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Rivera-Ochoa M.AuthorPantoja-Arevalo L.AuthorGonzález-Gross MAuthorGuadalupe-Grau ACorresponding AuthorClustering Health Behaviors in Mexican Adolescents: The HELENA-MEX Study
Publicated to:Research Quarterly For Exercise And Sport. 95 (1): 1-8 - 2024-01-02 95(1), DOI: 10.1080/02701367.2023.2195458
Authors: Rivera-Ochoa, M; López-Gil, JF; Brazo-Sayavera, J; Pantoja-Arévalo, L; González-Gross, M; Vizmanos-Lamotte, B; Guadalupe-Grau, A
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Abstract
Purpose: The prevalence of excess weight within the adolescent population is rapidly increasing in Mexico, especially in areas with lower socioeconomic status. The present study aimed to identify lifestyle clustered patterns in adolescents and analyze the associations among these clusters and body composition. Method: A final sample of n=259 participants (13 to 17 years old, 58.7% girls), residents in rural and urban areas, were included. Hierarchical and k-means clusters analyses included moderate to vigorous physical activity (MVPA), cardiorespiratory fitness (CRF), handgrip strength, screen time, sleep time, and diet. The associations between cluster membership and body composition were analyzed through general linear models (ANCOVA), including sex, age, place of residence, and socioeconomic status as covariates. Results: Three different clusters were identified: Cluster 1, [Unhealthy] (low values in all lifestyle patterns), Cluster 2, [Low Physical Fitness] (low values in CRF and handgrip strength) and Cluster 3, [High Physical Activity and CRF] (highest values in CRF, handgrip strength and MVPA). Clusters 2 and 3 showed high values in screen time and industrialized food consumption. There were no differences in sleep between the 3 Clusters. ANCOVA analysis revealed that participants belonging to Cluster 3 showed significantly lower adiposity and a higher Fat Free Mass compared with the other two clusters (p < 0.05). Conclusion: Our findings suggest that a lifestyle characterized by high levels of physical activity and physical fitness and low consumption of industrialized food may be protective against the problem of obesity, which could be helpful to develop interventions to reduce excess weight in Mexican adolescents.
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Quality index
Bibliometric impact. Analysis of the contribution and dissemination channel
The work has been published in the journal Research Quarterly For Exercise And Sport due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2024 there are still no calculated indicators, but in 2023, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Physical Therapy, Sports Therapy and Rehabilitation.
From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 1.76, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Jul 2025)
Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-07-25, the following number of citations:
- WoS: 3
- Scopus: 3
- Europe PMC: 3
- Google Scholar: 3
Impact and social visibility
Leadership analysis of institutional authors
This work has been carried out with international collaboration, specifically with researchers from: Ecuador; Mexico; United States of America.
There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (RIVERA OCHOA, MARIA) and Last Author (GUADALUPE GRAU, AMELIA).
the author responsible for correspondence tasks has been GUADALUPE GRAU, AMELIA.