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Diet, physical activity, and sedentary behaviors as risk factors for overweight in adolescence.
Arch Pediatr Adolesc Med. 2004 Apr; 158(4):385-90.AP

Abstract

BACKGROUND

The proportion of overweight adolescents has increased, but the behavioral risk factors for overweight youth are not well understood.

OBJECTIVE

To examine how diet, physical activity, and sedentary behaviors relate to overweight status in adolescents.

DESIGN AND SETTING

Baseline data from the Patient-Centered Assessment and Counseling for Exercise Plus Nutrition Project, a randomized controlled trial of adolescents to determine the effects of a clinic-based intervention on physical activity and dietary behaviors.

PARTICIPANTS

A total of 878 adolescents aged 11 to 15 years, 42% of whom were from minority backgrounds.

MAIN OUTCOME MEASURE

Centers for Disease Control and Prevention body mass index-for-age percentiles divided into 2 categories: normal weight (<85th percentile) and at risk for overweight plus overweight (AR + O) (>or=85th percentile).

RESULTS

Overall, 45.7% of the sample was classified as AR + O with a body mass index for age at the 85th percentile or higher. More girls from minority backgrounds (54.8%) were AR + O compared with non-Hispanic white girls (42%) (chi(2)(1) = 7.6; P =.006). Bivariate analyses indicated that girls and boys in the AR + O group did fewer minutes per day of vigorous physical activity, consumed fewer total kilojoules per day, and had fewer total grams of fiber per day than those in the normal-weight group. Boys in the AR + O group also did fewer minutes per day of moderate physical activity and watched more minutes per day of television on nonschool days than normal-weight boys. Final multivariate models indicated that independent of socioeconomic status (as assessed by household education level), girls had a greater risk of being AR + O if they were Hispanic or from another minority background (odds ratio [OR] = 1.65; 95% confidence interval [CI], 1.09-2.49) and a reduced risk of being AR + O as minutes per day of vigorous physical activity increased (OR = 0.93; 95% CI, 0.89-0.97). A low level of vigorous physical activity was the only significant risk factor for boys being AR + O (OR = 0.92; 95% CI, 0.89-0.95). Analyses based on meeting behavioral guidelines supported these findings and showed that failing to meet the 60 min/d moderate to vigorous physical activity guideline was associated with overweight status for both girls and boys. In addition, boys who failed to meet sedentary behavior and dietary fiber guidelines were more likely to be overweight.

CONCLUSIONS

Of the 7 dietary and physical activity variables examined in this cross-sectional study, insufficient vigorous physical activity was the only risk factor for higher body mass index for adolescent boys and girls. Prospective studies are needed to clarify the relative importance of dietary and physical activity behaviors on overweight in adolescence.

Authors+Show Affiliations

University of California, San Diego, San Diego State University, and Kaiser Permanente Medical Group, San Diego, CA 92093-0811, USA. kpatrick@ucsd.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15066880

Citation

Patrick, Kevin, et al. "Diet, Physical Activity, and Sedentary Behaviors as Risk Factors for Overweight in Adolescence." Archives of Pediatrics & Adolescent Medicine, vol. 158, no. 4, 2004, pp. 385-90.
Patrick K, Norman GJ, Calfas KJ, et al. Diet, physical activity, and sedentary behaviors as risk factors for overweight in adolescence. Arch Pediatr Adolesc Med. 2004;158(4):385-90.
Patrick, K., Norman, G. J., Calfas, K. J., Sallis, J. F., Zabinski, M. F., Rupp, J., & Cella, J. (2004). Diet, physical activity, and sedentary behaviors as risk factors for overweight in adolescence. Archives of Pediatrics & Adolescent Medicine, 158(4), 385-90.
Patrick K, et al. Diet, Physical Activity, and Sedentary Behaviors as Risk Factors for Overweight in Adolescence. Arch Pediatr Adolesc Med. 2004;158(4):385-90. PubMed PMID: 15066880.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diet, physical activity, and sedentary behaviors as risk factors for overweight in adolescence. AU - Patrick,Kevin, AU - Norman,Gregory J, AU - Calfas,Karen J, AU - Sallis,James F, AU - Zabinski,Marion F, AU - Rupp,Joan, AU - Cella,John, PY - 2004/4/7/pubmed PY - 2004/5/5/medline PY - 2004/4/7/entrez SP - 385 EP - 90 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 158 IS - 4 N2 - BACKGROUND: The proportion of overweight adolescents has increased, but the behavioral risk factors for overweight youth are not well understood. OBJECTIVE: To examine how diet, physical activity, and sedentary behaviors relate to overweight status in adolescents. DESIGN AND SETTING: Baseline data from the Patient-Centered Assessment and Counseling for Exercise Plus Nutrition Project, a randomized controlled trial of adolescents to determine the effects of a clinic-based intervention on physical activity and dietary behaviors. PARTICIPANTS: A total of 878 adolescents aged 11 to 15 years, 42% of whom were from minority backgrounds. MAIN OUTCOME MEASURE: Centers for Disease Control and Prevention body mass index-for-age percentiles divided into 2 categories: normal weight (<85th percentile) and at risk for overweight plus overweight (AR + O) (>or=85th percentile). RESULTS: Overall, 45.7% of the sample was classified as AR + O with a body mass index for age at the 85th percentile or higher. More girls from minority backgrounds (54.8%) were AR + O compared with non-Hispanic white girls (42%) (chi(2)(1) = 7.6; P =.006). Bivariate analyses indicated that girls and boys in the AR + O group did fewer minutes per day of vigorous physical activity, consumed fewer total kilojoules per day, and had fewer total grams of fiber per day than those in the normal-weight group. Boys in the AR + O group also did fewer minutes per day of moderate physical activity and watched more minutes per day of television on nonschool days than normal-weight boys. Final multivariate models indicated that independent of socioeconomic status (as assessed by household education level), girls had a greater risk of being AR + O if they were Hispanic or from another minority background (odds ratio [OR] = 1.65; 95% confidence interval [CI], 1.09-2.49) and a reduced risk of being AR + O as minutes per day of vigorous physical activity increased (OR = 0.93; 95% CI, 0.89-0.97). A low level of vigorous physical activity was the only significant risk factor for boys being AR + O (OR = 0.92; 95% CI, 0.89-0.95). Analyses based on meeting behavioral guidelines supported these findings and showed that failing to meet the 60 min/d moderate to vigorous physical activity guideline was associated with overweight status for both girls and boys. In addition, boys who failed to meet sedentary behavior and dietary fiber guidelines were more likely to be overweight. CONCLUSIONS: Of the 7 dietary and physical activity variables examined in this cross-sectional study, insufficient vigorous physical activity was the only risk factor for higher body mass index for adolescent boys and girls. Prospective studies are needed to clarify the relative importance of dietary and physical activity behaviors on overweight in adolescence. SN - 1072-4710 UR - https://www.unboundmedicine.com/medline/citation/15066880/Diet_physical_activity_and_sedentary_behaviors_as_risk_factors_for_overweight_in_adolescence_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/10.1001/archpedi.158.4.385 DB - PRIME DP - Unbound Medicine ER -