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Latent profile analysis used these measures (total times, as isometric log ratios and mean bout lengths) as input variables to classify distinct profiles for us as a categorical exposure variable in regression models. Primary outcomes were age- and sex-standardised body mass index, waist circumference and parent-reported HRQoL at baseline. Secondary outcomes were the same measures assessed at 12-month follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Four distinct profiles were identified. The\n                      <jats:italic>high MVPA-short sedentary bout<\/jats:italic>\n                      profile (n=184) was characterised by the highest levels of MVPA, moderate sedentary time and the shortest mean sedentary bout duration. The\n                      <jats:italic>low sedentary-high LPA<\/jats:italic>\n                      profile (n=54) had the lowest sedentary time, the highest LPA and the longest mean LPA bout duration. Two profiles were characterised by high sedentary time: the\n                      <jats:italic>high sedentary-long sedentary bout<\/jats:italic>\n                      profile (n=149), which had the longest mean sedentary bout durations, and the\n                      <jats:italic>high sedentary-shorter bouts<\/jats:italic>\n                      profile (n=405), which also had high sedentary time but shorter bout durations for all intensities. While\n                      <jats:italic>the omnibus Wald test for differences across profiles indicated uncertainty in the overall profile effect, the high MVPA-short sedentary bout<\/jats:italic>\n                      profile had favourable adiposity levels cross-sectionally compared with the\n                      <jats:italic>high sedentary-long sedentary bout<\/jats:italic>\n                      reference profile in pairwise comparisons. No longitudinal associations were detected.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Four distinct movement profiles were identified. Few pairwise differences between health outcomes were observed. While MVPA remains a key factor for promoting healthy body weight, our findings suggest that a variety of movement patterns - including those characterised by lower sedentary time and higher LPA - may also support health in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>This study is a secondary analysis of the TransformUs effectiveness-implementation trial, registered with the Australian Clinical Trials Registry (ACTRN12617000204347; 1 April 2017).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-109130","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T11:45:33Z","timestamp":1780919133000},"page":"e109130","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Latent profiles of movement behaviour compositions and their associations with adiposity and health-related quality of life in Australian children: a cross-sectional and 12-month longitudinal study"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7709-7416","authenticated-orcid":false,"given":"Simone JJM","family":"Verswijveren","sequence":"first","affiliation":[{"name":"Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Miatke","sequence":"additional","affiliation":[{"name":"Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, Australia"},{"name":"Alliance for Research in Exercise, Nutrition and Activity (ARENA), Adelaide University, Adelaide, South Australia, Australia"},{"name":"Centre for Adolescent Health, Murdoch children\u2019s Research Institute, Parkville, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2702-7110","authenticated-orcid":false,"given":"Kylie D","family":"Hesketh","sequence":"additional","affiliation":[{"name":"Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5713-3515","authenticated-orcid":false,"given":"Nicola D","family":"Ridgers","sequence":"additional","affiliation":[{"name":"Alliance for Research in Exercise, Nutrition and Activity (ARENA), Adelaide University, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6192-0033","authenticated-orcid":false,"given":"Ana Mar\u00eda","family":"Contardo Ayala,","sequence":"additional","affiliation":[{"name":"Institute for Physical Activity 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