TY - JOUR

T1 - Lifestyle patterns in European preschoolers

T2 - Associations with socio-demographic factors and body mass index

AU - Descarpentrie, Alexandra

AU - Calas, Lucinda

AU - Cornet, Maxime

AU - Heude, Barbara

AU - Charles, Marie-Aline

AU - Avraam, Demetris

AU - Brescianini, Sonia

AU - Cadman, Tim

AU - Elhakeem, Ahmed

AU - Fernández-Barrés, Sílvia

AU - Harris, Jennifer R

AU - Inskip, Hazel

AU - Julvez, Jordi

AU - Llop, Sabrina

AU - Margetaki, Katerina

AU - Maritano, Silvia

AU - Nader, Johanna Lucia Thorbjornsrud

AU - Roumeliotaki, Theano

AU - Salika, Theodosia

AU - Subiza-Pérez, Mikel

AU - Vafeiadi, Marina

AU - Vrijheid, Martine

AU - Wright, John

AU - Yang, Tiffany

AU - Dargent-Molina, Patricia

AU - Lioret, Sandrine

N1 - © 2023 World Obesity Federation.

PY - 2023

Y1 - 2023

N2 - BACKGROUND: Energy balance-related behaviours (EBRBs), that is, dietary intake, screen, outdoor play and sleep, tend to combine into 'lifestyle patterns', with potential synergistic influences on health. To date, studies addressing this theme mainly focused on school children and rarely accounted for sleep, with a cross-country perspective.OBJECTIVES: We aimed at comparing lifestyle patterns among preschool-aged children across Europe, their associations with socio-demographic factors and their links with body mass index (BMI).METHODS: Harmonized data on 2-5-year-olds participating in nine European birth cohorts from the EU Child Cohort Network were used (EBRBs, socio-demographics and anthropometrics). Principal component analysis and multivariable linear and logistic regressions were performed.RESULTS: The most consistent pattern identified across cohorts was defined by at least three of the following EBRBs: discretionary consumption, high screen time, low outdoor play time and low sleep duration. Consistently, children from low-income households and born to mothers with low education level had higher scores on this pattern compared to their socioeconomically advantaged counterparts. Furthermore, it was associated with higher BMI z-scores in the Spanish and Italian cohorts (β = 0.06, 95% CI = [0.02; 0.10], both studies).CONCLUSION: These findings may be valuable in informing early multi-behavioural interventions aimed at reducing social inequalities in health at a European scale.

AB - BACKGROUND: Energy balance-related behaviours (EBRBs), that is, dietary intake, screen, outdoor play and sleep, tend to combine into 'lifestyle patterns', with potential synergistic influences on health. To date, studies addressing this theme mainly focused on school children and rarely accounted for sleep, with a cross-country perspective.OBJECTIVES: We aimed at comparing lifestyle patterns among preschool-aged children across Europe, their associations with socio-demographic factors and their links with body mass index (BMI).METHODS: Harmonized data on 2-5-year-olds participating in nine European birth cohorts from the EU Child Cohort Network were used (EBRBs, socio-demographics and anthropometrics). Principal component analysis and multivariable linear and logistic regressions were performed.RESULTS: The most consistent pattern identified across cohorts was defined by at least three of the following EBRBs: discretionary consumption, high screen time, low outdoor play time and low sleep duration. Consistently, children from low-income households and born to mothers with low education level had higher scores on this pattern compared to their socioeconomically advantaged counterparts. Furthermore, it was associated with higher BMI z-scores in the Spanish and Italian cohorts (β = 0.06, 95% CI = [0.02; 0.10], both studies).CONCLUSION: These findings may be valuable in informing early multi-behavioural interventions aimed at reducing social inequalities in health at a European scale.

KW - Child

KW - Child, Preschool

KW - Female

KW - Humans

KW - Body Mass Index

KW - Diet

KW - Life Style

KW - Overweight

KW - Socioeconomic Factors

KW - Healthcare Disparities

U2 - 10.1111/ijpo.13079

DO - 10.1111/ijpo.13079

M3 - Journal article

C2 - 37795656

VL - 18

JO - Pediatric obesity

JF - Pediatric obesity

SN - 2047-6302

IS - 12

M1 - e13079

ER -