{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T15:36:06Z","timestamp":1759073766732},"reference-count":136,"publisher":"Walter de Gruyter GmbH","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background:<\/jats:title><jats:p>Excess weight, unhealthy lifestyle habits and their sequelae have become a well-recognized public health problem in most countries. The objective of the study was to examine the relationship of adolescent overweight\/obesity with behavioral habits and their association with blood pressure (BP) and lipid profile.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p>Anthropometric parameters, lifestyle, BP and lipid profile of 736 adolescents were evaluated cross-sectionally. The classifications of normal weight, overweight and obese were based on BMI z-scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>About 42.1% of adolescents were overweight\/obese, 11.3% were smokers, 33.2% consumed alcohol and 34% reported low activity. Males began smoking earlier, consumed alcohol more often, exercised less and spent more screen time than females. Alcohol consumption was more prevalent among smokers and was associated with higher BP and dyslipidemia. Smokers exercised less intensely and had lower high density lipoprotein-cholesterol (HDL-C) than non-smokers. Obesity was a risk factor for higher BP and dyslipidemia. Longer screen time was associated with higher triglycerides, while intense physical activity with lower systolic BP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p>Obesity is related to an adverse lipid and BP profile during adolescence. Clustering of hazardous habits was observed, which is known to aggravate the cardiovascular risk.<\/jats:p><\/jats:sec>","DOI":"10.1515\/jpem-2016-0134","type":"journal-article","created":{"date-parts":[[2017,3,19]],"date-time":"2017-03-19T10:01:22Z","timestamp":1489917682000},"source":"Crossref","is-referenced-by-count":8,"title":["Associations between obesity, adverse behavioral patterns and cardiovascular risk factors among adolescent inhabitants of a Greek island"],"prefix":"10.1515","volume":"30","author":[{"given":"Anastasia","family":"Garoufi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evangelos E.","family":"Grammatikos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasios","family":"Kollias","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Grammatikos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George S.","family":"Stergiou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Soldatou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","reference":[{"key":"ref1101","first-page":"1150","article-title":"Childhood obesity and elevated blood pressure in a rural population of northern Greece","volume":"9","year":"2009","journal-title":"Rural Remote Health"},{"key":"ref1161","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1093\/eurpub\/ckl094","article-title":"Smoking policy and prevalence in Greece: an overview","volume":"17","year":"2007","journal-title":"Eur J Public Health"},{"key":"ref231","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1542\/pir.25-1-4","article-title":"Pediatric precursors of adult atherosclerosis","volume":"25","year":"2004","journal-title":"Pediatr Rev"},{"key":"ref911","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/S0140-6736(04)16675-0","article-title":"Association between child and adolescent television viewing and adult health: a longitudinal birth cohort study","volume":"364","year":"2004","journal-title":"Lancet"},{"key":"ref1071","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1111\/j.1651-2227.2008.01129.x","article-title":"Overweight\/obesity and factors associated with body mass index during adolescence: the VYRONAS study","volume":"98","year":"2009","journal-title":"Acta Paediatr"},{"key":"ref1311","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1111\/obr.12123","article-title":"The emergence of cardiometabolic disease risk in Chinese children and adults: consequences of changes in diet, physical activity, and obesity","volume":"15","year":"2014","journal-title":"Obes Rev"},{"key":"ref31","first-page":"161","article-title":"Eleven-year prevalence trends of obesity in greek children: first evidence that prevalence of obesity is leveling off","volume":"18","year":"2009","journal-title":"Obesity"},{"key":"ref1081","article-title":"Prevalence of overweight and obesity in adolescents: a systematic review","year":"2013","journal-title":"ISRN Obes"},{"key":"ref681","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1093\/oxfordjournals.aje.a114379","article-title":"Cigarette smoking initiation and longitudinal changes in serum lipids and lipoproteins in early adulthood. The Bogalusa heart study","volume":"124","year":"1986","journal-title":"Am J Epidemiol"},{"key":"ref1001","doi-asserted-by":"crossref","first-page":"1072","DOI":"10.1038\/sj.ejcn.1602619","article-title":"Prevalence of overweight and obesity in a national representative sample of Greek children and adolescents","volume":"61","year":"2007","journal-title":"Eur J Clin Nutr"},{"key":"ref661","first-page":"14","article-title":"Effect of cigarette smoking on HDL-C in adolescent","volume":"2","year":"2009","journal-title":"Journal of Shaheed Suhrawardy Medical College"},{"key":"ref1051","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1046\/j.1467-789X.2003.00116.x","article-title":"Prevalence of overweight among children in Europe","volume":"4","year":"2003","journal-title":"Obes Rev"},{"key":"ref401","first-page":"1150","article-title":"Childhood obesity and elevated blood pressure in a rural population of northern Greece","volume":"9","year":"2009","journal-title":"Rural Remote Health"},{"key":"ref531","first-page":"1","article-title":"Alcohol consumption and binge drinking in adolescents: comparison of different migration backgrounds and rural vs. urban residence- a representative study","volume":"11","year":"2011","journal-title":"BMC Public Health"},{"key":"ref631","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1016\/0026-0495(79)90157-4","article-title":"Cigarette smoking, alcohol intake, and oral contraceptives: relationships to lipids and lipoproteins in adolescent school-children","volume":"28","year":"1979","journal-title":"Metabolism"},{"key":"ref621","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1097\/01.JCN.0000297387.21626.88","article-title":"Cardiovascular risk factors and metabolic syndrome in alcohol and nicotine-dependent men and women","volume":"22","year":"2007","journal-title":"J Cardiovasc Nurs"},{"key":"ref1031","first-page":"1319","article-title":"Prevalence and trends in overweight and obesity among children and adolescents in Thessaloniki, Greece","volume":"14","year":"2001","journal-title":"J Pediatr Endocr Met"},{"key":"ref1291","first-page":"204","article-title":"Prevalence of obesity and associated risk factors among adolescents in Ankara, Turkey","volume":"4","year":"2012","journal-title":"J Clin Res Pediatr Endocrinol"},{"key":"ref351","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1046\/j.1467-789X.2003.00116.x","article-title":"Prevalence of overweight among children in Europe","volume":"4","year":"2003","journal-title":"Obes Rev"},{"key":"ref1351","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1590\/S0066-782X2006000600006","article-title":"Cardiovascular risk factors in adolescents: biological and behavioral indicators","volume":"86","year":"2006","journal-title":"Arq Bras Cardiol"},{"key":"ref1131","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1038\/jhh.2008.158","article-title":"Home and office blood pressure in children and adolescents: the role of obesity. The Arsakeion School Study","volume":"23","year":"2009","journal-title":"J Hum Hypertens"},{"key":"ref281","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1136\/bmj.320.7244.1240","article-title":"Establishing a standard definition for child overweight and obesity worldwide: international survey","volume":"320","year":"2000","journal-title":"Br Med J"},{"key":"ref731","first-page":"161","article-title":"Eleven-year prevalence trends of obesity in greek children: first evidence that prevalence of obesity is leveling off","volume":"18","year":"2009","journal-title":"Obesity"},{"key":"ref1201","first-page":"875","article-title":"Adolescents\u2019 daily cigarette smoking: is rural residency a risk factor?","volume":"8","year":"2008","journal-title":"Rural Remote Health"},{"key":"ref1011","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.1038\/sj.ejcn.1601743","article-title":"Prevalence of overweight and obesity in Greek school-aged children and adolescents","volume":"57","year":"2003","journal-title":"Eur J Clin Nutr"},{"key":"ref461","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1093\/eurpub\/ckl094","article-title":"Smoking policy and prevalence in Greece: an overview","volume":"17","year":"2007","journal-title":"Eur J Public Health"},{"key":"ref1251","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1080\/00952990701315384","article-title":"Decreasing prevalence of alcohol consumption among Greek adolescents","volume":"33","year":"2007","journal-title":"Am J Drug Alcohol Abuse"},{"key":"ref171","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1542\/peds.85.2.155","article-title":"Cigarette smoking-associated changes in blood lipid and lipoprotein levels in the 8- to 19-year-old age group: a meta-analysis","volume":"85","year":"1990","journal-title":"Pediatrics"},{"key":"ref291","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1097\/01.mbp.0000209074.38331.16","article-title":"Validation of the Omron 705 IT oscillometric device for home blood pressure measurement in children and adolescents: the Arsakeion School Study","volume":"11","year":"2006","journal-title":"Blood Press Monit"},{"key":"ref91","doi-asserted-by":"crossref","first-page":"222","DOI":"10.4236\/ojped.2014.43029","article-title":"Alcohol drinking habits and negative experiences among adolescents in Greece","volume":"4","year":"2014","journal-title":"Open J Pediatr"},{"key":"ref1121","first-page":"164","article-title":"Key predictors of high blood pressure and hypertension among adolescents: a simple prescription for prevention","volume":"3","year":"2006","journal-title":"Indian J Community Med"},{"key":"ref751","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1093\/eurpub\/ckw028","article-title":"Association between problematic internet use, socio-demographic variables and obesity among European adolescents","volume":"26","year":"2016","journal-title":"Eur J Public Health"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"2510","DOI":"10.1016\/S0140-6736(14)61746-3","article-title":"Child and adolescent obesity: part of a bigger picture","volume":"385","year":"2015","journal-title":"Lancet"},{"key":"ref61","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1186\/1471-2458-6-280","article-title":"Smoking trends among adolescents from 1990 to 2002 in ten European countries and Canada","volume":"6","year":"2006","journal-title":"BMC Public Health"},{"key":"ref111","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/S0306-4603(00)00089-7","article-title":"Co-occurrence of alcohol and cigarette use among adolescents","volume":"26","year":"2001","journal-title":"Addict Behav"},{"key":"ref501","first-page":"875","article-title":"Adolescents\u2019 daily cigarette smoking: is rural residency a risk factor?","volume":"8","year":"2008","journal-title":"Rural Remote Health"},{"key":"ref131","doi-asserted-by":"crossref","first-page":"1755","DOI":"10.1111\/j.1360-0443.2003.00553.x","article-title":"The alcohol-tobacco relationship: a prospective study among adolescents in six European countries","volume":"98","year":"2003","journal-title":"Addiction"},{"key":"ref511","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/1747-597X-7-38","article-title":"Smoking among adolescents in Northern Greece: a large cross-sectional study about risk and preventive factors","volume":"7","year":"2012","journal-title":"Subst Abuse Treat Prev Policy"},{"key":"ref361","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1001\/archpedi.158.1.27","article-title":"Health Behaviour in School-aged Children Obesity Working Group. 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An epidemiological study in 2009 recruits","volume":"19","year":"1998","journal-title":"Eur Heart J"},{"key":"ref1241","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/1617-9625-10-15","article-title":"The association between alcohol and tobacco use among elementary and high school students in Crete, Greece","volume":"10","year":"2012","journal-title":"Tob Induc Dis"},{"key":"ref861","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1136\/bmj.298.6676.784","article-title":"Cigarette smoking and serum lipid and lipoprotein concentrations: an analysis of published data","volume":"298","year":"1989","journal-title":"Br Med J"},{"key":"ref421","first-page":"164","article-title":"Key predictors of high blood pressure and hypertension among adolescents: a simple prescription for prevention","volume":"3","year":"2006","journal-title":"Indian J Community Med"},{"key":"ref491","doi-asserted-by":"crossref","first-page":"i20","DOI":"10.1093\/pubmed\/fds006","article-title":"Patterns of alcohol use and multiple risk behavior by gender during early and late adolescence: the ALSPAC cohort","volume":"34","year":"2012","journal-title":"J Public Health"},{"key":"ref41","first-page":"929","article-title":"Obesity and associated cardiovascular risk factors among schoolchildren in Greece: a cross-sectional study and review of the literature","volume":"24","year":"2011","journal-title":"J Pediatr Endocr Met"},{"key":"ref1391","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1177\/002204261104100404","article-title":"Boost your high: cigarette smoking to enhance alcohol and drug effects among Southeast Asian American Youth","volume":"41","year":"2011","journal-title":"J Drug Issues"},{"key":"ref1181","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/1617-9625-12-5","article-title":"Normative influences on intentions to smoke among Greek adolescents: the moderating role of smoking status","volume":"12","year":"2014","journal-title":"Tob Induc Dis"},{"key":"ref381","article-title":"Prevalence of overweight and obesity in adolescents: a systematic review","year":"2013","journal-title":"ISRN Obes"},{"key":"ref711","doi-asserted-by":"crossref","first-page":"2510","DOI":"10.1016\/S0140-6736(14)61746-3","article-title":"Child and adolescent obesity: part of a bigger picture","volume":"385","year":"2015","journal-title":"Lancet"},{"key":"ref161","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1136\/bmj.298.6676.784","article-title":"Cigarette smoking and serum lipid and lipoprotein concentrations: an analysis of published data","volume":"298","year":"1989","journal-title":"Br Med J"},{"key":"ref261","first-page":"4826","article-title":"Physical activity in children and adolescents","volume":"4","year":"2012","journal-title":"PM R"},{"key":"ref801","first-page":"323","article-title":"Binge drinking in childhood and adolescence. Epidemiology, consequences, and interventions","volume":"106","year":"2009","journal-title":"Dtsch \u00c4rztebl Int"},{"key":"ref821","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1016\/S0306-4603(99)00066-0","article-title":"The co-occurrence of smoking and binge drinking in adolescence","volume":"25","year":"2000","journal-title":"Addict Behav"},{"key":"ref101","first-page":"323","article-title":"Binge drinking in childhood and adolescence. Epidemiology, consequences, and interventions","volume":"106","year":"2009","journal-title":"Dtsch \u00c4rztebl Int"},{"key":"ref81","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/1471-2458-7-3","article-title":"Tobacco use among students aged 13\u201315 years in Greece: the GYTS project","volume":"7","year":"2007","journal-title":"BMC Public Health"},{"key":"ref671","doi-asserted-by":"crossref","first-page":"1642","DOI":"10.1053\/euhj.1998.1124","article-title":"Influence of biological factors on lipid and fibrinogen measurements in young men. An epidemiological study in 2009 recruits","volume":"19","year":"1998","journal-title":"Eur Heart J"},{"key":"ref151","first-page":"202","article-title":"Adverse influences of alcohol, tobacco, and oral contraceptive use on cardiovascular risk factors during transition to adulthood","volume":"126","year":"1988","journal-title":"Am J Epidemiol"},{"key":"ref1151","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1093\/eurpub\/cks148","article-title":"Prevalence and determinants of tobacco use among adults in Greece: 4 year trends","volume":"23","year":"2013","journal-title":"Eur J Public Health"},{"key":"ref551","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1080\/00952990701315384","article-title":"Decreasing prevalence of alcohol consumption among Greek adolescents","volume":"33","year":"2007","journal-title":"Am J Drug Alcohol Abuse"},{"key":"ref581","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1038\/sj.ijo.0802994","article-title":"Use of information and communication technology and prevalence of overweight and obesity among adolescents","volume":"29","year":"2005","journal-title":"Int J Obesity"},{"key":"ref641","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1016\/1054-139X(92)90018-7","article-title":"Smoking and apolipoproteins in adolescents. The Ni\u00f1o Jesus Group","volume":"13","year":"1992","journal-title":"J Adolescent Health"},{"key":"ref141","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0741-8329(97)00152-3","article-title":"Alcohol drinking and blood pressure among adolescents","volume":"16","year":"1998","journal-title":"Alcohol"},{"key":"ref451","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1093\/eurpub\/cks148","article-title":"Prevalence and determinants of tobacco use among adults in Greece: 4 year trends","volume":"23","year":"2013","journal-title":"Eur J Public Health"},{"key":"ref1301","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1007\/s40279-014-0193-7","article-title":"Physical activity in overweight and obese adolescents: systemic review of the effects on physical fitness components and cardiovascular risk factors","volume":"44","year":"2014","journal-title":"Sports Med"},{"key":"ref241","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/s12170-008-0010-7","article-title":"Obesity and cardiovascular disease risk in children and adolescents","volume":"2","year":"2008","journal-title":"Curr Cardio Risk Rep"},{"key":"ref811","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/S0306-4603(00)00089-7","article-title":"Co-occurrence of alcohol and cigarette use among adolescents","volume":"26","year":"2001","journal-title":"Addict Behav"},{"key":"ref1111","first-page":"1641","article-title":"Childhood obesity and associated factors in a rural Greek island","volume":"11","year":"2011","journal-title":"Rural Remote Health"},{"key":"ref191","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1093\/eurpub\/13.3.278","article-title":"Cigarette smoking, alcohol consumption, and serum lipid profile among medical students in Greece","volume":"13","year":"2003","journal-title":"Eur J Public Health"},{"key":"ref741","first-page":"929","article-title":"Obesity and associated cardiovascular risk factors among schoolchildren in Greece: a cross-sectional study and review of the literature","volume":"24","year":"2011","journal-title":"J Pediatr Endocr Met"},{"key":"ref991","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1097\/01.mbp.0000209074.38331.16","article-title":"Validation of the Omron 705 IT oscillometric device for home blood pressure measurement in children and adolescents: the Arsakeion School Study","volume":"11","year":"2006","journal-title":"Blood Press Monit"},{"key":"ref981","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1136\/bmj.320.7244.1240","article-title":"Establishing a standard definition for child overweight and obesity worldwide: international survey","volume":"320","year":"2000","journal-title":"Br Med 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childhood","volume":"92","year":"2003","journal-title":"Heart"},{"key":"ref971","doi-asserted-by":"crossref","first-page":"615S","DOI":"10.3945\/an.113.005678","article-title":"Nutrition and lifestyle in European adolescents: the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescents) study","volume":"5","year":"2014","journal-title":"Adv Nutr"},{"key":"ref51","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1093\/eurpub\/ckw028","article-title":"Association between problematic internet use, socio-demographic variables and obesity among European adolescents","volume":"26","year":"2016","journal-title":"Eur J Public Health"},{"key":"ref721","first-page":"371","article-title":"Prevalence of child and youth obesity in Spain in 2012","volume":"66","year":"2013","journal-title":"Rev Esp Cardiol"},{"key":"ref891","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1093\/eurpub\/13.3.278","article-title":"Cigarette smoking, alcohol consumption, and serum lipid profile 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