Adherence to combined lifestyle factors and their contribution to obesity in the IDEFICS study
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Summary: Background: The Identification and prevention of Dietary‐ and lifestyle‐induced health EFfects In Children and infantS (IDEFICS) study investigated the aetiology of childhood obesity and developed a primary prevention programme. Methods: Pre‐intervention adherence to key behaviours related to childhood obesity, namely water/sweetened drink, fruit/vegetable consumption, daily TV time, physical activity, family time and adequate sleep duration, was measured at baseline. Adherence to international recommendations was converted into a composite score ranging from 0 (none) to 6 (adhering to all). Data on adherence were available for 7,444 to 15,084 children aged 2–9.9 years, depending on the behaviour. By means of multi‐level logistic regression models adjusted for age, sex and country, we calculated odds ratios (OR) and 95% confidence intervals (CI) to estimate the relationship between adherence to these recommendations and the risk of being overweight/obese. Results: Adherence ranged from 15.0% (physical activity) to 51.9% (TV time). As adherence increased, a lower chance of being overweight/obese was observed; adhering to only one key behaviour (score = 1) meant an OR = 0.81 (CI: 0.65–1.01) compared with non‐adherence (score = 0), while adhering to more than half of the key behaviours (score ≥ 4) halved the chance for overweight/obesity (OR = 0.54, CI: 0.37–0.80). Adherence to physical activity, TV and sleep recommendations was the main driver reducing the chance of being overweight. Overweight/obese children were more likely not to adhere to at least one of the recommended behaviours (19.8%) than normal‐weight/thin children (12.9%) Conclusion: The selected key behaviours do not contribute equally to a reduced chance of being overweight. Future interventions may benefit most from moving more, reducing TV time and getting adequate sleep. © 2015 World Obesity
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How combinations of movement behaviors are associated with obesity is largely unknown, as few studies have examined specific recommendation combinations and obesity, and only a subset have considered sleep duration as a health-related risk behavior in combined analyses.
“How combinations of these movements behaviors are associated with obesity is largely unknown as few studies have examined the influence of meeting specific movement behavior recommendation combinations and obesity, and only a subset have considered sleep duration as a health-related risk behavior in combined analyses [11–18].”
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 [18]
Most studies on this topic have been conducted in developed countries and only a few have included a multi-country analysis.
“In addition, most of the studies have been conducted in developed countries and only a few have included a multi-country analysis [16–18].”
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 [18]
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Self-citation
- Authors
- Kovács, E., Hunsberger, M., Reisch, L., Gwozdz, W., Eiben, G., De Bourdeaudhuij, I., Russo, P., Veidebaum, T., Hadjigeorgiou, C., Sieri, S., Moreno, L. A., Pigeot, I., Ahrens, W., Pohlabeln, H., Molnár, D., & on behalf of the IDEFICS consortium
- Affiliations
- Deutsches Schwindel- und Gleichgewichtszentrum (DE)
- University of Gothenburg (SE)
- Copenhagen Business School (DK)
- Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences Ghent University Ghent Belgium
- Institute of Food Science (IT)
- National Institute for Health Development (EE)
- Research and Education Institute of Child Health Strovolos Cyprus
- Fondazione IRCCS Istituto Nazionale dei Tumori (IT)
- Universidad de Zaragoza (ES)
- University of Bremen (DE)
- Leibniz Institute for Prevention Research and Epidemiology - BIPS (DE)
- University of Pecs (HU)
- Corresponding author
- Kovács, E.
- ORCID
- Venue
- Obesity Reviews
- Publisher
- Wiley
- Published
- 2015-12
- Volume
- 16
- Issue
- S2
- Pages
- 138-150
- ISSN
- 1467-7881 (ISSN-L)
- 1467-789X
- OpenAlex
- W2209230262
- Cited by
- 37
- References
- 71
- Citations by year
- 2024: 4 · 2023: 3 · 2022: 4 · 2021: 2 · 2020: 8 · 2019: 2 · 2018: 3 · 2017: 3 · 2016: 5 · 2015: 3
- FWCI
- 4.99
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Obesity Reviews (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- CBS Research Portal (Copenhagen Business School) (submittedVersion)
- Funders
- European Community (016181)
- Federal Centre for Health Education, Germany
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Keywords
- childhood obesity, lifestyle adherence, dietary recommendations, physical activity, screen time, sleep duration, fruit and vegetable intake, sugar-sweetened beverages, family time, overweight risk, IDEFICS study, primary prevention
- MeSH terms
- Energy Intake, Child, Child, Preschool, Diet, Drinking, Europe, Female, Fruit, Humans, Health Knowledge, Attitudes, Practice, Male, Patient Compliance, Primary Prevention, Sleep, Time Factors, Vegetables, Health Behavior, Body Mass Index, Risk Reduction Behavior, White People, Pediatric Obesity
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