Obesogenic Clusters Associated with Weight Status in Brazilian Adolescents of the Movimente School-Base Intervention.

Gabrielli Thais De Mello,Kelly Samara Silva,Thiago Sousa Matias,Adriano Ferreti Borgatto,Maria Alice Altenburg De Assis

doi:10.3390/ijerph181910350

Gabrielli Thais De Mello, Kelly Samara Silva + Show 3 more

Open Access

https://doi.org/10.3390/ijerph181910350

Copy DOI

Abstract

Background: the relationship between behavior clusters and weight status, mainly in low- and middle-income countries, remains unclear. This study aimed to examine the association between profiles of physical activity (PA), diet and sedentary behavior (SB) with weight status in adolescents from a southern Brazilian city, according to sex. Methods: data from the Movimente Intervention study were analyzed (n = 812 / mean age 13.0 years (sd 1.04). Data on SB hours per day, PA minutes per week and weekly consumption frequencies of fruits, vegetables, salty snacks, candies and soda were self-reported on the validated Movimente questionnaire. Classes of healthy and unhealthy behaviors were derived by latent class analysis. Logistic regression analysis was used to estimate the associations between adolescents’ weight status and classes. Results: two classes were identified for the whole sample and for boys and girls. All classes had high probabilities of engaging high time in SB. Male adolescents in the unhealthy class had low probabilities of being active and high probability of consuming a low-quality diet. In contrast, girls’ healthiest profile presented lower probabilities of being active compared to boys’ healthiest profiles. No association was found between weight status and classes. Conclusion: All classes had at least one unhealthy behavior, for both the whole sample, and for girls and boys. Girls’ profiles were unhealthier compared to boys’ profiles. Hence, it is recommended that intervention strategies to change behaviors need to be distinct according to sex, targeting more than one obesogenic behavior at the same time.

Highlights

This study examined the patterns of physical activity (PA), diet and sedentary behaviors (SB) and assessed its associations with weight status among Brazilian adolescents
Class 1 was predominantly characterized by low probability to practice PA for ≥420 min per week, low-quality diet and high time spent in SB
The classes of PA, diet and SB in Brazilian adolescents can be described in two profiles characterized by at least one unhealthy behavior, with all classes presenting high probabilities to spend more than 2 h engaged in SB

Summary

Introduction

This study aimed to examine the association between profiles of physical activity (PA), diet and sedentary behavior (SB) with weight status in adolescents from a southern Brazilian city, according to sex. Male adolescents in the unhealthy class had low probabilities of being active and high probability of consuming a low-quality diet. Review studies on the clusters of physical activity (PA), diet and SB in youths reported that most children and adolescents presented mixed patterns, exhibiting one or two healthy behaviors combined with one or no unhealthy behaviors [4,7]. An European study conducted in 10 countries identified a large proportion of adolescents (n = 2084, 45% male) as being allocated in a cluster labelled inactive, high quality of diet [10].

Objectives

Methods

Results

Discussion

Conclusion