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Racial/Ethnic Differences in the Age-Varying Association Between Adherence to 8-5-2-1-0 Guidelines in Adolescents with High BMI.
Narcisse, Marie-Rachelle; Wang, Monica L; Stanford, Fatima C; Schwarz, Aviva G; McElfish, Pearl A.
Afiliación
  • Narcisse MR; Department of Psychiatry and Human Behavior, Brown University, 222 Richmond St, Providence, RI, 02903, USA. marie-rachelle_narcisse@brown.edu.
  • Wang ML; Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA.
  • Stanford FC; Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.
  • Schwarz AG; Department of Medicine-Neuroendocrine Unit, Department of Pediatrics-Endocrinology, Massachusetts General Hospital Weight Center, Nutrition Obesity Research Center at Harvard: Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
  • McElfish PA; Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA.
J Racial Ethn Health Disparities ; 2024 Sep 03.
Article en En | MEDLINE | ID: mdl-39227545
ABSTRACT

PURPOSE:

To examine the association between adherence to sleep, dietary, screen time, and physical activity (PA) (8-5-2-1-0) guidelines and risk of high body mass index (BMI ≥ 85 percentile) among U.S. adolescents and to assess for racial inequities and age-varying effects in these associations.

METHODS:

Data from the 2019 Youth Risk Behavior Surveillance System survey were used to conduct multivariable logistic regression models and moderation analysis by race/ethnicity and age using time-varying varying effect models (TVEM) and estimate associations of interest.

RESULTS:

Of the 13,518 adolescents aged ≥ 14 years, only 0.5% met all guidelines. Adolescents adhering to sleep guidelines had a 21% reduction in their odds of having a high BMI (OR 0.79, 95% CI 0.67-0.93). Those adhering to PA guidelines had a 34% reduction in their odds of having a high BMI (OR 0.66, 95% CI 0.56-0.79), and those adhering to screen time guidelines had a 17% reduction in their odds of having a high BMI (OR 0.83, 95% CI 0.72-0.95). TVEM showed associations between adherence to sleep and screen time guidelines with high BMI fluctuate and are at specific ages. TVEM revealed substantial racial/ethnic differences in the age-varying association between adherence to 8-5-2-1-0 guidelines and high BMI throughout adolescence.

CONCLUSIONS:

Associations between adherence to sleep and screen time guidelines and high BMI fluctuate with age, highlighting the need for nuanced interventions targeting 24-h movement guidelines (sleep, PA, and screen time) across adolescence, particularly given racial/ethnic disparities.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Racial Ethn Health Disparities Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Racial Ethn Health Disparities Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza