RT Journal Article
T1 Combined Body Mass Index and Waist-to-Height Ratio and Its Association with Lifestyle and Health Factors among Spanish Children: The PASOS Study
A1 Bibiloni, Maria del Mar
A1 Gallardo Alfaro, Laura
A1 Gómez, Santiago F.
A1 Wärnberg, Julia
A1 Osés Recalde, Maddi
A1 González Gross, Marcela
A1 Gusi, Narcís
A1 Aznar, Susana
A1 Marín Cascales, Elena
A1 González Valeiro, Miguel
A1 Serra Majem, Lluis
A1 Terrados, Nicolás
A1 Segu, Marta
A1 Lassale, Camille
A1 Homs, Clara
A1 Benavente Marín, Juan Carlos
A1 Labayen, Idoia
A1 García Zapico, Augusto
A1 Sánchez Gómez, Jesús
A1 Jiménez Zazo, Fabio
A1 Alcaraz, Pedro E.
A1 Sevilla Sánchez, Marta
A1 Herrera Ramos, Estefanía
A1 Pulgar, Susana
A1 Sistac, Clara
A1 Schröder, Helmut
A1 Bouzas, Cristina
A1 Tur, Josep A.
AB 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.
PB MPDI
SN 2072-6643
YR 2022
FD 2022-01-04
LK https://hdl.handle.net/20.500.14352/72522
UL https://hdl.handle.net/20.500.14352/72522
LA eng
NO Instituto de Salud Carlos III (ISCIII)/ FEDER
DS Docta Complutense
RD 30 abr 2024