Clustering of lifestyle behaviours and relation to body composition in European children. the IDEFICS study

A. M. Santaliestra-Pasias, T. Mouratidou, L. Reisch, I. Pigeot, W. Ahrens, S. Mårild, D. Molnar, A. Siani, S. Sieri, M. Tornatiris, T. Veidebaum, V. Verbestel, I. De Bourdeaudhuij, L. A. Moreno

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Abstract

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
Pages (from-to)811-816
Number of pages6
JournalEuropean Journal of Clinical Nutrition
Volume69
Issue number7
DOIs
Publication statusPublished - Jul 2 2015

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Body Composition
Cluster Analysis
Life Style
Exercise
Beverages
Odds Ratio
Confidence Intervals
Food and Beverages
Waist Circumference
Vegetables
Fruit
Body Mass Index
Obesity
Logistic Models

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Santaliestra-Pasias, 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. https://doi.org/10.1038/ejcn.2015.76

Clustering of lifestyle behaviours and relation to body composition in European children. the IDEFICS study. / Santaliestra-Pasias, A. M.; Mouratidou, T.; Reisch, L.; Pigeot, I.; Ahrens, W.; Mårild, S.; Molnar, D.; Siani, A.; Sieri, S.; Tornatiris, M.; Veidebaum, T.; Verbestel, V.; De Bourdeaudhuij, I.; Moreno, L. A.

In: European Journal of Clinical Nutrition, Vol. 69, No. 7, 02.07.2015, p. 811-816.

Research output: Contribution to journalArticle

Santaliestra-Pasias, AM, Mouratidou, T, Reisch, L, Pigeot, I, Ahrens, W, Mårild, S, Molnar, D, Siani, A, Sieri, S, Tornatiris, 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
Santaliestra-Pasias, A. M. ; Mouratidou, T. ; Reisch, L. ; Pigeot, I. ; Ahrens, W. ; Mårild, S. ; Molnar, D. ; Siani, A. ; Sieri, S. ; Tornatiris, M. ; Veidebaum, T. ; Verbestel, V. ; De Bourdeaudhuij, I. ; Moreno, L. 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.
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abstract = "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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AU - Pigeot, I.

AU - Ahrens, W.

AU - Mårild, S.

AU - Molnar, D.

AU - Siani, A.

AU - Sieri, S.

AU - Tornatiris, M.

AU - Veidebaum, T.

AU - Verbestel, V.

AU - De Bourdeaudhuij, I.

AU - Moreno, L. A.

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N2 - 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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