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

Naiara Ferraz Moreira, Gloria Valeria da Veiga, Alba María Santaliestra-Pasías, Odysseas Androutsos, Magdalena Cuenca-García, Alessandra Silva Dias de Oliveira, Rosangela Alves Pereira, Anelise Bezerra de Vasconcelos de Moraes, Karen Van den Bussche, Laura Censi, Marcela González-Gross, David Cañada, Frederic Gottrand, Anthony Kafatos, Ascensión Marcos, Kurt Widhalm, D. Molnár, Luis Alberto Moreno

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5 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)505-513
Number of pages9
JournalAppetite
Volume120
DOIs
Publication statusPublished - Jan 1 2018

ASJC Scopus subject areas

  • Psychology(all)
  • Nutrition and Dietetics

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    Moreira, N. F., da Veiga, G. V., Santaliestra-Pasías, A. M., Androutsos, O., Cuenca-García, M., de Oliveira, A. S. D., Pereira, R. A., de Moraes, A. B. D. V., Van den Bussche, K., Censi, L., González-Gross, M., Cañada, D., Gottrand, F., Kafatos, A., Marcos, A., Widhalm, K., Molnár, D., & Moreno, L. A. (2018). Clustering of multiple energy balance related behaviors is associated with body fat composition indicators in adolescents: Results from the HELENA and ELANA studies. Appetite, 120, 505-513. https://doi.org/10.1016/j.appet.2017.10.008