Cardiovascular health behaviors and associations of sex, age, and education in adolescents - Results from the EVA Tyrol study.
Adolescent
Adolescent Behavior
Age Factors
Austria
/ epidemiology
Cardiovascular Diseases
/ diagnosis
Cross-Sectional Studies
Diet, Healthy
Educational Status
Exercise
Feeding Behavior
Female
Health Behavior
Health Knowledge, Attitudes, Practice
Health Status
Healthy Lifestyle
Humans
Male
Non-Smokers
Prospective Studies
Risk Assessment
Risk Factors
Risk Reduction Behavior
Sedentary Behavior
Sex Factors
Smoking
/ adverse effects
Young Adult
Adolescents
Cardiovascular health
Epidemiology
Prevention
Public health
Risk factors
Journal
Nutrition, metabolism, and cardiovascular diseases : NMCD
ISSN: 1590-3729
Titre abrégé: Nutr Metab Cardiovasc Dis
Pays: Netherlands
ID NLM: 9111474
Informations de publication
Date de publication:
09 04 2021
09 04 2021
Historique:
received:
31
08
2020
revised:
31
10
2020
accepted:
03
11
2020
pubmed:
10
2
2021
medline:
7
4
2021
entrez:
9
2
2021
Statut:
ppublish
Résumé
Ideal cardiovascular health (CVH) behaviors in adolescents are defined by body mass index (BMI), diet, physical activity and smoking, and are directly associated with better health in later life. To further improve health prevention programs we investigated the prevalence of these behaviors in a cohort of healthy adolescents and focused on the associations with sex, age, and education. The Early Vascular Aging Tyrol study is a cross-sectional study assessing 14- to 19-year-old pupils and apprentices in Western Austria and South Tyrol. Between May 2015 and July 2018 2047 adolescents (43.6% males, mean age 16.4 years) with complete data for all 4 health behaviors were included. The prevalence of ideal body mass index (BMI) was 78.3%, of ideal physical activity 42.5%, of non-smoking 70.4% and of ideal diet 8.1%. Females showed a higher smoking prevalence and a lower physical activity, but better dietary habits than males. Older adolescents of both sexes had lower prevalence of ideal smoking and diet. Apprentices and pupils of vocational schools had a higher BMI and a less favorable diet compared to secondary academic school students. Smoking prevalence was highest in apprentices. Non-ideal BMI was independently associated with smoking. In our cohort, only a minority showed ideal CVH behaviors which were best in adolescents younger than 16 years. We observed significant differences between males and females and a clear impact of school education with apprentices being at risk for non-ideal CVH behaviors. NCT03929692, clinicaltrials.gov.
Sections du résumé
BACKGROUND AND AIMS
Ideal cardiovascular health (CVH) behaviors in adolescents are defined by body mass index (BMI), diet, physical activity and smoking, and are directly associated with better health in later life. To further improve health prevention programs we investigated the prevalence of these behaviors in a cohort of healthy adolescents and focused on the associations with sex, age, and education.
METHODS AND RESULTS
The Early Vascular Aging Tyrol study is a cross-sectional study assessing 14- to 19-year-old pupils and apprentices in Western Austria and South Tyrol. Between May 2015 and July 2018 2047 adolescents (43.6% males, mean age 16.4 years) with complete data for all 4 health behaviors were included. The prevalence of ideal body mass index (BMI) was 78.3%, of ideal physical activity 42.5%, of non-smoking 70.4% and of ideal diet 8.1%. Females showed a higher smoking prevalence and a lower physical activity, but better dietary habits than males. Older adolescents of both sexes had lower prevalence of ideal smoking and diet. Apprentices and pupils of vocational schools had a higher BMI and a less favorable diet compared to secondary academic school students. Smoking prevalence was highest in apprentices. Non-ideal BMI was independently associated with smoking.
CONCLUSION
In our cohort, only a minority showed ideal CVH behaviors which were best in adolescents younger than 16 years. We observed significant differences between males and females and a clear impact of school education with apprentices being at risk for non-ideal CVH behaviors.
CLINICAL TRIAL REGISTRATION NUMBER
NCT03929692, clinicaltrials.gov.
Identifiants
pubmed: 33558093
pii: S0939-4753(20)30478-6
doi: 10.1016/j.numecd.2020.11.002
pii:
doi:
Banques de données
ClinicalTrials.gov
['NCT03929692']
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1286-1292Investigateurs
Mandy Asare
(M)
Manuela Bock-Bartl
(M)
Maximilian Bohl
(M)
Christina Burger
(C)
Gregor Brössner
(G)
Tatjana Heisinger
(T)
Sophia J Kiechl
(SJ)
Julia Klingenschmid
(J)
Martina Kothmayer
(M)
Julia Marxer
(J)
Maximilian Pircher
(M)
Carmen Reiter
(C)
Bernhard Winder
(B)
Informations de copyright
Copyright © 2020 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest The authors declare no conflicts of interest.