Cardiometabolic risk through an integrative classification combining physical activity and sedentary behavior in European adolescents: HELENA study Cristi-Montero, Carlos Chillón Garzón, Palma Ortega Porcel, Francisco Bartolomé Ruiz Ruiz, Jonatan Accelerometry Cardiovascular disease Exercise Metabolic disease Sedentary lifestyles This study aims to compare adolescents’ cardiometabolic risk score through an integrative classification of physical activity (PA), which involves the combination of moderate-to-vigorous physical activity (MVPA) and sedentary behavior (SB). The cardiometabolic risk score was lower in adolescents meeting the MVPA recommendation and with less time spent in SB in comparison to the high-SB & Inactive group (p < 0.05). However, no difference in cardiometabolic risk score was established between High-SB or Low-SB groups in inactive adolescents. It is important to note that CRF was the only variable that showed a significant modification (higher) when children were compared from the category of physically inactive with “active” but not from high- to low-SB. Being physically active is the most significant and protective outcome in adolescents to reduce cardiometabolic risk. Lower SB does not exhibit a significant and extra beneficial difference. 2020-01-28T07:40:05Z 2020-01-28T07:40:05Z 2018-03-27 journal article Cristi-Montero C, Chillo´n P, Labayen I, Casajus JA, Gonzalez-Gross M, Vanhelst J, et al. Cardiometabolic risk through an integrative classification combining physical activity and sedentary behavior in European adolescents: HELENA study. J Sport Health Sci 2019;8:55 62. http://hdl.handle.net/10481/59183 10.1016/j.jshs.2018.03.004 eng http://creativecommons.org/licenses/by-nc-nd/3.0/es/ open access Atribución-NoComercial-SinDerivadas 3.0 España Elsevier BV