@article{7739fdb609374a5c8f578f83895b3ac1,
title = "Population trajectories and age-dependent associations of obesity risk factors with body mass index from childhood to adolescence across European regions: A two-cohort study",
abstract = "Objective: To investigate population trajectories of behavioural risk factors of obesity from childhood to adolescence and their associations with body mass index (BMI) in children across European regions. Methods: Data were harmonised between the European multi-centre IDEFICS/I.Family and the Amsterdam Born Children and their Development Cohort. Participants were aged 2.0–9.9 and 5.0–7.5 years at baseline, respectively, and were followed until age 18 years. Behavioural risk factors of interest included diet, physical activity, media use and sleep. Mixed effects models were used for statistical analyses to account for repeated measurements taken from the same child. Results: The study included a total of 14 328 individuals: 4114, 4582, 3220 and 2412 participants from Northern, Southern, Eastern Europe and Amsterdam, respectively. Risk factor means and prevalences changed with age, but the trajectories were mostly similar across regions. Almost no associations between behavioural factors and BMI were found at the age of 6 years. At 11 years, daily sugar-sweetened foods consumption, use of active transport, sports club membership and longer nocturnal sleep duration were negatively associated with BMI in most regions; positive associations were found with media use. Most associations at 11 years of age persisted to 15 years. Conclusions: Whilst population trajectories of media use and nocturnal sleep duration are similar across European regions, those of other behavioural risk factors like active transport and daily vegetable consumption differ. Also, associations between behavioural risk factors and BMI become stronger with age and show similar patterns across regions.",
keywords = "adolescent, child, epidemiology, multicenter, prevalence, risk factors",
author = "Anton Schreuder and Claudia B{\"o}rnhorst and Maike Wolters and Toomas Veidebaum and Michael Tornaritis and Elida Sina and Paola Russo and Moreno, {Luis A.} and Denes Molnar and Lauren Lissner and {de Henauw}, Stefaan and Wolfgang Ahrens and Tanja Vrijkotte",
note = "Funding Information: The GrowH! Project is funded by the Joint Programming Initiative {\textquoteleft}A Healthy Diet for a Healthy Life{\textquoteright} (JPI HDHL), a research and innovation initiative of EU member states and associated countries. The funding agencies supporting this work are (in alphabetical order of participating countries): Belgium: Research Foundation—Flanders (FWO); Germany: Federal Ministry of Education and Research (BMBF; grant no. 01EA2102A); Spain: Spanish State Research Agency (AEI); The Netherlands: The Netherlands Organisation for Health Research and Development (ZonMw). This project has received funding from the European Union's Horizon 2020 research and innovation programme under the ERA‐NET Cofund action No. 727565. The data have been made available for this publication by IDEFICS ( http://www.idefics.eu ) and I.Family studies ( http://www.ifamilystudy.eu/ ). The IDEFICS Study was funded by the European Community within the Sixth RTD Framework Programme Contract No. 016181 (FOOD). The I.Family Study was funded by the European Community within the Seventh RTD Framework Programme Contract No. 266044. The ABCD study was financially supported by the Lifestyle Innovations Based on Youth Knowledge and Experience (LIKE) programme, a grant from the Netherlands Cardiovascular Research Initiative, an initiative supported by the Dutch Heart Foundation, ZonMw, CVON2016‐07 LIKE, and supported by Sarphati Amsterdam. Publisher Copyright: {\textcopyright} 2023 The Authors. Pediatric Obesity published by John Wiley & Sons Ltd on behalf of World Obesity Federation.",
year = "2023",
doi = "https://doi.org/10.1111/ijpo.13088",
language = "English",
journal = "Pediatric Obesity",
issn = "2047-6302",
publisher = "Wiley-Blackwell for the International Association for the Study of Obesity",
}