Sedentary behaviour and clustered metabolic risk in adolescents: The HELENA study

J. P. Rey-López, S. Bel-Serrat, A. Santaliestra-Pasías, A. C. de Moraes, G. Vicente-Rodríguez, J. R. Ruiz, E. G. Artero, D. Martínez-Gómez, F. Gottrand, S. De Henauw, I. Huybrechts, A. Polito, D. Molnar, Y. Manios, L. A. Moreno

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Background and aims: Although sedentary behaviours are linked with mortality for cardiovascular reasons, it is not clear whether they are negatively related with cardio-metabolic risk factors. The aim was to examine the association between time engaged in television (TV) viewing or playing with videogames and a clustered cardio-metabolic risk in adolescents. Methods and results: Sedentary behaviours and physical activity were assessed in 769 adolescents (376 boys, aged 12.5-17.5 years) from the HELENA-CSS study. We measured systolic blood pressure, HOMA index, triglycerides, TC/HDL-c, VO2max and the sum of four skinfolds, and a clustered metabolic risk index was computed. A multilevel regression model (by Poisson) was performed to calculate the prevalence ratio of having a clustered metabolic risk. In boys, playing >4h/day with videogames (weekend) and moderate to vigorous PA (MVPA) was associated with cardio-metabolic risk after adjustment for age, maternal education and MVPA. In contrast, TV viewing was not associated with the presence of cardio-metabolic risk. Conclusion: In boys, playing with videogames may impair cardio-metabolic health during the adolescence. Adolescents should be encouraged to increase their participation in physical activity of at least moderate intensity to obtain a more favourable risk factor profile.

Original languageEnglish
Pages (from-to)1017-1024
Number of pages8
JournalNutrition, Metabolism and Cardiovascular Diseases
Issue number10
Publication statusPublished - Oct 2013


  • Clustered metabolic risk
  • Physical activity
  • Sedentary behaviour
  • Videogames

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics
  • Cardiology and Cardiovascular Medicine

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    Rey-López, J. P., Bel-Serrat, S., Santaliestra-Pasías, A., de Moraes, A. C., Vicente-Rodríguez, G., Ruiz, J. R., Artero, E. G., Martínez-Gómez, D., Gottrand, F., De Henauw, S., Huybrechts, I., Polito, A., Molnar, D., Manios, Y., & Moreno, L. A. (2013). Sedentary behaviour and clustered metabolic risk in adolescents: The HELENA study. Nutrition, Metabolism and Cardiovascular Diseases, 23(10), 1017-1024.