Cluster of risk and protective factors for obesity among Brazilian adolescents
Emanuella Gomes Maia (),
Larissa Loures Mendes (),
Adriano Marçal Pimenta (),
Renata Bertazzi Levy () and
Rafael Moreira Claro ()
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Emanuella Gomes Maia: Federal University of Minas Gerais
Larissa Loures Mendes: Federal University of Minas Gerais
Adriano Marçal Pimenta: Federal University of Minas Gerais
Renata Bertazzi Levy: University of São Paulo
Rafael Moreira Claro: Federal University of Minas Gerais
International Journal of Public Health, 2018, vol. 63, issue 4, No 7, 490 pages
Abstract:
Abstract Objectives This study aims to identify and analyze clusters formed by risk and protective factors for obesity among Brazilian adolescents. Methods Cross-sectional data collected in a national representative sample of adolescents by the Brazilian National School Health Survey of 2012 were used (n = 109,104). Cluster analysis was applied to identify clusters involving dietary intake, eating behavior, physical activity and sedentary behaviors. Logistic regression was employed to contextualize the clusters according to students’ sociodemographics and schools’ characteristics. Results Two clusters were identified. Cluster 1 was predominantly characterized by the low frequency of both risk and protective factors for obesity; Cluster 2 was characterized by high frequency of both of these factors. None was essentially healthy or unhealthy. Adolescents from less developed regions and with mothers with lower education level were associated to Cluster 1. Conclusions The identification of two mixed clusters indicate wide spread obesity risk among scholars in the country. The association between the clusters and sociodemographic characteristics of the population allows a greater refinement of health promotion and obesity prevention and combat actions in Brazil.
Keywords: Obesity; Multivariate analysis; Health behavior; Risk factors; Adolescent; Public health (search for similar items in EconPapers)
Date: 2018
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DOI: 10.1007/s00038-017-1053-7
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