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Appetite. 2018 Jan 1;120:505-513. doi: 10.1016/j.appet.2017.10.008. Epub 2017 Oct 7.

Clustering of multiple energy balance related behaviors is associated with body fat composition indicators in adolescents: Results from the HELENA and ELANA studies.

Author information

1
Faculty of Health Sciences, Federal University of Grande Dourados, Dourados, Brazil. Electronic address: naiaraferraz@ymail.com.
2
Department of Social and Applied Nutrition, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
3
GENUD (Growth, Exercise, Nutrition and Development) Research Group, Faculty of Health Sciences, Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain.
4
Department of Nutrition and Dietetics, School of Health Science & Education, Harokopio University, Athens, Greece.
5
Department of Physiology, School of Medicine, University of Granada, Granada, Spain; Department of Physical Education, School of Education, University of Cadiz, Puerto Real, Spain.
6
Department of Social Nutrition, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
7
Department of Public Health, Ghent University, Ghent, Belgium.
8
Council for Agricultural Research and Economics (CREA) - Research Center for Food and Nutrition, Rome, Italy.
9
Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain; ImFINE Research Group, Department of Health and Human Performance, Facultad de Ciencias de la Actividad Física y del Deporte (INEF), Universidad Politécnica de Madrid, Madrid, Spain.
10
ImFINE Research Group, Department of Health and Human Performance, Facultad de Ciencias de la Actividad Física y del Deporte (INEF), Universidad Politécnica de Madrid, Madrid, Spain.
11
8 Univ. Lille2, CHU Lille, LIRIC-UMR995, Lille, France.
12
Preventive Medicine and Nutrition Clinic, University of Crete, Heraklion, Greece.
13
Immunonutrition Research Group, Department of Metabolism and Nutrition, Institute of Food Science, Technology and Nutrition (ICTAN), Spanish National Research Council (CSIC), Madrid, Spain.
14
Department of Pediatrics, Private Medical University, Salzburg, Austria.
15
Department of Pediatrics, Medical Faculty, University of Pécs, Pecs, Hungary.

Abstract

The 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.

PMID:
29017906
DOI:
10.1016/j.appet.2017.10.008
[Indexed for MEDLINE]

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