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Associations between meeting combinations of 24-hour movement recommendations and dietary patterns of children: A 12-country study

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dc.contributor.authorThivel, D.
dc.contributor.authorTremblay, M.S.
dc.contributor.authorKatzmarzyk, P.T.
dc.contributor.authorFogelholm, M.
dc.contributor.authorHu, G.
dc.contributor.authorMaher, C.
dc.contributor.authorMaia, J.
dc.contributor.authorOlds, T.
dc.contributor.authorSarmiento, O.L.
dc.contributor.authorStandage, M.
dc.contributor.authorTudor-Locke, C.
dc.contributor.authorChaput, J.P.
dc.date.issued2019
dc.description.abstractThe purpose of this study was to examine whether meeting movement behavior recommendations (i.e., ≥60 min of moderate-to-vigorous physical activity [MVPA] per day, ≤2 h of recreational screen time per day, and between 9 and 11 h of nightly sleep), and combinations of these recommendations, are associated with dietary patterns of children. This cross-sectional study was conducted between 2011 and 2013 and included 5873 children 9-11 years of age from 12 countries around the world. MVPA and nightly sleep duration were measured using 24-hour waist-worn accelerometry. Screen time habits were assessed via self-report. A food frequency questionnaire was used to assess dietary patterns, and the whole diet was described by two components derived from principal component analysis: "healthy" and "unhealthy" dietary pattern scores. Covariates included in the multilevel statistical models included age, sex, highest parental education, and body mass index z-score. A healthier dietary pattern score was observed when more movement behavior recommendations were met. Among the three movement behaviors, limiting screen time habits to the recommended amount was most strongly associated with healthier dietary patterns. Similarly, a less unhealthy dietary pattern was observed when more movement behavior recommendations were met. Surprisingly, the highest unhealthy dietary pattern was associated with children meeting the MVPA recommendation alone. Combinations including ≤2 h of screen time per day were those most strongly associated with a less unhealthy dietary pattern. Findings were similar across study sites and in boys and girls. In conclusion, meeting more movement behavior recommendations is generally associated with better dietary patterns in children from around the world, with limiting screen time habits showing the strongest relationships.
dc.identifier.citationPreventive Medicine, 2019; 118:159-165
dc.identifier.doi10.1016/j.ypmed.2018.10.025
dc.identifier.issn0091-7435
dc.identifier.issn1096-0260
dc.identifier.orcidMaher, C. [0000-0002-8676-0224]
dc.identifier.urihttps://hdl.handle.net/11541.2/135016
dc.language.isoen
dc.publisherACADEMIC PRESS INC ELSEVIER SCIENCE
dc.relation.fundingCoca-Cola Company
dc.rightsCopyright 2018 Elsevier Access Condition Notes: Accepted manuscript available after 1 January 2020
dc.source.urihttps://doi.org/10.1016/j.ypmed.2018.10.025
dc.subjectISCOLE Research Group
dc.subjectHumans
dc.subjectBody Mass Index
dc.subjectExercise
dc.subjectCross-Sectional Studies
dc.subjectFeeding Behavior
dc.subjectSleep
dc.subjectHealth Status
dc.subjectChild
dc.subjectFemale
dc.subjectMale
dc.subjectSelf Report
dc.subjectAccelerometry
dc.subjectGlobal Health
dc.subjectScreen Time
dc.titleAssociations between meeting combinations of 24-hour movement recommendations and dietary patterns of children: A 12-country study
dc.typeJournal article
pubs.publication-statusPublished
ror.fileinfo12167933070001831 13167923740001831 9916242411801831_AM.pdf
ror.mmsid9916242411801831

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