title: Adolescents with at-risk eating and lifestyle behaviors are affected by after school schedules across the clinical weight spectrum.
abstract: OBJECTIVE
  Evaluate adolescent lifestyle patterns to develop more effective health promotion programs.
  
  
  METHODS
  An interview approach was employed to gain in-depth understanding of eating and activity behaviors. Adolescents aged 13-18 years (n=43) from clinically normal and obese weight categories were enrolled. Nutrient intake and food group servings were obtained from a food frequency questionnaire.
  
  
  RESULTS
  Four participant subgroups were identified and labeled: "Idle, Engaged, Balanced and Working." "Idle" adolescents were sedentary, sometimes napped, and often snacked after dinner. "Engaged" adolescents participated in extra-curricular activities for the majority of their after school hours. "Balanced" adolescents participated in a single after-school activity followed by sedentary time; they consumed meals consistently and often snacked after dinner. "Working" adolescents were the least sedentary with limited sleep duration and inconsistent meals; they often substituted a meal with a snack. Weight status did not differentiate subgroups effectively.
  
  
  CONCLUSIONS
  Each group demonstrated at-risk behaviors for obesity. Future programs should consider after-school schedules and use activity and meal pattern assessments, not simply weight status, for program tailoring.
  
  
  CONCLUSIONS
  Pediatric health care providers could identify at-risk behaviors through routine assessment of diet and activity patterns in combination with weight monitoring.
authors.affiliation: The Ohio State University Department of Human Sciences, Human Nutrition Columbus, OH, 43210, USA. Electronic address: perez.264@osu.edu.
authors.forename: Leanna F
authors.initials: LF
authors.lastname: Perez
authors.affiliation: The Ohio State University Department of Human Sciences, Human Nutrition Columbus, OH, 43210, USA. Electronic address: miller.4453@osu.edu.
authors.forename: Carla K
authors.initials: CK
authors.lastname: Miller
authors.affiliation: Nationwide Children's Hospital, Section of Ambulatory Pediatrics Columbus, OH, 43205, USA. Electronic address: Judith.Groner@nationwidechildrens.org.
authors.forename: Judith A
authors.initials: JA
authors.lastname: Groner
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D001835:Body Weight; D002149:Energy Intake; D005247:Feeding Behavior; D005260:Female; D006293:Health Promotion; D006801:Humans; D007407:Interviews as Topic; D008019:Life Style; D008297:Male; D009765:Obesity / Q000209:etiology*; D012307:Risk Factors; D011795:Surveys and Questionnaires
keywords: Adolescent; Dietary intake; Health behavior; Health promotion programs; Obesity