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

    Research output: Contribution to journalJournal articleResearchpeer-review

    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.
    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.
    LanguageEnglish
    JournalEuropean Journal of Clinical Nutrition
    Volume67
    Issue number8
    Pages848–854
    ISSN0954-3007
    DOIs
    StatePublished - 2013

    Keywords

      Cite this

      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. DOI: 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. In: European Journal of Clinical Nutrition. 2013 ; Vol. 67, No. 8. pp. 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",
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      publisher = "Nature Publishing Group",
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      }

      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, vol. 67, no. 8, pp. 848–854. DOI: 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. .

      In: European Journal of Clinical Nutrition, Vol. 67, No. 8, 2013, p. 848–854.

      Research output: Contribution to journalJournal articleResearchpeer-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

      T2 - 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. Available from, DOI: 10.1038/ejcn.2013.84