Adherence to combined lifestyle factors and their contribution to obesity in the IDEFICS study

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Adherence to combined lifestyle factors and their contribution to obesity in the IDEFICS study

Kovacs, E. (author): 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

Hunsberger, Monica, 1973 (author): Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Univ Gothenburg, Sect Epidemiol & Social Med, Gothenburg, Sweden

Reisch, L. (author): Copenhagen Business Sch, Dept Intercultural Commun & Management, Copenhagen, Denmark

Gwozdz, W. (author): Copenhagen Business Sch, Dept Intercultural Commun & Management, Copenhagen, Denmark

Eiben, Gabriele, 1960 (author): Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Univ Gothenburg, Sect Epidemiol & Social Med, Gothenburg, Sweden

De Bourdeaudhuij, I. (author): Univ Ghent, Dept Movement & Sport Sci, Fac Med & Hlth Sci, B-9000 Ghent, Belgium

Russo, P. (author): CNR, Inst Food Sci, Unit Epidemiol & Populat Genet, Avellino, Italy

Veidebaum, T. (author): Natl Inst Hlth Dev, Tallinn, Estonia

Hadjigeorgiou, C. (author): Res & Educ Inst Child Hlth, Strovolos, Cyprus

Sieri, S. (author): Natl Tumor Inst, Dept Prevent & Predict Med, Nutr Epidemiol Unit, Milan, Italy

Moreno, L. A. (author): Univ Zaragoza, GENUD Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain

Pigeot, I. (author): Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.;Univ Bremen, Inst Stat, Fac Math & Comp Sci, D-28359 Bremen, Germany

Ahrens, W. (author): Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.;Univ Bremen, Inst Stat, Fac Math & Comp Sci, D-28359 Bremen, Germany

Pohlabeln, H. (author): Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany

Molnar, D. (author): Univ Pecs, Fac Med, Dept Paediat, H-7623 Pecs, Hungary

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2015-12-27
2015
English.
In: Obesity Reviews. - : Wiley. - 1467-7881 .- 1467-789X. ; 16:Suppl. 2, s. 138-150

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Journal article (peer-reviewed)

Abstract Subject headings

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

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Keyword

Children
diet
overweight
physical activity
quality-of-life
childhood obesity
physical-activity
european
children
sleep duration
sedentary behavior
health indicators
body-weight
adolescents
prevention
Endocrinology & Metabolism
sundheitsschutz
v50
p810
Children

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art (subject category)

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Other Medical an ...

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By the university: University of Gothenburg; University of Skövde

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