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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)

2019-02-27Journal article Open access
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dc.contributor.authorBel-Serrat, Silvia
dc.contributor.authorOjeda-Rodríguez, Ana
dc.contributor.authorHeinen, Mirjam
dc.contributor.authorBuoncristiano, Marta
dc.contributor.authorAbdrakhmanova, Shynar
dc.contributor.authorDuleva, Vesselka
dc.contributor.authorSant’Angelo, Victoria
dc.contributor.authorFijałkowska, Anna
dc.contributor.authorHejgaard, Tatjana
dc.contributor.authorHuidumac, Constanta
dc.contributor.authorHyska, Jolanda
dc.contributor.authorKujundzic, Enisa
dc.contributor.authorMilanović, Sanja
dc.contributor.authorOvezmyradova, Guljemal
dc.contributor.authorPérez-Farinós, Napoleón
dc.contributor.authorPetrauskiene, Ausra
dc.contributor.authorRito, Ana
dc.contributor.authorShengelia, Lela
dc.contributor.authorBraunerová, Radka
dc.contributor.authorRutter, Harry
dc.contributor.authorMurrin, Celine
dc.contributor.authorKelleher, Cecily
dc.contributor.authorBreda, João
dc.date.accessioned2019-05-31T15:45:29Z
dc.date.available2019-05-31T15:45:29Z
dc.date.issued2019-02-27
dc.description.abstractIt 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationNutrients. 2019 Feb 27;11(3):pii: E511. doi: 10.3390/nu11030511.pt_PT
dc.identifier.doi10.3390/nu11030511pt_PT
dc.identifier.issn2072-6643
dc.identifier.urihttp://hdl.handle.net/10400.18/6418
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relation.publisherversionhttps://www.mdpi.com/2072-6643/11/3/511pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectCluster Analysispt_PT
dc.subjectEnergy Balance-related Behaviorspt_PT
dc.subjectPhysical Activitypt_PT
dc.subjectSedentary Behaviorpt_PT
dc.subjectScreen Timept_PT
dc.subjectDietary Intakept_PT
dc.subjectOverweightpt_PT
dc.subjectObesitypt_PT
dc.subjectCOSIpt_PT
dc.subjectEstilos de Vida e Impacto na Saúde
dc.titleClustering 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)pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue3pt_PT
oaire.citation.startPagepii: E511pt_PT
oaire.citation.titleNutrientspt_PT
oaire.citation.volume11pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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