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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.authorBibiloni, María del Mares_ES
dc.contributor.authorGallardo Alfaro, Lauraes_ES
dc.contributor.authorGómez, Santiago F.es_ES
dc.contributor.authorWärnberg, Juliaes_ES
dc.contributor.authorOsés Recalde, Maddi
dc.contributor.authorGonzález Gross, Marcelaes_ES
dc.contributor.authorGusi, Narcíses_ES
dc.contributor.authorAznar, Susanaes_ES
dc.contributor.authorMarín-Cascales, Elenaes_ES
dc.contributor.authorGonzález Valeiro, Miguel A.es_ES
dc.contributor.authorSerra-Majem, Lluises_ES
dc.contributor.authorTerrados, Nicoláses_ES
dc.contributor.authorSegú, Martaes_ES
dc.contributor.authorLassale, Camillees_ES
dc.contributor.authorHoms, Claraes_ES
dc.contributor.authorBenavente-Marín, Juan C.es_ES
dc.contributor.authorLabayen Goñi, Idoia
dc.contributor.authorZapico, Augusto G.es_ES
dc.contributor.authorSánchez-Gómez, Jesúses_ES
dc.contributor.authorJiménez-Zazo, Fabioes_ES
dc.contributor.authorAlcaraz, Pedro E.es_ES
dc.contributor.authorSevilla-Sánchez, Martaes_ES
dc.contributor.authorHerrera-Ramos, Estefaníaes_ES
dc.contributor.authorPulgar, Susanaes_ES
dc.contributor.authorSistac-Sorigué, Claraes_ES
dc.contributor.authorSchröder, Helmutes_ES
dc.contributor.authorBouzas, Cristinaes_ES
dc.contributor.authorTur, Josep A.es_ES
dc.contributor.departmentOsasun Zientziakeu
dc.contributor.departmentInstitute on Innovation and Sustainable Development in Food Chain - ISFOODen
dc.contributor.departmentCiencias de la Saludes_ES
dc.date.accessioned2022-04-07T07:47:47Z
dc.date.available2022-04-07T07:47:47Z
dc.date.issued2022
dc.description.abstractBackground 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.en
dc.description.sponsorshipThe PASOS study was funded by Fundación PROBITAS and the Gasol Foundation. Additional funds were received from the Barça Foundation, Banco Santander, IFA, Vienna and the Fundación Deporte Joven (no references are applicable). J.A.T., C.B., M.M.G., and M.d.M.B. were funded by CIBEROBN (CB12/03/30038) of the Institute of Health Carlos III (ISCIII), and co-funded by the European Regional Development Fund.en
dc.format.extent14 p.
dc.format.mimetypeapplication/pdfen
dc.identifier.doi10.3390/nu14020234
dc.identifier.issn2072-6643
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/42681
dc.language.isoengen
dc.publisherMDPIen
dc.relation.ispartofNutrients, 2022, 14, 234en
dc.relation.publisherversionhttps://doi.org/10.3390/nu14020234
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.es_ES
dc.rights.accessRightsinfo:eu-repo/semantics/openAccessen
dc.rights.accessRightsAcceso abierto / Sarbide irekiaes
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAdolescentsen
dc.subjectChildrenen
dc.subjectLifestyleen
dc.subjectMediterranean dieten
dc.subjectPASOSen
dc.titleCombined body mass index and waist-to-height ratio and its association with lifestyle and health factors among Spanish children: the PASOS studyen
dc.typeinfo:eu-repo/semantics/articleen
dc.typeArtículo / Artikuluaes
dc.type.versioninfo:eu-repo/semantics/publishedVersionen
dc.type.versionVersión publicada / Argitaratu den bertsioaes
dspace.entity.typePublication
relation.isAuthorOfPublicationa3f4aa23-172a-47fb-9faf-647f655f7085
relation.isAuthorOfPublicationb36e2b1d-3088-4089-806e-fd3040e9583a
relation.isAuthorOfPublication.latestForDiscoverya3f4aa23-172a-47fb-9faf-647f655f7085

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