RT Journal Article
T1 Clustering of Multiple Energy Balance-Related Behaviors in School Children and its Association with Overweight and Obesity-WHO European Childhood Obesity Surveillance Initiative (COSI 2015⁻2017).
A1 Bel-Serrat, Silvia
A1 Ojeda-Rodríguez, Ana
A1 Heinen, Mirjam M
A1 Buoncristiano, Marta
A1 Abdrakhmanova, Shynar
A1 Duleva, Vesselka
A1 Sant'Angelo, Victoria Farrugia
A1 Fijałkowska, Anna
A1 Hejgaard, Tatjana
A1 Huidumac, Constanta
A1 Hyska, Jolanda
A1 Kujundzic, Enisa
A1 Milanović, Sanja Musić
A1 Ovezmyradova, Guljemal
A1 Pérez-Farinós, Napoleón
A1 Petrauskiene, Ausra
A1 Rito, Ana Isabel
A1 Shengelia, Lela
A1 Braunerová, Radka Taxová
A1 Rutter, Harry
A1 Murrin, Celine M
A1 Kelleher, Cecily C
A1 Breda, João
K1 children
K1 cluster analysis
K1 dietary intake
K1 energy balance-related behaviors
K1 obesity
K1 overweight
K1 physical activity
K1 screen time
K1 sedentary behavior
AB It is unclear how dietary, physical activity and sedentary behaviors co-occur in school-aged children. We investigated the clustering of energy balance-related behaviors and whether the identified clusters were associated with weight status. Participants were 6- to 9-year-old children (n = 63,215, 49.9% girls) from 19 countries participating in the fourth round (2015/2017) of the World Health Organization (WHO) European Childhood Obesity Surveillance Initiative. Energy balance-related behaviors were parentally reported. Weight and height were objectively measured. We performed cluster analysis separately per group of countries (North Europe, East Europe, South Europe/Mediterranean countries and West-Central Asia). Seven clusters were identified in each group. Healthier clusters were common across groups. The pattern of distribution of healthy and unhealthy behaviors within each cluster was group specific. Associations between the clustering of energy balance-related behaviors and weight status varied per group. In South Europe/Mediterranean countries and East Europe, all or most of the cluster solutions were associated with higher risk of overweight/obesity when compared with the cluster 'Physically active and healthy diet'. Few or no associations were observed in North Europe and West-Central Asia, respectively. These findings support the hypothesis that unfavorable weight status is associated with a particular combination of energy balance-related behavior patterns, but only in some groups of countries.
YR 2019
FD 2019-02-27
LK https://hdl.handle.net/10668/24607
UL https://hdl.handle.net/10668/24607
LA en
DS RISalud
RD Apr 17, 2025