Effects of clustering of multiple lifestyle-related behaviors on blood pressure in adolescents from two observational studies

Author(s):Show less -

Ferreira de Moraes, Augusto Cesar ^{[1, 2]} ; Fernandez-Alvira, Juan Miguel ^{[2, 3]} ; Rendo-Urteaga, Tara ^{[1, 2]} ; Julian-Almarcegui, Cristina ^[2] ; Beghin, Laurent ^{[4, 5]} ; Kafatos, Anthony ^[6] ; Molnar, Denes ^[7] ; De Henauw, Stefaan ^[8] ; Manios, Yannis ^[9] ; Widhalm, Kurt ^[10] ; Pedrero-Chamizo, Raquel ^[11] ; Galfo, Myriam ^[12] ; Gottrand, Frederic ^{[4, 5]} ; Carvalho, Heraclito Barbosa ^[1] ; Moreno, Luis A. ^{[2, 13]}

Affiliation:Show less -

^[1] Univ Sao Paulo, Sch Med, YCARE YouthChild & cArdiovasc Risk & Environm Res, Sao Paulo, SP - Brazil

^[2] Univ Zaragoza, Fac Ciencias Salud, GENUD Growth Exercise NUtr & Dev Res Grp, Inst Agroalimentario Aragon IA2, Zaragoza - Spain

^[3] Ctr Natl Invest Cardiovasc Carlos III CNIC, Madrid - Spain

^[4] Univ Lille, CHU Lille, U995, LIRIC, F-59000 Lille - France

^[5] CIC 1403 Inserm CH&U, Ctr Invest Clin, F-59037 Lille - France

^[6] Univ Crete, Sch Med, Prevent Med & Nutr Unit, Iraklion, Crete - Greece

^[7] Univ Pecs, Fac Med, Dept Paediat, Pecs - Hungary

^[8] Univ Ghent, Dept Publ Hlth, B-9000 Ghent - Belgium

^[9] Harokopio Univ, Dept Nutr & Dietet, Athens - Greece

^[10] Private Med Univ Salzburg, Dept Pediat, Salzburg - Austria

^[11] Univ Politecn Madrid, Hlth & Human Performance, Madrid - Spain

^[12] Agr Res Council, Food & Nutr Res Ctr CRA NUT, Rome - Italy

^[13] Univ Sao Paulo, Sch Med, Sao Paulo, SP - Brazil

• Document type: Journal article
• Source: PREVENTIVE MEDICINE; v. 82, p. 111-117, JAN 2016.
• Web of Science Citations: 3

Abstract

Backgroud. Several lifestyle-related behaviors are associated with cardiovascular health outcomes in adolescents. To examine the associations between clustered lifestyle-related behaviors and blood pressure (BP) levels in adolescents. Methods. Participants were recruited by multistage random cluster in two cross-sectional studies; one conducted in 2006 and 2007 in ten cities from nine European countries: Athens and Heraklion in Greece, Dortmund in Germany, Ghent in Belgium, Lille in France, Pecs in Hungary, Rome in Italy, Stockholm in Sweden, Vienna in Austria, and Zaragoza in Spain; and another conducted in 2007 one city in Brazil (Maringa/PR). Systolic BP (SBP) and diastolic BP (DBP) (outcomes) and clustered behaviors (weekly consumption of fruits and vegetables, weekly consumption of sugar-sweetened beverages, sleep duration, screen time and physical activity) were analyzed. Results. The Healthy Eating cluster was negatively associated with DBP in European girls, beta = -2.46 (-4.62; -0.30), and with SBP in Brazilian boys, beta = -2.79 (-3.10; -0.15). Furthermore, the Unhealthy Eating cluster was associated with increased SBP in European girls, beta = 4.54 (1.29; 7.79), and in Brazilian boys, beta = 4.10 (0.80; 7.40). Conclusion. The Healthy Eating cluster was associated with lower blood pressure, whereas the Unhealthy Eating cluster was associated with increased SBP in adolescents. (C) 2015 Elsevier Inc. All rights reserved. (AU)

• FAPESP's process: 15/11406-3 - SAYCARE study: South American youth/child cardiovascular and environmental study
• Grantee: Heraclito Barbosa de Carvalho
• Support type: Research Grants - Visiting Researcher Grant - International
• FAPESP's process: 14/13367-2 - Design and implementation of methods to assess behaviors related to energy balance in children/adolescents in a multicenter study: SAYCARE study
• Grantee: Augusto César Ferreira de Moraes
• Support type: Scholarships in Brazil - Post-Doctorate