The main purpose of the present study was to determine the associations between socioeconomic status (SES) and lifestyle factors. In this cross-sectional study, participants were 3,072 adolescents from two European countries of Lithuania and Serbia. The dependent variable was SES, while independent variables were gender, adherence to a Mediterranean diet, body-mass index, self-rated health, psychological distress, moderate-to-vigorous physical activity and sedentary behaviour. The associations between dependent and independent variables were analysed by using logistic regression analysis. In univariate model, middle/high SES was associated with higher adherence to a Mediterranean diet (ptrend = 0.003), good self-rated health (OR 1.51; 95 % CI 1.12 to 2.05) and meeting recommendations of moderate-to-vigorous physical activity (OR 2.09; 95 % CI 1.45 to 3.00), yet inversely associated with psychological distress (OR 0.81; 95 % CI 0.66 to 0.99) and sedentary behaviour (OR 0.80; 95 % CI 0.68 to 0.94). No associations were found between SES and bodymass index and gender. In multivariate model, the same associations occurred between middle/high SES and lifestyle factors. In conclusion, special strategies and policies, based on more affordable nutrition and participation in moderate-to-vigorous physical activity, should be implemented within the system.
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1. AFFUSO O. J. STEVENS D. CATELLIER R. G. MCMURRAY D. S. WARD L. LYTLE M. S. SOTHERN & D. R. YOUNG 2011. Validity of self-reported leisure-time sedentary behavior in adolescents. J. Negat. Result Biomed. doi:10.1186/1477-5751-10-2.
2. ALVAREZ-GALVEZ J. M. RODERO-COSANO M. MOTRICO J. A. SALINAZ-PEREZ C. GARCIA-ALONSO & L. SALVADOR-CARULLA 2013. The impact of socio-economic status on self-rated health: study of 29 countries using European social surveys (2002-2008). Int. J. Environ. Res. Public Health. 10 747-761.
3. BIBILONI M. M. J. PICH A. CÓRDOVA A. PONS & J. A. TUR 2012. Associations between sedentary behaviour and socioeconomic factors diet and lifestyle among the Balearic Island adolescents. BMC Public Health.doi: 10.1186/1471-2458-12-718.
4. BONACCIO M. A. E. BONANNI A. DI CASTELNUOVO F. DE LUCIA M.B. DONATI G. DE GAETANO & L. IACOVIELLO 2012. Low income is associated with poor adherence to a Mediterranean diet and a higher prevalence of obesity: Cross-sectional results from the Moli-sani study. BMJ Open. doi:10.1136/bmjopen-2012-001685.
5. BORRACCINO A. P. LEMMA R. J. IANOTTI A. ZAMBON P. DALMASSO G. LAZZERI M. GIACCHI & F. CAVALLO 2009. Socioeconomic effects on meeting physical activity guidelines: comparisons of 32 countries. Med. Sci. Sports Exerc. 41 749-756.
6. BREIDABLIK H. J. E. MELAND & S. LYDERSEN 2008. Self-rated health in adolescence: a multifactorial composite. Scand. J. Public Health 36 12-20.
7. COSTARELLI V. & Y. MANIOS 2009. The influence of socioeconomic status and ethnicity on childrens' excess of body weight. Nutr. Food Sci. 39 676-684.
8. CRAIG C. L. A. L. MARSHALL M. SJÖSTRÖM A. E. BAUMAN M. L. BOOTH B. E. AINSWORTH M. PRATT U. EKELUND A. YNGVE J. F. SALLIS & P. OJA 2003. International physical activity questionnaire: 12-country reliability and validity. Med. Sci. Sports Exerc. 35 1381-1395.
9. DARMON N. & A. DREWNOWSKI 2008. Does social class predict diet quality? Am. J. Clin. Nutr. 87 1107-1117.
10. De REZENDE L. F. C. M. AZEREDO D. D. CANELLA R. M. CLARO I. R. De CASTRO R. B. LEVY & O. DO CARMO LUIZ 2014. Socioedemographic and bihevioral factors associated with physical activity in Brazilian adolescents. BMC Public Health.doi:10.1186/1471-2458-14-485.
11. DRENOWSKI A. & N. DARMON 2005. The economics of obesity: dietary energy density and energy cost. Am. J. Clin. Nutr. 82 265-273.
12. ERIKSSON I. A. L. UNDÉN & S. ELOFSSON 2001. Self-rated health. Comparisons between three different measures. Results from a population study. Int. J. Epidemiol. 30 326-333.
13. EUROSTAT 2012. General Government Expenditure. Government Expenditure on Culture an Education. European commission Available online: http://epp.eurostat.ec.europa.eu/statistics_explained/index.php/General_government_expenditure_statistics#Government_expenditure_on_culture_and_education (accessed on 17 November 2016).
14. FERREIRA C. A. C. A. MOLENA R. G. MARQUES A.T. ARASAKI F. FOSSATI & M. CÍCERO 2009. Prevalence of physical inactivity and associated factors among adolescents. Rev. Assoc. Med. Bras. 55 523-528.
15. GILLISON F. B. M. STANDAGE & S. M. SKEVINGTON 2006. Relationships among adolescents' weight perceptions exercise goals exercise motivation quality of life and leisure-time exercise behaviour: A self-determination theory approach. Health Educ. Res. 21 836-847.
16. HANSON M. D. & E. Chen 2007. Socioeconomic status race and body-mass index : the mediating role of physical activity and sedentary behaviors during adolescence. J. Pediatr. Psychol. 32 250-259.
17. JOHNSON P. B. & L. RICHTER 2002. The relationship between smoking drinking and adolescents’ self-perceived health and frequency of hospitalization: analyses from the 1997 National Household Survey on Drug Abuse. J. Adolesc. Health. 30 175–183.
18. KACHI Y. & E. ANDO 2016. Socioeconomic disparities in psychological distress in a nationally representative sample of Japanese adolescents: A time trend study. Aust. NZ J. Psychiat. doi:10.1177/0004867416664142.
19. KARADEMAS E. C. N. PEPPA A. FOTIOU & A. KOKKEVI 2006. Family school and health in children and adolescents: findings from the 2006 HBSC study in Greece. J. Health Psychol. 13 1012-1030.
20. KARVONEN S. & O. RAHKONEN 2011. Subjective social status and health in young people. Sociol. Health Illn. 33 372-383.
21. KEIHAN RODRIGUES MATSUDO V. G. L. DE MORAES FERRARI T. L. ARAÚJO L. C. OLIVEIRA E. MIRE T. V. BARREIRA C. TUDOR-LOCKE & P. KATZMARZYK 2016. Socioeconomic status indicators physical activity and overweight/obesity in Brazilian children. Rev. Paul. Pediatr. 34 162-170.
22. KESSLER R. C. P. R. BARKER L. J. COLPE J. F. EPSTEIN J. C. GFOERER E. HIRIPI M. J. HOWES S. L. NORMAND R. W. MANDERSCHEID E. E. WALTERS & A. M. ZASLAVSKY 2003. Screening for serious mental ilness in the general population. Arch. Gen. Psychiatry. 60 184-189.
23. KOIVUSILTA L. R. ARJA & V. ANDRES 2003. Health behavior and health in adolescence as predictors of educational level in adulthood: a follow-up study from Finland. Soc. Sci. Med. 57 577-593.
24. KURTH B. M. & U. ELLERT 2010. Estimated and measured BMI and self-perceived body image of adolescents in Germany. Part 1 – General implications for correcting prevalence estimations of overweight and obesity. Obes. Facts. 3 181-190.
25. KWON J. A. & K. A. WICKRAMA 2014. Linking family economic pressure and supportive parenting to adolescent health behaviors: two developmental pathways leading to health promoting and health risk behaviors. J. Youth Adolesc. 43 1176-1190.
26. LA TORRE G. D. MASALA E. DE VITO E. LANGIANO G. CAPELLI & W. RICCIARDI 2006. Physical activity and socio-economic status collaborative group. Extracurricular physical activity and socioeconomic status in Italian adolescents. BMC Public Health. 6 22.
27. LARSON J. S. 1996. The World Health Organization's definition of health: social versusu spiritual health. Soc. Indic. Res. 38 181-192.
28. LOPEZ C. N. M. A. MARTÍNEZ-GONZÁLEZ A. SÁNCHEZ-VILLEGAS A. ALONSO A. M. PIMENTA & M. BES-RASTROLLO 2009. Cost of Mediterranean and western dietary patterns in a Spanish cohort and their relationship with prospective weight change. J. Epidemiol. Community Health. 63 920-927.
29. MATHIESON A. & T. KOLLER 2006. Addressing the socioeconomic determinants of healthy eating habits and physical activity levels among adolescents. WHO/HBSC FORUM 2006. Copenhagen: World Health Organization.
30. McNAUGHTON S. A. K. BALL G. D. MISHRA & D. A. CRAWFORD 2008. Dietary patterns of adolescents and risk of obesity and hypertension. J. Nutr. 138 364-370.
31. MECHANIC D. & S. HANSELL 1987. Adolescent competence psychological well-being and self-assessed physical health. J. Health Soc. Behav. 28 364-374.
32. MEIRELES A. L. C. COELHO XAVIER F. A. PROIETTI & W. T. CAIAFFA 2015. Influence of individual and socio-environmental factors on self-rated health in adolescents. Rev. Bras. Epidemiol. 18 538-551.
33. MENDOZA A. J. A. DREWNOWSKI & D. A. CHRISTAKIS 2007. Dietary energy density is associated with obesity and the metabolic syndrome in US adults. Diabetes Care. 30 974-979.
34. MOLARIUS A. K. BERGLUND C. ERIKSSON H. G. ERIKSSON M. LINDÉN-BOSTRÖM E. NORDSTRÖM C. PERSSON L. SAHLQVIST B. STARRIN & B. YDREBORG 2009. Mental health symptoms in relation to socio-economic conditions and lifestyle factors – a population-based study in Sweden. BMC Public Health.doi:10.1186/1471-2458-9-302.
35. MOTA J. F. FIDALGO R. SILVA R. C. RIBEIRO R. SANTOS J. CARVALHO & M. P. SANTOS 2008. Relationship between physical activity obesity and meal frequency in adolescents. Ann. Hum. Biol. 35 1-10.
36. NOVAK D. E. SUZUKI & I. KAWACHI 2015. Are family neighbourhood and school social capital associated with higher self-rated health among Croatian high-school students? A popualtion-based study. BMJ Open. doi:10.1136/bmjopen-2014-007184.
37. OGDEN C. L. M. M. LAMB M. D. CARROLL & K. M. FLEGAL 2010. Obesity and socioeconomic status in adolescents: United States 2005-2008. NCHS Data Brief. 50 1-8.
38. OYEYEMI A. L. C. M. ISHAKU J. OYEKOLA H. D. WAKAWA A. LAWAN S. YAKUBU & A. Y. OYEYEMI 2016. Patterns and associated factors of physical activity among adolescents in Nigeria. PloS ONE. doi:10.1371/journal.pone.0150142.
39. PAGE R. M. & J. SUWANTEERANGKUL 2009. Self-rated health phycosocial functioning and health-related behavior among Thai adolescents. Pediatr. Int. 51 120-125.
40. RAMIĆ E. S. DURAKOVIĆ E. KARIĆ O. MUJANOVIĆ & E. ALIBAŠIĆ 2009. Influence of lifestyle on overweight and obesity in school-age children. Med Arch. 63 284–287.
41. REISS F. 2013. Socioeconomic inequalities and mental health problems in children and adolescents. Soc. Sci. & Med. 90 24-31.
42. SERRA-MAJEM L. L. RIBAS J. NGO R. M. ORTEGA A. GARCIA & C. PEREZRODRIGO 2004. Food youth and the Mediterranean diet in Spain. Development of KIDMED Mediterranean Diet Quality Index in children and adolescents. Public Health Nutr. 7 931–935.
43. SHREWSBURY V. & J. WARDLE 2008. Socioeconomic status and adiposity in childhood: a systematic review of cross-sectional studies 1990-2005. Obesity. 16 275-284.
44. STAMATAKIS E. J. WARDLE & T. J. COLE 2010. Childhood obesity and overweight prevalence trends in England: evidence for growing socioeconomic disparities. Int. J. Obesity. 34 41-47.
45. TREMBLAY M. S. A. G. LEBLANC I. JANSSEN M. E. KHO A. HICKS K. MURUMETS R. C. COLLEY & M. DUGGAN 2011. Canadian sedentary behaviour guidelines for children and youth. Appl. Physiol. Nutr. Metabl. 36 59-64.
46. VINGILIS E. R. T. J. WADE & E. ADLAF 1998. What factors predict student self-rated physical health? J. Adolesc. 21 83-97.
47. WANG Z. N. M. BYRNE J. A. KENARDY & A. P. HILLS 2005. Influences of ethnicity and socioeconomic status on the body dissatisfaction and eating behavior of Australian children and adolescents. Eat. Behav. 6 23-33.
48. WOODWARD M. S. A. E. PETERS G. D. BATTY H. UESHIMA J. WOO G. G. GILES F. BARZI S. C. HO R. R. HUXLEY H. ARIMA X. FANG A. DOBSON & T. LAM HING 2015. Socioeconomic status in relation to cardiovascular disease and cause-specific mortality: a comparison of Asian and Australasian populations in a pooled analysis. BMJ Open 5 e006408.
49. WORLD HEALTH ORGANIZATION 2014. Social determinants of mental health. WHO Press; Geneva Switzerland pp. 1-52.
50. WORLD HEALTH ORGANIZATION 2011. WHO global strategy of on diet physical activity and health. WHO Press Geneva Switzerland.
51. YAMAMOTO Y. & S. HOLLOWAY 2010. Parental expectations and children's academic performance in sociocultural context. Educ. Psychol. Rev. 22 189-214.
52. ZHANG Q. & Y. WANG 2004. Trends in the assocition between obesity and socioeconomic status in U.S. adults: 1971-2000. Obesity 12 1622-1632.