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Development and validation of risk factors lifestyle disorders scale (RFLDS): A cohort study
1Department of Foods and Nutrition, Government Home Science College, Chandigarh, India.
Background:
Adolescents are presumed to be healthy, but being a vulnerable group they are threatened with morbidities. Management of risk factors which concern and affect lifestyle disorders must begin during adolescence. The aim of study is to develop and validate a scale to assess risk factors leading to lifestyle disorders in quick and concise manner.
Methods:
Risk Factor Lifestyle Disorders Scale (RFLDS) has been developed to identify risk factors of lifestyle disorders on low, borderline and high risk zones based on scientific exhaustive review of literature and expert consensus. Cross-sectional baseline data from planned cohort of 1000 school-based adolescents aged between 16 and 18 years from Tricity- Chandigarh, Panchkula and Mohali (India) was carried out. Three phase validation of content, construct and criterion validity has been conducted to develop the scale. Analyses were done through Item Total Reliability, Exploratory Factor Analysis, Cronbach's Alpha and Pearsons Correlation.
Findings:
Results layout a structure of developed and validated scale. KMO measure of 0.720, Bartlett test of p < 0.0001, leading to seven factors consisting of 19 items of 64.75% variance and Cronbach's alpha of 0.68 was observed. Final scale consists of seven factors that emerged out of 19 identified items namely Socio-Economic Criteria (SEC), Nutritional Status (NS), Body Composition (BC), Low Risk Factor Foods (LRF), High Risk Factor Foods (HRF), Mental Health and Family and Personal History (MHFPH) and Sleep and Physical Activity (SPA).
Interpretation:
Lifestyle disorders lead to deterioration in quality of life. Comprehensive RFLDS- Risk Factors Lifestyle Disorders Scale, validated in adolescents only, may be used for easy and quick assessment, addressal and prevention of lifestyle disorders. It may also be used as a screening tool in institutes, clinical and public health care systems to improve overall well-being, aligning with WHO's Sustainable Development Goal 3.4.
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