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Cumulative Effect of Obesogenic Behaviours on Adiposity in Spanish Children and Adolescents.
Obes Facts. 2017; 10(6):584-596.OF

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.

Authors+Show Affiliations

Cardiovascular Risk and Nutrition Research Group (CARIN), IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

29207394

Citation

Schröder, Helmut, et al. "Cumulative Effect of Obesogenic Behaviours On Adiposity in Spanish Children and Adolescents." Obesity Facts, vol. 10, no. 6, 2017, pp. 584-596.
Schröder H, Bawaked RA, Ribas-Barba L, et al. Cumulative Effect of Obesogenic Behaviours on Adiposity in Spanish Children and Adolescents. Obes Facts. 2017;10(6):584-596.
Schröder, H., Bawaked, R. A., Ribas-Barba, L., Izquierdo-Pulido, M., Roman-Viñas, B., Fíto, M., & Serra-Majem, L. (2017). Cumulative Effect of Obesogenic Behaviours on Adiposity in Spanish Children and Adolescents. Obesity Facts, 10(6), 584-596. https://doi.org/10.1159/000480403
Schröder H, et al. Cumulative Effect of Obesogenic Behaviours On Adiposity in Spanish Children and Adolescents. Obes Facts. 2017;10(6):584-596. PubMed PMID: 29207394.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cumulative Effect of Obesogenic Behaviours on Adiposity in Spanish Children and Adolescents. AU - Schröder,Helmut, AU - Bawaked,Rowaedh Ahmed, AU - Ribas-Barba,Lourdes, AU - Izquierdo-Pulido,Maria, AU - Roman-Viñas,Blanca, AU - Fíto,Montserrat, AU - Serra-Majem,Lluis, Y1 - 2017/12/06/ PY - 2017/02/08/received PY - 2017/08/17/accepted PY - 2017/12/6/pubmed PY - 2019/7/4/medline PY - 2017/12/6/entrez KW - Childhood obesity KW - Diet KW - Obesogenic behaviours KW - Physical activity SP - 584 EP - 596 JF - Obesity facts JO - Obes Facts VL - 10 IS - 6 N2 - 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. SN - 1662-4033 UR - https://www.unboundmedicine.com/medline/citation/29207394/Cumulative_Effect_of_Obesogenic_Behaviours_on_Adiposity_in_Spanish_Children_and_Adolescents_ L2 - https://www.karger.com?DOI=10.1159/000480403 DB - PRIME DP - Unbound Medicine ER -