Associations between meeting combinations of 24-hour movement recommendations and dietary patterns of children: A 12-country study

PREVENTIVE MEDICINE

卷:118

Article

Thivel, David¹  Tremblay, Mark S.²  Katzmarzyk, Peter T.^3,9  Fogelholm, Mikael⁴  Hu, Gang^5,12  Maher, Carol⁵  Maia, Jose⁶  Olds, Timothy⁵  Sarmiento, Olga L.⁷  Standage, Martyn⁸  Tudor-Locke, Catrine³  Chaput, Jean-Philippe²  Church, Timothy S.⁹  Lambert, Denise G.⁹  Barreira, Tiago⁹  Broyles, Stephanie⁹  Butitta, Ben⁹  Champagne, Catherine⁹  Cocreham, Shannon⁹  Denstel, Kara D.⁹  Drazba, Katy⁹  Harrington, Deirdre⁹  Johnson, William⁹  Milauskas, Dione⁹  Mire, Emily⁹  Tohme, Allison⁹  Rodarte, Ruben⁹  Amoroso, Bobby¹⁰  Luopa, John¹⁰  Neiberg, Rebecca¹⁰  Rushing, Scott¹⁰  Lewis, Lucy⁵  Ferrar, Katia⁵  Georgiadis, Effie⁵  Stanley, Rebecca⁵  Keihan, Victor¹¹  Matsudo, Rodrigues¹¹  Matsudo, Sandra¹¹  Araujo, Timoteo¹¹  de Oliveira, Luis Carlos¹¹  Fabiano, Luis¹¹  Bezerra, Diogo¹¹  Ferrari, Gerson¹¹  Belanger, Priscilla²  Borghese, Mike²  Boyer, Charles²  LeBlanc, Allana²  Francis, Claire²  Leduc, Genevieve²  Zhao, Pei¹²  Diao, Chengming¹²  Li, Wei¹²  Li, Weiqin¹²  Liu, Enqing¹²  Liu, Gongshu¹²  Liu, Hongyan¹²  Ma, Jian¹²  Qiao, Yijuan¹²  Tian, Huiguang¹²  Wang, Yue¹²  Zhang, Tao¹²  Zhang, Fuxia¹²  Sarmiento, Olga⁷  Acosta, Julio⁷  Alvira, Yalta⁷  Paula Diaz, Maria⁷  Gamez, Rocio⁷  Paula Garcia, Maria⁷  Guillermo Gomez, Luis⁷  Gonzalez, Lisseth⁷  Gonzalez, Silvia⁷  Grijalba, Carlos⁷  Gutierrez, Leidys⁷  Leal, David⁷  Lemus, Nicolas⁷  Mahecha, Etelvina⁷  Paula Mahecha, Maria⁷  Mahecha, Rosalba⁷  Ramirez, Andrea⁷  Rios, Paola⁷  Suarez, Andres⁷  Triana, Camilo⁷  Hovi, Elli⁴  Kivela, Jemina⁴  Rasanen, Sari⁴  Roito, Sanna⁴  Saloheimo, Taru⁴  Valta, Leena⁴  Kurpad, Anura¹³  Kuriyan, Rebecca¹³  Lokesh, Deepa P.¹³  D'Almeida, Michelle Stephanie¹³  Mattilda, Annie¹³  Correa, Lygia¹³  Murthy, Vijay Dakshina¹³  Onywera, Vincent¹⁴  Wachira, Lucy-Joy¹⁴  Muthuri, Stella¹⁴  Borges, Alessandra da Silva⁶  Sa Cachada, Sofia Oliveira⁶  de Chaves, Raquel Nichele⁶  Queiroz Ferreira Gomes, Thayse Natacha⁶  Sampaio Pereira, Sara Isabel⁶  de Vilhena e Santos, Daniel Monteiro⁶  dos Santos, Fernanda Karma⁶  Rodrigues da Silva, Pedro Gil⁶  de Souza, Michele Caroline⁶  Lambert, Vicki¹⁵  April, Matthew¹⁵  Uys, Monika¹⁵  Naidoo, Nirmala¹⁵  Synyanya, Nandi¹⁵  Carstens, Madelaine¹⁵  Cumming, Sean⁸  Drenowatz, Clemens⁸  Emm, Lydia⁸  Gillison, Fiona⁸  Zakrzewski, Julia⁸  Braud, Ashley³  Donatto, Sheletta³  Lemon, Corbin³  Jackson, Ana³  Pearson, Ashunti³  Pennington, Gina³  Ragus, Daniel³  Roubion, Ryan³  Schuna, John, Jr.³  Wiltz, Derek³  Batterham, Alan¹⁶  Kerr, Jacqueline¹⁷  Pratt, Michael¹⁸  Pietrobelli, Angelo¹⁹ 

[1] Clermont Univ, Clermont Ferrand, France

[2] Childrens Hosp Eastern Ontario, Res Inst, Ottawa, ON, Canada

[3] Pennington Biomed Res Ctr, 6400 Perkins Rd, Baton Rouge, LA 70808 USA

[4] Univ Helsinki, Helsinki, Finland

[5] Univ South Australia, Adelaide, SA, Australia

[6] Univ Porto, Porto, Portugal

[7] Univ Los Andes, Bogota, Colombia

[8] Univ Bath, Bath, Avon, England

[9] Pennington Biomed Res Ctr, Coordinating Ctr, 6400 Perkins Rd, Baton Rouge, LA 70808 USA

[10] Wake Forest Univ, Data Management Ctr, Winston Salem, NC 27109 USA

[11] Ctr Estudos Lab Aptidao Fis Sao Caetano do Sul CE, Sao Caetano do Sul, Brazil

[12] Tianjin Womens & Childrens Hlth Ctr, Tianjin, Peoples R China

[13] St Johns Res Inst, Bengaluru, India

[14] Kenyatta Univ, Nairobi, Kenya

[15] Univ Cape Town, Cape Town, South Africa

[16] Teesside Univ, Middlesbrough, Cleveland, England

[17] Univ Calif San Diego, La Jolla, CA 92093 USA

[18] Ctr Dis Control & Prevent, Atlanta, GA USA

[19] Verona Univ, Med Sch, Verona, Italy

关键词: Physical activity;    Screen time;    Sleep;    Diet;    Food intake;    Eating behavior;    Pediatric;   

DOI  :  10.1016/j.ypmed.2018.10.025

来源: Elsevier

【 摘 要 】

The purpose of this study was to examine whether meeting movement behavior recommendations (i.e., >= 60 min of moderate-to-vigorous physical activity [MVPA] per day, <= 2h of recreational screen time per day, and between 9 and 11 h of nightly sleep), and combinations of these recommendations, are associated with dietary patterns of children. This cross-sectional study was conducted between 2011 and 2013 and included 5873 children 9-11 years of age from 12 countries around the world. MVPA and nightly sleep duration were measured using 24-hour waist-worn accelerometry. Screen time habits were assessed via self-report. A food frequency questionnaire was used to assess dietary patterns, and the whole diet was described by two components derived from principal component analysis: healthy and unhealthy dietary pattern scores. Covariates included in the multilevel statistical models included age, sex, highest parental education, and body mass index z-score. A healthier dietary pattern score was observed when more movement behavior recommendations were met. Among the three movement behaviors, limiting screen time habits to the recommended amount was most strongly associated with healthier dietary patterns. Similarly, a less unhealthy dietary pattern was observed when more movement behavior recommendations were met. Surprisingly, the highest unhealthy dietary pattern was associated with children meeting the MVPA recommendation alone. Combinations including <= 2 h of screen time per day were those most strongly associated with a less unhealthy dietary pattern. Findings were similar across study sites and in boys and girls. In conclusion, meeting more movement behavior recommendations is generally associated with better dietary patterns in children from around the world, with limiting screen time habits showing the strongest relationships.

【 授权许可】

Free