IX CONVENCIÓN NAOS. Sedentarismo y obesidad. Luis A. Moreno Grupo GENUD Universidad de Zaragoza
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1 IX CONVENCIÓN NAOS Sedentarismo y obesidad Luis A. Moreno Grupo GENUD Universidad de Zaragoza Luis A. Moreno Aznar lmoreno@unizar.es GENUD Research Group Universidad de Zaragoza
2 Factors influencing obesity development along life 35.0 Boys Body fat % over- fat normal- fat 0.0 Birth 2 mo 4 mo 6 mo 12 mo 24 mo 4 y 6 y 8 y 10 y 12 y 14 y 16 y 18 y Intrauterine nutrition Early programming Early postnatal nutrition Adiposity rebound Pubert y Sedentarism Physical activity and fitness Energy and macronutrient intake Dietary patterns Social and cultural aspects Affective and personal aspects Genotype/ Genetic predisposition (Moreno LA et al. World Rev Nutr Diet 2013;106:119-26) Luis A. Moreno Aznar lmoreno@unizar.es GENUD Research Group Universidad de Zaragoza
3 Factors influencing obesity development along life Body fat % 35.0 Girls over- fat 30.0 normal- fat Birth 2 mo 4 mo 6 mo 12 mo 24 mo 4 y 6 y 8 y 10 y 12 y 14 y 16 y 18 y Intrauterine nutrition Early postnatal nutrition Adiposity rebound Puberty Early programming Sedentarism Physical activity and fitness Energy and macronutrient intake Dietary patterns Social and cultural aspects Affective and personal aspects Genotype/ Genetic predisposition (Moreno LA et al. World Rev Nutr Diet 2013;106:119-26) Luis A. Moreno Aznar lmoreno@unizar.es GENUD Research Group Universidad de Zaragoza
4 Masa grasa (%) en función de la permanencia diaria ante el televisor en adolescentes 0-2 horas 2-4horas >4horas P Varones Mujeres (Moreno LA et al. JAMA 1999; 280: ) Luis A. Moreno Aznar lmoreno@unizar.es GENUD Research Group Universidad de Zaragoza
5 Sedentarismo vs actividad física Health recommendations should also include sedentary PA Health recommendations based on the accumulation of moderate to vigorous PA Hamilton et al Morris et al. 1953
6 Sedentarismo vs actividad física Sedentary behaviours vs meeting PA recommendations Sedentary behaviours absence of moderate to vigorous physical activity (Pate et al. 2008)
7 ActiGraph GT1M 1.8 cm 3.8 cm 3.8 cm Healthy Lifestyle in EUROPE by Nutrition in Adolescents - FP6 EU-funded study
8 Sedentary behaviours assessment Direct observation Video recording Questionnaires Diaries Parental reporting (Rey-López JP et al. In: Moreno LA et al. (Eds.). New York: Springer, 2011) Luis A. Moreno Aznar GENUD Research Group Universidad de Zaragoza
9 Sedentarism - reliability Test-Retest values of sedentary behaviours (week days) and weighted Cohen s Kappa (κ) reliability coefficients (n=183) Sedentary behaviours (min/day) Test Retest κ Television viewing 77.6 ± ± Computer games 23.9 ± ± Console games 9.4 ± ± Internet non-study 53.5 ± ± Internet for study 25.6 ± ± Study 82.6 ± ± (Rey-López JP et al. Eur J Publ Health 2012; 22: ) Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
10 Sedentarism - reliability Test-Retest values of sedentary behaviours (weekend days) and weighted Cohen s Kappa (κ) reliability coefficients (n=183) Sedentary behaviours (min/day) Test Retest κ Television viewing 127 ± ± Computer games 53.9 ± ± Console games 32.1 ± ± Internet non-study 99.2 ± ± Internet for study 32.6 ± ± Study ± ± (Rey-López JP et al. Eur J Publ Health 2012; 22: ) Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
11 Prevalencia de los comportamientos sedentarios Juan Pablo Rey López (Rey-López JP et al. In: Epidemiology of obesity in children and adolescents. Moreno LA; Pigeot I, Ahrens W (Eds.) New York: Springer, 2011)
12 Total screen time in European children (Santaliestra-Pasías A et al. Publ Health Nutr 2014; 17: )
13 Sedentarism Proportion of adolescents having TV, computer and consoles at home and their bedrooms (Rey-López JP et al. Prev Med 2010; 51: 50-55) Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
14 Sedentarism Factors predicting TV use more than two hours per day in adolescents (Rey-López JP et al. Prev Med 2010; 51: 50-55) Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
15 Predicted values of child television viewing by parent television viewing, by child age group, adjusted for all covariates (Bleakley A et al. Pediatrics 2013; 132: e364-e371) Luis A. Moreno Aznar lmoreno@unizar.es GENUD Research Group Universidad de Zaragoza
16 Tracking of television viewing (Biddle S et al. Prev Med 2010; 51: ) Luis A. Moreno Aznar lmoreno@unizar.es GENUD Research Group Universidad de Zaragoza
17 Tracking of total screen time (Biddle S et al. Prev Med 2010; 51: ) Luis A. Moreno Aznar lmoreno@unizar.es GENUD Research Group Universidad de Zaragoza
18 Sedentarism and obesity Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
19 Sedentarism Proportion of cross-sectional studies with a significant relationship between sedentary behaviour and overweight (Rey-López JP et al. Nutr Metab Cardiovas Dis 2008; 18: ) Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
20 Sedentarism Proportion of longitudinal studies with a significant relationship between sedentary behaviour and overweight (Rey-López JP et al. Nutr Metab Cardiovas Dis 2008; 18: ) Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
21 Odds ratios for overweight in 8 survey centers and in all countries combined for watching TV at least 60 minutes/day. The IDEFICS study (Lissner L et al. Eur J Epidemiol 2012; 27: ) Luis A. Moreno Aznar GENUD Research Group lmoreno@unizar.es Universidad de Zaragoza
22 Odds ratios for overweight in 8 survey centers and in all countries combined for having a television/video/dvd in bedroom. The IDEFICS study (Lissner L et al. Eur J Epidemiol 2012; 27: ) Luis A. Moreno Aznar GENUD Research Group lmoreno@unizar.es Universidad de Zaragoza
23 Sedentarism Crude odds ratio (OR) 95% CI for overweight/obesity among European adolescents by frequency of meals in front of television Frequency of meals watching TV Males (n=1599) Females (n=1778) OR 95% CI OR 95% CI Never 1 1 Rarely Not everyday 1-2 meals/week Not everyday >2 meals/week Everyday Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
24 Product Categories of Promotional Spots Aimed at Children (Connor SM. Pediatrics 2006; 118: ) Luis A. Moreno Aznar GENUD Research Group Universidad de Zaragoza
25 SSB and sedentary behaviors Sugar sweetened beverages intake (ml) according to sedentary behaviors in male adolescents TV week days (12.61) TV weekend (16.15) Computer week days (11.60) Computer weekend (13.58) Internet week days (11.4) Internet weekend (12.30) < 2 hours 2 4 hours (20.98) (16.76) (27.94) (21.4) (33.4) (24.85) (Santaliestra-Pasías A et al. Arch Pediatr Adolesc Med 2012; 166: ) Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study > 4 hours P (45.68) (26.58) (51.75) (27.7) (51.1) (37.52) < 0.05 < 0.05 < 0.05 < 0.05 < 0.05 < 0.05
26 SSB and sedentary behaviors Sugar sweetened beverages intake (ml) according to sedentary behaviors in female adolescents TV week days (7.53) TV weekend (9.42) Computer week days (6.56) Computer weekend (6.93) Internet week days (6.96) Internet weekend (7.63) < 2 hours 2 4 hours (12.31) (9.60) (2.48) (18.17) (17.03) (13.95) Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study > 4 hours P (26.65) (16.40) (46.75) (26.68) (30.39) (15.53) < 0.05 < 0.05 < 0.05 < 0.05 < 0.05 < 0.05 (Santaliestra-Pasías A et al. Arch Pediatr Adolesc Med 2012; 166: )
27 OR and 95% CI for relative increase in SSB consumption by TV viewing in hours per day (Olafsdottir S et al. Eur J Clin Nutr 2014; 68: )
28 OR and 95% CI for being in the highest quintile of relative increase in WHtR for each hour per day of TV viewing (Olafsdottir S et al. Eur J Clin Nutr 2014; 68: )
29 Clustering patterns of physical activity, sedentary and dietary behaviour in adolescents (Ottevaere C et al. BMC Publ Health 2011; 11: 328) Luis A. Moreno Aznar lmoreno@unizar.es GENUD Research Group Universidad de Zaragoza
30 Standardized regression coefficients between individual sedentary behaviours during weekdays and weekend days, and mean scores of DPs in boys and girls (Santaliestra-Pasías A et al. Eur J Clin Nutr 2014; 68: )
31 Binary logistic regression analyses between clusters of obesity-related behaviors and excessive BMI, abdominal adiposity and body fat (Santaliestra-Pasías A et al. Eur J Clin Nutr 2015; 69: ) Luis A. Moreno Aznar lmoreno@unizar.es GENUD Research Group Universidad de Zaragoza
32 Predicted sleep time by TV watching and bedroom TV in non-hispanic white boys (Cespedes EM et al. Pediatrics 2014; 133: e1163-e1171) Luis A. Moreno Aznar GENUD Research Group Universidad de Zaragoza
33 A multiple mediator model with television (TV) in the child s bedroom (no=0, yes=1), screen time (minutes/day), sleep duration (minutes/day) and BMI (Sijtsma A et al. Eur J Pediatr 2015; 174: ) Luis A. Moreno Aznar lmoreno@unizar.es GENUD Research Group Universidad de Zaragoza
34 A multiple mediator model with number of televisions (TVs), screen time (minutes/day), sleep duration (minutes/day) and BMI (Sijtsma A et al. Eur J Pediatr 2015; 174: ) Luis A. Moreno Aznar lmoreno@unizar.es GENUD Research Group Universidad de Zaragoza
35 Effect size on body mass index reduction by sedentary behaviour intervention type (Liao Y et al. Obes Rev 2014; 15: ) Luis A. Moreno Aznar lmoreno@unizar.es GENUD Research Group Universidad de Zaragoza
36 Sedentary behaviour guidelines Children (aged 5 11 years) and youth (aged years) should minimize the time being sedentary: Limiting recreational screen time to no more than 2 h per day Limiting sedentary (motorized) transport, extended sitting time, and time spent indoors throughout the day (Tremblay MS et al. Appl Physiol Nutr Metab 2011; 36: 59-64) Luis A. Moreno Aznar lmoreno@unizar.es GENUD Research Group Universidad de Zaragoza
37 Pirámide de actividad física en niños y adolescentes Luis A. Moreno Aznar lmoreno@unizar.es GENUD Research Group Universidad de Zaragoza
38 Muchas gracias por la atención! Luis A. Moreno Aznar GENUD Research Group Universidad de Zaragoza
39
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