000131727 001__ 131727
000131727 005__ 20241125101158.0
000131727 0247_ $$2doi$$a10.1186/s12889-023-16461-6
000131727 0248_ $$2sideral$$a137108
000131727 037__ $$aART-2023-137108
000131727 041__ $$aeng
000131727 100__ $$aBodega, Patricia
000131727 245__ $$aClustering of lifestyle behaviors and adiposity in early adolescents in Spain: findings from the SI! Program for Secondary Schools
000131727 260__ $$c2023
000131727 5060_ $$aAccess copy available to the general public$$fUnrestricted
000131727 5203_ $$aBackground
Several unhealthy lifestyle behaviors in adolescence are often linked to overweight/obesity. Some of them may be present simultaneously, leading to combined effects on health. Therefore, the clustering of several unhealthy behaviors in adolescents might be associated with adiposity excess.
Purpose
To identify lifestyle patterns and analyze their association with adiposity in early adolescents.
Methods
A cross-sectional cluster analysis was performed in 1183 adolescents (50.5% girls) with a mean age of 12.5 (0.4) years included in the SI! Program for Secondary Schools in Spain to identify lifestyle patterns based on healthy diet, step counts, sleep time, and leisure screen time. Generalized mixed models were applied to estimate the association between lifestyle patterns and adiposity indices.
Results
Four lifestyle patterns were derived: Cluster 1-higher screen time and poorer diet (n = 213), Cluster 2-lower activity and longer sleepers (n = 388), Cluster 3-active and shorter sleepers (n = 280), and Cluster 4-healthiest (n = 302). Except for the number of steps (12,008 (2357) day), the lifestyle behaviors in our sample presented levels far below the recommendations, especially for sleep duration. Cluster 4 included the largest proportion of adolescents from high socioeconomic status families (47.7%) and the lowest prevalence of overweight/obesity (23.1%). Compared to Cluster 4-healthiest, adolescents in the remaining clusters presented a higher prevalence of overweight/obesity and central obesity, showing Cluster 3 the highest prevalences (PR:1.31 [95%CI: 1.31, 1.31] and PR:1.40 [95%CI: 1.33, 1.47]).
Conclusions
Clustering of lifestyle patterns in early adolescence allows the identification of individuals with excess adiposity, in whom health promotion strategies should be stressed, especially in socioeconomically disadvantaged groups.
Trial registration
Clinical Trial Registry, NCT03504059. Registered 20/04/2018—Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT03504059.
000131727 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII-FEDER-FIS/PI17-01704$$9info:eu-repo/grantAgreement/ES/ISCIII/PI22-01560$$9info:eu-repo/grantAgreement/ES/MCIU/FPU21-04891$$9info:eu-repo/grantAgreement/ES/MICINN/CEX2020-001041-S$$9info:eu-repo/grantAgreement/ES/MICINN/PID2020-114022RB-I00
000131727 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000131727 590__ $$a3.5$$b2023
000131727 592__ $$a1.253$$b2023
000131727 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b85 / 408 = 0.208$$c2023$$dQ1$$eT1
000131727 593__ $$aPublic Health, Environmental and Occupational Health$$c2023$$dQ1
000131727 594__ $$a6.5$$b2023
000131727 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000131727 700__ $$aSantos-Beneit, Gloria
000131727 700__ $$aCos-Gandoy, Amaya de
000131727 700__ $$0(orcid)0000-0003-0454-653X$$aMoreno, Luis A.$$uUniversidad de Zaragoza
000131727 700__ $$aMiguel, Mercedes de
000131727 700__ $$aOrrit, Xavier
000131727 700__ $$aTresserra-Rimbau, Anna
000131727 700__ $$aMartínez-Gómez, Jesús
000131727 700__ $$aRamírez-Garza, Sonia L.
000131727 700__ $$aLaveriano-Santos, Emily P.
000131727 700__ $$aArancibia-Riveros, Camila
000131727 700__ $$aEstruch, Ramón
000131727 700__ $$aLamuela-Raventós, Rosa M.
000131727 700__ $$aFernández-Jiménez, Rodrigo
000131727 700__ $$aFernández-Alvira, Juan M..
000131727 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000131727 773__ $$g23, 1535 (2023), 1-9$$pBMC Public Health$$tBMC PUBLIC HEALTH$$x1471-2458
000131727 8564_ $$s1189344$$uhttps://zaguan.unizar.es/record/131727/files/texto_completo.pdf$$yVersión publicada
000131727 8564_ $$s2184650$$uhttps://zaguan.unizar.es/record/131727/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000131727 909CO $$ooai:zaguan.unizar.es:131727$$particulos$$pdriver
000131727 951__ $$a2024-11-22-12:10:27
000131727 980__ $$aARTICLE