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Factors Associated With Healthy Lifestyle Behaviors Among Adolescents.

ABSTRACT: OBJECTIVE:Guided by cognitive theory, this study tested an explanatory model for adolescents' beliefs, feelings, and healthy lifestyle behaviors and sex differences in these relationships. METHODS:Structural equation modeling evaluated cross-sectional data from a healthy lifestyle program from 779 adolescents 14 through 17 years old. RESULTS:Theoretical relationships among thoughts, feelings, and behaviors were confirmed and sex differences identified. Thoughts had a direct effect on feelings and an indirect effect through feelings on healthy behaviors for both sexes. A direct effect from thoughts to behaviors existed for males only. DISCUSSION:Findings provide strong support for the thinking-feeling-behaving triangle for adolescents. To promote healthy lifestyle behaviors in adolescents, interventions should incorporate cognitive behavioral skills-building activities, strengthening healthy lifestyle beliefs, and enhancing positive health behaviors.

SUBMITTER: McGovern CM

PROVIDER: S-EPMC7265997 | biostudies-literature | 2018 Sep - Oct

REPOSITORIES: biostudies-literature

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Factors Associated With Healthy Lifestyle Behaviors Among Adolescents.

McGovern Colleen M CM Militello Lisa K LK Arcoleo Kimberly J KJ Melnyk Bernadette M BM

Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners 20180622 5

<h4>Objective</h4>Guided by cognitive theory, this study tested an explanatory model for adolescents' beliefs, feelings, and healthy lifestyle behaviors and sex differences in these relationships.<h4>Methods</h4>Structural equation modeling evaluated cross-sectional data from a healthy lifestyle program from 779 adolescents 14 through 17 years old.<h4>Results</h4>Theoretical relationships among thoughts, feelings, and behaviors were confirmed and sex differences identified. Thoughts had a direct ...[more]

PMID: 29941235

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Project description:Obesity during adolescence is associated with cardiovascular mortality in adulthood. The adverse obesity-related cardiometabolic risk profile is already observed in adolescence. We aimed to examine possible gender differences in cardiometabolic risk factors and lifestyle behaviors among adolescents with severe obesity, hypothesizing that boys would have both a higher prevalence of the metabolic syndrome as well as less healthy lifestyle behaviors than girls.Cross-sectional study of treatment-seeking adolescents with severe obesity who attended the Morbid Obesity Centre at Vestfold Hospital Trust and who were consecutively enrolled in the Vestfold Register of Obese Children between September 2009 and September 2015. A total of 313 adolescents aged 12 to 18 years were recruited, whereof 268 subjects (49% boys) completed a food and activity frequency questionnaire and were included in the analysis.Mean (SD) age, BMI and BMI SDS were 15 (1.6) years, 38.6 (5.9) kg/m2 and 3.5 (0.6). Levels of LDL cholesterol, fasting insulin and glucose and diastolic blood pressure (DBP) did not differ between genders. Compared to girls, boys had significantly higher triglycerides (p =?0.037) and systolic blood pressure (SBP) (p =?0.003), as well as lower HDL cholesterol (p =?0.002). The metabolic syndrome was present in 27% of the boys and 19% of the girls (p =?0.140), and the prevalence of high DBP, dyslipidemia and dysglycemia also did not differ significantly between genders. The prevalence of high SBP was higher in boys than in girls (19% vs. 9%, p =?0.021). Gender was associated with a number of lifestyle habits, as a larger proportions of boys had higher screen time (p =?0.032), more regular breakfast eating (p =?0.023), higher intake of sugar sweetened soda (p =?0.036), and lower intake of vegetables than girls (p =?0.011). By contrast, physical activity level and intake of fruit and berries did not differ between genders.Male treatment-seeking adolescents with severe obesity had a more unfavorable set of metabolic and behavioral risk factors for cardiovascular disease than girls. Our results indicate that lifestyle behavioral markers should be thoroughly assessed in both genders, and possible gender-related differences in risk profile should be taken into account in future treatment programs.

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Factors Associated With Healthy Lifestyle Behaviors Among Adolescents.

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Factors Associated With Healthy Lifestyle Behaviors Among Adolescents.

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