How do energy balance-related behaviors cluster in adolescents?

Tatiana Sadalla Collese (), Augusto César Ferreira De Moraes, Juan Miguel Fernández-Alvira, Nathalie Michels, Stefaan De Henauw, Yannis Manios, Odysseas Androutsos, Anthony Kafatos, Kurt Widhalm, Myriam Galfo, Laurent Beghin, Michael Sjöström, Raquel Pedrero-Chamizo, Heráclito Barbosa Carvalho and Luis A. Moreno
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Tatiana Sadalla Collese: Universidade de Sao Paulo
Augusto César Ferreira De Moraes: Universidade de Sao Paulo
Juan Miguel Fernández-Alvira: University of Zaragoza
Nathalie Michels: Ghent University
Stefaan De Henauw: Ghent University
Yannis Manios: Harokopio University
Odysseas Androutsos: Harokopio University
Anthony Kafatos: University of Crete School of Medicine
Kurt Widhalm: Medical University of Vienna
Myriam Galfo: Council for Agricultural Research and Economics-Research Center on Food and Nutrition (CREA-NUT)
Laurent Beghin: Univ. Lille, CHU Lille, LIRIC UMR 995 Inserm, Clinical Investigation Center, CIC- 1403–Inserm–CHU
Michael Sjöström: Karolinska Institute
Raquel Pedrero-Chamizo: Polytechnic University of Madrid, Health and Human Performance
Heráclito Barbosa Carvalho: Universidade de Sao Paulo
Luis A. Moreno: University of Zaragoza

International Journal of Public Health, 2019, vol. 64, issue 2, No 8, 195-208

Abstract: Abstract Objectives To delineate the clustering of energy balance-related behaviors in adolescents and investigate whether these behaviors are associated with the household socioeconomic status and parental education level. Methods Two cross-sectional studies assessed information on sedentary behavior, physical activity, sugar-sweetened beverages and fruit and vegetable consumption, and sleep duration by self-reported questionnaires in adolescents (12.5–17.5 years old) from Maringá/Brazil (BRACAH Study; n = 682) and ten European cities (HELENA Study; n = 1252) from nine different countries. Gender-specific cluster analyses were performed separately for each study, applying a combination of hierarchical and non-hierarchical methods. Results Girls showed equivalent behaviors: Sedentary; Active; Unhealthy Eating; Healthy Eating; while boys differed (Brazilian: Sedentary; Active; Healthy Eating; European: Sedentary; Healthy; Unhealthy Eating). In Brazil, we found no association between socioeconomic status and parental education. In European girls, the high socioeconomic status and both parents’ university degree were associated with Healthy Eating. In European boys, the high socioeconomic status was associated with Unhealthy Eating, and the mothers’ university degree was associated with the Healthy cluster. Conclusions Adolescents show Sedentary behavior, regardless of their sex, country of origin, or socioeconomic condition.

Keywords: Cluster analysis; Energy balance-related behaviors; Adolescents; Socioeconomic status; Parental education (search for similar items in EconPapers)
Date: 2019
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DOI: 10.1007/s00038-018-1178-3

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