Journal article

Publication year: 2015

Pages: 138-150

Journal: Obesity Reviews

Volume number: 16

Issue number: Suppl. 2

ISSN: 1467-7881

DOI Link: https://doi.org/10.1111/obr.12349

Publisher: Wiley

Abstract: 

Background The Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS (IDEFICS) study investigated the aetiology of childhood obesity and developed a primary prevention programme.
Methods Pre-intervention adherence to key behaviours related to childhood obesity, namely water/sweetened drink, fruit/vegetable consumption, daily TV time, physical activity, family time and adequate sleep duration, was measured at baseline. Adherence to international recommendations was converted into a composite score ranging from 0 (none) to 6 (adhering to all). Data on adherence were available for 7,444 to 15,084 children aged 2-9.9years, depending on the behaviour. By means of multi-level logistic regression models adjusted for age, sex and country, we calculated odds ratios (OR) and 95% confidence intervals (CI) to estimate the relationship between adherence to these recommendations and the risk of being overweight/obese.
Results Adherence ranged from 15.0% (physical activity) to 51.9% (TV time). As adherence increased, a lower chance of being overweight/obese was observed; adhering to only one key behaviour (score=1) meant an OR=0.81 (CI: 0.65-1.01) compared with non-adherence (score=0), while adhering to more than half of the key behaviours (score4) halved the chance for overweight/obesity (OR=0.54, CI: 0.37-0.80). Adherence to physical activity, TV and sleep recommendations was the main driver reducing the chance of being overweight. Overweight/obese children were more likely not to adhere to at least one of the recommended behaviours (19.8%) than normal-weight/thin children (12.9%)
Conclusion The selected key behaviours do not contribute equally to a reduced chance of being overweight. Future interventions may benefit most from moving more, reducing TV time and getting adequate sleep. (c) 2015 World Obesity

Harvard Citation style: Kovacs, E., Hunsberger, M., Reisch, L., Gwozdz, W., Eiben, G., De Bourdeaudhuij, I., et al. (2015) Adherence to combined lifestyle factors and their contribution to obesity in the IDEFICS study, Obesity Reviews, 16(Suppl. 2), pp. 138-150. https://doi.org/10.1111/obr.12349

APA Citation style: Kovacs, E., Hunsberger, M., Reisch, L., Gwozdz, W., Eiben, G., De Bourdeaudhuij, I., Russo, P., Veidebaum, T., Hadjigeorgiou, C., Sieri, S., Moreno, L., Pigeot, I., Ahrens, W., Pohlabeln, H., & Molnar, D. (2015). Adherence to combined lifestyle factors and their contribution to obesity in the IDEFICS study. Obesity Reviews. 16(Suppl. 2), 138-150. https://doi.org/10.1111/obr.12349