ArticleBMJ open2016
Clustering patterns of obesity-related multiple lifestyle behaviours and their associations with overweight and family environments: a cross-sectional study in Japanese preschool children.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Meal time and meal regularity: is it associated with pediatric obesity? A systematic review and meta-analysis.International journal of obesity (2005) · 2026Pooled it
- The association between later eating rhythm and adiposity in children and adolescents: a systematic review and meta-analysis.Nutrition reviews · 2022Pooled it
- Measurement of screen time among young children aged 0-6 years: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021Pooled it
- The Vermont Family Based Approach in Primary Care Pediatrics: Effects on Children's and Parents' Emotional and Behavioral Problems and Parents' Health-Related Quality of Life.Child psychiatry and human development · 2023Trial
- Associations between family factors and physical activity clustering in preschool children: a cross-sectional study.Frontiers in public health · 2024Article
- Do family characteristics contribute to a socioeconomic gradient in overweight in early childhood? - Single mediation analyses of data from German preschool children.Preventive medicine reports · 2023Article
- Risk of Obesity Among Children Aged 2-6 Years Who Had Prolonged Screen Time in Taiwan: A Nationwide Cross-Sectional Study.Clinical epidemiology · 2023Article
- Family-focused contextual factors associated with lifestyle patterns in young children from two mother-offspring cohorts: GUSTO and EDEN.The international journal of behavioral nutrition and physical activity · 2022Article
- Association between Physical Activity, Sedentary Behaviors, Sleep, Diet, and Adiposity among Children and Adolescents in China.Obesity facts · 2022Article
- Features of Pupils in Each Dinner Habit: Non-late Regular, Regular but Late, and Irregular.Turkish archives of pediatrics · 2021Article
- Which Is More Important for Health: Sleep Quantity or Sleep Quality?Children (Basel, Switzerland) · 2021Review
- Eating behaviour, physical activity, TV exposure and sleeping habits in five year olds: a latent class analysis.BMC pediatrics · 2021Article
- Article
- Clusters of diet, physical activity, television exposure and sleep habits and their association with adiposity in preschool children: the EDEN mother-child cohort.The international journal of behavioral nutrition and physical activity · 2020Article
- The relationship between obesity and sleep timing behavior, television exposure, and dinnertime among elementary school-age children.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020Article
- Screen Use During Meals Among Young Children: Exploration of Associated Variables.Medicina (Kaunas, Lithuania) · 2019Article
- Distribution of body mass index in children with different parental risk: Findings of a family-based cohort study in a West-Asian population.Scientific reports · 2019Article
- Article
- Family food environment factors associated with obesity outcomes in early childhood.BMC obesity · 2019Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe purpose of this study is (1) to identify obesity-related lifestyle behaviour patterns of diet, physical activity, sedentary and sleep behaviours in preschool children, (2) to examine the association between identified behaviour clusters and overweight/obesity and (3) to investigate differences in children's family environments according to clusters. DESIGN SETTING AND
participantsA cross-sectional study on 2114 preschool children aged 3-6 years who attended childcare facilities (24 nursery schools and 10 kindergartens) in Tsuruoka city, Japan in April 2003 was conducted.
main outcome measuresChildren's principal caregivers completed a questionnaire on children's lifestyle behaviours (dinner timing, outside playtime, screen time and night-time sleep duration), family environment (family members, maternal employment, mealtime regularity and parents' habitual exercise and screen time) and measurements of weight and height. Cluster analysis was performed using children's 4 lifestyle behaviours based on those non-missing values (n=1545). The χ
results6 clusters were identified. Children's overweight/obesity varied across clusters (p=0.007). The cluster with the most screen time, shorter night-time sleep duration, average dinner timing and outside playtime had the highest overweight/obesity prevalence (15.1%), while the cluster with the least screen time, the longest sleep duration, the earliest dinner timing and average outside playtime had the lowest prevalence (4.0%). Family environments regarding mealtime regularity and both parents' screen time also significantly varied across clusters. The cluster having the highest overweight/obesity prevalence had the highest proportion of irregular mealtimes and the most screen time for both parents.
conclusionsThis study suggests that public health approaches to prevent children's overweight/obesity should focus on decreasing screen time and increasing night-time sleep duration. To shape those behaviours, regular mealtimes and decreasing parents' screen time within family environments need to be targeted among family members.
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