Associations of multiple unhealthy lifestyle behaviors with overweight/obesity and abdominal obesity among Brazilian adolescents: A country-wide survey

Nutrition, Metabolism, and Cardiovascular Diseases : NMCD
F V CureauB D Schaan

Abstract

Physical inactivity, unhealthy diet, smoking and heavy drinking are four key unhealthy lifestyle behaviors (ULB) that may influence body weight and obesity development. More recently, sedentary time has been recognized as another potentially emerging ULB related to obesity. We therefore investigated the association of multiple ULB with overweight/obesity and abdominal obesity among Brazilian adolescents. This cross-sectional study involved 62,063 students (12-17 years). Physical inactivity, high screen time, low fiber intake, binge drinking and smoking were self-reported and combined to a ULB risk score, ranging from zero to five. Participants were classified as overweight/obese or with abdominal obesity using sex and age-specific cut-off points for BMI and waist circumference, respectively. Poisson regression models were used to examine the associations between ULB with overweight/obesity and abdominal obesity, adjusted for socio-demographic variables. Overall, 2.3%, 18.9%, 43.9%, 32.3% and 2.6% of participants reported zero, one, two, three and four/five ULB, respectively. Higher ULB risk score was associated with overweight/obesity and abdominal obesity in a dose-response gradient. Among 32 possible combinations of ULB, the ...Continue Reading

Citations

Sep 22, 2020·Journal of Primary Care & Community Health·Zahra AhmadiHamid Haghani
May 22, 2019·International Journal of Environmental Research and Public Health·Ewa Błaszczyk-BębenekMałgorzata Schlegel-Zawadzka
Jun 21, 2020·International Journal of Environmental Research and Public Health·Paul Branscum
Sep 11, 2021·International Journal of Environmental Research and Public Health·Enza MozzilloGiuliana Valerio

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