HighlightsThe co-occurrence of obesogenic behaviors is associated to body image indicators.Risk behaviors combined may set the adolescent at risk for psychological health.Adolescents in healthy clusters perceive themselves as having normal weight.Girls engaging in healthy clusters are less likely to use pills to control weight.

Background The present cross-sectional study aimed to determine the proportion of adolescents meeting the 24-hour movement guidelines, and investigate sociodemographic factors associated with meeting them. Methods Self-reported (average daily volume of MVPA, sleep duration, and time watching videos and playing videogames) and accelerometer-measured (MVPA and sleep duration) 24-hour movement behaviors were classified according to recommendations, and sex, age, socioeconomic status (SES), family structure, parental education, and number of people in the household were tested as correlates of meeting recommendations using multilevel logistic regressions. Results The proportion of adolescents (n = 867, mean age: 16.4 years, 50.3% girls) meeting the MVPA, ST, and sleep duration guidelines was of 25%, 28%, and 41%, respectively, for selfreported data. From accelerometer data (n = 688), 7.1% met MVPA and 31.7% met sleep duration recommendations. Adherence to all three recommendations was 3% with selfreport and 0.2% with accelerometer data. Boys were more likely to meet MVPA, but not ST and sleep-duration recommendations. A positive relationship was observed between age and meeting the ST recommendation. Conclusions Adherence to the sleep duration recommendation was higher than to the screen-time and MVPA recommendations and few in this sample of Brazilian adolescents achieved the 24-hour guidelines. Efforts are needed to improve 24-hour movement behaviors.

This study aimed to analyze the association between lifestyle behaviors and health-related quality of life (HRQoL) among Brazilian adolescents. We evaluated 739 adolescents (51.0% girls; mean age, 16.4 ± 1.0 years) from the mesoregion Grande Florianópolis, Brazil. Participants were asked to complete an online questionnaire and sex, age, mother’s education, health-related quality of life, physical activity, screen time indicators, sleep duration, diet, cigarette smoking, alcohol drinking, and drug experimentation were retrieved. Health-related quality of life was assessed using the Kidscreen-10 instrument. Measures of body mass and height were taken by trained researchers. Mixed-effects linear regression models were used. Self-reported health-related quality of life was higher in males (β = 3.68, 95%CI: 2.75; 4.61) compared to females, and no association was observed for age and mother’s education level. Practicing sports (β = 1.19, 95%CI: 0.29; 2.08) was associated with better HRQoL, while processed food score (β = −0.45, 95%CI: −0.78; −0.13), working using screen devices for more than 4 h/day (β = −2.38, 95%CI: −4.52; −0.25), having experimented illicit drugs (β = −2.05, 95%CI: −3.20; −0.90), and sleeping less than 8 h/night (β = −1.35, 95%CI: −2.27; −0.43) were unfavorably associated with HRQoL. Non-sport physical activities, unprocessed food, studying, watching videos, playing videogames, using social media, alcohol drinking, and smoking were not associated with health-related quality of life. These findings suggest that promoting sports and adequate sleep, and preventing excessive workloads and the use of drugs among adolescents may be effective strategies to improve HRQoL.

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