Clustering of energy balance-related behaviours, sleep, and overweight among Finnish adolescents

Teija Nuutinen, Elviira Lehto (), Carola Ray, Eva Roos, Jari Villberg and Jorma Tynjälä
Additional contact information
Teija Nuutinen: Folkhälsan Research Center
Elviira Lehto: Folkhälsan Research Center
Carola Ray: Folkhälsan Research Center
Eva Roos: Folkhälsan Research Center
Jari Villberg: University of Jyväskylä
Jorma Tynjälä: University of Jyväskylä

International Journal of Public Health, 2017, vol. 62, issue 8, No 11, 929-938

Abstract: Abstract Objectives To examine how clusters of energy balance-related behaviours (EBRBs), including sleep related factors, were associated with overweight among adolescents. Methods In Finland, 4262 adolescents, aged 13–15, participated in the cross-national Health Behaviour in School-aged Children study. The adolescents completed questionnaires assessing EBRBs [sleep duration, discrepancy and quality, physical activity (PA), screen time, junk food, fruit, and vegetable intake] and height and weight. Clusters were identified with κ-means cluster analysis and their associations with overweight with logistic regression analyses. Results Common clusters for boys and girls were labelled “Healthy lifestyle” and “High screen time, unhealthy lifestyle”. In addition, the cluster “Low/moderate screen time, unhealthy lifestyle” was identified among boys, and the cluster “Poor sleep, unhealthy lifestyle” among girls. Only girls in the cluster “High screen time, unhealthy lifestyle” were at increased risk for overweight. Conclusions Girls, whose EBRB was characterized by high screen time and low PA, but not with poor sleep, were at increased risk for overweight. Future studies should examine ways to promote PA among adolescent girls with high interest in screen-based activities.

Keywords: Cluster analysis; Adolescent; Sleep; Screen time; Physical activity; Diet (search for similar items in EconPapers)
Date: 2017
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Citations: View citations in EconPapers (4)

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DOI: 10.1007/s00038-017-0991-4

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