Cumulative Effect of Obesogenic Behaviours on Adiposity in Spanish Children and Adolescents
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- dc.contributor.author Schröder, Helmut, 1958-
- dc.contributor.author Bawaked, Rowaedh Ahmed, 1985-
- dc.contributor.author Ribas-Barba, Lourdes
- dc.contributor.author Izquierdo-Pulido, Maria
- dc.contributor.author Roman-Viñas, Blanca
- dc.contributor.author Fitó Colomer, Montserrat
- dc.contributor.author Serra-Majem, Luis
- dc.date.accessioned 2018-12-20T08:52:52Z
- dc.date.available 2018-12-20T08:52:52Z
- dc.date.issued 2017
- dc.description.abstract OBJECTIVE:Little is known about the cumulative effect of obesogenic behaviours on childhood obesity risk. We determined the cumulative effect on BMI z-score, waist-to-height ratio (WHtR), overweight and abdominal obesity of four lifestyle behaviours that have been linked to obesity. METHODS: In this cross-sectional analysis, data were obtained from the EnKid sudy, a representative sample of Spanish youth. The study included 1,614 boys and girls aged 5-18 years. Weight, height and waist circumference were measured. Physical activity (PA), screen time, breakfast consumption and meal frequency were self-reported on structured questionnaires. Obesogenic behaviours were defined as <1 h PA/day, ≥2 h/day screen time, skipping breakfast and <3 meals/day. BMI z-score was computed using age- and sex-specific reference values from the World Health Organization (WHO). Overweight including obesity was defined as a BMI > 1 SD from the mean of the WHO reference population. Abdominal obesity was defined as a WHtR ≥ 0.5. RESULTS: High screen time was the most prominent obesogenic behaviour (49.7%), followed by low physical activity (22.4%), low meal frequency (14.4%), and skipping breakfast (12.5%). Although 33% of participants were free of all 4 obesogenic behaviours, 1, 2, and 3 or 4 behaviours were reported by 44.5%, 19.3%, and 5.0%, respectively. BMI z-score and WHtR were positively associated (p < 0.001) with increasing numbers of concurrent obesogenic behaviours. The odds of presenting with obesogenic behaviours were significantly higher in children who were overweight (OR 2.68; 95% CI 1.50; 4.80) or had abdominal obesity (OR 2.12; 95% CI 1.28; 3.52); they reported more than 2 obesogenic behaviours. High maternal and parental education was inversely associated (p = 0.004 and p < 0.001, respectively) with increasing presence of obesogenic behaviours. Surrogate markers of adiposity increased with numbers of concurrent presence of obesogenic behaviours. The opposite was true for high maternal and paternal education.
- dc.format.mimetype application/pdf
- dc.identifier.citation Schröder H, Bawaked RA, Ribas-Barba L, Izquierdo-Pulido M, Roman-Viñas B, Fíto M. et al. Cumulative Effect of Obesogenic Behaviours on Adiposity in Spanish Children and Adolescents. Obes Facts. 2017;10(6):584-596. DOI: 10.1159/000480403
- dc.identifier.doi http://dx.doi.org/10.1159/000480403
- dc.identifier.issn 1662-4025
- dc.identifier.uri http://hdl.handle.net/10230/36158
- dc.language.iso eng
- dc.publisher Karger (S. Karger AG)
- dc.relation.ispartof Obesity Facts. 2017;10(6):584-96
- dc.rights This article is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission.
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri https://creativecommons.org/licenses/by-nc/4.0/
- dc.subject.keyword Childhood obesity
- dc.subject.keyword Diet
- dc.subject.keyword Obesogenic behaviours
- dc.subject.keyword Physical activity
- dc.subject.other Obesitat
- dc.subject.other Infants -- Alimentació
- dc.subject.other Adolescents -- Alimentació
- dc.title Cumulative Effect of Obesogenic Behaviours on Adiposity in Spanish Children and Adolescents
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion