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Associations of multiple unhealthy lifestyle behaviors with overweight/obesity and abdominal obesity among Brazilian adolescents: A country-wide survey.
Nutr Metab Cardiovasc Dis. 2018 07; 28(7):765-774.NM

Abstract

BACKGROUND AND AIMS

Physical inactivity, unhealthy diet, smoking and heavy drinking are four key unhealthy lifestyle behaviors (ULB) that may influence body weight and obesity development. More recently, sedentary time has been recognized as another potentially emerging ULB related to obesity. We therefore investigated the association of multiple ULB with overweight/obesity and abdominal obesity among Brazilian adolescents.

METHODS AND RESULTS

This cross-sectional study involved 62,063 students (12-17 years). Physical inactivity, high screen time, low fiber intake, binge drinking and smoking were self-reported and combined to a ULB risk score, ranging from zero to five. Participants were classified as overweight/obese or with abdominal obesity using sex and age-specific cut-off points for BMI and waist circumference, respectively. Poisson regression models were used to examine the associations between ULB with overweight/obesity and abdominal obesity, adjusted for socio-demographic variables. Overall, 2.3%, 18.9%, 43.9%, 32.3% and 2.6% of participants reported zero, one, two, three and four/five ULB, respectively. Higher ULB risk score was associated with overweight/obesity and abdominal obesity in a dose-response gradient. Among 32 possible combinations of ULB, the three most prevalent combinations (physical inactivity + low fiber intake; high screen time + low fiber intake; physical inactivity + high screen time + low fiber intake) were positively associated with general and abdominal obesity.

CONCLUSIONS

Our findings suggest a synergistic relationship between ULB and general and abdominal obesity. Preventive efforts targeting combined ULB should be sought to reduce the prevalence of general and abdominal obesity in Brazilian youth.

Authors+Show Affiliations

Postgraduate Program in Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil; National Institute of Science and Technology for Health Technology Assessment, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil. Electronic address: fvcureau@gmail.com.Postgraduate Program in Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.Department of Sports Medicine, Norwegian School of Sports Science, Oslo, Norway.Postgraduate Program in Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil; Endocrine Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

29843935

Citation

Cureau, F V., et al. "Associations of Multiple Unhealthy Lifestyle Behaviors With Overweight/obesity and Abdominal Obesity Among Brazilian Adolescents: a Country-wide Survey." Nutrition, Metabolism, and Cardiovascular Diseases : NMCD, vol. 28, no. 7, 2018, pp. 765-774.
Cureau FV, Sparrenberger K, Bloch KV, et al. Associations of multiple unhealthy lifestyle behaviors with overweight/obesity and abdominal obesity among Brazilian adolescents: A country-wide survey. Nutr Metab Cardiovasc Dis. 2018;28(7):765-774.
Cureau, F. V., Sparrenberger, K., Bloch, K. V., Ekelund, U., & Schaan, B. D. (2018). Associations of multiple unhealthy lifestyle behaviors with overweight/obesity and abdominal obesity among Brazilian adolescents: A country-wide survey. Nutrition, Metabolism, and Cardiovascular Diseases : NMCD, 28(7), 765-774. https://doi.org/10.1016/j.numecd.2018.04.012
Cureau FV, et al. Associations of Multiple Unhealthy Lifestyle Behaviors With Overweight/obesity and Abdominal Obesity Among Brazilian Adolescents: a Country-wide Survey. Nutr Metab Cardiovasc Dis. 2018;28(7):765-774. PubMed PMID: 29843935.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Associations of multiple unhealthy lifestyle behaviors with overweight/obesity and abdominal obesity among Brazilian adolescents: A country-wide survey. AU - Cureau,F V, AU - Sparrenberger,K, AU - Bloch,K V, AU - Ekelund,U, AU - Schaan,B D, Y1 - 2018/05/04/ PY - 2017/11/05/received PY - 2018/04/24/revised PY - 2018/04/26/accepted PY - 2018/5/31/pubmed PY - 2019/3/15/medline PY - 2018/5/31/entrez KW - Adiposity KW - Binge drinking KW - Diet KW - Sedentary lifestyle KW - Smoking SP - 765 EP - 774 JF - Nutrition, metabolism, and cardiovascular diseases : NMCD JO - Nutr Metab Cardiovasc Dis VL - 28 IS - 7 N2 - BACKGROUND AND AIMS: Physical inactivity, unhealthy diet, smoking and heavy drinking are four key unhealthy lifestyle behaviors (ULB) that may influence body weight and obesity development. More recently, sedentary time has been recognized as another potentially emerging ULB related to obesity. We therefore investigated the association of multiple ULB with overweight/obesity and abdominal obesity among Brazilian adolescents. METHODS AND RESULTS: This cross-sectional study involved 62,063 students (12-17 years). Physical inactivity, high screen time, low fiber intake, binge drinking and smoking were self-reported and combined to a ULB risk score, ranging from zero to five. Participants were classified as overweight/obese or with abdominal obesity using sex and age-specific cut-off points for BMI and waist circumference, respectively. Poisson regression models were used to examine the associations between ULB with overweight/obesity and abdominal obesity, adjusted for socio-demographic variables. Overall, 2.3%, 18.9%, 43.9%, 32.3% and 2.6% of participants reported zero, one, two, three and four/five ULB, respectively. Higher ULB risk score was associated with overweight/obesity and abdominal obesity in a dose-response gradient. Among 32 possible combinations of ULB, the three most prevalent combinations (physical inactivity + low fiber intake; high screen time + low fiber intake; physical inactivity + high screen time + low fiber intake) were positively associated with general and abdominal obesity. CONCLUSIONS: Our findings suggest a synergistic relationship between ULB and general and abdominal obesity. Preventive efforts targeting combined ULB should be sought to reduce the prevalence of general and abdominal obesity in Brazilian youth. SN - 1590-3729 UR - https://www.unboundmedicine.com/medline/citation/29843935/Associations_of_multiple_unhealthy_lifestyle_behaviors_with_overweight/obesity_and_abdominal_obesity_among_Brazilian_adolescents:_A_country_wide_survey_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0939-4753(18)30151-0 DB - PRIME DP - Unbound Medicine ER -