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

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. 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; Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC), Madrid, Spain. 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. 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. Univ. Lille, Inserm, CHU Lille, U995 LIRIC - Lille Inflammation Research International Center, F-59000 Lille, France; Centre d'Investigation Clinique, CIC-1403-Inserm-CH&U, Lille, F-59037 France. Preventive Medicine & Nutrition Unit, University of Crete School of Medicine, Heraklion, Crete, Greece. Department of Paediatrics, Medical Faculty, University of Pécs, Pécs, Hungary. Department of Public Health, Ghent University, Ghent, Belgium. Department of Nutrition and Dietetics, Harokopio University, Athens, Greece. Department of Pediatrics, Private Medical University Salzburg, Salzburg, Austria. Polytechnic University of Madrid, Health and Human Performance, Madrid, Spain. Agricultural Research Council, Food and Nutrition Research Centre (CRA-NUT), Rome, Italy. 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; School of Medicine of the University of São Paulo, Department of Preventive Medicine, São Paulo, SP, Brazil.

Preventive medicine. 2016;:111-7
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Abstract

BACKGROUD Several 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. METHODS Participants 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. RESULTS The 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). CONCLUSION The Healthy Eating cluster was associated with lower blood pressure, whereas the Unhealthy Eating cluster was associated with increased SBP in adolescents.

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Publication Type : Observational Study

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MeSH terms : Blood Pressure