Clustering patterns of physical activity, sedentary and dietary behavior among European adolescents: The HELENA study

Charlene Ottevaere, Inge Huybrechts, Jasmin Benser, Ilse De Bourdeaudhuij, Magdalena Cuenca-Garcia, Jean Dallongeville, Maria Zaccaria, Frederic Gottrand, Mathilde Kersting, Juan P. Rey-Lápez, Yannis Manios, D. Molnár, Luis A. Moreno, Emmanouel Smpokos, Kurt Widhalm, Stefaan De Henauw

Research output: Contribution to journalArticle

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Abstract

Background: Evidence suggests possible synergetic effects of multiple lifestyle behaviors on health risks like obesity and other health outcomes. A better insight in the clustering of those behaviors, could help to identify groups who are at risk in developing chronic diseases. This study examines the prevalence and clustering of physical activity, sedentary and dietary patterns among European adolescents and investigates if the identified clusters could be characterized by socio-demographic factors. Methods. The study comprised a total of 2084 adolescents (45.6% male), from eight European cities participating in the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study. Physical activity and sedentary behavior were measured using self-reported questionnaires and diet quality was assessed based on dietary recall. Based on the results of those three indices, cluster analyses were performed. To identify gender differences and associations with socio-demographic variables, chi-square tests were executed. Results: Five stable and meaningful clusters were found. Only 18% of the adolescents showed healthy and 21% unhealthy scores on all three included indices. Males were highly presented in the cluster with high levels of moderate to vigorous physical activity (MVPA) and low quality diets. The clusters with low levels of MVPA and high quality diets comprised more female adolescents. Adolescents with low educated parents had diets of lower quality and spent more time in sedentary activities. In addition, the clusters with high levels of MVPA comprised more adolescents of the younger age category. Conclusion: In order to develop effective primary prevention strategies, it would be important to consider multiple health indices when identifying high risk groups.

Original languageEnglish
Article number328
JournalBMC Public Health
Volume11
DOIs
Publication statusPublished - 2011

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Cluster Analysis
Exercise
Diet
Health
Demography
Chi-Square Distribution
Primary Prevention
Healthy Lifestyle
Life Style
Chronic Disease
Obesity
Cross-Sectional Studies
Parents

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Ottevaere, C., Huybrechts, I., Benser, J., De Bourdeaudhuij, I., Cuenca-Garcia, M., Dallongeville, J., ... De Henauw, S. (2011). Clustering patterns of physical activity, sedentary and dietary behavior among European adolescents: The HELENA study. BMC Public Health, 11, [328]. https://doi.org/10.1186/1471-2458-11-328

Clustering patterns of physical activity, sedentary and dietary behavior among European adolescents : The HELENA study. / Ottevaere, Charlene; Huybrechts, Inge; Benser, Jasmin; De Bourdeaudhuij, Ilse; Cuenca-Garcia, Magdalena; Dallongeville, Jean; Zaccaria, Maria; Gottrand, Frederic; Kersting, Mathilde; Rey-Lápez, Juan P.; Manios, Yannis; Molnár, D.; Moreno, Luis A.; Smpokos, Emmanouel; Widhalm, Kurt; De Henauw, Stefaan.

In: BMC Public Health, Vol. 11, 328, 2011.

Research output: Contribution to journalArticle

Ottevaere, C, Huybrechts, I, Benser, J, De Bourdeaudhuij, I, Cuenca-Garcia, M, Dallongeville, J, Zaccaria, M, Gottrand, F, Kersting, M, Rey-Lápez, JP, Manios, Y, Molnár, D, Moreno, LA, Smpokos, E, Widhalm, K & De Henauw, S 2011, 'Clustering patterns of physical activity, sedentary and dietary behavior among European adolescents: The HELENA study', BMC Public Health, vol. 11, 328. https://doi.org/10.1186/1471-2458-11-328
Ottevaere, Charlene ; Huybrechts, Inge ; Benser, Jasmin ; De Bourdeaudhuij, Ilse ; Cuenca-Garcia, Magdalena ; Dallongeville, Jean ; Zaccaria, Maria ; Gottrand, Frederic ; Kersting, Mathilde ; Rey-Lápez, Juan P. ; Manios, Yannis ; Molnár, D. ; Moreno, Luis A. ; Smpokos, Emmanouel ; Widhalm, Kurt ; De Henauw, Stefaan. / Clustering patterns of physical activity, sedentary and dietary behavior among European adolescents : The HELENA study. In: BMC Public Health. 2011 ; Vol. 11.
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abstract = "Background: Evidence suggests possible synergetic effects of multiple lifestyle behaviors on health risks like obesity and other health outcomes. A better insight in the clustering of those behaviors, could help to identify groups who are at risk in developing chronic diseases. This study examines the prevalence and clustering of physical activity, sedentary and dietary patterns among European adolescents and investigates if the identified clusters could be characterized by socio-demographic factors. Methods. The study comprised a total of 2084 adolescents (45.6{\%} male), from eight European cities participating in the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study. Physical activity and sedentary behavior were measured using self-reported questionnaires and diet quality was assessed based on dietary recall. Based on the results of those three indices, cluster analyses were performed. To identify gender differences and associations with socio-demographic variables, chi-square tests were executed. Results: Five stable and meaningful clusters were found. Only 18{\%} of the adolescents showed healthy and 21{\%} unhealthy scores on all three included indices. Males were highly presented in the cluster with high levels of moderate to vigorous physical activity (MVPA) and low quality diets. The clusters with low levels of MVPA and high quality diets comprised more female adolescents. Adolescents with low educated parents had diets of lower quality and spent more time in sedentary activities. In addition, the clusters with high levels of MVPA comprised more adolescents of the younger age category. Conclusion: In order to develop effective primary prevention strategies, it would be important to consider multiple health indices when identifying high risk groups.",
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AU - De Bourdeaudhuij, Ilse

AU - Cuenca-Garcia, Magdalena

AU - Dallongeville, Jean

AU - Zaccaria, Maria

AU - Gottrand, Frederic

AU - Kersting, Mathilde

AU - Rey-Lápez, Juan P.

AU - Manios, Yannis

AU - Molnár, D.

AU - Moreno, Luis A.

AU - Smpokos, Emmanouel

AU - Widhalm, Kurt

AU - De Henauw, Stefaan

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