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Open Access 01-12-2021 | Research

Adolescent’s movement behaviors and built environment: a latent class analysis

Authors: Isabella Toledo Caetano, Valter Paulo Neves Miranda, Fernanda Karina dos Santos, Paulo Roberto dos Santos Amorim

Published in: BMC Public Health | Issue 1/2021

Abstract

Background

Latent class analysis (LCA) is an alternative and innovative approach to verify the relation of the various combinations of the constructed environment and movement behavior (levels of physical activity, sedentary behavior, and sleep) characteristics. This study aimed to identify latent classes based on the characteristics of the neighborhood environment perceived by adolescents and their association with gender, socioeconomic status (SS), body composition and movement behaviors.

Methods

This cross-sectional study includes 309 Brazilian adolescents (14 to 16 years old, 57% female). The characteristics of the neighborhood environment perceived were analyzed by the Neighborhood Walkability for Youth Scale. Accelerometers were used for a week to evaluate the movement behaviors. Questionnaires assessed the screen times, total sitting time (TST), and sociodemographic characteristics. LCA was used for modeling the “Perceived Enviroment” variable, having been conducted in the poLCA (Polychromous Variable Latent Class Analysis) package of the R statistical software.

Results

Three classes were recognized: class 1, “Best Perceived Environment” with 23.03% of adolescents; class 2, “Moderate Perceived Environment”, 63.33%; and class 3, “Worst Perceived Environment”, 13.67%. Light physical activity (LPA), TST, and SS were associated with class prevalence. The adolescents with medium and low SS were, respectively, 3.42 (95% CI 1.62–7.21) and 4.18 (95% CI 1.66–10.50) more likely to belong to class 2, and those with low SS were 5.21 (95% CI 1.35–20.13) more likely to belong to class 3. Class 1 adolescents were associated with a lower chance (OR: 0.09, 95% CI 0.02–0.55) of involvement in ‘adequate LPA time’ compared to class 3. Class 1 adolescents were associated with a lower chance (OR: 0.31, 95% CI 0.12–0.79) of involvement in ‘adequate TST’ compared to class 2. There was a difference between the LPA and TST classes; class 3 presented a longer time in LPA than class 1; class 1 had higher TST than the other classes.

Conclusion

The findings highlight the influence of neighborhood classes on adolescents’ LPA and TST.

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Title: Adolescent’s movement behaviors and built environment: a latent class analysis
Authors: Isabella Toledo Caetano
Valter Paulo Neves Miranda
Fernanda Karina dos Santos
Paulo Roberto dos Santos Amorim
Publication date: 01-12-2021
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-021-11974-4

At a glance: The STEP trials

Springer Medicine

Adolescent’s movement behaviors and built environment: a latent class analysis

Abstract

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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