Clustering of obesogenic behaviours amongst 140 052 South American adolescents: a harmonized meta-analysis of national health surveys.

Background Physical activity, sedentary behaviour, and diet synergically coexist (in different ways) within adolescents' lifestyles. Thus, understanding obesogenic behaviour patterns within populations is critical to promoting adolescents' health. This study investigates clustering patterns of adole...

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Published in:Journal of Public Health Vol. 47; no. 3; pp. 654 - 668
Main Authors: Matias, Thiago Sousa, Araujo, Raphael Henrique de Oliveira, Tassitano, Rafael Miranda, Ramírez-Vélez, Robinson, Sadarangani, Kabir P, Ywgne, José, Gaia, Jhonatan Wélington Pereira, Jesus, Gilmar Mercês de, Silva, Danilo Rodrigues Pereira da
Format: meta analysis research tables/charts Journal Article
Published: Oxford University Press / USA Sep2025
Online Access:View this record in EBSCOhost
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      dt: Sep2025
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        atl: Clustering of obesogenic behaviours amongst 140 052 South American adolescents: a harmonized meta-analysis of national health surveys.
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          Matias, Thiago Sousa
          Araujo, Raphael Henrique de Oliveira
          Tassitano, Rafael Miranda
          Ramírez-Vélez, Robinson
          Sadarangani, Kabir P
          Ywgne, José
          Gaia, Jhonatan Wélington Pereira
          Jesus, Gilmar Mercês de
          Silva, Danilo Rodrigues Pereira da
        affil: Department of Physical Education, Federal University of Santa Catarina, R. Eng. Agronômico Andrei Cristian Ferreira, s/n, 88040-900, Florianópolis, Brazil
      sug:
        subj:
          Pediatric Obesity In Adolescence
          Adolescent Behavior
          Health Behavior
          Sociodemographic Factors
          Human
          South America
          Male
          Female
          Child
          Adolescence
          Cross Sectional Studies
          Descriptive Statistics
          Meta Analysis
          Confidence Intervals
          Cluster Analysis
          Chi Square Test
          Sedentary Behavior
          Life Style
          Sitting
          Time
          Physical Activity
          Diet
          Noncommunicable Diseases
          Sex Factors
          Argentina
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Background Physical activity, sedentary behaviour, and diet synergically coexist (in different ways) within adolescents' lifestyles. Thus, understanding obesogenic behaviour patterns within populations is critical to promoting adolescents' health. This study investigates clustering patterns of adolescents' obesogenic behaviours across South American countries. Methods The present work is a harmonized analysis of 10 national representative cross-sectional health surveys investigating adolescents' risk and protective factors for non-communicable diseases. The surveys used questionnaires, and three obesogenic behaviours were analyzed for cluster formation (physical activity, sitting time, and diet). Sociodemographic variables were sex, age, and food insecurity. The Two-step cluster, the Rao-Scott chi-square test, and a meta-analysis were performed for data analysis. Results Three to four cluster solutions were identified in each country, and most clusters are unhealthy. The All-day sitters-very poor diet cluster was observed in Paraguay, Peru, Suriname, Chile, Guyana, Argentina, Brazil, Colombia, and Ecuador, with a pooled prevalence of 17.8% (95% CI:15.0; 20.7) amongst South American countries, with the highest prevalence observed in Argentina [26.8% (95% CI: 26.7; 26.9)]. Girls were more likely to belong to the unhealthiest clusters. Conclusions The lifestyle behaviours of South American adolescents coexist negatively, and there is a severe obesogenic risk for this population. The synergy between physical inactivity and poor/very poor diet was clustered together in all countries, and our analysis did not reveal any natural healthy clusters. Furthermore, girls are at a disadvantage, given that they are the majority in clusters with unhealthy profiles in South America.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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