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 Mar
dc.contributor.authorGallardo Alfaro, Laura
dc.contributor.authorGómez Santos, Santiago Felipe
dc.contributor.authorWärnberg, Julia
dc.contributor.authorOses, Maddi
dc.contributor.authorGonzález-Gross, Marcela
dc.contributor.authorGusi, Narcis
dc.contributor.authorAznar, Susana
dc.contributor.authorMarín-Cascales, Elena
dc.contributor.authorGonzález-Valeiro, Miguel
dc.contributor.authorSerra-Majem, Lluis
dc.contributor.authorTerrados, Nicolás
dc.contributor.authorSegu, Marta
dc.contributor.authorLassale, Camille
dc.contributor.authorHoms, Clara
dc.contributor.authorBenavente-Marín, Juan C.
dc.contributor.authorLabayen, Idoia
dc.contributor.authorZapico, Augusto G.
dc.contributor.authorSánchez-Gómez, Jesús
dc.contributor.authorJiménez-Zazo, Fabio
dc.contributor.authorAlcaraz, Pedro E.
dc.contributor.authorSevilla-Sánchez, Marta
dc.contributor.authorHerrera-Ramos, Estefanía
dc.contributor.authorPulgar, Susana
dc.contributor.authorSistac, Clara
dc.contributor.authorSchröder, Helmut
dc.contributor.authorBouzas, Cristina
dc.contributor.authorTur, Josep A.
dc.date.accessioned2022-12-17T12:25:20Z
dc.date.available2022-12-17T12:25:20Z
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-toheight 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.ca_ES
dc.identifier.doihttps://doi.org/10.3390/nu14020234
dc.identifier.issn2072-6643
dc.identifier.urihttp://hdl.handle.net/10459.1/84871
dc.language.isoengca_ES
dc.publisherMDPIca_ES
dc.relation.isformatofReproducció del document publicat a https://doi.org/10.3390/nu14020234ca_ES
dc.relation.ispartofNutrients, 2022, vol. 14, núm. 2, art. 234ca_ES
dc.rightscc-by (c) Maria del Mar Bibiloni et. al., 2022ca_ES
dc.rights.accessRightsinfo:eu-repo/semantics/openAccessca_ES
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectMediterranean dietca_ES
dc.subjectLifestyleca_ES
dc.subjectChildrenca_ES
dc.subjectAdolescentsca_ES
dc.subjectPASOSca_ES
dc.titleCombined Body Mass Index and Waist-to-Height Ratio and Its Association with Lifestyle and Health Factors among Spanish Children: The PASOS Studyca_ES
dc.typeinfo:eu-repo/semantics/articleca_ES
dc.type.versioninfo:eu-repo/semantics/publishedVersionca_ES
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