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Differences in energy balance-related behaviours in European preschool children: the ToyBox-study
Marieke De Craemer1, Mina Lateva2, Violeta Iotova2
1Ghent University, Ghent, Belgium.
Insights
Preschoolers
Area of Science:
- Pediatric Health
- Public Health
- Behavioral Science
Background:
- Energy balance-related behaviors are crucial for child development.
- Cross-cultural comparisons of these behaviors in preschoolers are essential for targeted interventions.
Purpose of the Study:
- To compare physical activity, sedentary behavior, and dietary habits in preschoolers across six European countries.
- To identify country-specific differences in energy balance-related behaviors among young children.
Main Methods:
- Cross-sectional study involving 4,045 preschoolers aged 4-6 years from Belgium, Bulgaria, Germany, Greece, Poland, and Spain.
- Objective measurement of physical activity (steps/day) and parental questionnaires for sedentary behaviors (TV viewing, computer use, quiet play) and dietary habits (water, sugar-sweetened beverages, snacks).
Main Results:
- Significant variations in physical activity levels were observed, with Spain showing the highest and Bulgaria/Greece the lowest.
- Sedentary behavior differed, with Germany having the least TV viewing and Greece the most. Quiet play was highest in Poland and lowest in Spain.
- Dietary patterns varied, with Belgian, German, and Polish children consuming less water and more sugar-sweetened beverages. Snack intake was highest in Belgium and lowest in Greece.
Conclusions:
- Substantial differences in preschoolers' energy balance-related behaviors exist across European countries.
- Future interventions should address these behaviors holistically but require country-specific tailoring for effectiveness.
Background:
The aim of the current study was to compare levels of energy balance-related behaviours (physical activity, sedentary behaviour, and dietary behaviours (more specifically water consumption, sugar-sweetened beverage consumption and unhealthy snacking)) in four- to six-year-old preschoolers from six European countries (Belgium, Bulgaria, Germany, Greece, Poland, and Spain) within the ToyBox cross-sectional study.
Methods:
A sample of 4,045 preschoolers (4.77 ± 0.43 years; 52.2% boys) had valid physical activity data (steps per day), parents of 8,117 preschoolers (4.78 ± 0.46 years; 53.0% boys) completed a parental questionnaire with questions on sedentary behaviours (television viewing, computer use, and quiet play), and parents of 7,244 preschoolers (4.77 ± 0.44 years; 52.0% boys) completed a food frequency questionnaire with questions on water consumption, sugar-sweetened beverage consumption and unhealthy snacking.
Results:
The highest levels of physical activity were found in Spain (12,669 steps/day on weekdays), while the lowest levels were found in Bulgaria and Greece (9,777 and 9,656 steps/day on weekdays, respectively). German preschoolers spent the least amount of time in television viewing (43.3 min/day on weekdays), while Greek preschoolers spent the most time in television viewing (88.5 min/day on weekdays). A considerable amount of time was spent in quiet play in all countries, with the highest levels in Poland (104.9 min/day on weekdays), and the lowest levels in Spain (60.4 min/day on weekdays). Belgian, German, and Polish preschoolers had the lowest intakes of water and the highest intakes of sugar-sweetened beverages. The intake of snacks was the highest in Belgian preschoolers (73.1 g/day) and the lowest in Greek preschoolers (53.3 g/day).
Conclusions:
Across six European countries, differences in preschoolers' energy balance-related behaviours were found. Future interventions should target European preschoolers' energy balance-related behaviours simultaneously, but should apply country-specific adaptations.
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