Clustering of Multiple Energy Balance-Related Behaviors in School Children and its Association with Overweight and Obesity-WHO European Childhood Obesity Surveillance Initiative (COSI 2015⁻2017).

Nutrients
Silvia Bel-SerratJoão Breda

Abstract

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'. Fe...Continue Reading

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Citations

Feb 16, 2019·Maternal & Child Nutrition·Cybele Sodré AraújoAna Marlucia de Assis
Jul 2, 2019·Diabetes/metabolism Research and Reviews·Federica VinciguerraLucia Frittitta
Aug 14, 2019·Nutrients·Antje Hebestreit, Leonie H Bogl
Apr 17, 2020·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Ninoshka J D'SouzaKylie D Hesketh
May 1, 2021·International Journal of Environmental Research and Public Health·Anna Kawalec, Krystyna Pawlas
Jul 3, 2021·Frontiers in Public Health·Predrag BozicSergej Ostojic
Jul 27, 2021·Nutrición hospitalaria·Marta García-SolanoMaría Ángeles Dal Re Saavedra
Sep 11, 2021·International Journal of Environmental Research and Public Health·Enza MozzilloGiuliana Valerio

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Software Mentioned

COSI
SPSS
Stata

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