Clustering of multiple lifestyle behaviours and its association to cardiovascular risk factors in children: the IDEFICS study
Open Access
- 1 May 2013
- journal article
- research article
- Published by Springer Science and Business Media LLC in European Journal of Clinical Nutrition
- Vol. 67 (8), 848-854
- https://doi.org/10.1038/ejcn.2013.84
Abstract
Individual lifestyle behaviours have independently been associated with cardiovascular diseases (CVD) risk factors in children. This study aimed to identify clustered lifestyle behaviours (dietary, physical activity (PA) and sedentary indicators) and to examine their association with CVD risk factors in children aged 2–9 years. Participants included 4619 children (51.6% boys) from eight European countries participating in the IDEFICS cross-sectional baseline survey (2007–2008). Insulin resistance, total cholesterol/high-density lipoprotein cholesterol ratio, triglycerides, sum of two skinfolds and systolic blood pressure (SBP) z-scores were summed to compute a CVD risk score. Cluster analyses stratified by sex and age groups (2 to <6 years; 6–9 years) were performed using parental-reported data on fruit, vegetables and sugar-sweetened beverages (SSB) consumption, PA performance and television video/DVD viewing. Five clusters were identified. Associations between CVD risk factors and score, and clusters were obtained by multiple linear regression using cluster 5 (‘low beverages consumption and low sedentary’) as the reference cluster. SBP was positively associated with clusters 1 (‘physically active’; β=1.34; 95% confidence interval (CI): 0.02, 2.67), 2 (‘sedentary’; β=1.84; 95% CI: 0.57, 3.11), 3 (‘physically active and sedentary’; β=1.45; 95% CI: 0.15, 2.75) and 4 (‘healthy diet’; β=1.83; 95% CI: 0.50, 3.17) in older boys. A positive association was observed between CVD risk score and clusters 2 (β=0.60; 95% CI: 0.20, 1.01), 3 (β=0.55; 95% CI: 0.14, 0.97) and 4 (β=0.60, 95% CI: 0.18, 1.02) in older boys. Low television/video/DVD viewing levels and low SSB consumption may result in a healthier CVD profile rather than having a diet rich in fruits and vegetables or being physically active in (pre-)school children.Keywords
This publication has 35 references indexed in Scilit:
- Daily sugar-sweetened beverage consumption and insulin resistance in European adolescents: the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) StudyPublic Health Nutrition, 2012
- Clustering patterns of physical activity, sedentary and dietary behavior among European adolescents: The HELENA studyBMC Public Health, 2011
- Systematic review of sedentary behaviour and health indicators in school-aged children and youthInternational Journal of Behavioral Nutrition and Physical Activity, 2011
- Nutrient Intake, Physical Activity, and CVD Risk Factors in Children: Project HeartBeat!American Journal of Preventive Medicine, 2009
- Dietary Intake and the Metabolic Syndrome in Overweight Latino ChildrenJournal of the American Dietetic Association, 2008
- A cluster-analytical approach towards physical activity and eating habits among 10-year-old childrenHealth Education Research, 2007
- Validation of the Welch Allyn Spot Vital Signs blood pressure device according to the ANSI/AAMI SP10: 2002. Accuracy and cost-efficiency successfully combinedBlood Pressure Monitoring, 2007
- Weekend and Weekday Patterns of Physical Activity in Overweight and Normal‐weight Adolescent GirlsObesity, 2007
- TV Viewing and Physical Activity Are Independently Associated with Metabolic Risk in Children: The European Youth Heart StudyPLoS Medicine, 2006
- The relative influence of individual and contextual socio-economic status on consumption of fruit and soft drinks among adolescents in EuropeEuropean Journal of Public Health, 2005