ArticleBMC public health2018
Clustering of diet, physical activity and sedentary behavior among Brazilian adolescents in the national school - based health survey (PeNSE 2015).
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 74 citations in OpenAlex.
- Tracking and changes in the clustering of physical activity, sedentary behavior, diet, and sleep across childhood and adolescence: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Pooled it
- Clustering of diet, physical activity and sedentary behaviour and related physical and mental health outcomes: a systematic review.BMC public health · 2023Pooled it
- A systematic review of the clustering and correlates of physical activity and sedentary behavior among boys and girls.BMC public health · 2023Pooled it
- Effects of community health worker-based interventions on physical activity levels in children: a systematic review.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2021Pooled it
- Central and peripheral arterial stiffness responses to uninterrupted prolonged sitting combined with a high-fat meal: a randomized controlled crossover trial.Hypertension research : official journal of the Japanese Society of Hypertension · 2021Trial
- Association of Weekly Moderate-to-Vigorous Physical Activity with Subjective Vitality and Mental Toughness in Spanish Adolescents Aged 10-16 Years.Behavioral sciences (Basel, Switzerland) · 2026Article
- Intersection of gender and race/skin color and food consumption of adolescents: analysis of Brazil's National Student Health Survey (PENSE) 2019.BMC public health · 2026Article
- Co-occurrence of lifestyle and mental health issues in adolescents: A cross-sectional study of the YouthCHAT cohort in Aotearoa New Zealand.Dialogues in health · 2026Article
- The impact of a growth mindset on adolescents' health risk behaviors: the chain mediating role of core self-evaluation and coping style.BMC psychology · 2026Article
- Hierarchical Analysis of Physical Activity Determinants in Brazilian Adolescents: A Cross-Sectional Study.Sports (Basel, Switzerland) · 2026Article
- Have sedentary lifestyles reached even remote parts of the Global South? Evidence from school-going adolescents' time use in India.PloS one · 2026Article
- Integrated Behavioral Profiles of Physical Activity and Dietary Intake in Young Adults and Their Associations with Lower Limb Injury Occurrence.Nutrients · 2025Article
- Lifestyle Behavior Patterns and Their Association with Active Commuting to School Among Spanish Adolescents: A Cluster Analysis.Healthcare (Basel, Switzerland) · 2025Article
- Patterns of physical activity and sedentary behavior among Brazilian schoolchildren: analysis based on types of behavior.BMC pediatrics · 2025Article
- Cluster of factors related to metabolic changes in older individuals: a cross-sectional study.Sao Paulo medical journal = Revista paulista de medicina · 2025Article
- Change in clusters of lifestyle behaviours from childhood to adolescence: a longitudinal analysis.European journal of pediatrics · 2024Article
- An ecological view on the correlates of sedentary behavior in Brazilian adolescents: a cross-sectional study with network analysis.Journal of activity, sedentary and sleep behaviors · 2024Article
- Co-occurrence of and factors associated with health risk behaviors among adolescents: a multi-center study in sub-Saharan Africa, China, and India.EClinicalMedicine · 2024Article
- The relationship between cumulative ecological risk and health risk behaviors among Chinese adolescents.BMC public health · 2024Article
- Sedentary Activities and Food Intake among Children and Adolescents in the Zhejiang Province of China: A Cross-Sectional Study.Nutrients · 2023Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a lack of evidence regarding clusters of health-related behaviors among adolescents from low, lower-middle, and upper-middle income countries. This study aimed to identify clustering patterns of health-related behaviors (diet, physical activity [PA] and sedentary behavior [SB]) and association with sociodemographic variables among a population-based sample of Brazilian adolescents.
methodsCross-sectional data from the 2015 National School-Based Health Survey (PeNSE). A total of 102,072 (females: 51.7%) students in ninth-grade (age: 14.3 ± 1.1 years-old) enrolled in public and private schools were investigated in this study. Healthy and unhealthy diet, PA and SB were measured using a validated questionnaire. Two-step cluster analysis was conducted to identify lifestyle patterns. The methodology for complex analysis and weighting was used to inferential statistical procedures. Multinomial logistic regression assessed associations between sociodemographic factors and the clusters.
resultsThree reliable and meaningful clusters were identified and labelled as follows: (1) health-promoting SB and diet (32.6%); (2) health-promoting PA and diet (44.9%), and (3) health-risk (22.5%). Compared to boys, girls were less likely to be in clusters 1 (OR = 0.85; 95% CI = 0.78-0.93, p < 0.001) and 2 (OR = 0.43; 95% CI = 0.40-0.46, p < 0.001) than the health-risk cluster. Higher socioeconomic status was positively associated with health-promoting PA and diet, and negatively related to health-promoting SB and diet. Older adolescents were more likely to be in cluster 1 than in cluster 3, compared to younger adolescents.
conclusionApproximately one-quarter of the population (health-risk cluster) reported engaging in multiple risk behaviors. Interventions may need to be tailored to specific adolescent groups, especially considering sociodemographic differences.
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