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Contributo in rivista
Tipo: Articolo in rivista
Titolo: Clustering of multiple lifestyle behaviours and its association to cardiovascular risk factors in children: The IDEFICS study
Anno di pubblicazione: 2013
Autori: Bel-Serrat S.; Mouratidou T.; Santaliestra-Pasias A.M.; Iacoviello L.; Kourides Y.A.; Marild S.; Molnar D.; Reisch L.; Siani A.; Stomfai S.; Vanaelst B.; Veidebaum T.; Pigeot I.; Ahrens W.; Krogh V.; Moreno L.A.
Affiliazioni autori: Growth, Exercise, Nutrition and Development (GENUD) Research Group, Faculty of Health Sciences, University of Zaragoza, Corona de Aragón, 42, 2nd Floor, 50009 Zaragoza, Spain; Research Laboratories, Fondazione di Ricerca e Cura 'Giovanni Paolo II', Universitŕ Cattolica Del Sacro Cuore, Campobasso, Italy; Research and Education Institute for Child Health, Strovolos, Cyprus; Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden; Department of Pediatrics, Medical Faculty, University of Pécs, Pécs, Hungary; Copenhagen Business School, Institute for Intercultural Communication and Management, Frederiksberg, Denmark; Unit of Epidemiology and Population Genetics, Institute of Food Sciences, CNR, Avellino, Italy; Department of Public Health, Ghent University, Ghent, Belgium; National Institute for Health Development, Center of Health and Behavioral Science, Tallinn, Estonia; Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany; Institute for Statistics, University Bremen, Bremen, Germany; Department of Preventive and Predictive Medicine, Nutritional Epidemiology Unit, Fondazione IRCSS Istituto Nazionale Dei Tumori, Milan, Italy
Abstract: BACKGROUND/OBJECTIVES:Individual lifestyle behaviours have independently been associated with cardiovascular diseases (CVD) risk factors in children. This study aimed to identify clustered lifestyle behaviours (dietary, physical activity (PA) and sedentary indicators) and to examine their association with CVD risk factors in children aged 2-9 years.SUBJECTS/METHODS:Participants included 4619 children (51.6% boys) from eight European countries participating in the IDEFICS cross-sectional baseline survey (2007-2008). Insulin resistance, total cholesterol/high-density lipoprotein cholesterol ratio, triglycerides, sum of two skinfolds and systolic blood pressure (SBP) z-scores were summed to compute a CVD risk score. Cluster analyses stratified by sex and age groups (2 to <6 years; 6-9 years) were performed using parental-reported data on fruit, vegetables and sugar-sweetened beverages (SSB) consumption, PA performance and television video/DVD viewing.RESULTS:Five clusters were identified. Associations between CVD risk factors and score, and clusters were obtained by multiple linear regression using cluster 5 ('low beverages consumption and low sedentary') as the reference cluster. SBP was positively associated with clusters 1 ('physically active'; ?=1.34; 95% confidence interval (CI): 0.02, 2.67), 2 ('sedentary'; ?=1.84; 95% CI: 0.57, 3.11), 3 ('physically active and sedentary'; ?=1.45; 95% CI: 0.15, 2.75) and 4 ('healthy diet'; ?=1.83; 95% CI: 0.50, 3.17) in older boys. A positive association was observed between CVD risk score and clusters 2 (?=0.60; 95% CI: 0.20, 1.01), 3 (?=0.55; 95% CI: 0.14, 0.97) and 4 (?=0.60, 95% CI: 0.18, 1.02) in older boys.CONCLUSIONS:Low television/video/DVD viewing levels and low SSB consumption may result in a healthier CVD profile rather than having a diet rich in fruits and vegetables or being physically active in (pre-)school children. © 2013 Macmillan Publishers Limited. All rights reserved.
Lingua abstract: inglese
Pagine da: 848
Pagine a: 854
European journal of clinical nutrition
Nature Publishing Group.
Numero volume: 67
Numero fascicolo: 8
Referee: Sě: Internazionale
Indicizzato da: Scopus [2-s2.0-84881481775]
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