Clustering of multiple energy balance-related behaviors in school children and its association with overweight and obesity—WHO european childhood obesity surveillance initiative (COSI 2015–2017)

S. Bel-Serrat; A. Ojeda-Rodríguez; M. Heinen; M. Buoncristiano; S. Abdrakhmanova; V. Duleva; V. Sant’angelo; A. Fijałkowska; T. Hejgaard; C. Huidumac; J. Hyska; E. Kujundzic; S. Milanović; G. Ovezmyradova; N. Pérez-Farinós; A. Petrauskiene; A. Rito; L. Shengelia; R. Braunerová; H. Rutter; C. Murrin; C. Kelleher; J. Breda

Статья

Clustering of multiple energy balance-related behaviors in school children and its association with overweight and obesity—WHO european childhood obesity surveillance initiative (COSI 2015–2017)

S. Bel-Serrat, A. Ojeda-Rodríguez, M. Heinen, M. Buoncristiano, S. Abdrakhmanova, V. Duleva, V. Sant’angelo, A. Fijałkowska, T. Hejgaard, C. Huidumac, J. Hyska, E. Kujundzic, S. Milanović, G. Ovezmyradova, N. Pérez-Farinós, A. Petrauskiene, A. Rito, L. Shengelia, R. Braunerová, H. Rutter, C. Murrin, C. Kelleher, J. Breda,

2021

https://doi.org/10.3390/nu11030511

It is unclear how dietary, physical activity and sedentary behaviors co-occur in school-aged children. We investigated the clustering of energy balance-related behaviors and whether the identified clusters were associated with weight status. Participants were 6-to 9-year-old children (n = 63,215, 49.9% girls) from 19 countries participating in the fourth round (2015/2017) of the World Health Organization (WHO) European Childhood Obesity Surveillance Initiative. Energy balance-related behaviors were parentally reported. Weight and height were objectively measured. We performed cluster analysis separately per group of countries (North Europe, East Europe, South Europe/Mediterranean countries and West-Central Asia). Seven clusters were identified in each group. Healthier clusters were common across groups. The pattern of distribution of healthy and unhealthy behaviors within each cluster was group specific. Associations between the clustering of energy balance-related behaviors and weight status varied per group. In South Europe/Mediterranean countries and East Europe, all or most of the cluster solutions were associated with higher risk of overweight/obesity when compared with the cluster ‘Physically active and healthy diet’. Few or no associations were observed in North Europe and West-Central Asia, respectively. These findings support the hypothesis that unfavorable weight status is associated with a particular combination of energy balance-related behavior patterns, but only in some groups of countries. © 2019 by the authors; licensee MDPI, Basel, Switzerland.

Цитирование

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Версии

1. Version of Record от 2021-04-27

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Об авторах

S. Bel-Serrat
National Nutrition Surveillance Centre, School of Public Health, Physiotherapy and Sports Science, University College Dublin, D4 Dublin, Ireland
A. Ojeda-Rodríguez
Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, 31008, Spain
M. Heinen
Division of Noncommunicable Diseases and Promoting Health through the Life-course, WHO European Office for Prevention and Control of Noncommunicable Diseases, Moscow, 125009, Russian Federation
M. Buoncristiano
National Center of Public Health, Ministry of Health of the Republic of Kazakhstan, Almaty, 50010, Kazakhstan
S. Abdrakhmanova
National Center of Public Health and Analyses, Sofia, 1431, Bulgaria
V. Duleva
Primary Health Care, Floriana, 1940, Malta
V. Sant’angelo
Department of Cardiology, Institute of Mother and Child, Warsaw, 01-211, Poland
A. Fijałkowska
Danish Health Authority, København, 2300, Denmark
T. Hejgaard
National Institute of Public Health, Bucharest, 050463, Romania
C. Huidumac
Institute of Public Health, Tirana, 1001, Albania
J. Hyska
Institute of Public Health of Montenegro, Podgorica, 8100, Montenegro
E. Kujundzic
Croatian Institute of Public Health, Zagreb, 10000, Croatia
S. Milanović
School of Medicine, School of Public Health Andrija Štampar, University of Zagreb, Zagreb, 10000, Croatia
G. Ovezmyradova
WHO Country Office in Turkmenistan, Ashgabat, 744000, Turkmenistan
N. Pérez-Farinós
Spanish Agency for Food Safety and Nutrition (AESAN), Madrid, 28071, Spain
A. Petrauskiene
Department of Preventive Medicine, Lithuanian University of Health Sciences, Kaunas, 44307, Lithuania
A. Rito
National Institute of Health, Doutor Ricardo Jorge, I.P., Lisbon, 1649-016, Portugal
L. Shengelia
National Center for Disease Control and Public Health of Georgia, Tbilisi, 0186, Georgia
R. Braunerová
Obesity Management Centre, Institute of Endocrinology, Prague, 113 94, Czech Republic
H. Rutter
Department of Social and Policy Sciences, University of Bath, Claverton Down, Bath, BA2 7AY, United Kingdom
C. Murrin
C. Kelleher
J. Breda

Название журнала

Nutrients

Том

Выпуск

Страницы

Ключевые слова

anthropometry; Article; behavior change; behavior disorder assessment; body height; body weight; child; cluster analysis; cohort analysis; controlled study; dietitian; disease surveillance; energy balance; female; food frequency questionnaire; fruit; geographic distribution; health care planning; health practitioner; human; lifestyle modification; Lithuania; major clinical study; male; mathematical computing; Mediterranean diet; multivariate analysis; obesity; physical activity; physician; preschool child; questionnaire; regression analysis; school child; sedentary lifestyle; soft drink; spatiotemporal analysis; univariate analysis; urbanization; vegetable; World Health Organization; energy metabolism; Europe; exercise; health behavior; obesity; physiology; Child; Cluster Analysis; Energy Metabolism; Europe; Exercise; Female; Health Behavior; Humans; Male; Obesity; World Health Organization

Издатель

MDPI AG

Тип документа

journal article

Тип лицензии Creative Commons

Правовой статус документа

Свободная лицензия

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scopus

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Статья

Clustering of multiple energy balance-related behaviors in school children and its association with overweight and obesity—WHO european childhood obesity surveillance initiative (COSI 2015–2017)

Источник

Версии

Метаданные