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Lifestyle Clusters in School-Aged Youth and Longitudinal Associations with Fatness: The UP&DOWN Study.
J Pediatr. 2018 12; 203:317-324.e1.JPed

Abstract

OBJECTIVES

To identify lifestyle clusters in children and adolescents, to analyze associations between lifestyle clusters and body fat percentage (BFP) at baseline and 2 years later, and to examine if BFP at baseline is associated with BFP 2 years later.

STUDY DESIGN

This longitudinal study involved 1634 Spanish youth (804 girls) aged 8-18 years (mean, 12.45 ± 2.51 years). Cluster analysis was performed by including objectively measured sedentary time and physical activity and self-reported screen time and diet. The associations between cluster membership and BFP was analyzed through general linear models. All the analyses were separated by 3 age groups: older children, younger adolescents, and older adolescents.

RESULTS

Four clusters were identified in the 3 age groups: (1) healthy lifestyle cluster (high moderate-to-vigorous physical activity, low screen and total sedentary time), (2) predominantly sedentary cluster, (3) mainly screen time consumers cluster, and (4) nonhealthy lifestyle cluster (predominantly low moderate-to-vigorous physical activity and unhealthy diet). Participants belonging to the healthy lifestyle cluster showed significantly lower BFP at baseline and 2 years later compared with the other profiles. These differences remained significant when adjusted by BFP at baseline within the younger adolescents. Moreover, BFP at baseline positively predicted BFP 2 years later in all groups.

CONCLUSIONS

These findings identify distinct lifestyle patterns. These clusters could be useful to develop interventions to reduce overweight and obesity in children and adolescents.

Authors+Show Affiliations

Department of Physical Education, Faculty of Education Sciences, University of Cádiz, Puerto Real, Spain. Electronic address: david.oliva@uca.es.Department of Physical Education, Faculty of Education Sciences, University of Cádiz, Puerto Real, Spain.Department of Physical Education, Faculty of Education Sciences, University of Cádiz, Puerto Real, Spain.Department of Physical Education, Sports and Human Movement, Autonomous University of Madrid, Madrid, Spain.Department of Physical Education, Sports and Human Movement, Autonomous University of Madrid, Madrid, Spain.Department of Physical Education, Faculty of Education Sciences, University of Cádiz, Puerto Real, Spain.

Pub Type(s)

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

Language

eng

PubMed ID

30243538

Citation

Sánchez-Oliva, David, et al. "Lifestyle Clusters in School-Aged Youth and Longitudinal Associations With Fatness: the UP&DOWN Study." The Journal of Pediatrics, vol. 203, 2018, pp. 317-324.e1.
Sánchez-Oliva D, Grao-Cruces A, Carbonell-Baeza A, et al. Lifestyle Clusters in School-Aged Youth and Longitudinal Associations with Fatness: The UP&DOWN Study. J Pediatr. 2018;203:317-324.e1.
Sánchez-Oliva, D., Grao-Cruces, A., Carbonell-Baeza, A., Cabanas-Sánchez, V., Veiga, O. L., & Castro-Piñero, J. (2018). Lifestyle Clusters in School-Aged Youth and Longitudinal Associations with Fatness: The UP&DOWN Study. The Journal of Pediatrics, 203, 317-e1. https://doi.org/10.1016/j.jpeds.2018.07.092
Sánchez-Oliva D, et al. Lifestyle Clusters in School-Aged Youth and Longitudinal Associations With Fatness: the UP&DOWN Study. J Pediatr. 2018;203:317-324.e1. PubMed PMID: 30243538.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lifestyle Clusters in School-Aged Youth and Longitudinal Associations with Fatness: The UP&DOWN Study. AU - Sánchez-Oliva,David, AU - Grao-Cruces,Alberto, AU - Carbonell-Baeza,Ana, AU - Cabanas-Sánchez,Verónica, AU - Veiga,Oscar L, AU - Castro-Piñero,José, Y1 - 2018/09/20/ PY - 2018/03/13/received PY - 2018/06/22/revised PY - 2018/07/26/accepted PY - 2018/9/24/pubmed PY - 2019/3/5/medline PY - 2018/9/24/entrez KW - adolescents KW - body fat KW - children KW - cluster analysis KW - lifestyle behaviors KW - longitudinal study SP - 317 EP - 324.e1 JF - The Journal of pediatrics JO - J. Pediatr. VL - 203 N2 - OBJECTIVES: To identify lifestyle clusters in children and adolescents, to analyze associations between lifestyle clusters and body fat percentage (BFP) at baseline and 2 years later, and to examine if BFP at baseline is associated with BFP 2 years later. STUDY DESIGN: This longitudinal study involved 1634 Spanish youth (804 girls) aged 8-18 years (mean, 12.45 ± 2.51 years). Cluster analysis was performed by including objectively measured sedentary time and physical activity and self-reported screen time and diet. The associations between cluster membership and BFP was analyzed through general linear models. All the analyses were separated by 3 age groups: older children, younger adolescents, and older adolescents. RESULTS: Four clusters were identified in the 3 age groups: (1) healthy lifestyle cluster (high moderate-to-vigorous physical activity, low screen and total sedentary time), (2) predominantly sedentary cluster, (3) mainly screen time consumers cluster, and (4) nonhealthy lifestyle cluster (predominantly low moderate-to-vigorous physical activity and unhealthy diet). Participants belonging to the healthy lifestyle cluster showed significantly lower BFP at baseline and 2 years later compared with the other profiles. These differences remained significant when adjusted by BFP at baseline within the younger adolescents. Moreover, BFP at baseline positively predicted BFP 2 years later in all groups. CONCLUSIONS: These findings identify distinct lifestyle patterns. These clusters could be useful to develop interventions to reduce overweight and obesity in children and adolescents. SN - 1097-6833 UR - https://www.unboundmedicine.com/medline/citation/30243538/Lifestyle_Clusters_in_School_Aged_Youth_and_Longitudinal_Associations_with_Fatness:_The_UP&DOWN_Study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3476(18)31091-6 DB - PRIME DP - Unbound Medicine ER -