Marie-Rachelle Narcisse1, Christopher R Long2, Holly C Felix3, Erin K Howie4, Rachel S Purvis5, Pearl A McElfish6. 1. College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 North College Ave, Fayetteville, AR 72703, USA. Electronic address: narcissem@uams.edu. 2. College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 North College Ave, Fayetteville, AR 72703, USA. Electronic address: crlong2@uams.edu. 3. Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 West Markham St, Little Rock, AR 72205, USA. Electronic address: FelixHolly@uams.edu. 4. Department of Health, Human Performance and Recreation, University of Arkansas, 324 Graduate Education Bldg, Fayetteville, AR 72701, USA. Electronic address: ekhowie@uark.edu. 5. Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, 1125 North College Ave, Fayetteville, AR 72703, USA. Electronic address: rspurvis@uams.edu. 6. College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 North College Ave, Fayetteville, AR 72703, USA. Electronic address: pamcelfish@uams.edu.
Abstract
OBJECTIVES: To examine whether adherence to US sleep, dietary, screen time, and physical activity (8-5-2-1-0) guidelines is associated with reduced risk of overweight/obesity in adolescents. DESIGN: Multivariable log-binomial regressions were estimated using the 2017 Youth Risk Behavior Surveillance System data. RESULTS: Of the 8194 adolescents aged 13 years and older, only 0.6% (49) met all guidelines. Meeting the recommended 8 hours of sleep per day was associated with reduced risk of overweight/obesity (risk ratio [RR]: 0.90; confidence interval [CI]: 0.81-0.99). Having ≤2 hours of screen time per day was associated with reduced risks of overweight/obesity (RR: 0.85; CI: 0.77-0.95). One hour of daily physical activity was associated with reduced risk of overweight/obesity (RR: 0.80; CI: 0.73-0.87). No significant associations were found between daily consumption of ≥5 fruits and vegetables or consumption of zero sugar-sweetened beverages and overweight/obesity. The 8-5-2-1-0 constitutes an improved prediction model to explain the risk of overweight/obesity among adolescents compared with the 5-2-1-0 model (F1,36 = 4.80; P = .035). CONCLUSIONS: Findings from this study suggest that meeting recommendations for sleep, screen time, and physical activity is associated with decreased risk of overweight/obesity in a large sample of adolescents. These are important factors to consider in the prevention and treatment of overweight/obesity in adolescents.
OBJECTIVES: To examine whether adherence to US sleep, dietary, screen time, and physical activity (8-5-2-1-0) guidelines is associated with reduced risk of overweight/obesity in adolescents. DESIGN: Multivariable log-binomial regressions were estimated using the 2017 Youth Risk Behavior Surveillance System data. RESULTS: Of the 8194 adolescents aged 13 years and older, only 0.6% (49) met all guidelines. Meeting the recommended 8 hours of sleep per day was associated with reduced risk of overweight/obesity (risk ratio [RR]: 0.90; confidence interval [CI]: 0.81-0.99). Having ≤2 hours of screen time per day was associated with reduced risks of overweight/obesity (RR: 0.85; CI: 0.77-0.95). One hour of daily physical activity was associated with reduced risk of overweight/obesity (RR: 0.80; CI: 0.73-0.87). No significant associations were found between daily consumption of ≥5 fruits and vegetables or consumption of zero sugar-sweetened beverages and overweight/obesity. The 8-5-2-1-0 constitutes an improved prediction model to explain the risk of overweight/obesity among adolescents compared with the 5-2-1-0 model (F1,36 = 4.80; P = .035). CONCLUSIONS: Findings from this study suggest that meeting recommendations for sleep, screen time, and physical activity is associated with decreased risk of overweight/obesity in a large sample of adolescents. These are important factors to consider in the prevention and treatment of overweight/obesity in adolescents.
Authors: Jeremy J Walsh; Joel D Barnes; Jameason D Cameron; Gary S Goldfield; Jean-Philippe Chaput; Katie E Gunnell; Andrée-Anne Ledoux; Roger L Zemek; Mark S Tremblay Journal: Lancet Child Adolesc Health Date: 2018-09-27
Authors: Marcus V Nascimento-Ferreira; Tatiana S Collese; Augusto César F de Moraes; Tara Rendo-Urteaga; Luis A Moreno; Heráclito B Carvalho Journal: Sleep Med Rev Date: 2015-12-06 Impact factor: 11.609
Authors: Mark S Tremblay; Valerie Carson; Jean-Philippe Chaput; Sarah Connor Gorber; Thy Dinh; Mary Duggan; Guy Faulkner; Casey E Gray; Reut Gruber; Katherine Janson; Ian Janssen; Peter T Katzmarzyk; Michelle E Kho; Amy E Latimer-Cheung; Claire LeBlanc; Anthony D Okely; Timothy Olds; Russell R Pate; Andrea Phillips; Veronica J Poitras; Sophie Rodenburg; Margaret Sampson; Travis J Saunders; James A Stone; Gareth Stratton; Shelly K Weiss; Lori Zehr Journal: Appl Physiol Nutr Metab Date: 2016-06 Impact factor: 2.665