TY - JOUR
T1 - Integration of Time-Based Recommendations with Current Pediatric Health Behavior Guidelines
T2 - Implications for Obesity Prevention and Treatment in Youth
AU - Vidmar, Alaina P.
AU - Cáceres, Nenette A.
AU - Schneider-Worthington, Camille R.
AU - Shirazipour, Celina
AU - Buman, Matthew P.
AU - de la Haye, Kayla
AU - Salvy, Sarah Jeanne
N1 - Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2022/12
Y1 - 2022/12
N2 - Purpose of Review: Youth-onset obesity is associated with negative health outcomes across the lifespan including cardiovascular diseases, type 2 diabetes, obstructive sleep apnea, dyslipidemias, asthma, and several cancers. Pediatric health guidelines have traditionally focused on the quality and quantity of dietary intake, physical activity, and sleep. Recent Findings: Emerging evidence suggests that the timing (time of day when behavior occurs) and composition (proportion of time spent allocated to behavior) of food intake, movement (i.e., physical activity, sedentary time), and sleep may independently predict health trajectories and disease risks. Several theoretically driven interventions and conceptual frameworks feature behavior timing and composition (e.g., 24 h movement continuum, circadian science and chronobiology, intermittent fasting regimens, structured day hypothesis). These literatures are, however, disparate, with little crosstalk across disciplines. In this review, we examine dietary, sleep, and movement guidelines and recommendations for youths ages 0–18 in the context of theoretical models and empirical findings in support of time-based approaches. Summary: The review aims to inform a unifying framework of health behaviors and guide future research on the integration of time-based recommendations into current quantity and quality-based health guidelines for children and adolescents.
AB - Purpose of Review: Youth-onset obesity is associated with negative health outcomes across the lifespan including cardiovascular diseases, type 2 diabetes, obstructive sleep apnea, dyslipidemias, asthma, and several cancers. Pediatric health guidelines have traditionally focused on the quality and quantity of dietary intake, physical activity, and sleep. Recent Findings: Emerging evidence suggests that the timing (time of day when behavior occurs) and composition (proportion of time spent allocated to behavior) of food intake, movement (i.e., physical activity, sedentary time), and sleep may independently predict health trajectories and disease risks. Several theoretically driven interventions and conceptual frameworks feature behavior timing and composition (e.g., 24 h movement continuum, circadian science and chronobiology, intermittent fasting regimens, structured day hypothesis). These literatures are, however, disparate, with little crosstalk across disciplines. In this review, we examine dietary, sleep, and movement guidelines and recommendations for youths ages 0–18 in the context of theoretical models and empirical findings in support of time-based approaches. Summary: The review aims to inform a unifying framework of health behaviors and guide future research on the integration of time-based recommendations into current quantity and quality-based health guidelines for children and adolescents.
KW - Dietary Intake
KW - Obesity
KW - Pediatrics
KW - Physical activity
KW - Sleep
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U2 - 10.1007/s13679-022-00491-z
DO - 10.1007/s13679-022-00491-z
M3 - Review article
C2 - 36348216
AN - SCOPUS:85141644123
SN - 2162-4968
VL - 11
SP - 236
EP - 253
JO - Current Obesity Reports
JF - Current Obesity Reports
IS - 4
ER -