Combined body mass index and waist-to-height ratio and its association with lifestyle and health factors among spanish children: The PASOS Study
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- dc.contributor.author Bibiloni, Maria Del Mar
- dc.contributor.author Lassale, Camille
- dc.contributor.author Schröder, Helmut, 1958-
- dc.contributor.author Tur, J. Antoni
- dc.date.accessioned 2022-10-13T06:14:41Z
- dc.date.available 2022-10-13T06:14:41Z
- dc.date.issued 2022
- dc.description.abstract Background and aims: The World Health Organization recommended simultaneous measurement of body mass index (BMI) and waist circumference (WC) and suggested joint use to predict disease risks. The aim of this study was to assess the prevalence of BMI and waist-to-height ratio (WHtR) categories among Spanish children and adolescents, as well as their associations with several lifestyle factors. Methods: Cross-sectional analysis of 8-16-year-old children and adolescents (n = 3772) were included in the PASOS nationwide representative study. Children/adolescents and their mothers/female caregivers answered a questionnaire on lifestyle and health factors. Child/adolescent anthropometrics were measured. Four combined BMI-WHtR disease risk categories were built. Results: A third of participants showed combined BMI-WHtR categories with high disease risk (12.3% 'increased risk', 9.7% 'high risk', 14.3% 'very high risk'). Participants in the 'very high risk' group were less likely to be females (odds ratio 0.63; 95% CI: 0.52-0.76) and adolescents (0.60; 95% CI: 0.49-0.72), to practice ≥60 min/day of moderate-vigorous physical activity (MVPA) (0.73; 95% CI: 0.57-0.93), and to watch <120 min/day of total screen time on weekdays (0.61; 95% CI: 0.49-0.76). Mothers of participants in the 'very high risk' group were less likely to have a high educational level, be in the overweight or normal range, have never smoked or were former smokers, and watch <120 min/day of total screen time on weekends. Participants in the 'increased' and 'high risk' categories had mothers with normal weight and ≥60 min/day of MVPA. Participants in the 'high risk' group did not achieve ≥60 min/day of MVPA and showed lower adherence to the Mediterranean diet. Conclusions: Adherence to a healthy lifestyle in children and adolescents, but also in their mothers/female caregivers during offspring's childhood and adolescence, is associated with low BMI-WHtR disease risk.
- dc.format.mimetype application/pdf
- dc.identifier.citation Bibiloni MDM, Gallardo-Alfaro L, Gómez SF, Wärnberg J, Osés-Recalde M, González-Gross M et al. Combined body mass index and waist-to-height ratio and its association with lifestyle and health factors among spanish children: The PASOS Study. Nutrients. 2022 Jan 6;14(2):234. DOI: 10.3390/nu14020234
- dc.identifier.doi http://dx.doi.org/10.3390/nu14020234
- dc.identifier.issn 2072-6643
- dc.identifier.uri http://hdl.handle.net/10230/54360
- dc.language.iso eng
- dc.publisher MDPI
- dc.relation.ispartof Nutrients. 2022 Jan 6;14(2):234
- dc.rights © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri https://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword Mediterranean diet
- dc.subject.keyword PASOS
- dc.subject.keyword Adolescents
- dc.subject.keyword Children
- dc.subject.keyword Lifestyle
- dc.title Combined body mass index and waist-to-height ratio and its association with lifestyle and health factors among spanish children: The PASOS Study
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion