How do energy balance-related behaviors cluster in adolescents?
Objectives To delineate the clustering of energy balance-related behaviors in adolescents and investigate whether these behaviors are associated with the household socioeconomic status and parental education level.Methods Two cross-sectional studies assessed information on sedentary behavior, physical activity, sugar-sweetened beverages and fruit and vegetable consumption, and sleep duration by self-reported questionnaires in adolescents (12.5–17.5 years old) from Maringa´/Brazil (BRACAH Study; n = 682) and ten European cities (HELENA Study;n = 1252) from nine different countries. Gender-specific cluster analyses were performed separately for each study,applying a combination of hierarchical and non-hierarchical methods.Results Girls showed equivalent behaviors: Sedentary; Active; Unhealthy Eating; Healthy Eating; while boys differed(Brazilian: Sedentary; Active; Healthy Eating; European: Sedentary; Healthy; Unhealthy Eating). In Brazil, we found no association between socioeconomic status and parental education. In European girls, the high socioeconomic status and both parents’ university degree were associated with Healthy Eating. In European boys, the high socioeconomic status was associated with Unhealthy Eating, and the mothers’ university degree was associated with the Healthy cluster.
Conclusions Adolescents show Sedentary behavior, regardless of their sex, country of origin, or socioeconomic condition