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Healthy or Unhealthy? The Cocktail of Health-Related Behavior Profiles in Spanish Adolescents

Author

Listed:
  • Javier Sevil-Serrano

    (Faculty of Health and Sport Sciences, Department of Didactics of the Musical, Plastic and Corporal Expression, University of Zaragoza, 22001 Huesca, Spain)

  • Alberto Aibar-Solana

    (Faculty of Social Sciences and Humanities, Department of Didactics of the Musical, Plastic and Corporal Expression, University of Zaragoza, 22003 Huesca, Spain)

  • Ángel Abós

    (Faculty of Health and Sport Sciences, Department of Didactics of the Musical, Plastic and Corporal Expression, University of Zaragoza, 22001 Huesca, Spain)

  • José Antonio Julián

    (Faculty of Social Sciences and Humanities, Department of Didactics of the Musical, Plastic and Corporal Expression, University of Zaragoza, 22003 Huesca, Spain)

  • Luis García-González

    (Faculty of Health and Sport Sciences, Department of Didactics of the Musical, Plastic and Corporal Expression, University of Zaragoza, 22001 Huesca, Spain)

Abstract

The aim of this study was to identify the prevalence and clustering of health-related behaviors in Spanish adolescents and to examine their association with sex, body mass index (BMI), different types of sedentary screen time, and adherence to 24-hour movement guidelines. A final sample of 173 students (M = 12.99 ± 0.51) participated in this study. Cluster analysis was conducted based on five health-related behaviors: PA and sedentary time derived from accelerometers, as well as healthy diet, sedentary screen time, and sleep duration derived from self-reported scales. Recommendations for 24-hour movement guidelines (i.e., physical activity (PA), screen time, and sleep duration) were analyzed both independently and combined. A total of 8.9% of the sample did not meet any of the guidelines, whereas 72.3%, 17.3%, and 1.7% of the sample met 1, 2, or all 3 guidelines, respectively. Six distinct profiles were identified, most of them showing the co-occurrence of healthy- and unhealthy-related behaviors. Given that most of the adolescents failed to meet the combination of PA, screen time, and sleep duration guidelines, these findings suggest the necessity to implement school-based interventions that target multiple health behaviors, especially because (un)healthy behaviors do not always cluster in the same direction.

Suggested Citation

  • Javier Sevil-Serrano & Alberto Aibar-Solana & Ángel Abós & José Antonio Julián & Luis García-González, 2019. "Healthy or Unhealthy? The Cocktail of Health-Related Behavior Profiles in Spanish Adolescents," IJERPH, MDPI, vol. 16(17), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:17:p:3151-:d:262000
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    References listed on IDEAS

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    1. Valerie Carson & Guy Faulkner & Catherine Sabiston & Mark Tremblay & Scott Leatherdale, 2015. "Patterns of movement behaviors and their association with overweight and obesity in youth," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(5), pages 551-559, July.
    2. O'Neil, A. & Quirk, S.E. & Housden, S. & Brennan, S.L. & Williams, L.J. & Pasco, J.A. & Berk, M. & Jacka, F.N., 2014. "Relationship between diet and mental health in children and adolescents: A systematic review," American Journal of Public Health, American Public Health Association, vol. 104(10), pages 31-42.
    3. Glenn Milligan & Martha Cooper, 1985. "An examination of procedures for determining the number of clusters in a data set," Psychometrika, Springer;The Psychometric Society, vol. 50(2), pages 159-179, June.
    4. Teija Nuutinen & Elviira Lehto & Carola Ray & Eva Roos & Jari Villberg & Jorma Tynjälä, 2017. "Clustering of energy balance-related behaviours, sleep, and overweight among Finnish adolescents," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(8), pages 929-938, November.
    5. Javier Sevil & Luis García-González & Ángel Abós & Eduardo Generelo Lanaspa & Alberto Aibar Solana, 2018. "Which School Community Agents Influence Adolescents’ Motivational Outcomes and Physical Activity? Are More Autonomy-Supportive Relationships Necessarily Better?," IJERPH, MDPI, vol. 15(9), pages 1-21, August.
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    1. David Manzano-Sánchez & María Victoria Palop-Montoro & Milagros Arteaga-Checa & Alfonso Valero-Valenzuela, 2022. "Analysis of Adolescent Physical Activity Levels and Their Relationship with Body Image and Nutritional Habits," IJERPH, MDPI, vol. 19(5), pages 1-14, March.
    2. Lukáš Jakubec & Karel Frömel & František Chmelík & Dorota Groffik, 2020. "Physical Activity in 15–17-Year-Old Adolescents as Compensation for Sedentary Behavior in School," IJERPH, MDPI, vol. 17(9), pages 1-14, May.

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