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Table 3 Adjusted logistic regression analyses of unhealthy lifestyle behaviors associated with adiposity measures among 10–15 years old adolescents

From: Independent and combined influences of physical activity, screen time, and sleep quality on adiposity indicators in Indian adolescents

Independent (Predictor)

Variables

Girls (n = 378)

Boys (n = 394)

BMI z scores > 1

(n = 136)

OR (95% CI)

WHtR > 0.5

(n = 174)

OR (95% CI)

BMI z scores > 1

(n = 160)

OR (95% CI)

WHtR > 0.5

(n = 152)

OR (95% CI)

Demographic characteristics

 Age (Ref: 10,11,12 years)

1.01 (0.92–1.08)

1.54 (1.31–1.76) **

1.11 (1.03–1.22) *

0.88 (0.82–0.96) *

 Mother’ education (Ref: < 12th Pass)

0.88 (0.79–0.95) *

1.24 (1.13–1.36) *

0.92 (0.88–1.05)

0.95 (0.87–1.02)

 Mother’ occupation (Ref: Unemployed)

1.03 (0.99–1.11)

1.12 (1.03–1.28) *

1.03 (0.95–1.16)

1.10 (1.04–1.23) *

 Family income (Ref: < 30,000 INR)

1.22 (0.92–1.30)

1.48 (0.82–2.24)

1.18 (1.03–1.29) *

0.99 (0.93–1.08)

 Type of School Attended (Ref: Public)

1.08 (1.02–1.14) *

2.02 (1.92–2.13) **

1.28 (1.21–1.35) *

1.63 (1.04–1.99) *

Lifestyle behaviors a

 Moderate to vigorous PA (Ref: >  60 min/d)

1.78 (1.54–1.92) **

1.12 (1.03–1.21) *

2.10 (1.88–2.23) **

1.48 (1.23–1.81) *

 Screen time (Ref: <  120 min/d)

Sleep quality (Ref: Global PSQI < 5)

1.56 (1.35–1.67) *

2.01 (1.78–2.25) **

1.88 (1.64–1.98) *

1.34 (0.73–1.92)

1.73 (1.26–2.91) **

1.44 (1.25–1.62) *

2.08 (1.28–4.19) **

1.32 (0.68–2.93)

Clustering of lifestyle behaviors a (Ref: Participants who do not meet the cluster inclusion criteria)

 Low PA+ excess ST

1.92 (1.65–2.02) **

1.03 (0.96–1.17)

4.13 (3.76–4.24) **

2.33 (2.98–3.22) **

 Low PA+ poor sleep

1.05 (0.99–1.19)

2.19 (1.89–2.26) **

1.44 (1.25–1.62) *

1.03 (0.96–1.17)

 Excess ST+ poor sleep

0.89 (0.82–1.06)

1.11 (0.83–1.54)

1.32 (1.18–1.43) *

1.16 (0.93–1.26)

Low PA+ excess ST+ poor sleep

2.88 (2.56–2.90) **

1.81 (1.54–1.98) *

1.97 (1.24–2.58) **

1.18 (1.08–1.25) *

  1. Abbreviations: BMI Body Mass Index, WHtR Waist to Height Ratio. OR Odds Ratio, CI Confidence Interval, PSQI Pittsburg Sleep Quality Index. PA Physical Activity. ST, Screen Time. Ref, Reference
  2. *p ≤ 0.05, ** p ≤  0.001
  3. BMI z scores > 1 indicates overweight/ obesity and WHtR > 0.5 indicates central adiposity
  4. aModels were adjusted for age, type of school attended, mother’s highest educational qualification, and family’s monthly income
  5. Low PA – Time spent in physical activities < 60 min/d; Excess ST- Time spent using screens > 2 h/d; Poor Sleep - Global PSQI score > 5
  6. Measures that show significant associations with dependent variables are highlighted