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Integration of Time-Based Recommendations with Current Pediatric Health Behavior Guidelines: Implications for Obesity Prevention and Treatment in Youth

  • Childhood Obesity (A Kelly and C Fox, Section Editors)
  • Published:
Current Obesity Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Youth-onset obesity is associated with negative health outcomes across the lifespan including cardiovascular diseases, type 2 diabetes, obstructive sleep apnea, dyslipidemias, asthma, and several cancers. Pediatric health guidelines have traditionally focused on the quality and quantity of dietary intake, physical activity, and sleep.

Recent Findings

Emerging evidence suggests that the timing (time of day when behavior occurs) and composition (proportion of time spent allocated to behavior) of food intake, movement (i.e., physical activity, sedentary time), and sleep may independently predict health trajectories and disease risks. Several theoretically driven interventions and conceptual frameworks feature behavior timing and composition (e.g., 24 h movement continuum, circadian science and chronobiology, intermittent fasting regimens, structured day hypothesis). These literatures are, however, disparate, with little crosstalk across disciplines. In this review, we examine dietary, sleep, and movement guidelines and recommendations for youths ages 0–18 in the context of theoretical models and empirical findings in support of time-based approaches.

Summary

The review aims to inform a unifying framework of health behaviors and guide future research on the integration of time-based recommendations into current quantity and quality-based health guidelines for children and adolescents.

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Acknowledgements

The manuscript was partially supported by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK; 1R01DK130851, Salvy), the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD; R01HD092483; de la Haye/Salvy), the National Cancer Institute (NCI; R01CA258222; Figueiredo/Salvy/ Peterson), and the Hope Warschaw Center for Integrated Research in Cancer and Lifestyle Award (Salvy). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIDDK, the NICHD, the NCI, or the Hope Warschaw foundation.

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The manuscript was partially supported by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK; 1R01DK130851, Salvy), the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD; R01HD092483; de la Haye/Salvy), the National Cancer Institute (NCI; R01CA258222; Figueiredo/Salvy/ Peterson) and the Hope Warschaw Center for Integrated Research in Cancer and Lifestyle Award (Salvy). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIDDK, the NICHD, the NCI, or the Hope Warschaw foundation.

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Vidmar, A.P., Cáceres, N.A., Schneider-Worthington, C.R. et al. Integration of Time-Based Recommendations with Current Pediatric Health Behavior Guidelines: Implications for Obesity Prevention and Treatment in Youth. Curr Obes Rep 11, 236–253 (2022). https://doi.org/10.1007/s13679-022-00491-z

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