Effects of clustering of multiple lifestyle-related behaviors on blood pressure in adolescents from two observational studies

Augusto César Ferreira de Moraes, Juan Miguel Fernández-Alvira, Tara Rendo-Urteaga, Cristina Julián-Almárcegui, Laurent Beghin, Anthony Kafatos, Dénes Molnar, Stefaan De Henauw, Yannis Manios, Kurt Widhalm, Raquel Pedrero-Chamizo, Myriam Galfo, Frederic Gottrand, Heráclito Barbosa Carvalho, Luis A. Moreno

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Abstract

Backgroud: Several lifestyle-related behaviors are associated with cardiovascular health outcomes in adolescents. To examine the associations between clustered lifestyle-related behaviors and blood pressure (BP) levels in adolescents. Methods: Participants were recruited by multistage random cluster in two cross-sectional studies; one conducted in 2006 and 2007 in ten cities from nine European countries: Athens and Heraklion in Greece, Dortmund in Germany, Ghent in Belgium, Lille in France, Pécs in Hungary, Rome in Italy, Stockholm in Sweden, Vienna in Austria, and Zaragoza in Spain; and another conducted in 2007 one city in Brazil (Maringá/PR). Systolic BP (SBP) and diastolic BP (DBP) (outcomes) and clustered behaviors (weekly consumption of fruits and vegetables, weekly consumption of sugar-sweetened beverages, sleep duration, screen time and physical activity) were analyzed. Results: The Healthy Eating cluster was negatively associated with DBP in European girls, β = - 2.46 (- 4.62; - 0.30), and with SBP in Brazilian boys, β = - 2.79 (- 3.10; - 0.15). Furthermore, the Unhealthy Eating cluster was associated with increased SBP in European girls, β = 4.54 (1.29; 7.79), and in Brazilian boys, β = 4.10 (0.80; 7.40). Conclusion: The Healthy Eating cluster was associated with lower blood pressure, whereas the Unhealthy Eating cluster was associated with increased SBP in adolescents.

Original languageEnglish
Pages (from-to)111-117
Number of pages7
JournalPreventive Medicine
Volume82
DOIs
Publication statusPublished - Jan 1 2016

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Keywords

  • Adolescents
  • Blood pressure
  • Cross-sectional studies
  • Lifestyle-related behaviors

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

de Moraes, A. C. F., Fernández-Alvira, J. M., Rendo-Urteaga, T., Julián-Almárcegui, C., Beghin, L., Kafatos, A., Molnar, D., De Henauw, S., Manios, Y., Widhalm, K., Pedrero-Chamizo, R., Galfo, M., Gottrand, F., Carvalho, H. B., & Moreno, L. A. (2016). Effects of clustering of multiple lifestyle-related behaviors on blood pressure in adolescents from two observational studies. Preventive Medicine, 82, 111-117. https://doi.org/10.1016/j.ypmed.2015.11.019