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Title: | Cumulative effect of obesogenic behaviours on adiposity in Spanish children and adolescents. |
Author: | Schröder, Helmut, 1958- Bawaked, Rowaedh Ahmed Ribas Barba, Lourdes Izquierdo Pulido, Maria Roman Viñas, Blanca Fitó Colomer, Montserrat Serra Majem, Lluís |
Keywords: | Obesitat en els infants Obesitat en els adolescents Exercici Obesity in children Obesity in adolescence Exercise |
Issue Date: | 6-Dec-2017 |
Publisher: | S. Karger |
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. |
Note: | Reproducció del document publicat a: https://doi.org/10.1159/000480403 |
It is part of: | Obesity Facts, 2017, vol. 6, num. 10, p. 584-596 |
URI: | http://hdl.handle.net/2445/121783 |
Related resource: | https://doi.org/10.1159/000480403 |
ISSN: | 1662-4025 |
Appears in Collections: | Articles publicats en revistes (Nutrició, Ciències de l'Alimentació i Gastronomia) |
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