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Torna all'elenco Contributi in rivista anno 2015

Contributo in rivista

Tipo: Articolo in rivista

Titolo: Adherence to combined lifestyle factors and their contribution to obesity in the IDEFICS study.

Anno di pubblicazione: 2015

Formato: Elettronico

Autori: Kovacs, E; Hunsberger, M; Reisch, L; Gwozdz, W; Eiben, G; De Bourdeaudhuij, I; Russo, P; Veidebaum, T; Hadjigeorgiou, C; Sieri, S; Moreno, L A; Pigeot, I; Ahrens, W; Pohlabeln, H; Molnar, D

Affiliazioni autori: Department of Paediatrics, Medical Faculty, University of Pécs, Pécs, Hungary; Institute for Medical Information Processing Biometrics and Epidemiology, German Centre for Vertigo and Balance Disorders, Ludwig Maximilian University, Munich, Germany; Section for Epidemiology and Social Medicine, University of Gothenburg, Gothenburg, Sweden; Department of Intercultural Communication and Management, Copenhagen Business School, Copenhagen, Denmark; Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium; Unit of Epidemiology and Population Genetics, Institute of Food Sciences, National Research Council, Avellino, Italy; National Institute for Health Development, Tallinn, Estonia; Research and Education Institute of Child Health, Strovolos, Cyprus; Department of Preventive and Predictive Medicine, Nutritional Epidemiology Unit, National Tumor Institute, Milan, Italy; GENUD (Growth, Exercise, Nutrition and Development) Research Group, University of Zaragoza, Zaragoza, Spain; Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany; Institute of Statistics, Faculty of Mathematics and Computer Science, University Bremen, Bremen, Germany

Autori CNR:


Lingua: inglese

Abstract: Background: The 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. Methods: Pre-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 2-9.9 years, 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. Results: Adherence 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 (score >= 4) 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%) Conclusion: The 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.

Lingua abstract: inglese

Pagine da: 138

Pagine a: 150


Obesity reviews Blackwell Science]
Paese di pubblicazione: Regno Unito
Lingua: inglese
ISSN: 1467-789X

Numero volume: 16 Suppl 2

DOI: 10.1111/obr.12349

Referee: Sě: Internazionale

Stato della pubblicazione: Published version

Indicizzato da: ISI Web of Science (WOS) [26707023]

Parole chiave:

  • Children
  • diet
  • overweight
  • physical activity

URL: https://onlinelibrary.wiley.com/doi/full/10.1111/obr.12349

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