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Open Access 01-12-2019 | Obesity | Research article

The integrated role of multiple healthy weight behaviours on overweight and obesity among adolescents: a cross-sectional study

Authors: Sandya Menon, Anne Philipneri, Sujitha Ratnasingham, Heather Manson

Published in: BMC Public Health | Issue 1/2019

Abstract

Background

This study contributes to the limited number of studies that have explored the impact of not meeting the recommendations for moderate-to-vigorous physical activity, screen time, fruit and vegetable consumption and sleep on overweight and obesity among adolescents.

Methods

A cross-sectional study of data from the 2015 Ontario Student Drug Use and Health Survey (OSDUHS), a provincially representative survey of students in publically funded schools in Ontario, Canada, was conducted. This study included self-reported data from students aged 11–17 years (n = 9866). The main outcome variable was overweight or obesity, classified using WHO BMI cut-points. Four independent variables for healthy weight behaviours were examined: (1) moderate-to-vigorous physical activity (MVPA) (≥ 60 mins vs. < 60 mins everyday over the last seven days); (2) screen time (< 2 h daily vs. ≥ 2 h daily); (3) fruit and vegetable consumption (≥ 5 times/day vs. < 5 times/day); (4) sleep (adequate based on guidelines vs. inadequate). Covariates included sex, age, Subjective Social Status (SSS), parental education and ethnicity. Binomial and multinomial logistic regression models were fitted to determine whether not meeting the recommendations for healthy weight behaviours was associated with overweight or obesity status.

Results

Only 2% of students in Ontario met the recommendations for all four healthy weight behaviours and 33% of students did not meet any of the four recommendations. In both the binomial and multinomial models, not meeting the recommendations for MVPA was the only significant healthy weight behaviour associated with both overweight and obesity (AOR: 1.29, 95% CI: 1.03–1.62), and solely obesity (AOR: 1.45, 95% CI: 1.05–1.99). Males, students with lower SSS ratings, and students with parents with an education of ‘High School’ or less were also at significantly greater odds of being obese.

Conclusion

Findings from this study show that inadequate levels of MVPA is a critical behavioural predictor of obesity status in adolescents between the ages of 11–17 years, after controlling for differences in screen time, fruit and vegetable consumption, sleep, and demographics. Findings from this study could have implications toward policies and programs targeted at reducing obesity, and increasing the physical activity rates of adolescents.

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Title: The integrated role of multiple healthy weight behaviours on overweight and obesity among adolescents: a cross-sectional study
Authors: Sandya Menon
Anne Philipneri
Sujitha Ratnasingham
Heather Manson
Publication date: 01-12-2019
Publisher: BioMed Central
Keywords: Obesity
Obesity
Overweight
Published in: BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-019-7007-7

At a glance: The STEP trials

Springer Medicine

The integrated role of multiple healthy weight behaviours on overweight and obesity among adolescents: a cross-sectional study

Abstract

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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