Study Title
Clusters of 24-hour movement behavior and diet and their relationship with health indicators among youth: a systematic review
Principal Investigator
Gabrielli T. de Mello, Giseli Minatto, Rafael M. Costa, Rebecca M. Leech, Yingting Cao, Rebecca E. Lee, Kelly S. Silva
Affiliation
Federal University of Santa Catarina, Brazil; La Trobe University, Australia; Arizona State University, USA; Deakin University, Australia
Start Date
Not specified
End Date
Not specified
Study Objective
To investigate how physical activity (PA), sedentary behavior (SB), sleep, and diet cluster in youth by biological sex and examine which clusters are associated with various health indicators.
Short Abstract
This systematic review identified 66 clusters of 24-hour movement behaviors (PA, SB, sleep) and diet among youth. The review found that mixed behavior profiles, including both healthy and unhealthy behaviors, were prevalent. For example, clusters characterized by high sedentary behavior and ultra-processed food consumption were linked to higher adiposity. Significant sex differences were observed, with girls having higher sleep duration and boys engaging in more physical activity. The study suggests that interventions targeting multiple behaviors simultaneously may enhance health outcomes for youth.
Study Design
Systematic review
Population
Youth (aged 19 years and younger)
Sample Size
23 studies with various sample sizes
Inclusion Criteria
Studies that used person-oriented statistical methods (e.g., cluster analysis) to identify behavior clusters involving PA, SB, sleep, and diet
Exclusion Criteria
Studies involving clinical populations or including behaviors outside the four studied (PA, SB, sleep, diet)
Intervention/Exposure
Physical activity, sedentary behavior, sleep, diet (specifically ultra-processed foods and fruits/vegetables)
Outcome Measures
Health indicators including adiposity, body mass index (BMI), fat mass, waist circumference, insulin resistance, blood pressure, mental health (depression, anxiety), and quality of life
Funding Source
CAPES (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, Brazil), CNPq (Brazil), NHMRC (Australia), Eunice Kennedy Shriver National Institute of Child Health and Human Development (USA)
Collaborating Institutions
Federal University of Santa Catarina, Deakin University, Arizona State University, La Trobe University
Ethics Approval
Not applicable (systematic review)
Publication Status
Published in BMC Public Health, 2024
Keywords
Adolescent health, clustering, diet, physical activity, sedentary behavior, sleep
Data Collection Methods
Systematic review of studies published up to April 2023 using cluster analysis techniques for identifying behavior patterns
Primary Data Availability
Not applicable
Contact Information
Gabrielli T. de Mello (