS study. A subsample of 11 674 children (50.8% males) were included in the present study. Children's food and beverage consumption (fruit and vegetables (F&V) and sugar-sweetened beverages (SSBs)), PA and sedentary behaviours were assessed via parental questionnaires. Sex-specific cluster analysis was applied to identify behavioural clusters. Analysis of covariance and logistic regression were applied to examine the association between behavioural clusters and body composition indicators (BCIs).Results:Six behavioural clusters were identified (C1-C6) both in boys and girls. In both sexes, clusters characterised by high level of PA (C1 and C3) included a large proportion of older children, whereas clusters characterised by low SSB consumption (C5 and C6) included a large proportion of younger children. Significant associations between derived clusters and BCI were observed only in boys; those boys in the cluster with the highest time spent in sedentary activities and low PA had increased odds of having a body mass index z-score (odds ratio (OR)=1.33; 95% confidence interval (CI)=(1.01, 1.74)) and a waist circumference z-score (OR=1.41; 95%CI=(1.06, 1.86)) greater than one.Conclusion:Clusters characterised by high sedentary behaviour, low F&V and SSB consumption and low PA turned out to be the most obesogenic factors in this sample of European children.
    TidsskriftEuropean Journal of Clinical Nutrition
    Udgave nummer7
    Sider (fra-til)811-816
    Antal sider6
    StatusUdgivet - jul. 2015