TY - JOUR
T1 - The relationship between behavioral factors, weight status and a dietary pattern in primary school aged children
T2 - The GRECO study
AU - Magriplis, Emmanuela
AU - Farajian, Paul
AU - Panagiotakos, Demosthenes B.
AU - Risvas, Grigoris
AU - Zampelas, Antonis
N1 - Funding Information:
The study was funded by the General Secretariat of Consumers-Greek Ministry of Development, Hellenic Association of Food and Beverage Companies, FAGE S.A., Coca Cola Hellas, Coca Cola Hellenic Bottling Company, Cereal Partners Hellas, Unilever Hellas, Nestle Hellas, Kraft Foods Hellas. The European Union (European Social Fund – ESF) has co-financed the research as well as the Greek national funds through the Operational Program “Education and Lifelong Learning” of the National Strategic Reference Framework (NSRF) – Research Funding Program: Heraclitus II. Investing in knowledge society through the European Social Fund.
Publisher Copyright:
© 2018 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism
PY - 2019/2
Y1 - 2019/2
N2 - Background & aims: Numerous factors have been associated with the increase in childhood overweight and obesity, including environmental, dietary and behavioral. The latter have been associated with unhealthy eating behaviors but studies of their relation to dietary patterns are limited. Dietary patterns serve as a better means to evaluate children's diet and risk of obesity and therefore the aim of the study was to examine the relationship of behavioral factors with a specific dietary pattern developed for children (child derived Food Index (cdFI)), and to assess how behavioral and diet are related to children's weight status when addressed together in a model. Methods: Study included school-aged children (n = 4434) from the Greek Childhood Obesity study (GRECO), a cross-sectional survey. Participants self-reported behavioral habits and dietary intake, using a semi-quantitative food-frequency questionnaire (FFQ). A high dietary pattern-cdFI is related to a healthier dietary pattern. Anthropometric data were measured. Multiple linear and logistic regressions were performed, adjusting for age and gender. Results: The dietary pattern was positively associated with sleep, family meals and study hours, and was inversely associated with total screen time, frequency of eating out and eating while on some screen. Overweight and obese children were more likely to have a lower cdFI score (2%), sleep less (8%) and report more study hours (6%). Conclusion: In order to reduce and prevent child overweight and obesity, interventions probably need to address specific behavioral and dietary patterns together.
AB - Background & aims: Numerous factors have been associated with the increase in childhood overweight and obesity, including environmental, dietary and behavioral. The latter have been associated with unhealthy eating behaviors but studies of their relation to dietary patterns are limited. Dietary patterns serve as a better means to evaluate children's diet and risk of obesity and therefore the aim of the study was to examine the relationship of behavioral factors with a specific dietary pattern developed for children (child derived Food Index (cdFI)), and to assess how behavioral and diet are related to children's weight status when addressed together in a model. Methods: Study included school-aged children (n = 4434) from the Greek Childhood Obesity study (GRECO), a cross-sectional survey. Participants self-reported behavioral habits and dietary intake, using a semi-quantitative food-frequency questionnaire (FFQ). A high dietary pattern-cdFI is related to a healthier dietary pattern. Anthropometric data were measured. Multiple linear and logistic regressions were performed, adjusting for age and gender. Results: The dietary pattern was positively associated with sleep, family meals and study hours, and was inversely associated with total screen time, frequency of eating out and eating while on some screen. Overweight and obese children were more likely to have a lower cdFI score (2%), sleep less (8%) and report more study hours (6%). Conclusion: In order to reduce and prevent child overweight and obesity, interventions probably need to address specific behavioral and dietary patterns together.
KW - Behavioral factors
KW - Childhood-overweight
KW - Food-index
KW - Screen time
KW - Sleep duration
KW - Study hours
UR - http://www.scopus.com/inward/record.url?scp=85041577812&partnerID=8YFLogxK
U2 - 10.1016/j.clnu.2018.01.015
DO - 10.1016/j.clnu.2018.01.015
M3 - Article
C2 - 29398340
AN - SCOPUS:85041577812
SN - 0261-5614
VL - 38
SP - 310
EP - 316
JO - Clinical Nutrition
JF - Clinical Nutrition
IS - 1
ER -