{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T01:43:01Z","timestamp":1789695781897,"version":"4.0.1"},"reference-count":40,"publisher":"Canadian Science Publishing","issue":"3","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.nrcresearchpress.com\/page\/about\/CorporateTextAndDataMining"}],"content-domain":{"domain":["cdnsciencepub.com"],"crossmark-restriction":false},"short-container-title":["Appl. Physiol. Nutr. Metab."],"published-print":{"date-parts":[[2023,3,1]]},"abstract":"<jats:p> Secondary cardiovascular disease is the main cause of mortality in congenital heart disease (CHD) patients. The cardiovascular risk could be widely prevented with adherence to a healthy lifestyle; however, clusters of lifestyle behaviors related to atherosclerosis risk factors in children and adolescents with CHD remain unclear. We aimed to describe the clusters of lifestyle behaviors of children and adolescents with CHD and to evaluate their association with atherosclerosis risk factors. We conducted a cross-sectional study on 227 children and adolescents with CHD (median age:10.02 [IQR:7.08\u201313.02] years). Dietary intake, physical activity (PA), and sedentary behavior (SB) were evaluated. Clusters of lifestyle behaviors were determined using a two-step cluster analysis. Atherosclerosis risk factors evaluated include body fat mass, central obesity, blood pressure, lipid parameters, glucose, C-reactive protein, and carotid intima-media thickness (cIMT). Multiple logistic regressions were used. The \u201cunhealthy: high SB\u00a0+\u00a0low PA\u201d cluster was associated with elevated body fat mass, central obesity, and elevated cIMT. Furthermore, the \u201cunhealthy: low PA\u00a0+\u00a0unhealthy eating habits\u201d cluster was associated with elevated body fat mass, central obesity, and elevated glucose. The unhealthier lifestyle behavior clusters were associated with atherosclerosis risk factors in children and adolescents with CHD. Multidisciplinary strategies to promote healthy behaviors are needed to prevent cardiovascular disease in later life. <\/jats:p>","DOI":"10.1139\/apnm-2022-0091","type":"journal-article","created":{"date-parts":[[2022,12,2]],"date-time":"2022-12-02T21:36:45Z","timestamp":1670017005000},"page":"231-240","update-policy":"https:\/\/doi.org\/10.1139\/csp-crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Clusters of lifestyle behaviors associated with atherosclerosis risk factors in children and adolescents with congenital heart disease: Floripa CHild Study"],"prefix":"10.1139","volume":"48","author":[{"given":"Michele","family":"Honicky","sequence":"first","affiliation":[{"name":"Post Graduate Program in Nutrition, Federal University of Santa Catarina, Health Science Centre","place":["Florianopolis, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia M.","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Polydoro Ernani 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