5-2-1-0 Lifestyle risk factors predict obesity in Millennials

Clin Obes. 2019 Jun;9(3):e12306. doi: 10.1111/cob.12306. Epub 2019 Mar 25.

Abstract

The Making Effective Nutritional Choices Generation Y (MENU GenY) study is a web-based intervention trial aimed at improving food choices in those aged 21-30 years. We report baseline levels of the 5-2-1-0 healthy lifestyle patterns to predict a body mass index (BMI) ≥30 vs <30 kg m-2 . Overall, 1674 young adults (69% female) from two large health systems enroled and completed an online survey asking questions about lifestyle habits. A multivariable binary logistic regression model was utilized to predict a BMI ≥30 while controlling for known predictors of obesity. Consuming >3 daily servings of fruits/vegetables (odds ratio, OR = 0.90, 95% confidence interval, CI = 0.81, 0.99), and reporting >2.5 hours/week of vigorous physical activity (OR = 0.93, 95% CI = 0.89-0.96, P < 0.001) was associated with a BMI <30. Conversely, time sitting (OR = 1.07, 95% CI = 1.04, 1.11) and consuming sugar-sweetened beverages (OR = 1.08, 95% CI = 1.00, 1.15) were related to a BMI ≥30. In this cohort of 20-30-year-olds, we observed a consistent relationship between obesity and the 5-2-1-0 healthy lifestyle patterns previously reported among children and adolescents.

Keywords: 5-2-1-0; Millennials; dietary habits; obesity; sedentary behaviours; vigorous exercise.

MeSH terms

  • Adult
  • Beverages / analysis
  • Body Mass Index
  • Cohort Studies
  • Exercise
  • Female
  • Food Preferences
  • Fruit / metabolism
  • Health Surveys
  • Humans
  • Internet
  • Life Style*
  • Male
  • Obesity / metabolism
  • Obesity / physiopathology
  • Obesity / psychology*
  • Predictive Value of Tests
  • Risk Factors
  • Vegetables / metabolism
  • Young Adult