Clustering of Dietary Patterns, Lifestyles, and Overweight among Spanish Children and Adolescents in the ANIBES Study
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Weight gain has been associated with behaviors related to diet, sedentary lifestyle, and physical activity. We investigated dietary patterns and possible meaningful clustering of physical activity, sedentary behavior, and sleep time in Spanish children and adolescents and whether the identified clusters could be associated with overweight. Analysis was based on a subsample (n = 415) of the cross-sectional ANIBES study in Spain. We performed exploratory factor analysis and subsequent cluster analysis of dietary patterns, physical activity, sedentary behaviors, and sleep time. Logistic regression analysis was used to explore the association between the cluster solutions and overweight. Factor analysis identified four dietary patterns, one reflecting a profile closer to the traditional Mediterranean diet. Dietary patterns, physical activity behaviors, sedentary behaviors and sleep time on weekdays in Spanish children and adolescents clustered into two different groups. A low physical activity-poorer diet lifestyle pattern, which included a higher proportion of girls, and a high physical activity, low sedentary behavior, longer sleep duration, healthier diet lifestyle pattern. Although increased risk of being overweight was not significant, the Prevalence Ratios (PRs) for the low physical activity-poorer diet lifestyle pattern were >1 in children and in adolescents. The healthier lifestyle pattern included lower proportions of children and adolescents from low socioeconomic status backgrounds.
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How combinations of movement behaviors are associated with obesity is largely unknown, as few studies have examined specific recommendation combinations and obesity, and only a subset have considered sleep duration as a health-related risk behavior in combined analyses.
“How combinations of these movements behaviors are associated with obesity is largely unknown as few studies have examined the influence of meeting specific movement behavior recommendation combinations and obesity, and only a subset have considered sleep duration as a health-related risk behavior in combined analyses [11–18].”
From Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study (2016) · cites this paper as [15]
Except for Duncan et al. (New Zealand), all studies examining cumulative effects were conducted in European countries, analyzing selected, national, or multi-country data.
“Except for the study by Duncan et al. that was conducted in New Zealand [34], all of them were conducted in European countries, either analyzing selected samples [35], national samples [15] or multi-country data [16, 17].”
From Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study (2016) · cites this paper as [15]
An unhealthier combination of low physical activity and poor diet was more prevalent in girls, older children and those from lower socio-economic backgrounds.
“An unhealthier combination of low physical activity and poor diet was also more prevalent in girls, older children and those from lower socio-economic backgrounds [15].”
From Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study (2016) · cites this paper as [15]
Pérez-Rodrigo et al. identified a combination of high physical activity level, low sedentary time and longer sleep time to be associated with a lower prevalence of obesity in a representative sample of Spanish children.
“Pérez-Rodrigo et al. [15] identified a combination of high physical activity level, low sedentary time and longer sleep time to be associated with a lower prevalence of obesity in a representative sample of Spanish children.”
From Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study (2016) · cites this paper as [15]
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HÁBITOS ALIMENTARES, DE SAÚDE E ADESÃO À DIETA MEDITERRÂNICA DOS JOVENS DA REGIÃO DO ALGARVE
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- Authors
- Pérez-Rodrigo, C., Gil, Á., González-Gross, M., Ortega, R., Serra-Majem, L., Varela-Moreiras, G., & Aranceta-Bartrina, J.
- Affiliations
- FIDEC Foundation, University of the Basque Country, Gurtubay s/n, Bilbao 48010, Spain
- Universidad de Granada (ES)
- ImFINE Research Group, Department of Health and Human Performance, Technical University of Madrid, C/Martín Fierro 7, Madrid 28040, Spain
- Department of Nutrition, Faculty of Pharmacy, Complutense University of Madrid, Plaza Ramón y Cajal s/n, Madrid 28040, Spain
- Research Institute of Biomedical and Health Sciences, Universidad de Las Palmas de Gran Canaria, Facultad de Ciencias de la Salud, C/Doctor Pasteur s/n, Trasera del Hospital, Las Palmas de Gran Canaria 35016, Spain
- Department of Pharmaceutical and Health Sciences, Faculty of Pharmacy, CEU San Pablo University, Urb. Montepríncipe, Crta. Boadilla Km. 5.3, Boadilla del Monte, Madrid 28668, Spain
- Department of Preventive Medicine and Public Health, University of Navarra, C/Irunlarrea 1, Pamplona 31008, Spain
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2015-12-28
- Volume
- 8
- Issue
- 1
- Pages
- 11
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC4728625
- OpenAlex
- W2206918688
- Cited by
- 123
- References
- 52
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 10 · 2023: 12 · 2022: 11 · 2021: 19 · 2020: 24 · 2019: 15 · 2018: 14 · 2017: 8 · 2016: 4
- FWCI
- 9.27
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Library Open Repository (Universidad Complutense Madrid) (submittedVersion, cc-by)
- Acceda (Universidad de Las Palmas de Gran Canaria) (submittedVersion)
- Deposito Adademico Digital Universidad De Navarra (University of Navarra) (submittedVersion, other-oa)
- Institutional Repository of the University of Granada (University of Granada) (submittedVersion, cc-by-nc-nd)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by-nc-nd)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Health Professions › General Health Professions › Health and Lifestyle Studies
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- dietary habits, lifestyle clusters, childhood overweight, adolescent overweight, physical activity, sedentary behavior, sleep duration, Mediterranean diet, socioeconomic status
- MeSH terms
- Adolescent, Adolescent Behavior, Child, Child Behavior, Diet, Feeding Behavior, Female, Humans, Life Style, Male, Obesity, Sleep, Social Class, Spain, Health Behavior, Exercise, Cluster Analysis, Logistic Models, Overweight, Sedentary Behavior
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