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Open AccessArticle

Cluster Analysis of Physical Activity Patterns, and Relationship with Sedentary Behavior and Healthy Lifestyles in Prepubertal Children: Genobox Cohort

Unidad de Investigación en Nutrición, Crecimiento y Desarrollo Humano de Galicia, Departamento de Pediatría, Hospital Clínico Universitario de Santiago, Universidad de Santiago de Compostela, IDIS, 15706 Santiago de Compostela, Spain
CIBEROBN, (Physiopathology of Obesity and Nutrition) Institute of Health Carlos III (ISCIII), 28029 Madrid, Spain
Metabolism and Investigation Unit, Reina Sofia University Hospital, Maimónides Institute of Biomedicine Research of Córdoba (IMIBIC), University of Córdoba, 14071 Córdoba, Spain
Department of Artistic and Corporal Education, Faculty of Education, University of Córdoba, 14004 Córdoba, Spain
Department of Biochemistry and Molecular Biology II, Institute of Nutrition and Food Technology “José Mataix”, Center of Biomedical Research, University of Granada, Armilla, 18016 Granada, Spain
Instituto de Investigación Biosanitaria ibs, 18014 Granada, Spain
GENUD Research Group, University of Zaragoza, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria (IIS) Aragón, 50013 Zaragoza; Spain
Unidad de Endocrinología Pediátrica, Hospital Clínico Lozano Blesa, Facultad de Medicina, Universidad de Zaragoza, 50009 Zaragoza, Spain
Author to whom correspondence should be addressed.
Nutrients 2020, 12(5), 1288;
Received: 28 March 2020 / Revised: 23 April 2020 / Accepted: 26 April 2020 / Published: 1 May 2020
(This article belongs to the Special Issue Healthy Diet and Lifestyles in the Pediatric Population)
Sedentary habits during childhood are associated with adverse health outcomes. The aim of this work was to cluster lifestyle behaviors and metabolic biomarkers to establish different patterns in children. Their physical and sedentary activities were evaluated by accelerometry, and questionnaires that included lifestyle behaviors, such as adherence to a Mediterranean diet, anthropometry and blood biochemical markers. Cluster analysis was performed to establish different groups based on physical activity levels. A total of 489 children were finally selected. Cluster 1 included children with a mostly sedentary state, whereas Cluster 3 included the most active children and Cluster 2 included children that did not fit into either the sedentary or the highly active groups. In Cluster 3, 56% of children were in a sports club, and a lower percentage used electronic devices in their rooms compared to the other groups. Cluster 1 children exhibited higher insulin, HOMA-IR and triacylglycerides with respect to the other groups. No differences were found regarding adherence to a Mediterranean diet. The choice to practice an extracurricular sport could be an influencing factor to increase exercise and ensure an active lifestyle in children. Reducing or limiting screen time mainly in children’s rooms could contribute to an active lifestyle. View Full-Text
Keywords: exercise; obesity; Mediterranean diet; cardiovascular diseases exercise; obesity; Mediterranean diet; cardiovascular diseases
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Leis, R.; Jurado-Castro, J.M.; Llorente-Cantarero, F.J.; Anguita-Ruiz, A.; Iris Rupérez, A.; Bedoya-Carpente, J.J.; Vázquez-Cobela, R.; Aguilera, C.M.; Bueno, G.; Gil-Campos, M. Cluster Analysis of Physical Activity Patterns, and Relationship with Sedentary Behavior and Healthy Lifestyles in Prepubertal Children: Genobox Cohort. Nutrients 2020, 12, 1288.

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