Longitudinal associations between diet quality, sedentary behaviours and physical activity and risk of overweight and obesity in preschool children: The ToyBox-study

IF 2.7 3区医学 Q1 PEDIATRICS Pediatric Obesity Pub Date : 2023-07-31 DOI:10.1111/ijpo.13068

María L. Miguel-Berges, Theodora Mouratidou, Alba Santaliestra-Pasias, Odysseas Androutsos, Violeta Iotova, Sonya Galcheva, Marieke De Craemer, Greet Cardon, Berthold Koletzko, Zbigniew Kulaga, Yannis Manios, Luis A. Moreno, the ToyBox-study group

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Abstract

Background

Lifestyle behaviours related to diet and physical activity are associated with increased risk of obesity and evidence suggests that associations might be stronger when a synergetic effect is examined.

Objective

To examine the cross-sectional and longitudinal associations between diet, screen time (ST) and step recommendations and risk of overweight and obesity in European preschoolers participating in the ToyBox-study.

Methods

In this cluster-randomized clinical trial, 718 children (51.4% boys) from six European countries participated. Parents filled out questionnaires with information on socio-demographic status, step recommendations and ST.

Results

Longitudinal results indicate that participants having a low Diet Quality Index (DQI), not meeting ST and step recommendations at T0 and T1 had higher odds of having overweight/obesity at T1 (odds ratio [OR] = 1.116; 95% confidence interval [CI] = 1.104–2.562) than those children having a high DQI and meeting ST and step recommendations at T0 and T1. Similarly, participants having a high DQI, but not meeting ST and step recommendations at T0 and T1 had increased odds of having overweight/obesity (OR = 2.515; 95% CI = 1.171–3.021).

Conclusions

The proportion of participants having a low DQI, not adhering to both step and ST recommendations was very high, and it was associated with a higher probability of having overweight and obesity.

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学龄前儿童饮食质量、久坐行为和身体活动与超重和肥胖风险之间的纵向关联:toybox研究

与饮食和体育活动相关的生活方式行为与肥胖风险增加有关，有证据表明，当研究协同效应时，这种关联可能会更强。目的研究参与toybox研究的欧洲学龄前儿童饮食、屏幕时间(ST)和步数建议与超重和肥胖风险之间的横断面和纵向关联。方法来自欧洲6个国家的718名儿童(51.4%为男孩)参与了该整群随机临床试验。结果纵向结果表明，饮食质量指数(DQI)较低、在T0和T1时未达到ST和步数建议的参与者在T1时超重/肥胖的几率较高(优势比[OR] = 1.116;95%可信区间[CI] = 1.104-2.562)高于DQI高且在T0和T1符合ST和步数建议的儿童。同样，DQI高但在T0和T1未达到ST和步数建议的参与者超重/肥胖的几率增加(OR = 2.515;95% ci = 1.171-3.021)。结论:DQI较低、不坚持步进和ST建议的参与者比例非常高，这与超重和肥胖的可能性较高有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.