The clustering of diet, physical activity and sedentary behavior in children and adolescents: a review

International Journal of Behavioral Nutrition and Physical Activity

Anna Timperio¹  Sarah A McNaughton¹  Rebecca M Leech¹ 

[1]The Centre for Physical Activity and Nutrition Research (C-PAN), School of Exercise and Nutrition Sciences, Deakin University, 221 Burwood Hwy, Burwood 3125, Australia

关键词: Obesity;    Socio-demographic correlates;    Adolescents;    Children;    Sedentary behavior;    Physical activity;    Diet;    Cluster patterns;   

Others  :  805696
DOI  :  10.1186/1479-5868-11-4

 received in 2013-05-09, accepted in 2014-01-10,  发布年份 2014

【 摘 要 】

Diet, physical activity (PA) and sedentary behavior are important, yet modifiable, determinants of obesity. Recent research into the clustering of these behaviors suggests that children and adolescents have multiple obesogenic risk factors. This paper reviews studies using empirical, data-driven methodologies, such as cluster analysis (CA) and latent class analysis (LCA), to identify clustering patterns of diet, PA and sedentary behavior among children or adolescents and their associations with socio-demographic indicators, and overweight and obesity. A literature search of electronic databases was undertaken to identify studies which have used data-driven methodologies to investigate the clustering of diet, PA and sedentary behavior among children and adolescents aged 5–18 years old. Eighteen studies (62% of potential studies) were identified that met the inclusion criteria, of which eight examined the clustering of PA and sedentary behavior and eight examined diet, PA and sedentary behavior. Studies were mostly cross-sectional and conducted in older children and adolescents (≥9 years). Findings from the review suggest that obesogenic cluster patterns are complex with a mixed PA/sedentary behavior cluster observed most frequently, but healthy and unhealthy patterning of all three behaviors was also reported. Cluster membership was found to differ according to age, gender and socio-economic status (SES). The tendency for older children/adolescents, particularly females, to comprise clusters defined by low PA was the most robust finding. Findings to support an association between obesogenic cluster patterns and overweight and obesity were inconclusive, with longitudinal research in this area limited. Diet, PA and sedentary behavior cluster together in complex ways that are not well understood. Further research, particularly in younger children, is needed to understand how cluster membership differs according to socio-demographic profile. Longitudinal research is also essential to establish how different cluster patterns track over time and their influence on the development of overweight and obesity.

【 授权许可】

   
2014 Leech et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Waters E, de Silva-Sanigorski A, Hall BJ, Brown T, Campbell KJ, Gao Y, Armstrong R, Prosser L, Summerbell CD: Interventions for preventing obesity in children. Cochrane Database Syst Rev 2011., 12CD001871
• [2]Lobstein T, Bauer L, Uauy R, the IASO International Obesity TaskForce: Obesity in children and young people: a crisis in public health. Obes Rev 2004, 5(suppl 1):4-85.
• [3]World Health Organization: Report of a joint WHO/FAO expert consultation. Diet, nutrition and the prevention of chronic diseases. Geneva: WHO; 2003.
• [4]Carlson JA, Crespo NC, Sallis JF, Patterson RE, Elder JP: Dietary-related and physical activity-related predictors of obesity in children: a 2-year prospective study. Child Obes 2012, 8:110-115.
• [5]Swinburn BA, Caterson I, Seidell JC, James WPT: Diet, nutrition and the prevention of excess weight gain and obesity. Public Health Nutr 2004, 7:123-146.
• [6]National Health and Medical Research Council: Australian dietary guidelines. Canberra: National Health and Medical Research Council; 2013.
• [7]Department of Health and A: Australia’s physical activity recommendations for 5–12 year olds. Canberra: Department of Health and Ageing; 2004.
• [8]Sanchez A, Norman GJ, Sallis JF, Calfas KJ, Cella J, Patrick K: Patterns and correlates of physical activity and nutrition behaviors in adolescents. Am J Prev Med 2007, 32:124-130.
• [9]Hardy LL, Grunseit A, Khambalia A, Bell C, Wolfenden L, Milat AJ: Co-occurrence of obesogenic risk factors among adolescents. J Adolesc Health 2012, 51:265-271.
• [10]Pronk NP, Anderson LH, Crain AL, Martinson BC, O’Connor PJ, Sherwood NE, Whitebird RR: Meeting recommendations for multiple healthy lifestyle factors. Prevalence, clustering, and predictors among adolescent, adult, and senior health plan members. Am J Prev Med 2004, 27:25-33.
• [11]Schuit AJ, van Loon AJ, Tijhuis M, Ocke M: Clustering of lifestyle risk factors in a general adult population. Prev Med 2002, 35:219-224.
• [12]Prochaska JJ, Spring B, Nigg CR: Multiple health behavior change research: an introduction and overview. Prev Med 2008, 46:181-188.
• [13]Prochaska JO: Multiple health behavior research represents the future of preventive medicine. Prev Med 2008, 46:281-285.
• [14]Everitt BS, Landau S, Leese M, Stahl D: Cluster analysis. 5th edition. West Sussex: John Wiley & Sons, Ltd; 2011.
• [15]Muthen B, Muthen LK: Integrating person-centered and variable-centered analyses: growth mixture modeling with latent trajectory classes. Alcohol Clin Exp Res 2000, 24:882-891.
• [16]Boone-Heinonen J, Gordon-Larsen P, Adair LS: Obesogenic clusters: multidimensional adolescent obesity-related behaviors in the U.S. Ann Behav Med 2008, 36:217-230.
• [17]Huh J, Riggs NR, Spruijt-Metz D, Chou C-P, Huang Z, Pentz M: Identifying patterns of eating and physical activity in children: a latent class analysis of obesity risk. Obesity (Silver Spring, Md) 2011, 19:652-658.
• [18]Cameron AJ, Crawford DA, Salmon J, Campbell K, McNaughton SA, Mishra GD, Ball K: Clustering of obesity-related risk behaviors in children and their mothers. Ann Epidemiol 2011, 21:95-102.
• [19]Biddle SJ, Pearson N, Ross GM, Braithwaite R: Tracking of sedentary behaviours of young people: a systematic review. Prev Med 2010, 51:345-351.
• [20]Lake AA, Mathers JC, Rugg-Gunn AJ, Adamson AJ: Longitudinal changes in food habits between adolescence (11–12 years) and adulthood (32–33 years): the ASH30 study. J Public Health 2006, 28:10-16.
• [21]Lien N, Lytle L, Klepp K: Stability in consumption of fruit, vegetables and sugary foods in a cohort from age 14 to age 21. Prev Med 2001, 33:217-226.
• [22]Telama R: Tracking of physical activity from childhood to adulthood: a review. Obes Facts 2009, 2:187-195.
• [23]Ball K, Cleland VJ, Timperio AF, Salmon J, Crawford DA: Socioeconomic position and children’s physical activity and sedentary behaviors: longitudinal findings from the CLAN study. J Phys Act Health 2009, 6:289-298.
• [24]Cameron AJ, Ball K, Pearson N, Lioret S, Crawford DA, Campbell K, Hesketh K, McNaughton SA: Socioeconomic variation in diet and activity-related behaviours of Australian children and adolescents aged 2–16 years. Pediatr Obes 2012, 7:329-342.
• [25]Cutler GJ, Flood A, Hannan P, Neumark-Sztainer D: Multiple sociodemographic and socioenvironmental characteristics are correlated with major patterns of dietary intake in adolescents. J Am Diet Assoc 2011, 111:230-240.
• [26]Rey-Lopez JP, Tomas C, Vicente-Rodriguez G, Gracia-Marco L, Jimenez-Pavon D, Perez-Llamas F, Redondo C, Bourdeaudhuij ID, Sjostrom M, Marcos A, et al.: Sedentary behaviours and socio-economic status in Spanish adolescents: the AVENA study. Eur J Public Health 2011, 21:151-157.
• [27]Malik VS, Schulze MB, Hu FB: Intake of sugar-sweetened beverages and weight gain: a systematic review. Amer J Clin Nutr 2006, 84:274-288.
• [28]Newby PK: Are dietary intakes and eating behaviors related to childhood obesity? A comprehensive review of the evidence. J Law Med Ethics 2007, 35:35-60.
• [29]Kremers SPJ, De Bruijn G, Schaalma H, Brug J: Clustering of energy balance-related behaviours and their intrapersonal determinants. Psych Health 2004, 19:595-606.
• [30]Boynton-Jarrett R, Thomas TN, Peterson KE, Wiecha J, Sobol AM, Gortmaker SL: Impact of television viewing patterns on fruit and vegetable consumption among adolescents. Pediatrics 2003, 112:1321-1326.
• [31]Driskell MM, Dyment S, Mauriello L, Castle P, Sherman K: Relationships among multiple behaviors for childhood and adolescent obesity prevention. Prev Med 2008, 46:209-215.
• [32]Pearson N, Atkin AJ, Biddle SJ, Gorely T, Edwardson C: Patterns of adolescent physical activity and dietary behaviors. Int J Beh Nutr Phys Act 2009, 6:45. BioMed Central Full Text
• [33]Pearson N, Timperio A, Salmon J, Crawford D, Biddle SJ: Family influences on children’s physical activity and fruit and vegetable consumption. Int J Beh Nutr Phys Act 2009, 6:34. BioMed Central Full Text
• [34]Gubbels JS, Kremers SP, Goldbohm RA, Stafleu A, Thijs C: Energy balance-related behavioural patterns in 5-year-old children and the longitudinal association with weight status development in early childhood. Public Health Nutr 2012, 15:1402-1410.
• [35]Kontogianni MD, Farmaki AE, Vidra N, Sofrona S, Magkanari F, Yannakoulia M: Associations between lifestyle patterns and body mass index in a sample of Greek children and adolescents. J Am Diet Assoc 2010, 110:215-221.
• [36]Platat C, Perrin AE, Oujaa M, Wagner A, Haan MC, Schlienger JL, Simon C: Diet and physical activity profiles in French preadolescents. Br J Nutr 2006, 96:501-507.
• [37]Marshall SJ, Biddle SJH, Sallis JF, McKenzie TL, Conway TL: Clustering of sedentary behaviors and physical activity among youth: a cross-national study. Pediatr Exerc Sci 2002, 14:401-417.
• [38]Gorely T, Marshall SJ, Biddle SJ, Cameron N: Patterns of sedentary behaviour and physical activity among adolescents in the United Kingdom: Project STIL. J Behav Med 2007, 30:521-531.
• [39]Jago R, Fox KR, Page AS, Brockman R, Thompson JL: Physical activity and sedentary behavior typologies of 10–11 year olds. Int J Behav Nutr Phys Act 2010, 7:59. BioMed Central Full Text
• [40]Landsberg B, Plachta-Danielzik S, Lange D, Johannsen M, Seiberl J, Müller MJ: Clustering of lifestyle factors and association with overweight in adolescents of the Kiel Obesity Prevention Study. Public Health Nutr 2010, 13:1708-1715.
• [41]Mistry R, McCarthy WJ, Yancey AK, Lu Y, Patel M: Resilience and patterns of health risk behaviors in California adolescents. Prev Med 2009, 48:291-297.
• [42]Nelson MC, Gordon-Larsen P, Adair LS, Popkin BM: Adolescent physical activity and sedentary behavior: patterning and long-term maintenance. Am J Prev Med 2005, 28:259-266.
• [43]Ottevaere C, Huybrechts I, Benser J, De Bourdeaudhuij I, Cuenca-Garcia M, Dallongeville J, Zaccaria M, Gottrand F, Kersting M, Rey-Lopez JP, et al.: Clustering patterns of physical activity, sedentary and dietary behavior among European adolescents: The HELENA study. BMC Public Health 2011, 11:328. BioMed Central Full Text
• [44]Sabbe D, De Bourdeaudhuij I, Legiest E, Maes L: A cluster-analytical approach towards physical activity and eating habits among 10-year-old children. Health Educ Res 2008, 23:753-762.
• [45]Seghers J, Rutten C: Clustering of multiple lifestyle behaviours and its relationship with weight status and cardiorespiratory fitness in a sample of Flemish 11- to 12-year-olds. Public Health Nutr 2010, 13:1838-1846.
• [46]te Velde SJ, De Bourdeaudhuij I, Thorsdottir I, Rasmussen M, Hagstromer M, Klepp KI, Brug J: Patterns in sedentary and exercise behaviors and associations with overweight in 9–14-year-old boys and girls–a cross-sectional study. BMC Public Health 2007, 7:16. BioMed Central Full Text
• [47]Telama R, Nupponen H, Pieron M: Physical activity among young people in the context of lifestyle. Eur Phys Educ Rev 2005, 11:115-137.
• [48]Turner K, Dwyer JJM, Edwards AM, Allison KR: Clustering of specific health-related behaviours among Toronto adolescents. Can J Diet Pract Res 2011, 72:e155-e160.
• [49]van der Sluis ME, Lien N, Twisk JWR, Steenhuis IHM, Bere E, Klepp K-I, Wind M: Longitudinal associations of energy balance-related behaviours and cross-sectional associations of clusters and body mass index in Norwegian adolescents. Public Health Nutr 2010, 13:1716-1721.
• [50]Liu J, Kim J, Colabianchi N, Ortaglia A, Pate RR: Co-varying patterns of physical activity and sedentary behaviors and their long-term maintenance among adolescents. J Phys Act Health 2010, 7:465-474.
• [51]Patnode CD, Lytle LA, Erickson DJ, Sirard JR, Barr-Anderson DJ, Story M: Physical activity and sedentary activity patterns among children and adolescents: a latent class analysis approach. J Phys Act Health 2011, 8:457-467.
• [52]Nelson MC, Neumark-Stzainer D, Hannan PJ, Sirard JR, Story M: Longitudinal and secular trends in physical activity and sedentary behavior during adolescence. Pediatrics 2006, 118:e1627-e1634.
• [53]Cole TJ, Bellizzi MC, Flegal KM, Dietz WH: Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ 2000, 320:1240-1243.
• [54]Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, Flegal KM, Guo SS, Wei R, Mei Z, Curtin L, Roche AF, Johnson CL: CDC growth charts. Adv Data 2000, 314:1-27.
• [55]Tremblay MS, LeBlanc AG, Kho ME, Saunders TJ, Larouche R, Colley RC, Goldfield G, Connor Gorber S: Systematic review of sedentary behaviour and health indicators in school-aged children and youth. Int J Behav Nutr Phys Act 2011, 8:98. BioMed Central Full Text
• [56]Tremblay MS, Colley RC, Saunders TJ, Healy GN, Owen N: Physiological and health implications of a sedentary lifestyle. Appl Physiol Nutr Metab 2010, 35:725-740.
• [57]Department of Health and Ageing, Department of Agriculture Fisheries and Forestry, Australian Food and Grocery Council: Australian national Children’s nutrition and physical activity survey: main findings. Canberra: Commonwealth of Australia; 2007.
• [58]Raudsepp L, Neissaar I, Kull M: Longitudinal stability of sedentary behaviors and physical activity during early adolescence. Pediatr Exerc Sci 2008, 20:251-262.
• [59]Telama R, Yang X: Decline of physical activity from youth to young adulthood in Finland. Med Sci Sports Exerc 2000, 32:1617-1622.
• [60]Trost SG, Pate RR, Sallis JF, Freedson PS, Taylor WC, Dowda M, Sirard J: Age and gender differences in objectively measured physical activity in youth. Med Sci Sports Exerc 2002, 34:350-355.
• [61]Booth ML, Okely AD, Chey TN, Bauman A: The reliability and validity of the adolescent physical activity recall questionnaire. Med Sci Sports Exerc 2002, 34:1986-1995.
• [62]Gibson RS: Principles of nutritional assessment. 2nd edition. New York: Oxford University Press; 2005.
• [63]Chinapaw MJ, Mokkink LB, van Poppel MN, van Mechelen W, Terwee CB: Physical activity questionnaires for youth: a systematic review of measurement properties. Sports Med 2010, 40:539-563.
• [64]Saunders TJ, Prince SA, Tremblay MS: Clustering of children’s activity behavior: the use of self-report versus direct measures. Int J Beh Nutr Phys Act 2011, 8:48. author reply 49 BioMed Central Full Text
• [65]Goodman E, Hinden BR, Khandelwal S: Accuracy of teen and parental reports of obesity and body mass index. Pediatrics 2000, 106:52-58.
• [66]Dubois L, Girad M: Accuracy of maternal reports of pre-schoolers’ weights and heights as estimates of BMI values. Int J Epidemiol 2007, 36:132-138.
• [67]Akinbami LJ, Ogden CL: Childhood overweight prevalence in the United States: the impact of parent-reported height and weight. Obesity (Silver Spring) 2009, 17:1574-1580.
• [68]Magarey A, Watson J, Golley RK, Burrows T, Sutherland R, McNaughton SA, Denney-Wilson E, Campbell K, Collins C: Assessing dietary intake in children and adolescents: considerations and recommendations for obesity research. Int J Pediatr Obes 2010, 6:2-11.
• [69]Biddle SJ, Gorely T, Pearson N, Bull FC: An assessment of self-reported physical activity instruments in young people for population surveillance: project ALPHA. Int J Behav Nutr Phys Act 2011, 8:1. BioMed Central Full Text
• [70]Burrows T, Golley RK, Khambalia A, McNaughton SA, Magarey A, Rosenkranz RR, Alllman-Farinelli M, Rangan AM, Truby H, Collins C: The quality of dietary intake methodology and reporting in child and adolescent obesity intervention trials: a systematic review. Obes Rev 2012, 13:1125-1138.