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Adherence to combin...
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Kovacs, E.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
(author)
Adherence to combined lifestyle factors and their contribution to obesity in the IDEFICS study
- Article/chapterEnglish2015
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LIBRIS-ID:oai:gup.ub.gu.se/231679
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https://gup.ub.gu.se/publication/231679URI
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https://doi.org/10.1111/obr.12349DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-14428URI
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Group Author(s): IDEFICS Consortium
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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
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Hunsberger, Monica,1973Gothenburg 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(Swepub:gu)xhunmo
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Reisch, L.Copenhagen Business Sch, Dept Intercultural Commun & Management, Copenhagen, Denmark
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Gwozdz, W.Copenhagen Business Sch, Dept Intercultural Commun & Management, Copenhagen, Denmark
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Eiben, Gabriele,1960Gothenburg 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(Swepub:his)eibg
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De Bourdeaudhuij, I.Univ Ghent, Dept Movement & Sport Sci, Fac Med & Hlth Sci, B-9000 Ghent, Belgium
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Russo, P.CNR, Inst Food Sci, Unit Epidemiol & Populat Genet, Avellino, Italy
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Veidebaum, T.Natl Inst Hlth Dev, Tallinn, Estonia
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Hadjigeorgiou, C.Res & Educ Inst Child Hlth, Strovolos, Cyprus
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Sieri, S.Natl Tumor Inst, Dept Prevent & Predict Med, Nutr Epidemiol Unit, Milan, Italy
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Moreno, L. A.Univ Zaragoza, GENUD Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain
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Pigeot, I.Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.;Univ Bremen, Inst Stat, Fac Math & Comp Sci, D-28359 Bremen, Germany
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Ahrens, W.Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.;Univ Bremen, Inst Stat, Fac Math & Comp Sci, D-28359 Bremen, Germany
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Pohlabeln, H.Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany
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Molnar, D.Univ Pecs, Fac Med, Dept Paediat, H-7623 Pecs, Hungary
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Univ Pecs, Fac Med, Dept Paediat, H-7623 Pecs, Hungary / Univ Munich, Inst Med Informat Proc Biometr & Epidemiol, German Ctr Vertigo & Balance Disorders, Munich, GermanyInstitutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
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In:Obesity Reviews: Wiley16:Suppl. 2, s. 138-1501467-78811467-789X
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