Clustering of 24‐H Movement Behaviours and Its Associations With Eating Behaviours and Adiposity Among Mongolian Preschool Children: A Cross‐Sectional Study.

Background: Obesity‐related behaviours such as physical activity, sedentary behaviour, sleep, screen time and diet often cluster in children. There is limited evidence on the clustering of movement behaviours among young children from low‐ and middle‐income countries. This paper reports how 24‐h mov...

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Published in:Child: Care, Health & Development Vol. 51; no. 3; pp. 1 - 10
Main Authors: Byambaa, Ankhmaa, Jones, Rachel A., Chong, Kar Hau, Dechinjamts, Oyundelger, Jambaldorj, Bayasgalan, Okely, Anthony D.
Format: research tables/charts Journal Article
Published: Wiley-Blackwell May2025
Online Access:View this record in EBSCOhost
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      dt: May2025
      vid: 51
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/cch.70084
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        atl: Clustering of 24‐H Movement Behaviours and Its Associations With Eating Behaviours and Adiposity Among Mongolian Preschool Children: A Cross‐Sectional Study.
      aug:
        au:
          Byambaa, Ankhmaa
          Jones, Rachel A.
          Chong, Kar Hau
          Dechinjamts, Oyundelger
          Jambaldorj, Bayasgalan
          Okely, Anthony D.
        affil: School of Social Sciences, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong New South Wales,, Australia
      sug:
        subj:
          Pediatric Obesity Risk Factors
          Health Behavior In Infancy and Childhood
          Physical Activity Evaluation
          Eating Behavior Evaluation
          Adipose Tissue Distribution Evaluation
          Movement
          Human
          Funding Source
          Mongolia
          Child, Preschool
          Cross Sectional Studies
          Questionnaires
          Accelerometers
          Sedentary Behavior
          Sleep
          Screen Time
          Body Mass Index
          Cluster Analysis
          Analysis of Variance
          Logistic Regression
          Odds Ratio
          Confidence Intervals
          Child, Preschool: 2-5 years
      ab: Background: Obesity‐related behaviours such as physical activity, sedentary behaviour, sleep, screen time and diet often cluster in children. There is limited evidence on the clustering of movement behaviours among young children from low‐ and middle‐income countries. This paper reports how 24‐h movement behaviours cluster in Mongolian preschool children and their associations with eating behaviours and adiposity. Methods: Cross‐sectional study involved 201 children aged 3–4 years attending kindergartens in urban and rural areas of Ulaanbaatar city, Tuv and Uvurkhangai provinces, Mongolia. Children wore accelerometers to measure physical activity, sedentary behaviour and sleep. Parents completed a questionnaire to report screen time and eating behaviours. To derive clusters, hierarchical and k‐means cluster analyses were performed sequentially. Associations between clusters, eating behaviours and BMI z‐score were analysed using ANOVA. Logistic regression was applied to estimate the odds of being overweight depending on cluster membership. Results: Three clusters were identified: All‐rounders, Non‐active Sleepers and Screeners. We found that around half the children exhibited at least one unhealthy behaviour and were classified into clusters with a mix of healthy and unhealthy behaviours. The clusters did not differ by sociodemographic characteristics. No significant association was found between cluster membership and BMI z‐score of children. The cluster at highest risk for being overweight was Screeners (odds ratio = 1.7, 95% CI: 0.67–4.33), who exhibited two obesogenic behaviours simultaneously, screen time for > 4 h per day and regular consumption of unhealthy snacks (53%, p = 0.033) and sugary drinks (53%, p = 0.014). Conclusion: Obesity prevention measures should begin in early childhood and target high‐risk clusters, considering the co‐occurrence of healthy and unhealthy behaviours. More research is needed in Mongolia to provide evidence for obesity prevention policies and inform targeted interventions to promote healthy behaviours from a young age.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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