Title
Clustering of Dietary Intake and Sedentary Behavior in 2-Year-Old Children
Author
Gubbels, J.S.
Kremers, S.P.J.
Stafleu, A.
Dagnelie, P.C.
de Vries, S.I.
de Vries, N.K.
Thijs, C.
TNO Kwaliteit van Leven
Publication year
2009
Abstract
Objective: To examine clustering of energy balance-related behaviors (EBRBs) in young children. This is crucial because lifestyle habits are formed at an early age and track in later life. This study is the first to examine EBRB clustering in children as young as 2 years. Study design: Cross-sectional data originated from the Child, Parent and Health: Lifestyle and Genetic Constitution (KOALA) Birth Cohort Study. Parents of 2578 2-year-old children completed a questionnaire. Correlation analyses, principal component analyses, and linear regression analyses were performed to examine clustering of EBRBs. Results: We found modest but consistent correlations in EBRBs. Two clusters emerged: a "sedentary-snacking cluster" and a "fiber cluster." Television viewing clustered with computer use and unhealthy dietary behaviors. Children who frequently consumed vegetables also consumed fruit and brown bread more often and white bread less often. Lower maternal education and maternal obesity were associated with high scores on the sedentary-snacking cluster, whereas higher educational level was associated with high fiber cluster scores. Conclusions: Obesity-prone behavioral clusters are already visible in 2-year-old children and are related to maternal characteristics. The findings suggest that obesity prevention should apply an integrated approach to physical activity and dietary intake in early childhood. © 2009 Mosby, Inc. All rights reserved.
Subject
Biology Health
Physiological Sciences
Body mass
Child
Child behavior
Cluster analysis
Controlled study
Dietary intake
Energy balance
Female
Human
Lifestyle modification
Major clinical study
Male
Obesity
Patient education
Physical activity
Preschool child
Priority journal
Questionnaire
Scoring system
Television viewing
Beverages
Bread
Child, Preschool
Cluster Analysis
Computers
Cross-Sectional Studies
Diet
Educational Status
Female
Fruit
Health Behavior
Humans
Male
Mothers
Motor Activity
Netherlands
Obesity
Prospective Studies
Sex Factors
Television
Vegetables
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http://resolver.tudelft.nl/uuid:b0484e5a-151d-4727-b756-c7dfc884264c
DOI
https://doi.org/10.1016/j.jpeds.2009.02.027
TNO identifier
241674
ISSN
0022-3476
Source
Journal of Pediatrics, 155 (2), 194-198
Document type
article