Clustering of energy balance-related behaviors in 5-year-old children: Lifestyle patterns and their longitudinal association with weight status development in early childhood

International Journal of Behavioral Nutrition and Physical Activity

Research

Stef PJ Kremers¹  Jessica S Gubbels¹  Nanne K de Vries²  Carel Thijs³  R Alexandra Goldbohm⁴  Annette Stafleu⁵ 

[1] Department of Health Promotion, Maastricht University, PO Box 616, 6200, Maastricht, MD, the Netherlands;NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University, PO Box 616, 6200, Maastricht, MD, the Netherlands;Department of Health Promotion, Maastricht University, PO Box 616, 6200, Maastricht, MD, the Netherlands;NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University, PO Box 616, 6200, Maastricht, MD, the Netherlands;School for Public Health and Primary Care (CAPHRI), Maastricht University, PO Box 616, 6200, Maastricht, MD, the Netherlands;School for Public Health and Primary Care (CAPHRI), Maastricht University, PO Box 616, 6200, Maastricht, MD, the Netherlands;Department of Epidemiology, Maastricht University, PO Box 616, 6200, Maastricht, MD, the Netherlands;TNO, PO Box 2215, 2301, Leiden, CE, the Netherlands;TNO, PO Box 360, 3700, Zeist, AJ, the Netherlands;

关键词: BMI;    Diet;    Eating pattern;    Factor analysis;    Overweight;    Physical activity;    Principal component analysis;    Screen-based behavior;    Sedentary behavior;   

DOI  :  10.1186/1479-5868-9-77

 received in 2011-11-23, accepted in 2012-06-13,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundThis study identified lifestyle patterns by examining the clustering of eating routines (e.g. eating together as a family, having the television on during meals, duration of meals) and various activity-related behaviors (i.e. physical activity (PA) and sedentary screen-based behavior) in 5-year-old children, as well as the longitudinal association of these patterns with weight status (BMI and overweight) development up to age 8.MethodsData originated from the KOALA Birth Cohort Study (N = 2074 at age 5). Principal component analysis (PCA) was used to identify lifestyle patterns. Backward regression analyses were used to examine the association of lifestyle patterns with parent and child background characteristics, as well as the longitudinal associations between the patterns and weight status development.ResultsFour lifestyle patterns emerged from the PCA: a ‘Television–Snacking’ pattern, a ‘Sports–Computer’ pattern, a ‘Traditional Family’ pattern, and a “Fast’ Food’ pattern. Child gender and parental educational level, working hours and body mass index were significantly associated with the scores for the patterns. The Television–Snacking pattern was positively associated with BMI (standardized regression coefficient β = 0.05; p < 0.05), and children with this pattern showed a positive tendency toward being overweight at age 8 (Odds ratio (OR) = 1.27, p = 0.06). In addition, the Sports–Computer pattern was significantly positively associated with an increased risk of becoming overweight at age 7 (OR = 1.28, p < 0.05).ConclusionsThe current study showed the added value of including eating routines in cross-behavioral clustering analyses. The findings indicate that future interventions to prevent childhood overweight should address eating routines and activity/inactivity simultaneously, using the synergy between clustered behaviors (e.g. between television viewing and snacking).

【 授权许可】

Unknown   
© Gubbels et al.; licensee BioMed Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.