• Preventive medicine · Jan 2016

    Observational Study

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

    • Augusto César Ferreira de Moraes, Juan Miguel Fernández-Alvira, Tara Rendo-Urteaga, Cristina Julián-Almárcegui, Laurent Beghin, Anthony Kafatos, Dénes Molnar, Stefaan De Henauw, Yannis Manios, Kurt Widhalm, Raquel Pedrero-Chamizo, Myriam Galfo, Frederic Gottrand, Heráclito Barbosa Carvalho, and Luis A Moreno.
    • School of Medicine of the University of São Paulo, YCARE (Youth/Child and cArdiovascular Risk and Environmental) Research Group, São Paulo, SP, Brazil; Facultad de Ciencias de la Salud de la Universidad de Zaragoza, GENUD (Growth, Exercise, NUtrition and Development) Research Group, Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain. Electronic address: augustocesar.demoraes@usp.br.
    • Prev Med. 2016 Jan 1; 82: 111-7.

    BackgroudSeveral 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.MethodsParticipants 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, Pécs in Hungary, Rome in Italy, Stockholm in Sweden, Vienna in Austria, and Zaragoza in Spain; and another conducted in 2007 one city in Brazil (Maringá/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.ResultsThe Healthy Eating cluster was negatively associated with DBP in European girls, β=-2.46 (-4.62; -0.30), and with SBP in Brazilian boys, β=-2.79 (-3.10; -0.15). Furthermore, the Unhealthy Eating cluster was associated with increased SBP in European girls, β=4.54 (1.29; 7.79), and in Brazilian boys, β=4.10 (0.80; 7.40).ConclusionThe Healthy Eating cluster was associated with lower blood pressure, whereas the Unhealthy Eating cluster was associated with increased SBP in adolescents.Copyright © 2015 Elsevier Inc. All rights reserved.

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