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Energy Balance-Related Factors Associating with Adolescent Weight Loss Intent: Evidence from the 2017 National Youth Risk Behavior Survey

Authors: Ryan D. Burns;

Energy Balance-Related Factors Associating with Adolescent Weight Loss Intent: Evidence from the 2017 National Youth Risk Behavior Survey

Abstract

Abstract Background: The purpose of this study was to examine specific energy balance-related behaviors (sedentary, physical activity, and dietary) associating with adolescent weight loss intent using data from the 2017 US Youth Risk Behavior Survey (YRBS). Methods: A multi-stage cluster sampling procedure was used to obtain a representative sample of US adolescents. The target population consisted of public and private high schoolers from grades 9 through 12. The number of sampled adolescents was 18,324 with 14,765 of the 18,324 sampled students submitting questionnaires with usable data (81% response rate). The outcome was intent to lose weight with specific energy-balance related behaviors examined as predictors. A weighted logistic regression model was employed to examine the associations between sedentary, activity, and dietary-related variables with weight loss intent controlling for age, sex, BMI percentile, and race/ethnicity. Results: Variables associating with adolescent intent to lose weight included 3 or more hours of video game playing (OR=1.15, 95%CI: 1.01-1.31, p = 0.028), achieving 60 minutes of physical activity daily (OR=0.66, 95%CI: 0.59-0.73, p < 0.001), daily breakfast consumption (OR=0.76, 95%CI: 0.67-0.87, p < 0.001) and weekly salad consumption (OR=1.30, 95%CI: 1.12-1.52, p = 0.001). Conclusions: There was an inverse association between physical activity and breakfast consumption with weight loss intent but a direct association between video game playing and salad consumption with weight loss intent in a representative sample of adolescents. Therefore, there is a discordance between adolescent weight loss intent and the engagement in specific energy balance-related health behaviors, particularly physical activity.

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Keywords

Male, Weight loss, Adolescent, Energy balance, Intention, Risk-Taking, Surveys and Questionnaires, Weight Loss, Humans, Survey, Students, Exercise, Physical activity, United States, Diet, Cross-Sectional Studies, Adolescent Behavior, Female, Public aspects of medicine, RA1-1270, Sedentary Behavior, Energy Metabolism, Research Article

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
4
Top 10%
Average
Average