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Our objectives were to assess prevalence; test associations between DBM and 24-hour movement behaviors; and investigate whether DBM is associated with clusters of social determinants. Methods: This multicenter cross-sectional study included 1152 adolescents (12 to 17 years old) from four Brazilian cities. Body mass index (BMI, kg\/m2) was used to estimate overweight, and the adopted cutoff points took into account the curves established for age and sex: Z-score &gt; 1 and \u22642 (overweight) and Z-score &gt; 2 (obesity). The serum concentration of 25-hydroxyvitamin D [25(OH)D] was stratified into three levels: vitamin D deficiency \u2264 20 ng\/mL; vitamin D insufficiency = 21\u201329 ng\/mL; optimal vitamin D \u2265 30 ng\/mL. We used multilevel Poisson regression models to estimate prevalence ratios (PRs) and their respective 95% confidence intervals (95%CI) and to analyze the association between DBM and covariates. A significance level of p &lt; 0.05 was considered. Cluster analyses were performed by applying a combination of hierarchical and non-hierarchical methods. Results: A population prevalence of DBM of 7.3% (95% CI: 5.9\u20138.9) was revealed. A percentage of 19.2% (95% CI: 17.0\u201321.6) of adolescents were overweight, and 8.3% (95% CI: 6.8\u201310.1) were obese. A total of 41.5% (95% CI: 38.7\u201344.4) had vitamin D deficiency, and 25.8% (95% CI: 23.4\u201328.4) had vitamin D insufficiency. However, 24-hour movement behaviors were not associated with DBM. Adolescents living in the southern region of the country, from public schools whose mothers have higher education, have a 1.94 [PR = 2.94 (95% CI: 1.20\u20137.23)] times greater chance of developing DBM. These results highlight the importance of specific factors to improve the nutritional health of adolescents, considering the specific social determinants identified in this study.<\/jats:p>","DOI":"10.3390\/children11060620","type":"journal-article","created":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T11:03:47Z","timestamp":1716375827000},"page":"620","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Prevalence of the Double Burden of Malnutrition among Adolescents: Associations with Lifestyle Behaviors and Clusters of Social Determinants"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5856-6611","authenticated-orcid":false,"given":"Raytta Silva","family":"Viana","sequence":"first","affiliation":[{"name":"Postgraduate Program in Public Health, Department of Epidemiology, School of Public Health, University of S\u00e3o Paulo, S\u00e3o Paulo 01246-904, Brazil"},{"name":"YCARE Research Group (Youth\/Child Cardiovascular Risk Environmental Research Group), Faculdade de Medicina, University of S\u00e3o Paulo, S\u00e3o Paulo 01246-903, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6344-1044","authenticated-orcid":false,"given":"Marcus Vinicius","family":"Nascimento-Ferreira","sequence":"additional","affiliation":[{"name":"YCARE Research Group (Youth\/Child Cardiovascular Risk Environmental Research Group), Faculdade de Medicina, University of S\u00e3o Paulo, S\u00e3o Paulo 01246-903, Brazil"},{"name":"Research Group on Health, Physical Activity and Behavior (HEALTHY-BRA), Federal University of Tocantins, Miracema do Tocantins 77650-000, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2128-8387","authenticated-orcid":false,"given":"Beatriz D.","family":"Schaan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Postgraduate Program in Cardiology and Cardiovascular Sciences, Federal University of Rio Grande do Sul, Porto Alegre 90035-003, Brazil"},{"name":"Division of Endocrinology, Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre 90035-903, Brazil"},{"name":"Faculty of Medicine, Postgraduate Program in Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre 90035003, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6992-3159","authenticated-orcid":false,"given":"Katia Vergetti","family":"Bloch","sequence":"additional","affiliation":[{"name":"Institute of Studies in Public Health, Federal University of Rio de Janeiro, Rio de Janeiro 21941-592, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2799-1038","authenticated-orcid":false,"given":"K\u00eania Mara Baiocchi","family":"de Carvalho","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Human Nutrition, University of Bras\u00edlia, Bras\u00edlia 70910-900, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe Vogt","family":"Cureau","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Postgraduate Program in Cardiology and Cardiovascular Sciences, Federal University of Rio Grande do Sul, Porto Alegre 90035-003, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5763-435X","authenticated-orcid":false,"given":"Augusto C\u00e9sar Ferreira","family":"De Moraes","sequence":"additional","affiliation":[{"name":"The University of Texas Health Science Center at Houston, School of Public Health in Austin, Department of Epidemiology, Michael & Susan Dell Center for Healthy Living, Texas Physical Activity Research Collaborative (Texas PARC) 1836 San Jacinto Blvd., Ste. 510, Austin, TX 78701, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,5,22]]},"reference":[{"key":"ref_1","unstructured":"(2024, April 18). 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