000078240 001__ 78240 000078240 005__ 20230830110634.0 000078240 0247_ $$2doi$$a10.1016/j.appet.2017.10.008 000078240 0248_ $$2sideral$$a101860 000078240 037__ $$aART-2018-101860 000078240 041__ $$aeng 000078240 100__ $$aFerraz Moreira, Naiara 000078240 245__ $$aClustering of multiple energy balance related behaviors is associated with body fat composition indicators in adolescents: Results from the HELENA and ELANA studies 000078240 260__ $$c2018 000078240 5060_ $$aAccess copy available to the general public$$fUnrestricted 000078240 5203_ $$aThe objective of this study was to identify clustering patterns of four energy balance-related behaviors (EBRB): television (TV) watching, moderate and vigorous physical activity (MVPA), consumption of fruits and vegetables (F&V), and consumption of sugar-sweetened beverages (SSB), among European and Brazilian adolescents. EBRB associations with different body fat composition indicators were then evaluated. Participants included adolescents from eight European countries in the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescents) study (n = 2, 057, 53.8% female; age: 12.5–17.5 years) and from the metropolitan region of Rio de Janeiro/Brazil in the ELANA study (the Adolescent Nutritional Assessment Longitudinal Study) (n = 968, 53.2% female; age: 13.5–19 years). EBRB data allowed for sex- and study-specific clusters. Associations were estimated by ANOVA and odds ratios. Five clustering patterns were identified. Four similar clusters were identified for each sex and study. Among boys, different cluster identified was characterized by high F&V consumption in the HELENA study and high TV watching and high MVPA time in the ELANA study. Among girls, the different clusters identified was characterized by high F&V consumption in both studies and, additionally, high SSB consumption in the ELANA study. Regression analysis showed that clusters characterized by high SSB consumption in European boys; high TV watching, and high TV watching plus high MVPA in Brazilian boys; and high MVPA, and high SSB and F&V consumption in Brazilian girls, were positively associated with different body fat composition indicators. Common clusters were observed in adolescents from Europe and Brazil, however, no cluster was identified as being completely healthy or unhealthy. Each cluster seems to impact on body composition indicators, depending on the group. Public health actions should aim to promote adequate practices of EBRB. 000078240 536__ $$9info:eu-repo/grantAgreement/ES/Spanish Ministry of Health/RD08-0072$$9info:eu-repo/grantAgreement/EUR/FP6/FOOD-CT-2005-007034 000078240 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/ 000078240 590__ $$a3.501$$b2018 000078240 591__ $$aBEHAVIORAL SCIENCES$$b8 / 53 = 0.151$$c2018$$dQ1$$eT1 000078240 591__ $$aNUTRITION & DIETETICS$$b30 / 85 = 0.353$$c2018$$dQ2$$eT2 000078240 592__ $$a1.452$$b2018 000078240 593__ $$aPsychology (miscellaneous)$$c2018$$dQ1 000078240 593__ $$aNutrition and Dietetics$$c2018$$dQ1 000078240 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion 000078240 700__ $$aVeiga, Gloria Valeria da 000078240 700__ $$0(orcid)0000-0002-0303-7912$$aSantaliestra-Pasías, Alba María$$uUniversidad de Zaragoza 000078240 700__ $$aAndroutsos, Odysseas 000078240 700__ $$aCuenca-García, Magdalena 000078240 700__ $$aSilva Dias de Oliveira, Alessandra 000078240 700__ $$aAlves Pereira, Rosangela 000078240 700__ $$aBezerra de Vasconcelosde Moraes, Anelise 000078240 700__ $$aVan den Bussche, Karen 000078240 700__ $$aCensi, Laura 000078240 700__ $$aGonzález-Gross, Marcela 000078240 700__ $$aCañada, David 000078240 700__ $$aGottrand, Frederic 000078240 700__ $$aKafatos, Anthony 000078240 700__ $$aMarcos, Ascensión 000078240 700__ $$aWidhalm, Kurt 000078240 700__ $$aMólnar, Dénes 000078240 700__ $$0(orcid)0000-0003-0454-653X$$aMoreno, Luis Alberto$$uUniversidad de Zaragoza 000078240 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería 000078240 773__ $$g120 (2018), 505-513$$pAppetite$$tAppetite$$x0195-6663 000078240 8564_ $$s182612$$uhttps://zaguan.unizar.es/record/78240/files/texto_completo.pdf$$yPostprint 000078240 8564_ $$s7887$$uhttps://zaguan.unizar.es/record/78240/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint 000078240 909CO $$ooai:zaguan.unizar.es:78240$$particulos$$pdriver 000078240 951__ $$a2023-08-30-10:57:06 000078240 980__ $$aARTICLE