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Clustering of physical activity, sedentary behavior, and diet associated with social isolation among Brazilian adolescents
Matias, Thiago Sousa Alves, Julianne Fic Nienov, Gislaine Terezinha Amaral Lopes, Marcus Vinicius Veber Cunha Vasconcellos, Diego Itibere
Matias, Thiago Sousa
Alves, Julianne Fic
Nienov, Gislaine Terezinha Amaral
Lopes, Marcus Vinicius Veber
Cunha Vasconcellos, Diego Itibere
Abstract
Backgound
Although obesogenic behaviors have been found to be related to social isolation, evidence-based person-centered approaches are lacking. This study investigated the association between clusters of obesogenic behavior – derived from a data-driven process – and social isolation among Brazilian adolescents.
Methods
Data from the National Adolescent School-based Health Survey (PeNSE) 2015 were analyzed. A total of 100,794 9th-grade students (51.3% females; 14.3 ± 0.1 years old) enrolled in 3,040 public and private high schools participated in the study. Social isolation was assessed by two outcomes (i.e., perceived loneliness and lack of close friends). A two-step cluster analysis was conducted to identify patterns of obesogenic behaviors with the input of leisure-time physical activity (PA), sitting time as a proxy of sedentary behavior (SB), and the weekly consumption of healthy and unhealthy food. Crude and adjusted binary logistic regression models were applied to evaluate the associations between the clusters of obesogenic behaviors and social isolation variables in adolescents.
Results
Three clusters were identified. Adolescents in the “Health-promoting SB and diet” (32.6%; OR = 0.69; 95% CI = 0.62–0.76) and “Health-promoting PA and diet” (44.9%; OR = 0.73; 95% CI = 0.67–0.79) clusters had lower odds of loneliness compared to those in the “Health-risk” cluster (22.5%). Those belonging to the “Health-promoting PA and diet” cluster were more likely to report having close friends (OR = 1.19; 95% CI = 1.00–1.41) than those in the “Health-risk” cluster.
Conclusion
Adolescents in clusters where positive behaviors outweighed negative ones were less likely to perceive themselves as lonely and without close connections.
Keywords
healthy lifestyle, loneliness, mental health, health surveys, motor activity
Date
2023
Type
Journal article
Journal
BMC Public Health
Book
Volume
23
Issue
1
Page Range
1-6
Article Number
Article 562
ACU Department
Institute for Positive Psychology and Education
Faculty of Education and Arts
Faculty of Education and Arts
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY 4.0
File Access
Open