Lifestyle behaviors clusters in a nationwide sample of Spanish children and adolescents: PASOS study.

Female Humans Adolescent Child Male Cross-Sectional Studies Life Style Exercise Obesity Sedentary Behavior

Journal

Pediatric research
ISSN: 1530-0447
Titre abrégé: Pediatr Res
Pays: United States
ID NLM: 0100714

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 07 11 2022
accepted: 08 06 2023
revised: 29 05 2023
medline: 27 11 2023
pubmed: 16 7 2023
entrez: 15 7 2023
Statut: ppublish

Résumé

Youth is a vulnerable period. To classify lifestyle behaviors and its relationship with health-related outcomes of Spanish children and adolescents. Cross-sectional study including 3261 children aged 7.5-17.5 y (52.8% females). Physical activity (PA), screen-time, sleep time, adherence to Mediterranean diet (MD), weight status (WS) by validated methods. Cluster analysis was run considering chronological age. Six clusters were identified: C1: high screen time, low adherence to MD and sleep time (n = 431,13.20%); C2: high WS, medium adherence to MD,high sleep time, and low screen time (n = 466,14.30%); C3: young group with low screen time and high PA, adherence to MD and sleep (n = 537,16.40%); C4: worst profile regarding adherence to MD, PA, WS and sleep time (n = 609,18.70%); C5: low screen time and PA, high sleep time (n = 804,24.70%); C6: high PA and screen time, low WS (n = 414,12.70%). Mean absolute values were statistically different among PA levels, screen and sleep time, adherence to MD, age, and WS (all p < 0.001). The most prevalent pattern was low levels of PA, MD, and screen time, and high sleep time. The second most prevalent was characterized by very low levels of PA, sleep time, and adherence to MD, and high screen time, and WS in adolescents. The main identified lifestyle behavior was poor physical activity, low adherence to Mediterranean Diet and high screen and sleep time. Children should increase physical activity levels, adherence to Mediterranean diet, decrease screen and sleep the appropriate hours per day. Families, schools, and medical communities must work together to gloss over present and future diseases. Sleep time had not been previously included in cluster analysis with physical activity, sedentary behaviors, obesity, and nutritional status, thus the present data open a new perspective in Spanish population. Health policies should focus on promoting physical activity, Mediterranean diet, adequate sleep and reducing screen time.

Sections du résumé

BACKGROUND BACKGROUND
Youth is a vulnerable period. To classify lifestyle behaviors and its relationship with health-related outcomes of Spanish children and adolescents.
METHODS METHODS
Cross-sectional study including 3261 children aged 7.5-17.5 y (52.8% females). Physical activity (PA), screen-time, sleep time, adherence to Mediterranean diet (MD), weight status (WS) by validated methods. Cluster analysis was run considering chronological age.
RESULTS RESULTS
Six clusters were identified: C1: high screen time, low adherence to MD and sleep time (n = 431,13.20%); C2: high WS, medium adherence to MD,high sleep time, and low screen time (n = 466,14.30%); C3: young group with low screen time and high PA, adherence to MD and sleep (n = 537,16.40%); C4: worst profile regarding adherence to MD, PA, WS and sleep time (n = 609,18.70%); C5: low screen time and PA, high sleep time (n = 804,24.70%); C6: high PA and screen time, low WS (n = 414,12.70%). Mean absolute values were statistically different among PA levels, screen and sleep time, adherence to MD, age, and WS (all p < 0.001).
CONCLUSIONS CONCLUSIONS
The most prevalent pattern was low levels of PA, MD, and screen time, and high sleep time. The second most prevalent was characterized by very low levels of PA, sleep time, and adherence to MD, and high screen time, and WS in adolescents.
IMPACT STATEMENT UNASSIGNED
The main identified lifestyle behavior was poor physical activity, low adherence to Mediterranean Diet and high screen and sleep time. Children should increase physical activity levels, adherence to Mediterranean diet, decrease screen and sleep the appropriate hours per day. Families, schools, and medical communities must work together to gloss over present and future diseases. Sleep time had not been previously included in cluster analysis with physical activity, sedentary behaviors, obesity, and nutritional status, thus the present data open a new perspective in Spanish population. Health policies should focus on promoting physical activity, Mediterranean diet, adequate sleep and reducing screen time.

Identifiants

DOI: 10.1038/s41390-023-02710-2 PMID: 37454185
pubmed: 37454185
doi: 10.1038/s41390-023-02710-2
pii: 10.1038/s41390-023-02710-2
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2077-2084

Informations de copyright

© 2023. The Author(s), under exclusive licence to the International Pediatric Research Foundation, Inc.

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Auteurs

Augusto G Zapico (AG)

ImFINE Research Group. Department of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, Spain. azapico@edu.ucm.es.
Department of Language, Arts and Physical Education, Universidad Complutense de Madrid, Madrid, Spain. azapico@edu.ucm.es.
ORCID: 0000-0001-6157-4997

Raquel Aparicio-Ugarriza (R)

ImFINE Research Group. Department of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, Spain.
Biomedical Research Center on Physiopathology of Obesity and Nutrition (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.

Carlos Quesada-González (C)

ImFINE Research Group. Department of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, Spain.
Departamento de Matemática Aplicada a las Tecnologías de la Información y la Comunicación, Universidad Politécnica de Madrid, 28031, Madrid, Spain.

Santiago Felipe Gómez (SF)

Gasol Foundation, Sant Boi de Llobregat, Spain.
Biomedical Research Networking Center on Epidemiology and Public Health studies (CIBERESP), Institute of Health Carlos III, Madrid, Spain.
Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain.
Nursing and Physiotherapy Department, University of Lleida, Lleida, Spain.

Julia Wärnberg (J)

Biomedical Research Center on Physiopathology of Obesity and Nutrition (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.
EpiPHAAN Research Group. Faculty of Health Sciences, University of Málaga-Institute of Biomedical Research of Malaga (IBIMA), Málaga, Spain.

María Medrano (M)

ELIKOS group, Institute for Innovation & Sustainable Development in Food Chain (IS-FOOD). CIBEROBN, ISCIII Navarra, Public University of Navarra, Navarra, Spain.

Narcís Gusi (N)

Physical Activity and Quality of Life Research Group (AFYCAV), Faculty of Sport Sciences, Universidad de Extremadura, Cáceres, Spain.

Susana Aznar (S)

PAFS Research Group, Faculty of Sports Sciences, University of Castilla-La Mancha, Toledo, Spain.
Biomedical Research Networking Center on Frailty and Healthy Aging (CIBERFES). Institute of Health Carlos III, Madrid, Spain.

Elena Marín-Cascales (E)

Research Center for High Performance Sport, Catholic University of Murcia, Murcia, Spain.
Faculty of Sport Sciences, UCAM, Catholic University of Murcia, Murcia, Spain.

Miguel A González-Valeiro (MA)

Faculty of Sports Sciences and Physical Education, University of A Coruña, A Coruña, Spain.

Lluís Serra-Majem (L)

Biomedical Research Center on Physiopathology of Obesity and Nutrition (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.
Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas, Spain.
Preventive Medicine Service, Centro Hospitalario Universitario Insular Materno Infantil (CHUIMI), Canarian Health Service, Las Palmas, Spain.

Susana Pulgar (S)

Regional Unit of Sports Medicine, Municipal Sports Foundation of Avilés, Asturias, Spain.

Josep A Tur (JA)

Biomedical Research Center on Physiopathology of Obesity and Nutrition (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.
Research Group of Community Nutrition & Oxidative Stress, University of the Balearic Islands-IUNICS & Health Research Institute of the Balearic Islands (IDISBA), Palma de Mallorca, Spain.

Marta Segu (M)

Fundació FC Barcelona, Barcelona, Spain.

Montserrat Fíto (M)

Biomedical Research Center on Physiopathology of Obesity and Nutrition (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.
Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain.

Clara Homs (C)

Gasol Foundation, Sant Boi de Llobregat, Spain.
GRoW, Global Research on Wellbeing, Blanquerna School of Life Sciences, University Ramon Llull, Barcelona, Spain.

Juan Carlos Benavente-Marín (JC)

EpiPHAAN Research Group. Faculty of Health Sciences, University of Málaga-Institute of Biomedical Research of Malaga (IBIMA), Málaga, Spain.

Jesús Sánchez-Gómez (J)

Physical Activity and Quality of Life Research Group (AFYCAV), Faculty of Sport Sciences, Universidad de Extremadura, Cáceres, Spain.

Fabio Jiménez-Zazo (F)

PAFS Research Group, Faculty of Sports Sciences, University of Castilla-La Mancha, Toledo, Spain.

Pedro E Alcaraz (PE)

Research Center for High Performance Sport, Catholic University of Murcia, Murcia, Spain.
Faculty of Sport Sciences, UCAM, Catholic University of Murcia, Murcia, Spain.

Marta Sevilla-Sánchez (M)

Faculty of Sport Sciences, UCAM, Catholic University of Murcia, Murcia, Spain.

Estefanía Herrera-Ramos (E)

Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas, Spain.

Cristina Bouzas (C)

Biomedical Research Center on Physiopathology of Obesity and Nutrition (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.
Research Group of Community Nutrition & Oxidative Stress, University of the Balearic Islands-IUNICS & Health Research Institute of the Balearic Islands (IDISBA), Palma de Mallorca, Spain.

Clara Sistac (C)

Fundació FC Barcelona, Barcelona, Spain.

Helmut Schröder (H)

Biomedical Research Networking Center on Epidemiology and Public Health studies (CIBERESP), Institute of Health Carlos III, Madrid, Spain.
Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain.

Eva Gesteiro (E)

ImFINE Research Group. Department of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, Spain.

Marcela González-Gross (M)

ImFINE Research Group. Department of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, Spain.
Biomedical Research Center on Physiopathology of Obesity and Nutrition (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Lifestyle behaviors clusters in a nationwide...
questionsmedicales.fr › Personnes › Tranches d'âge › Adolescent › Lifestyle behaviors clusters in a nationwide...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Lifestyle behaviors clusters in a nationwide...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études transversales › Lifestyle behaviors clusters in a nationwide...
questionsmedicales.fr › Comportement et mécanismes comportementaux › Mode de vie › Lifestyle behaviors clusters in a nationwide...
questionsmedicales.fr › Activités humaines › Exercice physique › Lifestyle behaviors clusters in a nationwide...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Obésité › Lifestyle behaviors clusters in a nationwide...
questionsmedicales.fr › Comportement et mécanismes comportementaux › Mode de vie › Mode de vie sédentaire › Lifestyle behaviors clusters in a nationwide...