{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T02:02:38Z","timestamp":1789696958157,"version":"4.0.1"},"reference-count":57,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":85,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"AXA Fund for Human Progress"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Behav Nutr Phys Act"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>An unhealthy diet, excessive screen time, low levels of physical activity and suboptimal sleep are known risk factors for childhood overweight and obesity (OW\/OB). These energy balance\u2013related behaviors tend to co-occur and combine into \u201clifestyle patterns\u201d (LPs) that may have a synergistic effect on OW\/OB. However, few studies have examined these LPs before preschool age, and none investigated the possible involvement of parental feeding practices (e.g., breastfeeding and timing of complementary feeding), non-screen leisure activities and sleep quality. We aimed to identify such LPs during the first 2 years of life and assess their associations with OW\/OB at age 5 years and age at adiposity rebound (AR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Participants were children from the French nationwide ELFE (\n                      <jats:italic>Etude Longitudinale Fran\u00e7aise depuis l\u2019Enfance<\/jats:italic>\n                      ) birth cohort. We used principal component analysis of 18 items characterizing parental feeding practices and children\u2019s energy balance-related behaviors (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200913,121) to derive LPs. We analyzed the associations of LPs with OW\/OB at age 5 years (International Obesity Task Force definition;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098,388) and age at AR (in days;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097,845) using multivariable logistic and linear regression models, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified three LPs: \u201cEarly complementary feeding, discretionary consumption, high screen time\u201d, \u201cBalanced diet, non-screen leisure activities\u201d, and \u201cHealthy feeding practices, low dairy consumption, suboptimal sleep\u201d patterns. The first pattern was positively associated with OW\/OB at age 5 years (OR [95% CI]\u2009=\u20091.09 [1.03, 1.16] per 1-SD increase) and inversely associated with age at AR (\u03b2 [95% CI]\u2009=\u2009\u2212\u200912.1 days [\u2212\u200919.1; \u22125.0] per 1-SD increase). No association was observed for the second LP. For the third pattern, no clear evidence of associations was found, although the effect sizes were comparable to those of the first LP (OR\u2009=\u20091.07 [0.99; 1.15]; \u03b2 = \u22127.6 days [\u2212\u200915.5; 0.3] per 1-SD increase).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These results emphasize the perinatal period as a critical window for the emergence of interrelated lifestyle behaviors associated with OW\/OB. They highlight the need for interventional studies to evaluate the effectiveness of early, integrated, multi-behavioral strategies to prevent childhood obesity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12966-026-01941-w","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T11:06:21Z","timestamp":1782385581000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of early childhood lifestyle patterns with overweight in preschoolers and timing of adiposity rebound"],"prefix":"10.1186","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9293-9991","authenticated-orcid":false,"given":"M\u00e9lissa","family":"Baietto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5135-2392","authenticated-orcid":false,"given":"Camille","family":"Le Gal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2666-5380","authenticated-orcid":false,"given":"Alexandra","family":"Descarpentrie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6915-533X","authenticated-orcid":false,"given":"Marion","family":"Lecorguill\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4984-8494","authenticated-orcid":false,"given":"Aminata H.","family":"Ciss\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6418-983X","authenticated-orcid":false,"given":"Jonathan Y.","family":"Bernard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2723-3096","authenticated-orcid":false,"given":"Muriel","family":"Tafflet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0282-6650","authenticated-orcid":false,"given":"Jade","family":"Pilato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5324-1372","authenticated-orcid":false,"given":"Judith","family":"van der Waerden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5887-8842","authenticated-orcid":false,"given":"Blandine","family":"de Lauzon-Guillain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4025-4390","authenticated-orcid":false,"given":"Marie-Aline","family":"Charles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1565-1629","authenticated-orcid":false,"given":"Barbara","family":"Heude","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2483-7820","authenticated-orcid":false,"given":"Sandrine","family":"Lioret","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"key":"1941_CR1","unstructured":"WHO. 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Ethical approval for data collection was obtained from the National Committee on Information Processing in Health Research (Comit\u00e9 Consultatif sur le Traitement de information en mati\u00e8re de Recherche dans la Domaine de la Sant\u00e9) under approval numbers 10.623 (10\/26\/2010) and 13.004 (01\/24\/2013), the National Data Protection Authority (Commission Nationale Informatique et Libert\u00e9) (approval numbers 2011\u2013081, 03\/17\/2011, and 2013\u2013113, 04\/25\/2013), the National Committee for Statistical Information, and The Committee for Protection of Persons Engaged in Research (Comit\u00e9 de Protection des Personnes).","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"JYB is a member of the Editorial Board of the International Journal of Behavioral Nutrition and Physical Activity; JYB was not involved in the journal\u2019s peer review process of, or decisions related to, this manuscript. The other authors have no competing interests to declare.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"86"}}