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

    Research output: Contribution to journalJournal articleResearchpeer-review

    Abstract

    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.
    Original languageEnglish
    JournalEuropean Journal of Clinical Nutrition
    Volume69
    Issue number7
    Pages (from-to)811-816
    Number of pages6
    ISSN0954-3007
    DOIs
    Publication statusPublished - 2015

    Cite this

    Santaliestra-Pasías, Alba María ; Mouratidou, Theodora ; Reisch, Lucia ; Pigeot, Iris ; Ahrens, Wolfgang ; Mårild, Staffan ; Molnar, Dénes ; Siani, Alfonso ; Sieri, Sabina ; Tornaritis, Michael ; Veidebaum, Toomas ; Verbestel, Vera ; De Bourdeaudhuij, Ilse ; Moreno, Luis A. / Clustering of Lifestyle Behaviours and Relation to Body Composition in European Children : The IDEFICS study. In: European Journal of Clinical Nutrition. 2015 ; Vol. 69, No. 7. pp. 811-816.
    @article{23f4ac0ace504c9d88cd9f61f1f6826d,
    title = "Clustering of Lifestyle Behaviours and Relation to Body Composition in European Children: The IDEFICS study",
    abstract = "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.",
    author = "Santaliestra-Pas{\'i}as, {Alba Mar{\'i}a} and Theodora Mouratidou and Lucia Reisch and Iris Pigeot and Wolfgang Ahrens and Staffan M{\aa}rild and D{\'e}nes Molnar and Alfonso Siani and Sabina Sieri and Michael Tornaritis and Toomas Veidebaum and Vera Verbestel and {De Bourdeaudhuij}, Ilse and Moreno, {Luis A.}",
    year = "2015",
    doi = "10.1038/ejcn.2015.76",
    language = "English",
    volume = "69",
    pages = "811--816",
    journal = "European Journal of Clinical Nutrition",
    issn = "0954-3007",
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    Santaliestra-Pasías, AM, Mouratidou, T, Reisch, L, Pigeot, I, Ahrens, W, Mårild, S, Molnar, D, Siani, A, Sieri, S, Tornaritis, M, Veidebaum, T, Verbestel, V, De Bourdeaudhuij, I & Moreno, LA 2015, 'Clustering of Lifestyle Behaviours and Relation to Body Composition in European Children: The IDEFICS study', European Journal of Clinical Nutrition, vol. 69, no. 7, pp. 811-816. https://doi.org/10.1038/ejcn.2015.76

    Clustering of Lifestyle Behaviours and Relation to Body Composition in European Children : The IDEFICS study. / Santaliestra-Pasías, Alba María; Mouratidou, Theodora; Reisch, Lucia; Pigeot, Iris; Ahrens, Wolfgang; Mårild, Staffan; Molnar, Dénes; Siani, Alfonso; Sieri, Sabina; Tornaritis, Michael; Veidebaum, Toomas; Verbestel, Vera; De Bourdeaudhuij, Ilse; Moreno, Luis A.

    In: European Journal of Clinical Nutrition, Vol. 69, No. 7, 2015, p. 811-816.

    Research output: Contribution to journalJournal articleResearchpeer-review

    TY - JOUR

    T1 - Clustering of Lifestyle Behaviours and Relation to Body Composition in European Children

    T2 - The IDEFICS study

    AU - Santaliestra-Pasías, Alba María

    AU - Mouratidou, Theodora

    AU - Reisch, Lucia

    AU - Pigeot, Iris

    AU - Ahrens, Wolfgang

    AU - Mårild, Staffan

    AU - Molnar, Dénes

    AU - Siani, Alfonso

    AU - Sieri, Sabina

    AU - Tornaritis, Michael

    AU - Veidebaum, Toomas

    AU - Verbestel, Vera

    AU - De Bourdeaudhuij, Ilse

    AU - Moreno, Luis A.

    PY - 2015

    Y1 - 2015

    N2 - 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.

    AB - 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.

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    DO - 10.1038/ejcn.2015.76

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    JO - European Journal of Clinical Nutrition

    JF - European Journal of Clinical Nutrition

    SN - 0954-3007

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