Identifying developmental trajectories of body mass index in childhood using latent class growth (mixture) modelling: associations with dietary, sedentary and physical activity behaviors: a longitudinal study.
Identifying developmental trajectories of body mass index in childhood using latent class growth (mixture) modelling: associations with dietary, sedentary and physical activity behaviors: a longitudinal study.
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DOI：
10.1186/s12889-016-3757-7
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发表时间：
2016-10-28
影响因子：
4.5
通讯作者：
Renders CM
中科院分区：
文献类型：
--
作者：
Koning M;Hoekstra T;de Jong E;Visscher TL;Seidell JC;Renders CM
迄今为止，许多流行病学研究调查肥胖与饮食和久坐/体力活动行为之间的关联，都集中在评估身体质量指数（BMI）在一个时间点。统计技术的最新发展使得有可能通过识别具有不同发展轨迹的不同亚群来研究儿童期BMI发展的潜在异质性。使用潜在类别增长（混合）模型（LCGMM）技术，我们的目的是确定儿童时期的BMI轨迹，并检查这些不同的轨迹与饮食，久坐和体育活动行为之间的关联。这项纵向研究探讨了613名4至12岁儿童的BMI标准差评分（SDS）轨迹。2006年、2009年和2012年，通过家长问卷调查获得儿童健康相关行为的信息，并测量儿童的身高和体重。与行为的协会进行了调查与逻辑回归模型。我们确定了两种BMI SDS轨迹; BMI SDS下降轨迹（n = 416; 68%）和BMI SDS增加轨迹（n = 197; 32%）。BMI SDS轨迹的增加包括更多的低社会经济地位（SES）和非西方种族的参与者。母亲超重状态与基线和6年后随访时BMI SDS轨迹增加相关（2006年：比值比（OR），2.9; 95%置信区间（CI）1.9至4.3; 2012年OR，1.8; 95% CI 1.2至2.6）。BMI SDS轨迹的增加与以下行为相关：每天饮用含糖饮料> 3杯，每周参加有组织的运动< 1小时，每天看电视> 2小时，尽管在随访时参加有组织的运动是唯一显著的结果。我们的研究结果表明，在年轻时健康的生活方式行为的重要性，并表明母亲的BMI是一个非常重要的风险因素，为儿童超重的发展。了解BMI发展的异质性以及与可改变的健康相关行为的相关性，对于通过针对儿童早期的高危行为进行预防是有趣的，特别是在低SES儿童，非西方种族的儿童和母亲超重的儿童中。本文的在线版本（doi：10.1186/s12889-016-3757-7）包含补充材料，可供授权用户使用。
To date, many epidemiologic studies examining associations between obesity and dietary and sedentary/physical activity behaviors have focused on assessing Body Mass Index (BMI) at one point in time. Recent developments in statistical techniques make it possible to study the potential heterogeneity in the development of BMI during childhood by identifying distinct subpopulations characterized by distinct developmental trajectories. Using Latent Class Growth (Mixture) Modelling (LCGMM) techniques we aimed to identify BMI trajectories in childhood and to examine associations between these distinct trajectories and dietary, sedentary and physical activity behaviors. This longitudinal study explored BMI standard deviation score (SDS) trajectories in a sample of 613 children from 4 to 12 years of age. In 2006, 2009 and 2012 information on children’s health related behaviors was obtained by parental questionnaires, and children’s height and weight were measured. Associations with behaviors were investigated with logistic regression models. We identified two BMI SDS trajectories; a decreasing BMI SDS trajectory (n = 416; 68 %) and an increasing BMI SDS trajectory (n = 197; 32 %). The increasing BMI SDS trajectory consisted of more participants of lower socio-economic status (SES) and of non-western ethnicity. Maternal overweight status was associated with being in the increasing BMI SDS trajectory at both baseline and follow-up six years later (2006: Odds Ratio (OR), 2.9; 95 % confidence interval (CI) 1.9 to 4.3; 2012 OR, 1.8; 95 % CI 1.2 to 2.6). The increasing BMI SDS trajectory was associated with the following behaviors; drinking sugared drinks > 3 glasses per day, participation in organized sports < 1 h per week, and TV viewing > 2 h per day, though participation in organized sports at follow-up was the only significant result. Our results indicate the importance of healthy lifestyle behaviors at a young age, and indicate that maternal BMI is a very important risk factor for the development of childhood overweight. Comprehension of heterogeneity in the development of BMI and associations with modifiable health related behaviors is interesting for prevention by targeting high risk behaviors in early childhood, especially in low SES children, children of non-western ethnicity and children whose mother is overweight. The online version of this article (doi:10.1186/s12889-016-3757-7) contains supplementary material, which is available to authorized users.
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影响因子：
--
作者：
de Jong, Elske;Schokker, Dieuwke F.;Renders, Carry M.
通讯作者：
Renders, Carry M.
影响因子：
3.7
作者：
Haga C;Kondo N;Suzuki K;Sato M;Ando D;Yokomichi H;Tanaka T;Yamagata Z
通讯作者：
Yamagata Z
影响因子：
6.9
作者：
Li, Chaoyang;Goran, Michael I.;Ahluwalia, Jasjit S.
通讯作者：
Ahluwalia, Jasjit S.
影响因子：
4.9
作者：
Must, A;Strauss, RS
通讯作者：
Strauss, RS
DOI：
10.1111/j.1751-9004.2007.00054.x
发表时间：
2008-01-01
影响因子：
4.6
作者：
Jung, Tony;Wickrama, K. A. S.
通讯作者：
Wickrama, K. A. S.