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Adherence to combined lifestyle factors and their contribution to obesity in the IDEFICS study
Univ Pecs, Fac Med, Dept Paediat, H-7623 Pecs, Hungary / Univ Munich, Inst Med Informat Proc Biometr & Epidemiol, German Ctr Vertigo & Balance Disorders, Munich, Germany.
Univ Gothenburg, Sect Epidemiol & Social Med, Gothenburg, Sweden.
Copenhagen Business Sch, Dept Intercultural Commun & Management, Copenhagen, Denmark.
Copenhagen Business Sch, Dept Intercultural Commun & Management, Copenhagen, Denmark.
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2015 (English)In: Obesity Reviews, ISSN 1467-7881, E-ISSN 1467-789X, Vol. 16, p. 138-150Article in journal (Refereed) Published
Abstract [en]

BackgroundThe 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. MethodsPre-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 2-9.9years, 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. ResultsAdherence 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 (score4) 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%) ConclusionThe 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. (c) 2015 World Obesity

Place, publisher, year, edition, pages
Wiley-Blackwell, 2015. Vol. 16, p. 138-150
Keyword [en]
Children, diet, overweight, physical activity
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:his:diva-14428DOI: 10.1111/obr.12349ISI: 000367356400014PubMedID: 26707023Scopus ID: 2-s2.0-84955315117OAI: oai:DiVA.org:his-14428DiVA, id: diva2:1157643
Note

Group Author(s): IDEFICS Consortium

Available from: 2017-11-16 Created: 2017-11-16 Last updated: 2017-11-27Bibliographically approved

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Eiben, Gabriele

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