Frequency and effects of meeting health behaviour guidelines among adolescents.

TitreFrequency and effects of meeting health behaviour guidelines among adolescents.
Publication TypeJournal Article
Year of Publication2013
AuthorsMejia, D, Berchtold, A, Bélanger, RE, Kuntsche, EN, Michaud, P-A, Surís, J-C
JournalEur J Public Health
Date Published2013 Feb
Mots-clésAdolescent, Body Mass Index, Computers, Exercise, Female, Guideline Adherence, Guidelines as Topic, Health Behavior, Health Surveys, Humans, Male, Motor Activity, Multivariate Analysis, Nutritional Status, Obesity, Questionnaires, Sex Factors, Socioeconomic Factors, Switzerland, Television

BACKGROUND: To assess the relationship between overweight status and the concomitant adherence to physical activity, daily screen time and nutritional guidelines.

METHODS: Data were derived from the Swiss Health Behaviour in School-aged Children Survey 2006. Participants (n = 8130, 48.7% girls) were divided into two groups: normal weight (n = 7215, 44.8% girls) and overweight (n = 915, 34.8% girls), using self-reported height and weight. Groups were compared on adherence to physical activity, screen time and nutritional guidelines. Bivariate analyses were carried out followed by multivariate analyses using normal-weight individuals as the reference category.

RESULTS: Regardless of gender, overweight individuals reported more screen time, less physical activity and less concomitant adherence to guidelines. For boys, the multivariate analysis showed that any amount exceeding screen time recommendations was associated with increased odds of being overweight [>2-4 h: adjusted odds ratio (AOR) = 1.40; >4-6 h: AOR = 1.48; >6 h: AOR = 1.83]. A similar relation was found for any amount below physical activity recommendations (4-6 times a week: AOR = 1.67; 2-3 times a week: AOR = 1.87; once a week or less: AOR = 2.1). For girls, not meeting nutritional guidelines was less likely among overweight individuals (0-2 recommendations: AOR = 0.54). Regardless of weight status, more than half of the adolescents did not comply with any guideline and

CONCLUSIONS: Meeting current nutritional, physical activity and screen time guidelines should be encouraged with respect to overweight. However, as extremely low rates of concomitant adherence were found regardless of weight status, their achievability is questionable (especially for nutrition), which warrants further research to better adapt them to adolescents.

Alternate URL

Alternate JournalEur J Public Health
Citation Key / SERVAL ID3235
PubMed ID22544912


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