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Healthy behaviours and abdominal adiposity in adolescents from southern Italy

  • Paola Iaccarino Idelson (a1), Luca Scalfi (a2), Nicola Vaino (a3), Sara Mobilia (a1), Concetta Montagnese (a2), Adriana Franzese (a1) and Giuliana Valerio (a3)...



The present study aimed to evaluate the prevalence of meeting health recommendations on diet and physical activity (having breakfast, eating fruit and vegetables, consumption of milk/yoghurt, performing moderate-to-vigorous physical activity, limiting television watching) and to assess junk snack food consumption in adolescents from southern Italy. The association between healthy behaviours and abdominal adiposity was also examined.


In a cross-sectional protocol, anthropometric data were measured by trained operators while other data were collected through a structured interview.


Three high schools in Naples, Italy.


A sample of 478 students, aged 14–17 years, was studied.


The proportion of adolescents who met each of the health recommendations varied: 55·4 % had breakfast on ≥6 d/week; 2·9 % ate ≥5 servings of fruit and vegetables/d; 1·9 % had ≥3 servings of milk/yoghurt daily; 13·6 % performed moderate-to-vigorous physical activity for ≥60 min/d; and 46·3 % watched television for <2 h/d. More than 65 % of adolescents consumed ≥1 serving of junk snack foods/d. Only 5 % fulfilled at least three recommendations. Healthy habits tended to correlate with each other. As the number of health recommendations met decreased, the percentage of adolescents with high abdominal adiposity (waist-to-height ratio ≥0·5) increased. The trend was not significant when the proportion of overweight/obese adolescents was considered. Logistic regression analysis indicated that male gender and watching television for ≥2 h/d were independently associated with a higher waist-to-height ratio.


Most adolescents failed to meet the five health recommendations considered. Male gender and excessive television watching were associated with abdominal adiposity.

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1. Mazzarella, G & Pizzuti, R (editors) (2011) Stili di vita e salute dei giovani in età scolare. Rapporto sui dati regionali HBSC 2009–2010. Regione Campania. Napoli: Phoebus edizioni.
2. Moreno, LA, Rodriguez, G, Fleta, J et al. (2010) Trends of dietary habits in adolescents. Crit Rev Food Sci Nutr 50, 106112.
3. Currie, C, Nic Gabhainn, S, Godeau, E et al. (editors) (2008) Inequalities in Young People's Health: HBSC International Report from the 2005/06 Survey. Health Policy for Children and Adolescents no. 5. Copenhagen: WHO Regional Office for Europe.
4. Centers for Disease Control and Prevention (2012) Youth risk behavior surveillance – United States, 2011. MMWR Surveill Summ 61, issue 4, 1162.
5. World Health Organization (2010) Set of Recommendations on the Marketing of Foods and Non-Alcoholic Beverages to Children. Geneva: WHO; available at
6. Davis, MM, Gance-Cleveland, B, Hassink, S et al. (2007) Recommendations for prevention of childhood obesity. Pediatrics 120, Suppl. 4, S229S253.
7. Freedman, DS, Dietz, WH, Srinivasan, SR et al. (1999) The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study. Pediatrics 103, 11751182.
8. Aarnio, M (2003) Leisure-time physical activity in late adolescence. J Sports Sci Med 2, Suppl. 2, 142.
9. World Health Organization (2004) Global Strategy on Diet, Physical Activity and Health. Geneva: WHO; available at
10. Kavey, RE, Daniels, SR, Lauer, RM et al. (2003) American Heart Association guidelines for primary prevention of atherosclerotic cardiovascular disease beginning in childhood. Circulation 107, 15621566.
11. Evans, WD, Uhrig, J, Davis, K et al. (2009) Methods to evaluate health communication and marketing campaigns. J Health Commun 14, 315330.
12. Ministero delle Politiche Agricole e Forestali & Istituto Nazionale di Ricerca per gli Alimenti e la Nutrizione (2003) Linee guida per una sana alimentazione italiana. (accessed 2003).
13. US Department of Agriculture & US Department of Health and Human Services (2010) Dietary Guidelines for Americans, 7th ed. Washington, DC: US Government Printing Office; available at
14. World Health Organization (2010) Global Recommendations on Physical Activity for Health. Geneva: WHO; available at
15. McKenna, M, Taylor, WC, Marks, J et al. (1998) Current issues and challenges in chronic disease control. In Chronic Disease Epidemiology and Control, pp. 1–26 [R Brownson, P Remington and J Davis, editors]. Washington, DC: American Public Health Association/United Book Press.
16. Sanchez, A, Norman, GJ, Sallis, JF et al. (2007) Patterns and correlates of physical activity and nutrition behaviors in adolescents. Am J Prev Med 32, 124130.
17. Takami, R, Takeda, N, Hayashi, M et al. (2001) Body fatness and fat distribution as predictors of metabolic abnormalities and early carotid atherosclerosis. Diabetes Care 24, 12481252.
18. Savva, SC, Tornaritis, M, Sedvva, ME et al. (2000) Waist circumference and waist-to-height ratio are better predictors of cardiovascular disease risk factors in children than body mass index. Int J Obes Relat Metab Disord 24, 14531458.
19. Saelens, BE, Seeley, RJ, van Schaick, K et al. (2007) Visceral abdominal fat is correlated with whole-body fat and physical activity among 8-y-old children at risk of obesity. Am J Clin Nutr 85, 4653.
20. Freedman, DS, Kahn, HS, Mei, Z et al. (2007) Relation of body mass index and waist-to-height ratio to cardiovascular disease risk factors in children and adolescents: the Bogalusa Heart Study. Am J Clin Nutr 86, 3340.
21. Ashwell, M, Gunn, P & Gibson, S (2012) Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta-analysis. Obes Rev 13, 275286.
22. Alexander, KE, Ventura, EE, Spruijt-Metz, D et al. (2009) Association of breakfast skipping with visceral fat and insulin indices in overweight Latino youth. Obesity (Silver Spring) 17, 15281533.
23. Bradlee, ML, Singer, MR & Qureshi, MM (2010) Food group intake and central obesity among children and adolescents in the Third National Health and Nutrition Examination Survey (NHANES III). Public Health Nutr 13, 797805.
24. Klein-Platat, C, Oujaa, M, Wagner, A et al. (2005) Physical activity is inversely related to waist circumference in 12-y-old French adolescents. Int J Obes (Lond) 29, 914.
25. Martinez-Gomez, D, Rey-López, JP, Chillón, P et al. (2010) Excessive TV viewing and cardiovascular disease risk factors in adolescents. The AVENA cross-sectional study. BMC Public Health 10, 274.
26. Ashwell, M & Hieh, SD (2005) Six reasons why the waist-to-height ratio is a rapid and effective global indicator for health risks of obesity and how its use could simplify the international public health message on obesity. Int J Food Sci Nutr 56, 303307.
27. Cole, TJ, Bellizzi, MC, Flegal, KM et al. (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320, 12401243.
28. Anderson, JW & Patterson, K (2005) Snack foods: comparing nutrition values of excellent choices and ‘junk foods’. J Am Coll Nutr 24, 155157.
29. Craig, CL, Marshall, AL, Sjostrom, M et al. (2003) International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 35, 13811395.
30. Hagströmer, M, Bergman, P, De Bourdeaudhuij, I et al. (2008) Concurrent validity of a modified version of the International Physical Activity Questionnaire (IPAQ-A) in European adolescents: The HELENA Study. Int J Obes (Lond) 32, Suppl. 5, S42S48.
31. Rey-López, JP, Vicente-Rodríguez, G, Biosca, M et al. (2008) Sedentary behaviour and obesity development in children and adolescents. Nutr Metab Cardiovasc Dis 18, 242251.
32. Edwards, JU, Mauch, L & Winkelman, MR (2011) Relationship of nutrition and physical activity behaviours and fitness measures to academic performance for sixth graders in a midwest city school district. J Sch Health 81, 6573.
33. Ross, CA (2011) The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine: what clinicians need to know. J Clin Endocrinol Metab 96, 5358.
34. Strong, WB, Malina, RM, Blimkie, CJ et al. (2005) Evidence based physical activity for school-age youth. J Pediatr 146, 732737.
35. Crespo, CJ, Smit, E, Troiano, RP et al. (2001) Television watching, energy intake, and obesity in US children: results from the third National Health and Nutrition Examination Survey, 1988–1994. Arch Pediatr Adolesc Med 155, 360365.
36. Hoyland, A, Dye, L & Lawton, CL (2009) A systematic review of the effect of breakfast on the cognitive performance of children and adolescents. Nutr Res Rev 22, 220243.
37. Kant, AK, Andon, MB, Angelopoulos, TJ et al. (2008) Association of breakfast energy density with diet quality and body mass index in American adults: National Health and Nutrition Examination Surveys, 1999–2004. Am J Clin Nutr 88, 13961404.
38. Affenito, SG, Thompson, DR, Barton, BA et al. (2005) Breakfast consumption by African-American and white adolescent girls correlates positively with calcium and fiber intake and negatively with body mass index. J Am Diet Assoc 105, 938945.
39. Szajewska, H & Ruszczynski, M (2010) Systematic review demonstrating that breakfast consumption influences body weight outcomes in children and adolescents in Europe. Crit Rev Food Sci Nutr 50, 113119.
40. Hallstrom, L, Vereecken, CA, Ruiz, JR et al. (2011) Breakfast habits and factors influencing food choices at breakfast in relation to socio-demographic and family factors among European adolescents. The HELENA Study. Appetite 56, 649657.
41. Vanelli, M, Iovane, B, Bernardini, A et al. (2005) Breakfast habits of 1202 Northern Italian children admitted to a summer sport school. Breakfast skipping is associated with overweight and obesity. Acta Biomed 76, 7985.
42. Pearson, N, Atkin, AJ, Biddle, SJH et al. (2009) Patterns of adolescent physical activity and dietary behaviours. Int J Behav Nutr Phys Act 6, 45.
43. Larson, N, Neumark-Sztainer, D, Hannan, PJ et al. (2007) Trends in adolescent fruit and vegetable consumption 1999–2004: Project EAT. Am J Prev Med 32, 147150.
44. American Dietetic Association (2007) Childhood Overweight Evidence Analysis Project: Updated 2006. (accessed June 2007).
45. Capewell, S & McPherson, K (2010) Cut junk food, says NICE guidance on cardiovascular disease prevention. Heart 96, 17621763.
46. Council on Communications and Media, Strasburger VC (2011) Children, adolescents, obesity, and the media. Pediatrics 128, 201208.
47. Pearson, N & Biddle, SJ (2011) Sedentary behavior and dietary intake in children, adolescents, and adults a systematic review. Am J Prev Med 41, 178188.
48. Seghers, J & Rutten, C (2010) Clustering of multiple lifestyle behaviours and its relationship with weight status and cardiorespiratory fitness in a sample of Flemish 11- to 12-year-olds. Public Health Nutr 13, 18381846.
49. Dumith, SC, Muniz, LC, Tassitano, RM et al. (2012) Clustering of risk factors for chronic diseases among adolescents from Southern Brazil. Prev Med 54, 393396.
50. Kim, YM & Lee, SJ (2009) Physical activity and abdominal obesity in youth. Appl Physiol Nutr Metab 34, 571581.
51. Francis, LA, Lee, Y & Birch, LL (2003) Parental weight status and girls’ television viewing, snacking, and body mass indexes. Obes Res 11, 143151.
52. Matheson, DM, Killen, JD, Wang, Y et al. (2004) Children's food consumption during television viewing. Am J Clin Nutr 79, 10881094.
53. Harrison, K & Marske, AL (2005) Nutritional content of foods advertised during the television programs children watch most. Am J Public Health 95, 15681574.


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Healthy behaviours and abdominal adiposity in adolescents from southern Italy

  • Paola Iaccarino Idelson (a1), Luca Scalfi (a2), Nicola Vaino (a3), Sara Mobilia (a1), Concetta Montagnese (a2), Adriana Franzese (a1) and Giuliana Valerio (a3)...


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