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Table 3 Association of socio-demographic, anthropometric, dietary and lifestyle characteristics with MHO after age and sex adjustment

From: Prevalence and predictors of metabolically healthy obesity in adolescents: findings from the national “Jeeluna” study in Saudi-Arabia

 

IDF-MHO

CR-MHO

 

OR (95% CI)*

p-value

OR (95% CI)*

p-value

Socio-demographic

 Age (years)

0.88 (0.81–0.95)

0.001

1.02 (0.94–1.10)

0.65

  Gender

  Males

reference

 

reference

 

  Females

1.43 (1.06–1.94)

0.02

1.59 (1.19–2.12)

0.002

 Father’s level of education

  Elementary or less

reference

 

reference

 

  Intermediate or high school

1.13 (0.73–1.76)

0.58

0.68 (0.46–1.02)

0.06

  University or higher

1.07 (0.68–1.70)

0.76

0.83 (0.55–1.25)

0.37

 Mother’s level of education

  Elementary or less

reference

 

reference

 

  Intermediate or high school

1.18 (0.80–1.73)

0.4

0.99 (0.69–1.42)

0.95

  University or higher

1.23 (0.82–1.87)

0.32

1.14 (0.77–1.68)

0.5

Anthropometric

 Weight (Kg)

0.95 (0.94–0.96)

< 0.0001

0.99 (0.98–1.00)

0.01

 BMI (Kg/m2)

0.87 (0.83–0.91)

< 0.0001

0.96 (0.93–1.00)

0.03

 BMI Z score

0.36 (0.26–0.51)

< 0.0001

0.78 (0.62–0.98)

0.03

 WC (cm)

0.97 (0.96–0.98)

< 0.0001

1.00 (0.99–1.01)

0.74

 Elevated WC

NA

 

0.74 (0.55–1.00)

0.05

Dietary Habits

 Regular breakfast consumption in the past month

  No

reference

 

reference

 

  Yes

0.90 (0.66–1.23)

0.51

1.09 (0.81–1.47)

0.55

 Frequency of snacks consumption/d

   ≥ 3

reference

 

reference

 

  2

0.77 (0.49–1.22)

0.27

0.79 (0.52–1.21)

0.28

   ≤ 1

1.01 (0.68–1.50)

0.96

0.81 (0.56–1.17)

0.27

 Frequency of fruits consumption/d

  0

reference

 

reference

 

  1

0.78 (0.49–1.25)

0.3

0.83 (0.54–1.27)

0.38

   ≥ 2

1.04 (0.73–1.49)

0.81

0.81 (0.57–1.15)

0.24

 Frequency of vegetables consumption/d

  0

reference

 

reference

 

  1

0.89 (0.63–1.27)

0.54

0.70 (0.50–0.98)

0.04

   ≥ 2

1.12 (0.76–1.65)

0.56

0.83 (0.57–1.20)

0.32

 Frequency of soft drinks consumption/d

   ≥ 2

reference

 

reference

 

   ≤ 1

0.73 (0.54–1.00)

0.05

0.94 (0.70–1.26)

0.66

 Frequency of power drinks consumption/d

   ≥ 1

reference

 

reference

 

  0

0.86 (0.60–1.25)

0.43

1.04 (0.72–1.49)

0.84

 Frequency of milk drinks consumption/d

  0

reference

 

reference

 

  1

0.85 (0.59–1.21)

0.36

0.88 (0.63–1.24)

0.48

   ≥ 2

0.87 (0.56–1.35)

0.53

0.91 (0.60–1.39)

0.67

Frequency of fast food consumption/week

0.97 (0.90–1.06)

0.50

0.98 (0.91–1.06)

0.58

Physical Activity and Sedentarity

 Exercise in school

  No

reference

 

reference

 

  Yes

1.19 (0.81–1.74)

0.37

1.13 (0.79–1.61)

0.51

 Screen Time

   > 2 h/day

reference

 

reference

 

   ≤ 2 h/day

1.01 (0.67–1.52)

0.96

1.08 (0.73–1.59)

0.71

Frequency of exercise for at least 30 mn in the past week

0.98 (0.91–1.04)

0.45

0.96 (0.90–1.02)

0.21

Sleep

 Number of sleep hrs per night, during week days

    

  Inadequate

reference

 

reference

 

  Adequate

1.31 (0.97–1.78)

0.08

1.34 (1.00–1.80)

0.05

 Number of sleep hrs per night, during weekends

  Inadequate

reference

 

reference

 

  Adequate

1.10 (0.79–1.53)

0.57

1.03 (0.75–1.41)

0.86

Number of days went to sleep during the day in the past week

1.02 (0.97–1.08)

0.44

1.05 (1.00–1.11)

0.05

Smoking

 Smoking cigarette during the past month

  Yes

reference

 

reference

 

  No

0.75 (0.43–1.30)

0.3

1.00 (0.59–1.71)

0.99

 Smoking shisha during the past month

  Yes

reference

 

reference

 

  No

0.88 (0.47–1.63)

0.68

0.88 (0.50–1.55)

0.66

  1. *Analyses were adjusted for age and sex except for BMI Z score since this variable already adjusts for inter-individual differences in age and sex
  2. Abbreviations: BMI: Body mass index; CI: Confidence interval; cm: Centimeters; CR: Cardiovascular risks; d: Day; hrs: Hours; IDF: International Diabetes Federation; kg: Kilograms; kg/m2: Kilograms per squared meters; MHO: Metabolically healthy obesity; mn: Minutes; OR: Odds ratio; WC: Waist circumference