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

BMC Public Health

Research Article

Ilse De Bourdeaudhuij¹  Magdalena Cuenca-Garcia²  Stefaan De Henauw³  Inge Huybrechts³  Charlene Ottevaere³  Juan P Rey-López⁴  Luis A Moreno⁴  Yannis Manios⁵  Frederic Gottrand⁶  Jean Dallongeville⁷  Jasmin Benser⁸  Kurt Widhalm⁹  Maria Zaccaria^1,10  Dénes Molnár^1,11  Mathilde Kersting^1,12  Emmanouel Smpokos^1,13 

[1] Department of Movement and Sport Sciences, Ghent University, Ghent, Belgium;Department of Physiology, School of Medicine, University of Granada, Granada, Spain;Department of Public Health, Ghent University, Ghent, Belgium;Growth, Exercise, Nutrition and Development (GENUD) research Group, E.U., Ciencias de la Salud, Universidad de Zaragoza, Zaragoza, Spain;Harokopio University, Athens, Greece;Inserm U995, IFR114, Faculty of medicine, Université de Lille2, Lille, France;Institut Pasteur de Lille, Lille, France;Institut für Ernährungs- und Lebensmittelwissenschaften - Ernährungphysiologie, Rheinische Friedrich Wilhelms Universität, Bonn, Germany;Medical University of Vienna, Vienna, Austria;National Research Institute on Food and Nutrition, Rome, Italy;Pécsi Tudemányegyetem, Pecs, Hungary;Research Institute of Child Nutrition Dortmund, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany;University of Crete School of medicine, Crete, Greece;

关键词: Sedentary Behavior;    Diet Quality;    International Physical Activity Questionnaire;    Health Index;    Sedentary Activity;   

DOI  :  10.1186/1471-2458-11-328

 received in 2010-10-19, accepted in 2011-05-17,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundEvidence 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.MethodsThe 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.ResultsFive 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.ConclusionIn order to develop effective primary prevention strategies, it would be important to consider multiple health indices when identifying high risk groups.

【 授权许可】

CC BY   
© Ottevaere et al; licensee BioMed Central Ltd. 2011