European Journal of Nutrition

, Volume 52, Issue 3, pp 1135–1144

Increased physical activity combined with more eating occasions is beneficial against dyslipidemias in children. The Healthy Growth Study

  • George Moschonis
  • Christina Mavrogianni
  • Kalliopi Karatzi
  • Vasiliki Iatridi
  • George P. Chrousos
  • Christos Lionis
  • Yannis Manios
Original Contribution

DOI: 10.1007/s00394-012-0424-3

Cite this article as:
Moschonis, G., Mavrogianni, C., Karatzi, K. et al. Eur J Nutr (2013) 52: 1135. doi:10.1007/s00394-012-0424-3

Abstract

Purpose

To identify lifestyle patterns associated with blood lipid levels in children.

Methods

A representative sample of 2,043 schoolchildren (9–13 years) participated in a cross-sectional epidemiologic study conducted in 77 primary schools in four large regions in Greece. Dietary intakes, breakfast patterns and eating frequency, physical activity levels, sleep duration, anthropometric and physical examination data, biochemical indices and socioeconomic information (collected from parents) were assessed in all children. Principal component analysis was used to identify the lifestyle patterns.

Results

A lifestyle pattern of more screen time, shorter sleep duration and higher sugar-sweetened beverage consumption was inversely associated with HDL cholesterol (β = −0.077; P < 0.001) and positively associated with total/HDL cholesterol ratio (β = 0.049; P = 0.025). Furthermore, a lifestyle pattern of more eating occasions and higher moderate-to-vigorous physical activity (MVPA) levels was inversely associated with total cholesterol (β = −0.064; P = 0.006), LDL (low-density lipoprotein) cholesterol (β = −0.065; P = 0.004) and total/HDL (high-density lipoprotein) cholesterol ratio (β = −0.043; P = 0.049) in multivariate models. Finally, children with MVPA levels and eating frequency higher than that corresponding to the second quartile of this lifestyle pattern (i.e., > 44.8 min of MVPA per day and > 4.7 meals per day) were 29.7, 32.6 and 43.1 % less likely of having abnormal levels of total cholesterol, LDL and total/HDL cholesterol ratio, respectively, according to the National Cholesterol Education Program (NCEP) cutoff points.

Conclusions

A lifestyle pattern of more than approximately 45 min of MVPA and 5 eating occasions per day was significantly associated with reduced likelihood of dyslipidemias in schoolchildren (9–13 years).

Keywords

Children Serum lipids Lifestyle patterns Diet 

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • George Moschonis
    • 1
  • Christina Mavrogianni
    • 1
  • Kalliopi Karatzi
    • 1
  • Vasiliki Iatridi
    • 1
  • George P. Chrousos
    • 2
  • Christos Lionis
    • 3
  • Yannis Manios
    • 1
  1. 1.Department of Nutrition and DieteticsHarokopio University of AthensKallithea, AthensGreece
  2. 2.First Department of PediatricsAthens University Medical School, Aghia Sophia Children’s HospitalAthensGreece
  3. 3.Clinic of Social and Family MedicineSchool of Medicine, Heraklion, University of CreteHeraklionGreece

Personalised recommendations