Clustering of Multiple Lifestyle Behaviours and Its Association to Cardiovascular Risk Factors in Children

Silvia Bel-Serrat, Theodora Mouratidou, Alba María Santaliestra-Pasías, Licia Iacoviello, Yiannis A. Kourides, Staffan Mårild, Dénes Molnár, Lucia Reisch, Alfonso Siani, Sarolta Stomfai, Barbara Vanaelst, Toomas J. Veǐdebaum, Iris Pigeot, Wolfgang Ahrens, Vittorio Krogh , Luis A. Moreno

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

    Resumé

    BACKGROUND/OBJECTIVES: Individual lifestyle behaviours have independently been associated with cardiovascular diseases (CVD) risk factors in children. This study aimed to identify clustered lifestyle behaviours (dietary, physical activity (PA) and sedentary indicators) and to examine their association with CVD risk factors in children aged 2–9 years.
    SUBJECTS/METHODS: Participants included 4619 children (51.6% boys) from eight European countries participating in the IDEFICS cross-sectional baseline survey (2007–2008). Insulin resistance, total cholesterol/high-density lipoprotein cholesterol ratio, triglycerides, sum of two skinfolds and systolic blood pressure (SBP) z-scores were summed to compute a CVD risk score. Cluster analyses stratified by sex and age groups (2 to <6 years; 6–9 years) were performed using parental-reported data on fruit, vegetables and sugar-sweetened beverages (SSB) consumption, PA performance and television video/DVD viewing.
    RESULTS: Five clusters were identified. Associations between CVD risk factors and score, and clusters were obtained by multiple linear regression using cluster 5 (‘low beverages consumption and low sedentary’) as the reference cluster. SBP was positively associated with clusters 1 (‘physically active’; β=1.34; 95% confidence interval (CI): 0.02, 2.67), 2 (‘sedentary’; β=1.84; 95% CI: 0.57, 3.11), 3 (‘physically active and sedentary’; β=1.45; 95% CI: 0.15, 2.75) and 4 (‘healthy diet’; β=1.83; 95% CI: 0.50, 3.17) in older boys. A positive association was observed between CVD risk score and clusters 2 (β=0.60; 95% CI: 0.20, 1.01), 3 (β=0.55; 95% CI: 0.14, 0.97) and 4 (β=0.60, 95% CI: 0.18, 1.02) in older boys.
    CONCLUSIONS: Low television/video/DVD viewing levels and low SSB consumption may result in a healthier CVD profile rather than having a diet rich in fruits and vegetables or being physically active in (pre-)school children.
    OriginalsprogEngelsk
    TidsskriftEuropean Journal of Clinical Nutrition
    Vol/bind67
    Udgave nummer8
    Sider (fra-til)848–854
    ISSN0954-3007
    DOI
    StatusUdgivet - 2013

    Emneord

    • Cardiovascular diseases
    • Lifestyle
    • Diet
    • Exercise
    • Sedentary lifestyle
    • Child

    Citer dette

    Bel-Serrat, S., Mouratidou, T., Santaliestra-Pasías, A. M., Iacoviello, L., Kourides, Y. A., Mårild, S., ... Moreno, L. A. (2013). Clustering of Multiple Lifestyle Behaviours and Its Association to Cardiovascular Risk Factors in Children. European Journal of Clinical Nutrition, 67(8), 848–854. https://doi.org/10.1038/ejcn.2013.84
    Bel-Serrat, Silvia ; Mouratidou, Theodora ; Santaliestra-Pasías, Alba María ; Iacoviello, Licia ; Kourides, Yiannis A. ; Mårild, Staffan ; Molnár, Dénes ; Reisch, Lucia ; Siani, Alfonso ; Stomfai, Sarolta ; Vanaelst, Barbara ; Veǐdebaum, Toomas J. ; Pigeot, Iris ; Ahrens, Wolfgang ; Krogh , Vittorio ; Moreno, Luis A. . / Clustering of Multiple Lifestyle Behaviours and Its Association to Cardiovascular Risk Factors in Children. I: European Journal of Clinical Nutrition. 2013 ; Bind 67, Nr. 8. s. 848–854.
    @article{c3e970b4693a4c69a65dac8651f2fee7,
    title = "Clustering of Multiple Lifestyle Behaviours and Its Association to Cardiovascular Risk Factors in Children",
    abstract = "BACKGROUND/OBJECTIVES: Individual lifestyle behaviours have independently been associated with cardiovascular diseases (CVD) risk factors in children. This study aimed to identify clustered lifestyle behaviours (dietary, physical activity (PA) and sedentary indicators) and to examine their association with CVD risk factors in children aged 2–9 years.SUBJECTS/METHODS: Participants included 4619 children (51.6{\%} boys) from eight European countries participating in the IDEFICS cross-sectional baseline survey (2007–2008). Insulin resistance, total cholesterol/high-density lipoprotein cholesterol ratio, triglycerides, sum of two skinfolds and systolic blood pressure (SBP) z-scores were summed to compute a CVD risk score. Cluster analyses stratified by sex and age groups (2 to <6 years; 6–9 years) were performed using parental-reported data on fruit, vegetables and sugar-sweetened beverages (SSB) consumption, PA performance and television video/DVD viewing.RESULTS: Five clusters were identified. Associations between CVD risk factors and score, and clusters were obtained by multiple linear regression using cluster 5 (‘low beverages consumption and low sedentary’) as the reference cluster. SBP was positively associated with clusters 1 (‘physically active’; β=1.34; 95{\%} confidence interval (CI): 0.02, 2.67), 2 (‘sedentary’; β=1.84; 95{\%} CI: 0.57, 3.11), 3 (‘physically active and sedentary’; β=1.45; 95{\%} CI: 0.15, 2.75) and 4 (‘healthy diet’; β=1.83; 95{\%} CI: 0.50, 3.17) in older boys. A positive association was observed between CVD risk score and clusters 2 (β=0.60; 95{\%} CI: 0.20, 1.01), 3 (β=0.55; 95{\%} CI: 0.14, 0.97) and 4 (β=0.60, 95{\%} CI: 0.18, 1.02) in older boys.CONCLUSIONS: Low television/video/DVD viewing levels and low SSB consumption may result in a healthier CVD profile rather than having a diet rich in fruits and vegetables or being physically active in (pre-)school children.",
    keywords = "Cardiovascular diseases, Lifestyle, Diet, Exercise, Sedentary lifestyle, Child",
    author = "Silvia Bel-Serrat and Theodora Mouratidou and Santaliestra-Pas{\'i}as, {Alba Mar{\'i}a} and Licia Iacoviello and Kourides, {Yiannis A.} and Staffan M{\aa}rild and D{\'e}nes Moln{\'a}r and Lucia Reisch and Alfonso Siani and Sarolta Stomfai and Barbara Vanaelst and Veǐdebaum, {Toomas J.} and Iris Pigeot and Wolfgang Ahrens and Vittorio Krogh and Moreno, {Luis A.}",
    year = "2013",
    doi = "10.1038/ejcn.2013.84",
    language = "English",
    volume = "67",
    pages = "848–854",
    journal = "European Journal of Clinical Nutrition",
    issn = "0954-3007",
    publisher = "Nature Publishing Group",
    number = "8",

    }

    Bel-Serrat, S, Mouratidou, T, Santaliestra-Pasías, AM, Iacoviello, L, Kourides, YA, Mårild, S, Molnár, D, Reisch, L, Siani, A, Stomfai, S, Vanaelst, B, Veǐdebaum, TJ, Pigeot, I, Ahrens, W, Krogh , V & Moreno, LA 2013, 'Clustering of Multiple Lifestyle Behaviours and Its Association to Cardiovascular Risk Factors in Children' European Journal of Clinical Nutrition, bind 67, nr. 8, s. 848–854. https://doi.org/10.1038/ejcn.2013.84

    Clustering of Multiple Lifestyle Behaviours and Its Association to Cardiovascular Risk Factors in Children. / Bel-Serrat, Silvia; Mouratidou, Theodora; Santaliestra-Pasías, Alba María; Iacoviello, Licia; Kourides, Yiannis A.; Mårild, Staffan; Molnár, Dénes; Reisch, Lucia; Siani, Alfonso; Stomfai, Sarolta; Vanaelst, Barbara; Veǐdebaum, Toomas J.; Pigeot, Iris; Ahrens, Wolfgang; Krogh , Vittorio ; Moreno, Luis A. .

    I: European Journal of Clinical Nutrition, Bind 67, Nr. 8, 2013, s. 848–854.

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

    TY - JOUR

    T1 - Clustering of Multiple Lifestyle Behaviours and Its Association to Cardiovascular Risk Factors in Children

    AU - Bel-Serrat, Silvia

    AU - Mouratidou, Theodora

    AU - Santaliestra-Pasías, Alba María

    AU - Iacoviello, Licia

    AU - Kourides, Yiannis A.

    AU - Mårild, Staffan

    AU - Molnár, Dénes

    AU - Reisch, Lucia

    AU - Siani, Alfonso

    AU - Stomfai, Sarolta

    AU - Vanaelst, Barbara

    AU - Veǐdebaum, Toomas J.

    AU - Pigeot, Iris

    AU - Ahrens, Wolfgang

    AU - Krogh , Vittorio

    AU - Moreno, Luis A.

    PY - 2013

    Y1 - 2013

    N2 - BACKGROUND/OBJECTIVES: Individual lifestyle behaviours have independently been associated with cardiovascular diseases (CVD) risk factors in children. This study aimed to identify clustered lifestyle behaviours (dietary, physical activity (PA) and sedentary indicators) and to examine their association with CVD risk factors in children aged 2–9 years.SUBJECTS/METHODS: Participants included 4619 children (51.6% boys) from eight European countries participating in the IDEFICS cross-sectional baseline survey (2007–2008). Insulin resistance, total cholesterol/high-density lipoprotein cholesterol ratio, triglycerides, sum of two skinfolds and systolic blood pressure (SBP) z-scores were summed to compute a CVD risk score. Cluster analyses stratified by sex and age groups (2 to <6 years; 6–9 years) were performed using parental-reported data on fruit, vegetables and sugar-sweetened beverages (SSB) consumption, PA performance and television video/DVD viewing.RESULTS: Five clusters were identified. Associations between CVD risk factors and score, and clusters were obtained by multiple linear regression using cluster 5 (‘low beverages consumption and low sedentary’) as the reference cluster. SBP was positively associated with clusters 1 (‘physically active’; β=1.34; 95% confidence interval (CI): 0.02, 2.67), 2 (‘sedentary’; β=1.84; 95% CI: 0.57, 3.11), 3 (‘physically active and sedentary’; β=1.45; 95% CI: 0.15, 2.75) and 4 (‘healthy diet’; β=1.83; 95% CI: 0.50, 3.17) in older boys. A positive association was observed between CVD risk score and clusters 2 (β=0.60; 95% CI: 0.20, 1.01), 3 (β=0.55; 95% CI: 0.14, 0.97) and 4 (β=0.60, 95% CI: 0.18, 1.02) in older boys.CONCLUSIONS: Low television/video/DVD viewing levels and low SSB consumption may result in a healthier CVD profile rather than having a diet rich in fruits and vegetables or being physically active in (pre-)school children.

    AB - BACKGROUND/OBJECTIVES: Individual lifestyle behaviours have independently been associated with cardiovascular diseases (CVD) risk factors in children. This study aimed to identify clustered lifestyle behaviours (dietary, physical activity (PA) and sedentary indicators) and to examine their association with CVD risk factors in children aged 2–9 years.SUBJECTS/METHODS: Participants included 4619 children (51.6% boys) from eight European countries participating in the IDEFICS cross-sectional baseline survey (2007–2008). Insulin resistance, total cholesterol/high-density lipoprotein cholesterol ratio, triglycerides, sum of two skinfolds and systolic blood pressure (SBP) z-scores were summed to compute a CVD risk score. Cluster analyses stratified by sex and age groups (2 to <6 years; 6–9 years) were performed using parental-reported data on fruit, vegetables and sugar-sweetened beverages (SSB) consumption, PA performance and television video/DVD viewing.RESULTS: Five clusters were identified. Associations between CVD risk factors and score, and clusters were obtained by multiple linear regression using cluster 5 (‘low beverages consumption and low sedentary’) as the reference cluster. SBP was positively associated with clusters 1 (‘physically active’; β=1.34; 95% confidence interval (CI): 0.02, 2.67), 2 (‘sedentary’; β=1.84; 95% CI: 0.57, 3.11), 3 (‘physically active and sedentary’; β=1.45; 95% CI: 0.15, 2.75) and 4 (‘healthy diet’; β=1.83; 95% CI: 0.50, 3.17) in older boys. A positive association was observed between CVD risk score and clusters 2 (β=0.60; 95% CI: 0.20, 1.01), 3 (β=0.55; 95% CI: 0.14, 0.97) and 4 (β=0.60, 95% CI: 0.18, 1.02) in older boys.CONCLUSIONS: Low television/video/DVD viewing levels and low SSB consumption may result in a healthier CVD profile rather than having a diet rich in fruits and vegetables or being physically active in (pre-)school children.

    KW - Cardiovascular diseases

    KW - Lifestyle

    KW - Diet

    KW - Exercise

    KW - Sedentary lifestyle

    KW - Child

    U2 - 10.1038/ejcn.2013.84

    DO - 10.1038/ejcn.2013.84

    M3 - Journal article

    VL - 67

    SP - 848

    EP - 854

    JO - European Journal of Clinical Nutrition

    JF - European Journal of Clinical Nutrition

    SN - 0954-3007

    IS - 8

    ER -

    Bel-Serrat S, Mouratidou T, Santaliestra-Pasías AM, Iacoviello L, Kourides YA, Mårild S et al. Clustering of Multiple Lifestyle Behaviours and Its Association to Cardiovascular Risk Factors in Children. European Journal of Clinical Nutrition. 2013;67(8):848–854. https://doi.org/10.1038/ejcn.2013.84