Evidence map›Paper›PMID 23531449›Full record

ArticlePublic health nutrition2014

Identification of lifestyle patterns associated with obesity and fat mass in children: the Healthy Growth Study.

George Moschonis, Andriana C Kalliora, Vassiliki Costarelli, Christopher Papandreou, Dimitris Koutoukidis, Christos Lionis, George P Chrousos, Yannis Manios, Healthy Growth Study Group

Abstract read
In one paragraph

Article in Public health nutrition, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

George Moschonis1 Department of Nutrition and Dietetics, Harokopio University of Athens, 70 El Venizelou Avenue, 17671 Kallithea, Athens, Greece.
Andriana C Kalliora1 Department of Nutrition and Dietetics, Harokopio University of Athens, 70 El Venizelou Avenue, 17671 Kallithea, Athens, Greece.
Vassiliki Costarelli2 Department of Ecology and Home Economics, Harokopio University of Athens, Athens, Greece.
Christopher Papandreou1 Department of Nutrition and Dietetics, Harokopio University of Athens, 70 El Venizelou Avenue, 17671 Kallithea, Athens, Greece.
Dimitris Koutoukidis1 Department of Nutrition and Dietetics, Harokopio University of Athens, 70 El Venizelou Avenue, 17671 Kallithea, Athens, Greece.
Christos Lionis3 Clinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion, Crete, Greece.
George P Chrousos4 First Department of Pediatrics, Aghia Sophia Children's Hospital, Athens University Medical School, Athens, Greece.
Yannis Manios1 Department of Nutrition and Dietetics, Harokopio University of Athens, 70 El Venizelou Avenue, 17671 Kallithea, Athens, Greece.
Healthy Growth Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate possible associations of lifestyle patterns with obesity and fat mass in children.

designCross-sectional epidemiological study. Principal component analysis was used to identify lifestyle patterns.

settingPrimary schools from four regions in Greece. SUBJECTS: A total of 2073 schoolchildren (aged 9-13 years).

resultsChildren in the fourth quartile of the lifestyle pattern combining higher dairy foods with more adequate breakfast consumption were 39·4%, 45·2% and 32·2% less likely to be overweight/obese and in the highest quartile of sum of skinfold thicknesses and fat mass, respectively, than children in the first quartile of this pattern. Similarly, children in the fourth quartile of a lifestyle pattern comprising consumption of high-fibre foods, such as fruits, vegetables and wholegrain products, were 27·4% less likely to be in the highest quartile of sum of skinfold thicknesses than children in the first lifestyle pattern quartile. Finally, children in the fourth quartile of a lifestyle pattern characterized by more time spent on moderate-to-vigorous physical activity and more frequent meals were 38·0%, 26·3% and 29·5% less likely to be overweight, centrally obese and in the highest quartile of fat mass, respectively, than their peers in the first quartile of this lifestyle pattern (all P < 0·05).

conclusionsThe current study identified three lifestyle patterns (i.e. one pattern comprising higher dairy consumption with a more adequate breakfast; a second pattern characterized by increased consumption of high-fibre foods; and a third pattern combining higher physical activity levels with more frequent meals), which were all related with lower odds of obesity and/or increased fat mass levels. From a public health perspective, promotion of these patterns among children and their families should be considered as one of the components of any childhood obesity preventive initiative.

Indexed as

Body Mass IndexLife StyleAdipose TissueAdolescentBody CompositionChildCross-Sectional StudiesDairy ProductsDietEnergy IntakeExerciseFeeding BehaviorFemaleGreeceHealth Knowledge, Attitudes, PracticeHumans

Identifiers

PMID23531449
PMCPMC10282306

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.