Gender differences in the longitudinal association between multilevel latent classes of chronic disease risk behaviours and body mass index in adolescents
Introduction: Few studies have assessed the relationship between chronic disease risk behaviours and body mass index (BMI) in a longitudinal, sex/gender-specific context. This study used gender-specific analyses to assess the extent to which chronic disease risk behaviour latent classes are associat...
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| Format: | Article |
| Language: | English |
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Public Health Agency of Canada
2020-09-01
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| Series: | Health Promotion and Chronic Disease Prevention in Canada |
| Subjects: | |
| Online Access: | https://doi.org/10.24095/hpcdp.40.9.01 |
| _version_ | 1828389815263952896 |
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| author | Nour Hammami Ashok Chaurasia Philip Bigelow Scott T. Leatherdale |
| author_facet | Nour Hammami Ashok Chaurasia Philip Bigelow Scott T. Leatherdale |
| author_sort | Nour Hammami |
| collection | DOAJ |
| description | Introduction: Few studies have assessed the relationship between chronic disease risk behaviours and body mass index (BMI) in a longitudinal, sex/gender-specific context. This study used gender-specific analyses to assess the extent to which chronic disease risk behaviour latent classes are associated with BMI and weight status at follow-up. Methods: Longitudinal data from 4510 students in Grades 9 to 12, tracked from 2013– 2015, who participated in the COMPASS study were used to assess gender differences in the lagged association between previously determined latent classes (of physical activity and substance use) with BMI using multilevel mixed-effects models. Our multilevel regression models assessed the association between two latent classes, active experimenters and inactive non-using youth, with BMI when stratified by gender. Results: Male inactive non-substance-using youth were associated with a 0.29 higher continuous BMI (95% CI: 0.057, 0.53) and odds of overweight/obesity increased by 72% (OR = 1.72, 95% CI: 1.2, 2.4) for binary BMI at follow-up relative to active youth who experiment with substance use. No significant associations were detected in females. Conclusion: Over time, physical activity has a protective role on BMI in male youth. Both substance use and physical inactivity should be addressed in obesity prevention efforts. Gender stratification in analyses is also important since females and males have different contributing factors to increases in BMI. |
| first_indexed | 2024-12-10T06:34:17Z |
| format | Article |
| id | doaj.art-9131fa8da18842178476f104783afdf7 |
| institution | Directory Open Access Journal |
| issn | 2368-738X |
| language | English |
| last_indexed | 2024-12-10T06:34:17Z |
| publishDate | 2020-09-01 |
| publisher | Public Health Agency of Canada |
| record_format | Article |
| series | Health Promotion and Chronic Disease Prevention in Canada |
| spelling | doaj.art-9131fa8da18842178476f104783afdf72022-12-22T01:58:59ZengPublic Health Agency of CanadaHealth Promotion and Chronic Disease Prevention in Canada2368-738X2020-09-0140925926610.24095/hpcdp.40.9.01stringGender differences in the longitudinal association between multilevel latent classes of chronic disease risk behaviours and body mass index in adolescentsNour Hammami0Ashok Chaurasia1Philip Bigelow2Scott T. Leatherdale3Institute for Health and Social Policy, McGill University, Montréal, Quebec, CanadaSchool of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, CanadaSchool of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, CanadaSchool of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, CanadaIntroduction: Few studies have assessed the relationship between chronic disease risk behaviours and body mass index (BMI) in a longitudinal, sex/gender-specific context. This study used gender-specific analyses to assess the extent to which chronic disease risk behaviour latent classes are associated with BMI and weight status at follow-up. Methods: Longitudinal data from 4510 students in Grades 9 to 12, tracked from 2013– 2015, who participated in the COMPASS study were used to assess gender differences in the lagged association between previously determined latent classes (of physical activity and substance use) with BMI using multilevel mixed-effects models. Our multilevel regression models assessed the association between two latent classes, active experimenters and inactive non-using youth, with BMI when stratified by gender. Results: Male inactive non-substance-using youth were associated with a 0.29 higher continuous BMI (95% CI: 0.057, 0.53) and odds of overweight/obesity increased by 72% (OR = 1.72, 95% CI: 1.2, 2.4) for binary BMI at follow-up relative to active youth who experiment with substance use. No significant associations were detected in females. Conclusion: Over time, physical activity has a protective role on BMI in male youth. Both substance use and physical inactivity should be addressed in obesity prevention efforts. Gender stratification in analyses is also important since females and males have different contributing factors to increases in BMI.https://doi.org/10.24095/hpcdp.40.9.01chronic disease risk behaviours, substance use, physical activity, sex, gender, BMI, obesity, overweight, adiposity |
| spellingShingle | Nour Hammami Ashok Chaurasia Philip Bigelow Scott T. Leatherdale Gender differences in the longitudinal association between multilevel latent classes of chronic disease risk behaviours and body mass index in adolescents Health Promotion and Chronic Disease Prevention in Canada chronic disease risk behaviours, substance use, physical activity, sex, gender, BMI, obesity, overweight, adiposity |
| title | Gender differences in the longitudinal association between multilevel latent classes of chronic disease risk behaviours and body mass index in adolescents |
| title_full | Gender differences in the longitudinal association between multilevel latent classes of chronic disease risk behaviours and body mass index in adolescents |
| title_fullStr | Gender differences in the longitudinal association between multilevel latent classes of chronic disease risk behaviours and body mass index in adolescents |
| title_full_unstemmed | Gender differences in the longitudinal association between multilevel latent classes of chronic disease risk behaviours and body mass index in adolescents |
| title_short | Gender differences in the longitudinal association between multilevel latent classes of chronic disease risk behaviours and body mass index in adolescents |
| title_sort | gender differences in the longitudinal association between multilevel latent classes of chronic disease risk behaviours and body mass index in adolescents |
| topic | chronic disease risk behaviours, substance use, physical activity, sex, gender, BMI, obesity, overweight, adiposity |
| url | https://doi.org/10.24095/hpcdp.40.9.01 |
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