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

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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.
Keywords
PHYSICAL-ACTIVITY, ADOLESCENTS, CHILDHOOD OBESITY, SEDENTARY, OVERWEIGHT, PREVENTION, RISK BEHAVIORS, EATING HABITS, CONSUMPTION FREQUENCIES, ASSOCIATION

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MLA
Santaliestra-Pasías, AM, et al. “Clustering of Lifestyle Behaviours and Relation to Body Composition in European Children. The IDEFICS Study.” EUROPEAN JOURNAL OF CLINICAL NUTRITION, vol. 69, no. 7, 2015, pp. 811–16, doi:10.1038/ejcn.2015.76.
APA
Santaliestra-Pasías, A., Mouratidou, T., Reisch, L., Pigeot, I., Ahrens, W., Mårild, S., … Moreno, L. (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
Chicago author-date
Santaliestra-Pasías, AM, T Mouratidou, L Reisch, I Pigeot, W Ahrens, S Mårild, D Molnár, et al. 2015. “Clustering of Lifestyle Behaviours and Relation to Body Composition in European Children. The IDEFICS Study.” EUROPEAN JOURNAL OF CLINICAL NUTRITION 69 (7): 811–16. https://doi.org/10.1038/ejcn.2015.76.
Chicago author-date (all authors)
Santaliestra-Pasías, AM, T Mouratidou, L Reisch, I Pigeot, W Ahrens, S Mårild, D Molnár, A Siani, S Sieri, M Tornatiris, T Veidebaum, Vera Verbestel, Ilse De Bourdeaudhuij, and LA Moreno. 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.
Vancouver
1.
Santaliestra-Pasías A, 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):811–6.
IEEE
[1]
A. Santaliestra-Pasías et al., “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, 2015.
@article{5987115,
  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-Pasías, AM and Mouratidou, T and Reisch, L and Pigeot, I and Ahrens, W and Mårild, S and Molnár, D and Siani, A and Sieri, S and Tornatiris, M and Veidebaum, T and Verbestel, Vera and De Bourdeaudhuij, Ilse and Moreno, LA}},
  issn         = {{0954-3007}},
  journal      = {{EUROPEAN JOURNAL OF CLINICAL NUTRITION}},
  keywords     = {{PHYSICAL-ACTIVITY,ADOLESCENTS,CHILDHOOD OBESITY,SEDENTARY,OVERWEIGHT,PREVENTION,RISK BEHAVIORS,EATING HABITS,CONSUMPTION FREQUENCIES,ASSOCIATION}},
  language     = {{eng}},
  number       = {{7}},
  pages        = {{811--816}},
  title        = {{Clustering of lifestyle behaviours and relation to body composition in European children. The IDEFICS study}},
  url          = {{http://doi.org/10.1038/ejcn.2015.76}},
  volume       = {{69}},
  year         = {{2015}},
}

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