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

Background Youth is a vulnerable period. To classify lifestyle behaviors and its relationship with health-related outcomes of Spanish children and adolescents. Methods Cross-sectional study including 3261 children aged 7.5–17.5 y (52.8% females). Physical activity (PA), screen-time, sleep time, adhe...

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Bibliographic Details
Published in:Pediatric research 2023-12, Vol.94 (6), p.2077-2084
Main Authors: Zapico, Augusto G., Aparicio-Ugarriza, Raquel, Quesada-González, Carlos, Gómez, Santiago Felipe, Wärnberg, Julia, Medrano, María, Gusi, Narcís, Aznar, Susana, Marín-Cascales, Elena, González-Valeiro, Miguel A., Serra-Majem, Lluís, Pulgar, Susana, Tur, Josep A., Segu, Marta, Fíto, Montserrat, Homs, Clara, Benavente-Marín, Juan Carlos, Sánchez-Gómez, Jesús, Jiménez-Zazo, Fabio, Alcaraz, Pedro E., Sevilla-Sánchez, Marta, Herrera-Ramos, Estefanía, Bouzas, Cristina, Sistac, Clara, Schröder, Helmut, Gesteiro, Eva, González-Gross, Marcela
Format: Article
Language:English
Subjects:
Cluster analysis
Exercise
Lifestyles
Medicine
Medicine & Public Health
Pediatric Surgery
Pediatrics
Population Study Article
Screen time
Sleep
Teenagers
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Summary:Background Youth is a vulnerable period. To classify lifestyle behaviors and its relationship with health-related outcomes of Spanish children and adolescents. 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 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  
ISSN:0031-3998
1530-0447
DOI:10.1038/s41390-023-02710-2