Mediators of longitudinal changes in measures of adiposity in teenagers using parallel process latent growth modeling

Mine Yildirim, Amika S. Singh, Saskia J. Te Velde, Maartje M. Van Stralen, David Mackinnon, Johannes Brug, Willem Van Mechelen, Mai J M Chinapaw

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objective The aim of the study was to evaluate mediating effects of energy balance-related behaviors on measures of adiposity in the Dutch Obesity Intervention in Teenagers-study (DOiT). Design and Methods DOiT was an 8-month behavioral intervention program consisting of educational and environmental components and evaluated in 18 prevocational secondary schools in the Netherlands (n = 1,108, baseline age 12.7 years, 50% girls). Outcome measures were changes in body mass index (BMI), waist circumference, and sum of skinfold thickness. Self-reported consumption of sugar-containing beverages and high caloric snacks, active transport to/from school, and screen-viewing behaviors were the hypothesized mediators. Data were collected at 0, 8, 12, and 20 months. For the data analysis, parallel process latent growth modeling was used. Results Total sugar-containing beverages consumption mediated the intervention effects on BMI (ab = -0.01, 95%CI = -0.20, -0.001). The intervention group lowered their sugar-containing beverages consumption more than controls (B = -0.14, 95%CI = -0.22, -0.11) and this, in turn, led to smaller increases in BMI. No significant mediated effect by the targeted behaviors was found for waist circumference or sum of skinfolds. Conclusions Future school-based overweight prevention interventions may target decreasing sugar-containing beverages consumption.

Original languageEnglish (US)
Pages (from-to)2387-2395
Number of pages9
JournalObesity
Volume21
Issue number11
DOIs
StatePublished - Nov 2013

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Beverages
Adiposity
Body Mass Index
Waist Circumference
Growth
Obesity
Skinfold Thickness
Snacks
Active Biological Transport
Netherlands
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Endocrinology
  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics
  • Medicine(all)

Cite this

Yildirim, M., Singh, A. S., Te Velde, S. J., Van Stralen, M. M., Mackinnon, D., Brug, J., ... Chinapaw, M. J. M. (2013). Mediators of longitudinal changes in measures of adiposity in teenagers using parallel process latent growth modeling. Obesity, 21(11), 2387-2395. https://doi.org/10.1002/oby.20463

Mediators of longitudinal changes in measures of adiposity in teenagers using parallel process latent growth modeling. / Yildirim, Mine; Singh, Amika S.; Te Velde, Saskia J.; Van Stralen, Maartje M.; Mackinnon, David; Brug, Johannes; Van Mechelen, Willem; Chinapaw, Mai J M.

In: Obesity, Vol. 21, No. 11, 11.2013, p. 2387-2395.

Research output: Contribution to journalArticle

Yildirim, M, Singh, AS, Te Velde, SJ, Van Stralen, MM, Mackinnon, D, Brug, J, Van Mechelen, W & Chinapaw, MJM 2013, 'Mediators of longitudinal changes in measures of adiposity in teenagers using parallel process latent growth modeling', Obesity, vol. 21, no. 11, pp. 2387-2395. https://doi.org/10.1002/oby.20463
Yildirim, Mine ; Singh, Amika S. ; Te Velde, Saskia J. ; Van Stralen, Maartje M. ; Mackinnon, David ; Brug, Johannes ; Van Mechelen, Willem ; Chinapaw, Mai J M. / Mediators of longitudinal changes in measures of adiposity in teenagers using parallel process latent growth modeling. In: Obesity. 2013 ; Vol. 21, No. 11. pp. 2387-2395.
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