期刊
NUTRIENTS
卷 11, 期 3, 页码 -出版社
MDPI
DOI: 10.3390/nu11030511
关键词
cluster analysis; energy balance-related behaviors; physical activity; sedentary behavior; screen time; dietary intake; overweight; obesity; children
资金
- Albania: World Health Organization through the Joint Programme on Children, Food Security and Nutrition Reducing Malnutrition in Children
- Albania: Millennium Development Goals Achievement Fund
- Albania: Institute of Public Health
- Bulgaria: Ministry of Health, National Center of Public Health and Analyses, World Health Organization Regional Office for Europe
- Croatia: Croatian Institute of Public Health
- Croatia: World Health Organization Regional Office for Europe
- Denmark: Danish Ministry of Health
- Georgia: World Health Organization
- Ireland: Health Service Executive
- Kazakhstan: Ministry of Health of the Republic of Kazakhstan
- Kazakhstan: World Health Organization Country Office
- Lithuania: World Health Organization
- Malta: Ministry of Health
- Montenegro: World Health Organization
- Montenegro: Institute of Public Health of Montenegro
- Poland: National Health Programme, Ministry of Health
- Portugal: Ministry of Health Institutions, the National Institute of Health, Directorate General of Health, Regional Health Directorates
- Romania: Ministry of Health
- Spain: Spanish Agency for Food Safety and Nutrition (AESAN)
- Turkmenistan: World Health Organization Country Office in Turkmenistan
- Turkmenistan: Ministry of Health
- [AZV MZCR 17-31670 A]
- [MZCR-RVO EU 00023761]
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.
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