Department of Kinesiology, University of Rhode Island, Independence Square II, Kingston, RI 02881, USA.
Health Studies Program, University of Rhode Island, Independence Square II, Kingston, RI 02881, USA.
Int J Environ Res Public Health. 2018 Sep 5;15(9):1931. doi: 10.3390/ijerph15091931.
: It remain unclear that the association between weight status, weight perception, weight satisfaction and the clustering of physical activity (PA) and dietary behaviors in adolescents. : A cross-sectional analysis of National Health and Nutrition Examination Survey and the US Department of Agriculture's Food Patterns Equivalents 2007⁻2014 data from adolescents aged 12⁻17 years ( = 2965) was conducted. Multivariable logistic regression models adjusted for demographic characteristics examined the association between weight status, weight perception, weight satisfaction, and the four created lifestyle groups (healthier behaviors, healthier diet only, physically active only, unhealthier behaviors). : Males with obesity were more likely to be in the healthier diet only group than males with a normal weight (OR = 1.90, 95% CI: 1.02, 3.52). Similar patterns were found in males who perceived themselves as being overweight or having obesity (OR = 2.09, 95% CI: 1.09, 3.99) and males with obesity who perceived their weight status accurately (OR = 2.33, 95% CI: 1.12, 4.88). Female respondents who were satisfied with their weight were 59% less likely to be in the healthier diet only group than healthier behaviors group compared with females who were weight dissatisfied (OR = 0.41, 95% CI: 0.23, 0.75). This pattern was not observed in males. : Clustering PA and dietary behaviors were associated with weight status and weight perception for males but not females. Weight satisfaction was associated with clustered PA and dietary behaviors for females. These findings are important for obesity prevention policies and programs to better address adolescents' obesity and reduce health disparities in this population.
体重状况、体重感知、体重满意度与青少年身体活动（PA）和饮食行为聚类之间的关系尚不清楚。
对年龄在 12-17 岁的青少年（=2965 人）进行了横断面分析，使用了来自 2007-2014 年国家健康和营养检查调查和美国农业部食品模式等效物的数据。多变量逻辑回归模型调整了人口统计学特征，以研究体重状况、体重感知、体重满意度与四个创建的生活方式组（更健康的行为、仅更健康的饮食、仅更活跃、更不健康的行为）之间的关系。肥胖男性比体重正常的男性更有可能属于仅更健康饮食组（OR=1.90，95%CI：1.02，3.52）。同样的模式也存在于自认为超重或肥胖的男性（OR=2.09，95%CI：1.09，3.99）和准确感知体重状况的肥胖男性（OR=2.33，95%CI：1.12，4.88）中。与体重不满的女性相比，对体重满意的女性更不可能属于仅更健康饮食组，其可能性低 59%（OR=0.41，95%CI：0.23，0.75）。这种模式在男性中没有观察到。
PA 和饮食行为的聚类与男性的体重状况和体重感知有关，但与女性无关。女性的体重满意度与聚类的 PA 和饮食行为有关。这些发现对于肥胖预防政策和计划很重要，有助于更好地解决青少年肥胖问题，减少该人群中的健康差距。
