Relationship between lifestyle behaviors and obesity in children ages 9–11: Results from a 12‐country study
Abstract
Objective: The aim was to assess associations between lifestyle behaviors and obesity in a multinational study of children from 12 countries representing a wide range of human development. Methods: The sample included 6,025 children 9–11 years of age. Behavioral risk factors included nocturnal sleep duration, moderate to vigorous physical activity (MVPA), television viewing (TV time), and healthy and unhealthy diet pattern scores. Multilevel analyses were used to obtain odds ratios for obesity expressed per standard deviation of each behavioral risk factor. Results: The odds ratios (95% confidence intervals) for obesity from multilevel, multivariable models were 0.79 (0.71–0.90) for nocturnal sleep duration, 0.52 (0.45–0.60) for MVPA, 1.15 (1.05–1.27) for TV time, 1.08 (0.96–1.20) for healthy diet score, and 0.93 (0.83–1.04) for unhealthy diet score in boys and 0.71 (0.63–0.80) for nocturnal sleep duration, 0.43 (0.35–0.53) for MVPA, 1.07 (0.96–1.19) for TV time, 1.05 (0.93–1.19) for healthy diet score, and 0.96 (0.82–1.11) for unhealthy diet score in girls. Conclusions: Behavioral risk factors are important correlates of obesity in children, particularly low MVPA, short sleep duration, and high TV viewing.
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Only ISCOLE has assessed MVPA, screen time and sleep duration in relation to obesity in countries with a wide range of economic development.
“Only the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) has assessed MVPA, screen time and sleep duration in relation to obesity in countries with a wide range of economic level of development [19–21].”
From Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study (2016) · cites this paper as [20]
The countries participating in ISCOLE have a much wider range of economic and social development levels than previous studies.
“In comparison to the studies mentioned above, the countries participating in ISCOLE have a much wider range of economic and social development levels [20, 22]”
From Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study (2016) · cites this paper as [20]
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Correlates of Children’s Physical Activity: A Canadian Multisite Study
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González, S. A., Sarmiento, O. L., Lemoine, P. D., Larouche, R., Meisel, J. D., Tremblay, M. S., Vanegas, M. S. N., Broyles, S. T., Fogelholm, M., Holguin, G. A., et al. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17113847 · Cited by 23 · see citing works
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Bird, M., Datta, G. D., Chinerman, D., Kakinami, L., Mathieu, M.-E., Henderson, M., & Barnett, T. A. (2022) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-022-01256-6 · Cited by 19 · see citing works
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The influence of using video media on basic movement skills in kindergarten
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Fast food as drivers for overweight and obesity among urban school children at Jakarta, Indonesia
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INDICADORES DE ESTILO DE VIDA E APTIDÃO CARDIORRESPIRATÓRIA DE ADOLESCENTES
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A Study on the Knowledge, Attitude, and Practices of Iranian Mothers towards Childhood Obesity
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Sleep and Obesity in Children and Adolescents
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Physical activity level and body composition in a multiethnic sample of school children in Hawaii
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SimNCD: An agent-based formalism for the study of noncommunicable diseases
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Sources of variability in childhood obesity indicators and related behaviors
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Reducing social inequalities in obesity: Complexity and power relationships
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Correlates of body fat and waist circumference in children from São Caetano do Sul, Brazil
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Characteristic Sleep Patterns and Associated Obesity in Adolescents
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- Authors
- Katzmarzyk, P. T., Barreira, T. V., Broyles, S. T., Champagne, C. M., Chaput, J., Fogelholm, M., Hu, G., Johnson, W. D., Kuriyan, R., Kurpad, A., Lambert, E. V., Maher, C., Maia, J., Matsudo, V., Olds, T., Onywera, V., Sarmiento, O. L., Standage, M., Tremblay, M. S., Tudor‐Locke, C., Zhao, P., Church, T. S., & for the ISCOLE Research Group
- Affiliations
- Pennington Biomedical Research Center (US)
- Children's Hospital of Eastern Ontario (CA)
- University of Helsinki (FI)
- St. John's Research Institute (IN)
- University of Cape Town (ZA)
- University of South Australia (AU)
- CIFI<sup>2</sup>D, Faculdade De Desporto, University of Porto Portugal
- Centro de Estudos do Laboratório de Aptidão Física de São Caetano do Sul (BR)
- School of Health Sciences/Sansom Institute University of South Australia Adelaide Australia
- Kenyatta University (KE)
- Universidad de Los Andes (CO)
- University of Bath (GB)
- Pennington Biomedical Research Center Baton Rouge Louisiana USA
- Tianjin Women's and Children's Health Center (CN)
- Corresponding author
- Katzmarzyk, Peter T.
- ORCID
- Katzmarzyk, Peter T.
- Barreira, Tiago V.
- Broyles, Stephanie T.
- Champagne, Catherine M.
- Chaput, Jean‐Philippe
- Fogelholm, Mikael
- Hu, Gang
- Johnson, William D.
- Kuriyan, Rebecca
- Kurpad, Anura
- Lambert, Estelle V.
- Maher, Carol
- Matsudo, Victor
- Onywera, Vincent
- Sarmiento, Olga L.
- Standage, Martyn
- Tremblay, Mark S.
- Church, Timothy S.
- Venue
- Obesity
- Publisher
- Wiley
- Published
- 2015-07-14
- Volume
- 23
- Issue
- 8
- Pages
- 1696-1702
- ISSN
- 1930-7381 (ISSN-L)
- 1930-739X
- OpenAlex
- W1495813542
- Cited by
- 167
- References
- 40
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 5 · 2023: 8 · 2022: 15 · 2021: 16 · 2020: 21 · 2019: 30 · 2018: 20 · 2017: 13 · 2016: 21 · 2015: 5
- FWCI
- 21.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obesity (publishedVersion)
- PubMed (publishedVersion)
- Funders
- The Coca-Cola Company
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Keywords
- childhood obesity, lifestyle habits, sleep duration, physical activity, television viewing, diet quality, healthy diet score, sex differences, behavioral risk factors, cross-national comparison
- MeSH terms
- Child, Diet, Female, Humans, Life Style, Male, Obesity, Risk Factors, Exercise
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