ArticleBMJ open2016
Multiple lifestyle behaviours and overweight and obesity among children aged 9-11 years: results from the UK site of the International Study of Childhood Obesity, Lifestyle and the Environment.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01722500 (International Study of Childhood Obesity, Lifestyle and the Environment), which is not on this map. Cited by 40 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE)
Who cites it
40 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Physical activity, screen time, dietary habits, and health outcomes among children and adolescents in the Middle East and North Africa region: a narrative review.Frontiers in public health · 2025Pooled it
- Combinations of Physical Activity, Sedentary Behavior, and Sleep Duration and Their Associations With Physical, Psychological, and Educational Outcomes in Children and Adolescents: A Systematic Review.American journal of epidemiology · 2023Pooled it
- The association between later eating rhythm and adiposity in children and adolescents: a systematic review and meta-analysis.Nutrition reviews · 2022Pooled it
- Sleep, Diet, and Cardiometabolic Health Investigations: a Systematic Review of Analytic Strategies.Current nutrition reports · 2018Pooled it
- Promoting Learning About Nutrition and Healthy Eating Behaviors in Chinese Children Through an Alternate Reality Game: A Pilot Study.Nutrients · 2025Trial
- Can an intervention integrating sports and medicine improve children's health more effectively? Monitoring based on sleep, body mass index, and heart rate variability.Journal of global health · 2024Trial
- Trial
- The Updated Dual Burden of Malnutrition Among Vietnamese School-Aged Children: A Nationwide Cross-Sectional Study.Nutrients · 2025Article
- Economic Rationality and Health Behavior: Investigating the Link Between Financial Literacy and the BMI.Behavioral sciences (Basel, Switzerland) · 2025Article
- Barriers and facilitators of school-based obesity prevention interventions: a qualitative study from the perspectives of primary school headteachers.Journal of health, population, and nutrition · 2024Article
- Article
- Lifestyle Behaviours in Pre-Schoolers from Southern Spain-A Structural Equation Model According to Sex and Body Mass Index.Nutrients · 2024Article
- Adherence to a healthy lifestyle behavior composite score and cardiometabolic risk factors in Spanish children from the CORALS cohort.European journal of pediatrics · 2024Article
- Assessment of the Impact of Increased Physical Activity on Body Mass and Adipose Tissue Reduction in Overweight and Obese Children.Children (Basel, Switzerland) · 2023Article
- The Causes and Factors Associated with Infant Mortality Rate in Ethiopia: The Application of Structural Equation Modelling.Children (Basel, Switzerland) · 2023Article
- Characteristic Sleep Patterns and Associated Obesity in Adolescents.Life (Basel, Switzerland) · 2022Review
- Associations of neighborhood walkability with moderate to vigorous physical activity: an application of compositional data analysis comparing compositional and non-compositional approaches.The international journal of behavioral nutrition and physical activity · 2022Article
- A collaborative approach to adopting/adapting guidelines. The Australian 24-hour movement guidelines for children (5-12 years) and young people (13-17 years): An integration of physical activity, sedentary behaviour, and sleep.The international journal of behavioral nutrition and physical activity · 2022Article
- Adherence to Mediterranean Diet and Its Association with Metabolic Health Status in Overweight and Obese Adolescents.International journal of clinical practice · 2022Article
- Association between Physical Activity, Sedentary Behaviors, Sleep, Diet, and Adiposity among Children and Adolescents in China.Obesity facts · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe purpose of this study was to explore the independent associations between multiple lifestyle behaviours (physical activity, sleep, screen time (ST) and diet) and overweight and obesity in UK children. The second objective was to compare body mass index (BMI) z-score between children who meet health guidelines for each lifestyle behaviour and those who do not and to explore the impact of interactions between lifestyle behaviours on BMI z-score. DESIGN, SETTING AND
participantsCross-sectional study on children aged 9-11 years in the UK (n=374). OUTCOME MEASURES: Participants were classified as overweight or obese using the WHO BMI cut-points. Moderate-to-vigorous intensity physical activity (MVPA) and sleep duration were measured using an ActiGraph GT3X+ accelerometer, whereas ST and dietary habits were assessed using questionnaires. Multilevel multiple logistic regression was employed to analyse associations between lifestyle behaviours and overweight/obesity. Participants were then categorised according to whether or not they met specific health criteria for MVPA, ST, sleep and diet. Multilevel multiple linear regression was used to compare these groupings on the outcome of BMI z-score and interactions were explored.
resultsMVPA and longer sleep duration were associated with lower odds of overweight or obesity, whereas ST and a healthy diet score were associated with increased odds of overweight/obesity. No association was found for an unhealthy diet score. Meeting MVPA guidelines was significantly associated with a lower BMI z-score in all models, and significant two-way interactions were observed for physical activity and sleep, ST and sleep, and physical activity and diet.
conclusionsMVPA, sleep and ST are important lifestyle behaviours associated with overweight/obesity among children. More research is required to confirm the role of diet on adiposity and such work would benefit from objective assessment. Overall, this work suggests that strategies aimed at improving compliance with health guidelines are needed. TRIAL REGISTRATION NUMBER: NCT01722500.
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