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.
    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.
    LanguageEnglish
    JournalEuropean Journal of Clinical Nutrition
    Volume69
    Issue number7
    Pages811-816
    Number of pages6
    ISSN0954-3007
    DOIs
    StatePublished - 2015

    Cite this

    Santaliestra-Pasías, A. M., Mouratidou, T., Reisch, L., Pigeot, I., Ahrens, W., Mårild, S., ... Moreno, L. A. (2015). Clustering of Lifestyle Behaviours and Relation to Body Composition in European Children: The IDEFICS study. European Journal of Clinical Nutrition, 69(7), 811-816. DOI: 10.1038/ejcn.2015.76
    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",
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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. DOI: 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 - European Journal of Clinical Nutrition

    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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    Santaliestra-Pasías AM, Mouratidou T, Reisch L, Pigeot I, Ahrens W, Mårild S et al. Clustering of Lifestyle Behaviours and Relation to Body Composition in European Children: The IDEFICS study. European Journal of Clinical Nutrition. 2015;69(7):811-816. Available from, DOI: 10.1038/ejcn.2015.76