{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T10:52:14Z","timestamp":1792666334773,"version":"4.5.0"},"reference-count":43,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,7,31]],"date-time":"2023-07-31T00:00:00Z","timestamp":1690761600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","award":["245200"],"award-info":[{"award-number":["245200"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Obesity"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Lifestyle behaviours related to diet and physical activity are associated with increased risk of obesity and evidence suggests that associations might be stronger when a synergetic effect is examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the cross\u2010sectional and longitudinal associations between diet, screen time (ST) and step recommendations and risk of overweight and obesity in European preschoolers participating in the ToyBox\u2010study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this cluster\u2010randomized clinical trial, 718 children (51.4% boys) from six European countries participated. Parents filled out questionnaires with information on socio\u2010demographic status, step recommendations and ST.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Longitudinal results indicate that participants having a low Diet Quality Index (DQI), not meeting ST and step recommendations at T0 and T1 had higher odds of having overweight\/obesity at T1 (odds ratio [OR]\u2009=\u20091.116; 95% confidence interval [CI]\u2009=\u20091.104\u20132.562) than those children having a high DQI and meeting ST and step recommendations at T0 and T1. Similarly, participants having a high DQI, but not meeting ST and step recommendations at T0 and T1 had increased odds of having overweight\/obesity (OR\u2009=\u20092.515; 95% CI\u2009=\u20091.171\u20133.021).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The proportion of participants having a low DQI, not adhering to both step and ST recommendations was very high, and it was associated with a higher probability of having overweight and obesity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijpo.13068","type":"journal-article","created":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T04:05:07Z","timestamp":1690862707000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Longitudinal associations between diet quality, sedentary behaviours and physical activity and risk of overweight and obesity in preschool children: The 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Health Sciences &amp; Education Harokopio University  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Violeta","family":"Iotova","sequence":"additional","affiliation":[{"name":"Medical University Varna  Varna Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonya","family":"Galcheva","sequence":"additional","affiliation":[{"name":"Medical University Varna  Varna Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marieke","family":"De Craemer","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences Ghent University  Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greet","family":"Cardon","sequence":"additional","affiliation":[{"name":"Department of Movement and Sports Sciences Ghent University  Ghent 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