Parental education associations with children’s body composition: mediation effects of energy balance-related behaviors within the ENERGY-project
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Background: It is well known that the prevalence of overweight and obesity is considerably higher among youth from lower socio-economic families, but there is little information about the role of some energy balance-related behaviors in the association between socio-economic status and childhood overweight and obesity. The objective of this paper was to assess the possible mediation role of energy balance-related behaviors in the association between parental education and children’s body composition. Methods: Data were obtained from the cross sectional study of the “EuropeaN Energy balance Research to prevent excessive weight Gain among Youth” (ENERGY) project. 2121 boys and 2516 girls aged 10 to 12 from Belgium, Greece, Hungary, the Netherlands, Norway, Slovenia and Spain were included in the analyses. Data were obtained via questionnaires assessing obesity related dietary, physical activity and sedentary behaviors and basic anthropometric objectively measured indicators (weight, height, waist circumference). The possible mediating effect of sugared drinks intake, breakfast consumption, active transportation to school, sports participation, TV viewing, computer use and sleep duration in the association between parental education and children’s body composition was explored via MacKinnon’s product-of-coefficients test in single and multiple mediation models. Two different body composition indicators were included in the models, namely Body Mass Index and waist circumference. Results: The association between parental education and children’s body composition was partially mediated by breakfast consumption, sports participation, TV viewing and computer use. Additionally, a suppression effect was found for sugared drinks intake. No mediation effect was found for active transportation and sleep duration. The significant mediators explained a higher proportion of the association between parental education and waist circumference compared to the association between parental education and BMI. Conclusions: Tailored overweight and obesity prevention strategies in low SES preadolescent populations should incorporate specific messages focusing on the importance of encouraging daily breakfast consumption, increasing sports participation and decreasing TV viewing and computer use. However, longitudinal research to support these findings is needed.
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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 [16]
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 [16]
The ENERGY study identified a short sleeper inactive cluster that was most prevalent in Greece and contained the highest proportion of overweight and obese boys and girls.
“They identified a short sleeper inactive cluster that was most prevalent in Greece and contained the highest proportion of overweight and obese boys and girls.”
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 [16]
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- Authors
- Fernández-Alvira, J. M., te Velde, S. J., De Bourdeaudhuij, I., Bere, E., Manios, Y., Kovacs, E., Jan, N., Brug, J., & Moreno, L. A.
- Affiliations
- Universidad de Zaragoza (ES)
- University of Agder (NO)
- University of Pecs (HU)
- Amsterdam Public Health (NL)
- Venue
- International Journal of Behavioral Nutrition and Physical Activity
- Published
- 2013-06-21
- Volume
- 10
- Issue
- 1
- Pages
- 80-80
- ISSN
- 1479-5868 (ISSN-L)
- PMC
- PMC3695820
- OpenAlex
- W2146234982
- Cited by
- 51
- References
- 51
- Citations by year
- 2026: 5 · 2024: 1 · 2023: 2 · 2022: 5 · 2021: 1 · 2020: 3 · 2019: 4 · 2018: 3 · 2017: 7 · 2016: 10 · 2015: 6 · 2014: 4
- FWCI
- 6.82
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- International Journal of Behavioral Nutrition and Physical Activity (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
- Open access LMU (Ludwid Maxmilian's Universitat Munchen) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- Zaguan (University of Zaragoza Repository) (submittedVersion, cc-by)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- European Commission (CORDIS FP7, FP7-HEALTH-2007-B)
- FP7 Health
- 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 › Physiology › Physical Activity and Health
- Keywords
- parental education, childhood obesity, childhood overweight, body composition, mediation, socioeconomic status, breakfast consumption, sports participation, television viewing, computer use, waist circumference, body mass index, preadolescents, overweight prevention
- MeSH terms
- Body Composition, Child, Child Behavior, Computers, Cross-Sectional Studies, Diet, Educational Status, Europe, Female, Humans, Male, Obesity, Parents, Surveys and Questionnaires, Sleep, Sports, Television, Transportation, Health Behavior, Exercise, Body Mass Index, Dietary Sucrose, Waist Circumference, Breakfast
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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