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Cacau LT, Hanley-Cook GT, Vandevijvere S, Leclercq C, De Henauw S, Santaliestra-Pasias A, Manios Y, Mourouti N, Esperanza Díaz L, Gonzalez-Gross M, Widhalm K, Molnar D, Stehle P, Kafatos A, Gottrand F, Kersting M, Castillo M, Lachat C, Marchioni DM, Huybrechts I, Moreno LA. Association between adherence to the EAT-Lancet sustainable reference diet and cardiovascular health among European adolescents: the HELENA study. Eur J Clin Nutr 2024; 78:202-208. [PMID: 38093098 DOI: 10.1038/s41430-023-01379-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Revised: 11/15/2023] [Accepted: 11/27/2023] [Indexed: 02/12/2024]
Abstract
BACKGROUND The EAT-Lancet Commission proposed a global reference diet to promote healthy diets within planetary boundaries. Studies evaluating the associations between the reference diet with health outcomes among adolescents are scarce. Thus, our aim was to assess the association between adherence to the EAT-Lancet diet and cardiovascular health among European adolescents. METHODS Data from the HELENA study were used. Usual dietary intake was assessed using two 24-h dietary recalls and adherence to the EAT-Lancet diet was assessed using the Planetary Health Diet Index (PHDI), a 16-component index that ranges from 0 to 150 points. Cardiovascular health was assessed through the seven-component Ideal Cardiovascular Health (ICH) score: never smoked, eutrophic body mass index, moderate-to-vigorous physical activity, healthy dietary pattern, low blood pressure, low fasting plasma glucose, and low total cholesterol. Total ICH score was categorized into ideal (5-7) and non-ideal (0-4). RESULTS A 10-point increment in the PHDI was associated with a lower probability of a non-ideal ICH status (OR 0.84, [95% CI: 0.75, 0.94]) among European adolescents, after adjusting for age, sex, socio-economic status, and total energy intake. Furthermore, a 10-point increment in the PHDI was associated with lower probability of high blood pressure (OR: 0.87 [0.79, 0.96]) and a lower probability of high blood cholesterol (OR: 0.88 [0.78, 0.99]). CONCLUSION Our study suggests that a higher PHDI may be associated with a better cardiovascular health status among European adolescents.
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Affiliation(s)
- Leandro Teixeira Cacau
- Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.
- Growth, Exercise, Nutrition and Development (GENUD) Research Group, Facultad de Ciencias de la Salud, Universidad de Zaragoza, Zaragoza, Spain.
- Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
| | - Giles T Hanley-Cook
- Department of Food Technology, Safety and Health, Faculty of Bioscience Engineering, Ghent University, Ghent, Belgium
| | - Stefanie Vandevijvere
- Department of Epidemiology and Public Health, Scientific Institute of Public Health (Sciensano), Brussels, Belgium
| | - Catherine Leclercq
- Council for Agricultural Research and Economics - Research Center for Food and Nutrition (CREA - Food and Nutrition), Rome, Italy
| | - Stefaan De Henauw
- Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Alba Santaliestra-Pasias
- Growth, Exercise, Nutrition and Development (GENUD) Research Group, Facultad de Ciencias de la Salud, Universidad de Zaragoza, Zaragoza, Spain
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, 28029, Madrid, Spain
- Instituto Agroalimentario de Aragon (IA2), 50013, Zaragoza, Spain
- Instituto de Investigacion Sanitaria Aragon (IIS Aragon), 50009, Zaragoza, Spain
| | - Yannis Manios
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 17671, Athens, Greece
- Institute of Agri-Food and Life Sciences, Hellenic Mediterranean University Research Centre, 71410, Heraklion, Greece
| | - Niki Mourouti
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 17671, Athens, Greece
- Department of Nutrition and Dietetics, Hellenic Mediterranean University, 72300, Sitia, Greece
| | - Ligia Esperanza Díaz
- Immunonutrition Research Group, Department of Metabolism and Nutrition, Institute of Food Science and Technology and Nutrition (ICTAN)-CSIC, 28040, Madrid, Spain
| | - Marcela Gonzalez-Gross
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, 28029, Madrid, Spain
- ImFINE Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, Spain
| | - Kurt Widhalm
- Department of Gastroenterology and Hepatology, Medical University of Vienna, Vienna, Austria
| | - Dénes Molnar
- Department of Pediatrics, Medical School, University of Pécs, Pécs, Hungary
| | - Peter Stehle
- Department of Nutrition and Food Sciences, University of Bonn, Bonn, Germany
| | - Anthony Kafatos
- Faculty of Medicine, University of Crete, Crete, 71500, Heraklion, Greece
| | - Frederic Gottrand
- Institute for Translational Research in Inflammation (INFINITE), University Lille, Lille, France
| | - Mathilde Kersting
- Research Department of Child Nutrition, University Hospital of Pediatrics and Adolescent Medicine, Ruhr-University Bochum, Bochum, Germany
| | - Manuel Castillo
- Department of Medical Physiology, Faculty of Medicine, University of Granada, Granada, Spain
| | - Carl Lachat
- Department of Food Technology, Safety and Health, Faculty of Bioscience Engineering, Ghent University, Ghent, Belgium
| | - Dirce Maria Marchioni
- Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil
| | - Inge Huybrechts
- Nutrition and Metabolism Section, International Agency for Research on Cancer, World Health Organization (IARC/WHO), Lyon, France
| | - Luis A Moreno
- Growth, Exercise, Nutrition and Development (GENUD) Research Group, Facultad de Ciencias de la Salud, Universidad de Zaragoza, Zaragoza, Spain
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, 28029, Madrid, Spain
- Instituto Agroalimentario de Aragon (IA2), 50013, Zaragoza, Spain
- Instituto de Investigacion Sanitaria Aragon (IIS Aragon), 50009, Zaragoza, Spain
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Sina E, Buck C, Ahrens W, Coumans JMJ, Eiben G, Formisano A, Lissner L, Mazur A, Michels N, Molnar D, Moreno LA, Pala V, Pohlabeln H, Reisch L, Tornaritis M, Veidebaum T, Hebestreit A. Author Correction: Digital media exposure and cognitive functioning in European children and adolescents of the I.Family study. Sci Rep 2023; 13:22595. [PMID: 38114524 PMCID: PMC10730536 DOI: 10.1038/s41598-023-49411-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2023] Open
Affiliation(s)
- Elida Sina
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - Christoph Buck
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - Wolfgang Ahrens
- Faculty of Mathematics and Computer Science, Institute of Statistics, University of Bremen, Bremen, Germany
| | - Juul M J Coumans
- Teaching and Learning Centre, Open University of the Netherlands, Heerlen, The Netherlands
| | - Gabriele Eiben
- Department of Public Health, School of Health Sciences, University of Skövde, Skövde, Sweden
| | | | - Lauren Lissner
- School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Artur Mazur
- Faculty of Medicine, University of Rzeszów, Rzeszów, Poland
| | - Nathalie Michels
- Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Dénes Molnar
- Department of Pediatrics, Medical School, University of Pécs, Pécs, Hungary
| | - Luis A Moreno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Centro de Investigación Biomédica en Red Fisiopatología de La Obesidad y Nutrición (CIBERObn), Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), University of Zaragoza, Zaragoza, Spain
| | - Valeria Pala
- Department of Epidemiology and Data Science, Fondazione IRCCS, Istituto Nazionale Dei Tumori, Milan, Italy
| | - Hermann Pohlabeln
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - Lucia Reisch
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
- Cambridge Judge Business School, University of Cambridge, Cambridge, UK
| | | | - Toomas Veidebaum
- Department of Chronic Diseases, National Institute for Health Development, Tallinn, Estonia
| | - Antje Hebestreit
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
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3
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Sina E, Buck C, Ahrens W, Coumans JMJ, Eiben G, Formisano A, Lissner L, Mazur A, Michels N, Molnar D, Moreno LA, Pala V, Pohlabeln H, Reisch L, Tornaritis M, Veidebaum T, Hebestreit A. Digital media exposure and cognitive functioning in European children and adolescents of the I.Family study. Sci Rep 2023; 13:18855. [PMID: 37914849 PMCID: PMC10620404 DOI: 10.1038/s41598-023-45944-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Accepted: 10/26/2023] [Indexed: 11/03/2023] Open
Abstract
The digital environment can pose health risks through exposure to unhealthy content. Yet, little is known about its relation to children's cognitive functioning. This study investigates the association between digital media (DM) exposure and children's cognitive functioning. This cross-sectional study is based on examinations of children aged 8-18 years (N = 8673) of the I.Family cohort (2013-2014). Exposure to television, computer, smartphone and internet was self-reported (hours/day). Media multitasking (MMT) was defined as simultaneous use of computers with other digital or non-screen-based activities. Standard instruments were used to assess cognitive inflexibility (score: 0-39), decision-making ability (- 100 to + 100) and impulsivity (12-48). Adjusted regression coefficients and 99.9%CIs were calculated by generalized linear mixed-effects models. In total, 3261 participants provided data for impulsivity, 3441 for cognitive inflexibility and 4046 for decision-making. Exposure to smartphones and media multitasking were positively associated with impulsivity (βsmartphone = 0.74; 99.9%CI = 0.42-1.07; βMMT = 0.73; 99.9%CI = 0.35-1.12) and cognitive inflexibility (βsmartphone = 0.32; 99.9%CI = -0.02-0.66; βMMT = 0.39; 99.9%CI = 0.01-0.77) while being inversely associated with decision-making ability. Extensive smartphone/internet exposure combined with low computer/medium TV exposure was associated with higher impulsivity and cognitive inflexibility scores, especially in girls. DM exposure is adversely associated with cognitive functioning in children and adolescents. Children require protection against the likely adverse impact of digital environment.
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Affiliation(s)
- Elida Sina
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - Christoph Buck
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - Wolfgang Ahrens
- Faculty of Mathematics and Computer Science, Institute of Statistics, University of Bremen, Bremen, Germany
| | - Juul M J Coumans
- Teaching and Learning Centre, Open University of the Netherlands, Heerlen, The Netherlands
| | - Gabriele Eiben
- Department of Public Health, School of Health Sciences, University of Skövde, Skövde, Sweden
| | | | - Lauren Lissner
- School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Artur Mazur
- Faculty of Medicine, University of Rzeszów, Rzeszów, Poland
| | - Nathalie Michels
- Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Dénes Molnar
- Department of Pediatrics, Medical School, University of Pécs, Pécs, Hungary
| | - Luis A Moreno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Centro de Investigación Biomédica en Red Fisiopatología de La Obesidad y Nutrición (CIBERObn), Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), University of Zaragoza, Zaragoza, Spain
| | - Valeria Pala
- Department of Epidemiology and Data Science, Fondazione IRCCS, Istituto Nazionale Dei Tumori, Milan, Italy
| | - Hermann Pohlabeln
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - Lucia Reisch
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
- Cambridge Judge Business School, University of Cambridge, Cambridge, UK
| | | | - Toomas Veidebaum
- Department of Chronic Diseases, National Institute for Health Development, Tallinn, Estonia
| | - Antje Hebestreit
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
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4
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Weghuber D, Khandpur N, Boyland E, Mazur A, Frelut ML, Forslund A, Vlachopapadopoulou E, Erhardt É, Vania A, Molnar D, Ring-Dimitriou S, Caroli M, Mooney V, Forhan M, Ramos-Salas X, Pulungan A, Holms JC, O'Malley G, Baker JL, Jastreboff AM, Baur L, Thivel D. Championing the use of people-first language in childhood overweight and obesity to address weight bias and stigma: A joint statement from the European-Childhood-Obesity-Group (ECOG), the European-Coalition-for-People-Living-with-Obesity (ECPO), the International-Paediatric-Association (IPA), Obesity-Canada, the European-Association-for-the-Study-of-Obesity Childhood-Obesity-Task-Force (EASO-COTF), Obesity Action Coalition (OAC), The Obesity Society (TOS) and the World-Obesity-Federation (WOF). Pediatr Obes 2023; 18:e13024. [PMID: 37002830 DOI: 10.1111/ijpo.13024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Revised: 02/06/2023] [Accepted: 02/20/2023] [Indexed: 05/04/2023]
Affiliation(s)
- D Weghuber
- European Childhood Obesity Group (ECOG), Brussels, Belgium
- Department of Pediatrics, Obesity Research Unit, Paracelsus Medical University, Salzburg, Austria
| | - N Khandpur
- Division of Human Nutrition and Health, Wageningen Universiteit, Wageningen, The Netherlands
- Department of Nutrition, Faculty of Public Health, University of São Paulo, São Paulo, Brazil
| | - E Boyland
- European Childhood Obesity Group (ECOG), Brussels, Belgium
- Appetite & Obesity Research Group, Department of Psychology, University of Liverpool, Liverpool, UK
| | - A Mazur
- European Childhood Obesity Group (ECOG), Brussels, Belgium
- Department Pediatrics Pediatric Endocrinology and Diabetes, Medical College of Rzeszow University, Rzeszów, Poland
| | - M L Frelut
- European Childhood Obesity Group (ECOG), Brussels, Belgium
- Pediatric Practice, Albi, France
| | - A Forslund
- European Childhood Obesity Group (ECOG), Brussels, Belgium
- Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden
| | - E Vlachopapadopoulou
- European Childhood Obesity Group (ECOG), Brussels, Belgium
- Department of Endocrinology, Children's Hospital P. & A. Kyriakou, Athens, Greece
| | - É Erhardt
- European Childhood Obesity Group (ECOG), Brussels, Belgium
- Department of Paediatrics, University of Pécs, Pécs, Hungary
| | - A Vania
- European Childhood Obesity Group (ECOG), Brussels, Belgium
- Clinical Researcher, Sapienza University, Rome, Italy
| | - D Molnar
- European Childhood Obesity Group (ECOG), Brussels, Belgium
- Department of Paediatrics, University of Pécs, Pécs, Hungary
| | - S Ring-Dimitriou
- European Childhood Obesity Group (ECOG), Brussels, Belgium
- Department of Sport Science and Kinesiology, Paris Lodron-University, Salzburg, Austria
| | - M Caroli
- European Childhood Obesity Group (ECOG), Brussels, Belgium
- Paediatrician - Nutritionist, Brindisi, Italy
| | - V Mooney
- European Coalition for People Living with Obesity (ECPO), London, UK
| | | | | | - A Pulungan
- Intnerational Pediatric Association, Marengo, Illinois, USA
| | - J C Holms
- The Children's Obesity Clinic, European Centre of Obesity Management and The HOLBAEK Study, Department of Paediatrics, Holbaek University Hospital, Holbaek, Denmark
| | - G O'Malley
- School of Physiotherapy, Division of Population Health Sciences, RCSI University of Medicine and Health Sciences, Child and Adolescent Weight Management Service, Children's Health Ireland at Temple Street, Dublin, Ireland
| | - J L Baker
- Center for Clinical Research and Prevention, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Copenhagen, Denmark
| | - A M Jastreboff
- Department of Medicine (Endocrinology and Metabolism) and Department of Pediatrics (Pediatric Endocrinology), Yale University School of Medicine, New Haven, Connecticut, USA
| | - L Baur
- Specialty of Child and Adolescent Health, Sydney Medical School, The University of Sydney, World Obesity Federation, New South Wales, Australia
| | - D Thivel
- European Childhood Obesity Group (ECOG), Brussels, Belgium
- Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions, Auvergne Regional Center for Human Nutrition, International Research Chair Health in Motion, Clermont University Auvergne Foundation, Clermont Auvergne University, Clermont-Ferrand, France
- Specialized Obesity Center Caloris, Clermont-Ferrand, France
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5
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Jilani H, Intemann T, Buchecker K, Charalambos H, Gianfagna F, De Henauw S, Lauria F, Molnar D, Moreno LA, Lissner L, Pala V, Siani A, Veidebaum T, Ahrens W, Hebestreit A. Correlates of bitter, sweet, salty and umami taste sensitivity in European children: Role of sex, age and weight status - The IDEFICS study. Appetite 2022; 175:106088. [PMID: 35597371 DOI: 10.1016/j.appet.2022.106088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Revised: 05/13/2022] [Accepted: 05/14/2022] [Indexed: 11/02/2022]
Abstract
We aimed to describe differences in taste sensitivity in children according to age across 7- to 11-year-old children from eight European countries. We further compared taste sensitivity between boys vs. girls and under-/normal weight vs. overweight/obese children. Within the European multicentre IDEFICS (Identification and prevention of dietary and lifestyle-induced health effects in children and infants) study, 1938 school children participated in sweet, bitter, salty and umami detection threshold tests between 2007 and 2010, using the paired comparison staircase method. The lowest concentration at which the child was able to detect a difference to water was determined as taste detection threshold as a proxy of taste sensitivity. Mean taste thresholds were calculated stratified for sex, age groups, weight groups and country. BMI was calculated using measured height and weight; socio-demographic information was collected using questionnaires. Ordinal logistic regressions were conducted to investigate the association between sex, weight status (as categorical exposure variable) and age (as continuous exposure variable) and the taste sensitivity for the four taste modalities (as outcome), separately. Older children were more taste sensitive for sweet and salty and less taste sensitive for umami and bitter than younger children. Girls were more sensitive to sweet taste than boys. Overweight or obese children were less sensitive to sweet and salty taste compared to normal weight children This was the first study comparing taste sensitivity by measuring taste thresholds in children across different European countries. We conclude that taste thresholds are associated with weight status, children become more sensitive to sweet and salty tastes with increasing age, and girls might be more sensitive to sweet than boys.
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Affiliation(s)
- Hannah Jilani
- Institute for Public Health and Nursing Science - IPP, University of Bremen, Bremen, Germany; Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - Timm Intemann
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | | | | | - Francesco Gianfagna
- Mediterranea Cardiocentro, Napoli, Italy; EPIMED Research Centre - Epidemiology and Preventive Medicine, Department of Medicine and Surgery, University of Insubria, Varese, Italy
| | | | - Fabio Lauria
- Institute of Food Sciences, National Research Council, Avellino, Italy
| | - Dénes Molnar
- Department of Pediatrics, University of Pécs, Pécs, Hungary
| | - Luis A Moreno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
| | - Lauren Lissner
- School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden
| | - Valeria Pala
- Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - Alfonso Siani
- Institute of Food Sciences, National Research Council, Avellino, Italy
| | - Toomas Veidebaum
- Department of Chronic Diseases, National Institute for Health Development, Tallinn, Estonia
| | - Wolfgang Ahrens
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - Antje Hebestreit
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
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6
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Maneschy I, Moreno LA, Ruperez AI, Jimeno A, Miguel-Berges ML, Widhalm K, Kafatos A, Molina-Hidalgo C, Molnar D, Gottrand F, Donne CL, Manios Y, Grammatikaki E, González-Gross M, Kersting M, Dallongeville J, Gómez-Martinez S, De Henauw S, Santaliestra-Pasías AM. Eating Behavior Associated with Food Intake in European Adolescents Participating in the HELENA Study. Nutrients 2022; 14:nu14153033. [PMID: 35893887 PMCID: PMC9332602 DOI: 10.3390/nu14153033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Revised: 07/19/2022] [Accepted: 07/19/2022] [Indexed: 12/10/2022] Open
Abstract
Adolescence is recognized as a time of rapid physiological and behavioral change. In this transition, eating behavior is still being formed and remains an integral part of a person’s lifestyle throughout his or her life. This study aims to assess eating behavior and associations with food intake in European adolescents. We included 2194 adolescents (45.9% boys), aged 12.5 to 17.5 years, from the cross-sectional HELENA study, with two completed 24 h recalls and complete questionnaire data on their eating behavior (Eating Behavior and Weight Problems Inventory for Children- EWI-C). Three subscales of the EWI were evaluated; they measured Strength and motivation to eat (EWI 1), Importance and impact of eating (EWI 2), and Eating as a means of coping with emotional stress (EWI 3). Since these subscales were specially focused on eating behavior, participants were classified as either Low (≤P75) or High (>P75) on each of the subscales. Our results showed a higher consumption of different types of food, in the EWI 1 scales, linked to the hunger and interest in eating, and we observed a relationship with the consumption of energy-dense products. This result was repeated in EWI 3, the subscale linked to emotional eating, where we also found higher consumption of energy-dense products. This study suggests that special features of eating behavior are associated with food intake in adolescents.
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Affiliation(s)
- Ivie Maneschy
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Facultad de Ciencias de la Salud, Universidad de Zaragoza, 50009 Zaragoza, Spain; (L.A.M.); (A.I.R.); (A.J.); (M.L.M.-B.); (A.M.S.-P.)
- Correspondence:
| | - Luis A. Moreno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Facultad de Ciencias de la Salud, Universidad de Zaragoza, 50009 Zaragoza, Spain; (L.A.M.); (A.I.R.); (A.J.); (M.L.M.-B.); (A.M.S.-P.)
- Instituto Agroalimentario de Aragón (IA2), 50013 Zaragoza, Spain
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009 Zaragoza, Spain
- CIBER Fisiopatología de la Obesidad y Nutrición, Instituto de Salud Carlos III, 28029 Madrid, Spain;
| | - Azahara I. Ruperez
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Facultad de Ciencias de la Salud, Universidad de Zaragoza, 50009 Zaragoza, Spain; (L.A.M.); (A.I.R.); (A.J.); (M.L.M.-B.); (A.M.S.-P.)
- Instituto Agroalimentario de Aragón (IA2), 50013 Zaragoza, Spain
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009 Zaragoza, Spain
| | - Andrea Jimeno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Facultad de Ciencias de la Salud, Universidad de Zaragoza, 50009 Zaragoza, Spain; (L.A.M.); (A.I.R.); (A.J.); (M.L.M.-B.); (A.M.S.-P.)
| | - María L. Miguel-Berges
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Facultad de Ciencias de la Salud, Universidad de Zaragoza, 50009 Zaragoza, Spain; (L.A.M.); (A.I.R.); (A.J.); (M.L.M.-B.); (A.M.S.-P.)
- Instituto Agroalimentario de Aragón (IA2), 50013 Zaragoza, Spain
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009 Zaragoza, Spain
- CIBER Fisiopatología de la Obesidad y Nutrición, Instituto de Salud Carlos III, 28029 Madrid, Spain;
| | - Kurt Widhalm
- Division of Clinical Nutrition and Prevention, Department of Pediatrics, Medical University of Vienna, 1090 Vienna, Austria;
| | - Anthony Kafatos
- Faculty of Medicine, University of Crete, GR-71003 Herakleion, Greece;
| | | | - Dénes Molnar
- Department of Pediatrics, Medical School, University of Pécs, H-7624 Pécs, Hungary;
| | - Fréderic Gottrand
- Department of Pediatric Gastroenterology Hepatology and Nutrition, University Lille, Inserm U1286 INFINITE, CHU Lille, F59000 Lille, France;
| | - Cinzia Le Donne
- Council for Agricultural Research and Economics, Research Centre for Food and Nutrition, 00178 Rome, Italy;
| | - Yannis Manios
- Department of Nutrition and Dietetics, Harokopio University, GR-17671 Athens, Greece; (Y.M.); (E.G.)
- Institute of Agri-Food and Life Sciences, Hellenic Mediterranean University Research Centre, GR-71410 Heraklion, Greece
| | - Evangelia Grammatikaki
- Department of Nutrition and Dietetics, Harokopio University, GR-17671 Athens, Greece; (Y.M.); (E.G.)
- Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 2 Blok A, B-9000 Ghent, Belgium;
| | - Marcela González-Gross
- CIBER Fisiopatología de la Obesidad y Nutrición, Instituto de Salud Carlos III, 28029 Madrid, Spain;
- ImFINE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport-INEF, Universidad Politécnica de Madrid, 28040 Madrid, Spain
| | - Mathilde Kersting
- Research Department of Child Nutrition, University Hospital of Pediatrics and Adolescent Medicine, Ruhr-University Bochum, D-44791 Bochum, Germany;
| | - Jean Dallongeville
- Department of Epidemiology and Public Health, Institut Pasteur de Lille, F59000 Lille, France;
| | - Sonia Gómez-Martinez
- Department of Metabolism & Nutrition, Institute of Food Science and Technology and Nutrition (ICTAN)-CSIC, 28040 Madrid, Spain;
| | - Stefaan De Henauw
- Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 2 Blok A, B-9000 Ghent, Belgium;
| | - Alba M. Santaliestra-Pasías
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Facultad de Ciencias de la Salud, Universidad de Zaragoza, 50009 Zaragoza, Spain; (L.A.M.); (A.I.R.); (A.J.); (M.L.M.-B.); (A.M.S.-P.)
- Instituto Agroalimentario de Aragón (IA2), 50013 Zaragoza, Spain
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009 Zaragoza, Spain
- CIBER Fisiopatología de la Obesidad y Nutrición, Instituto de Salud Carlos III, 28029 Madrid, Spain;
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Beghin L, Vanhelst J, Drumez E, Kersting M, Molnar D, Kafatos A, De Henauwn S, Widhalm K, Karaglani E, Moreno L, Gottrand F. Le poids de naissance et la durée de l’allaitement maternel programment différemment la condition physique de l’adolescent. NUTR CLIN METAB 2022. [DOI: 10.1016/j.nupar.2021.12.137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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8
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Sina E, Buck C, Veidebaum T, Siani A, Reisch L, Pohlabeln H, Pala V, Moreno LA, Molnar D, Lissner L, Kourides Y, De Henauw S, Eiben G, Ahrens W, Hebestreit A. Media use trajectories and risk of metabolic syndrome in European children and adolescents: the IDEFICS/I.Family cohort. Int J Behav Nutr Phys Act 2021; 18:134. [PMID: 34663352 PMCID: PMC8521295 DOI: 10.1186/s12966-021-01186-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Accepted: 08/11/2021] [Indexed: 01/24/2023] Open
Abstract
Background Media use may influence metabolic syndrome (MetS) in children. Yet, longitudinal studies are scarce. This study aims to evaluate the longitudinal association of childhood digital media (DM) use trajectories with MetS and its components. Methods Children from Belgium, Cyprus, Estonia, Germany, Hungary, Italy, Spain and Sweden participating in the IDEFICS/I.Family cohort were examined at baseline (W1: 2007/2008) and then followed-up at two examination waves (W2: 2009/2010 and W3: 2013/2014). DM use (hours/day) was calculated as sum of television viewing, computer/game console and internet use. MetS z-score was calculated as sum of age- and sex-specific z-scores of four components: waist circumference, blood pressure, dyslipidemia (mean of triglycerides and HDL-cholesterol−1) and homeostasis model assessment for insulin resistance (HOMA-IR). Unfavorable monitoring levels of MetS and its components were identified (cut-off: ≥ 90th percentile of each score). Children aged 2–16 years with ≥ 2 observations (W1/W2; W1/W3; W2/W3; W1/W2/W3) were eligible for the analysis. A two-step procedure was conducted: first, individual age-dependent DM trajectories were calculated using linear mixed regressions based on random intercept (hours/day) and linear slopes (hours/day/year) and used as exposure measures in association with MetS at a second step. Trajectories were further dichotomized if children increased their DM duration over time above or below the mean. Results 10,359 children and adolescents (20,075 total observations, 50.3% females, mean age = 7.9, SD = 2.7) were included. DM exposure increased as children grew older (from 2.2 h/day at 2 years to 4.2 h/day at 16 years). Estonian children showed the steepest DM increase; Spanish children the lowest. The prevalence of MetS at last follow-up was 5.5%. Increasing media use trajectories were positively associated with z-scores of MetS (slope: β = 0.54, 95%CI = 0.20–0.88; intercept: β = 0.07, 95%CI = 0.02–0.13), and its components after adjustment for puberty, diet and other confounders. Children with increasing DM trajectories above mean had a 30% higher risk of developing MetS (slope: OR = 1.30, 95%CI = 1.04–1.62). Boys developed steeper DM use trajectories and higher risk for MetS compared to girls. Conclusions Digital media use appears to be a risk factor for the development of MetS in children and adolescents. These results are of utmost importance for pediatricians and the development of health policies to prevent cardio-metabolic disorders later in life. Trial registration ISRCTN, ISRCTN62310987. Registered 23 February 2018- retrospectively registered. Supplementary Information The online version contains supplementary material available at 10.1186/s12966-021-01186-9.
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Affiliation(s)
- Elida Sina
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, Achterstraße 30, 28359, Bremen, Germany
| | - Christoph Buck
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, Achterstraße 30, 28359, Bremen, Germany
| | - Toomas Veidebaum
- Department of Chronic Diseases, National Institute for Health Development, Tallinn, Estonia
| | - Alfonso Siani
- Institute of Food Sciences, National Research Council, Avellino, Italy
| | - Lucia Reisch
- Department of Management, Society and Communication, Copenhagen Business School, Copenhagen, Denmark
| | - Hermann Pohlabeln
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, Achterstraße 30, 28359, Bremen, Germany
| | - Valeria Pala
- Department of Preventive and Predictive Medicine, Fondazione IRCCS, Istituto Nazionale Dei Tumori, Milan, Italy
| | - Luis A Moreno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Centro de Investigación Biomédica en Red Fisiopatología de La Obesidad Y Nutrición (CIBERObn), University of Zaragoza, Zaragoza, Spain
| | - Dénes Molnar
- Department of Pediatrics, Medical School, University of Pécs, Pécs, Hungary
| | - Lauren Lissner
- School of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden
| | - Yiannis Kourides
- Research and Education Institute of Child Health, Strovolos, Cyprus
| | - Stefaan De Henauw
- Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Gabriele Eiben
- Department of Public Health, School of Health Sciences, University of Skövde, Skövde, Sweden
| | - Wolfgang Ahrens
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, Achterstraße 30, 28359, Bremen, Germany.,Institute of Statistics, Faculty of Mathematics and Computer Science, University of Bremen, Bremen, Germany
| | - Antje Hebestreit
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, Achterstraße 30, 28359, Bremen, Germany.
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9
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Jilani H, Pohlabeln H, De Henauw S, Eiben G, Hunsberger M, Molnar D, Moreno LA, Pala V, Russo P, Solea A, Veidebaum T, Ahrens W, Hebestreit A, Idefics And I Family Consortia OBOT. Relative Validity of a Food and Beverage Preference Questionnaire to Characterize Taste Phenotypes in Children Adolescents and Adults. Nutrients 2019; 11:E1453. [PMID: 31252542 PMCID: PMC6682919 DOI: 10.3390/nu11071453] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2019] [Revised: 06/19/2019] [Accepted: 06/23/2019] [Indexed: 11/17/2022] Open
Abstract
To assess the relative validity of our food and beverage preference questionnaire we investigated the association between sweet and fatty taste preference scores (assessed using a food and beverage preference questionnaire) and sweet and fatty food propensity scores (derived from a food frequency questionnaire). In I.Family, a large European multi-country cohort study, 12,207 participants from Cyprus, Estonia, Germany, Hungary, Italy, Spain and Sweden, including 5291 adults, 3082 adolescents, and 3834 children, completed a food and beverage preference questionnaire with 63 items. Cumulative preference scores for sweet and fatty taste were calculated from the single item ranking ranging from 1 to 5. The relative consumption frequency of foods classified as sweet and fatty was used to calculate the corresponding consumption propensities, a continuous variable ranging from 0 to 100. We conducted regression analyses to investigate the association between sweet and fatty taste preference scores and sweet and fatty food propensity scores, respectively, separately for adults, adolescents ≥12 years, and for children <12 years. The overall sweet taste preference score was positively associated with the sweet food consumption propensity score (β = 2.4, 95% CI: 2.1;2.7) and the fatty taste preference score was positively associated with the fatty food consumption propensity score (β = 2.0, 95% CI: 1.8;2.2). After stratification for age (children <12 years, adolescents ≥12 years, and adults), the effect remained significant in all age groups and was strongest in adolescents and adults. We conclude that our food and beverage preference questionnaire is a useful instrument for epidemiological studies on sensory perception and health outcomes and for the characterization of sensory taste phenotypes.
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Affiliation(s)
- Hannah Jilani
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, 28359 Bremen, Germany
- Institute for Public Health and Nursing Science, University of Bremen, 28359 Bremen, Germany
| | - Hermann Pohlabeln
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, 28359 Bremen, Germany
| | - Stefaan De Henauw
- Department of Public Health, Ghent University, B-9000 Ghent, Belgium
| | - Gabriele Eiben
- Department of Biomedicine and Public Health, School of Health and Education, University of Skövde, 54128 Skövde, Sweden
| | - Monica Hunsberger
- Department of Public Health and Community Medicine, University of Gothenburg, 40530 Gothenburg, Sweden
| | - Dénes Molnar
- Department of Pediatrics, Medical School, University of Pécs, 7623 Pécs, Hungary
| | - Luis A Moreno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain
| | - Valeria Pala
- Department of Research, Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan Italy
| | - Paola Russo
- Institute of Food Sciences, National Research Council, 83100 Avellino, Italy
| | - Antonia Solea
- Research and Education Institute of Child Health, 2035 Strovolos, Cyprus
| | - Toomas Veidebaum
- Department of Chronic Diseases, National Institute for Health Development, 11619 Tallin, Estonia
| | - Wolfgang Ahrens
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, 28359 Bremen, Germany
- Institute of Statistics, Faculty of Mathematics and Computer Science, University of Bremen, 28359 Bremen, Germany
| | - Antje Hebestreit
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, 28359 Bremen, Germany.
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Nappo A, Sparano S, Intemann T, Kourides YA, Lissner L, Molnar D, Moreno LA, Pala V, Sioen I, Veidebaum T, Wolters M, Siani A, Russo P. Dietary calcium intake and adiposity in children and adolescents: Cross-sectional and longitudinal results from IDEFICS/I.Family cohort. Nutr Metab Cardiovasc Dis 2019; 29:440-449. [PMID: 30928165 DOI: 10.1016/j.numecd.2019.01.015] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2018] [Revised: 01/14/2019] [Accepted: 01/28/2019] [Indexed: 11/29/2022]
Abstract
BACKGROUND AND AIMS Studies in children and adolescents suggest that higher dairy consumption may exert a protective effect on adiposity. However, only few studies examined the association between dietary calcium intake and body mass measures with conflicting results. We evaluated the association between total dietary calcium, calcium from dairy and non-dairy sources and anthropometric indices in a large European cohort of children and adolescents. METHODS AND RESULTS As many as 6,696 children belonging to the IDEFICS study were eligible for the cross-sectional analysis (Boys = 51%; age 6.0 ± 1.8 years; mean ± SD). Of these, 2,744 were re-examined six years later (Boys = 49.6%; age = 11.7 ± 1.8 years) in the framework of the I.Family study. The exposures were the baseline energy-adjusted total, dairy and non-dairy calcium intakes measured by a validated 24-h dietary recall. Multivariable linear regression was used to determine the association between calcium intake and z-scores of anthropometric indices (body mass index, BMI; waist circumference, WC; sum of skinfolds, SS; fat mass index, FMI) at baseline, and their variation over the 6 years follow-up. The association of dietary calcium with the incidence of overweight/obesity was also assessed. At baseline, an inverse association between total calcium intake and all the adiposity indices was consistently observed in boys, while only SS and FMI were significant in girls. The prevalence of overweight/obesity decreased significantly (P < 0.0001) across tertiles of calcium intake, in both sexes. Over the follow-up, boys with higher baseline calcium intake value showed significantly lower increase in BMI, WC and FMI z-scores, while in girls only a lower increase in WC z-score was observed. Only in boys, the risk to become overweight/obese decreased significantly across tertiles of calcium intake. Similar results were observed by analyzing only dietary calcium from dairy, while no association was observed between non-dairy calcium and adiposity indices. CONCLUSIONS We showed in a large cohort of European children and adolescents that dietary calcium intake may play a role in the modulation of body fat in developmental age. The association between dietary calcium and adiposity indices was driven by dairy calcium, while no effect was observed for non-dairy calcium intake. The existence of a sex-related difference in the association deserves further investigations.
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Affiliation(s)
- A Nappo
- Institute of Food Sciences, National Research Council, Avellino, Italy
| | - S Sparano
- Institute of Food Sciences, National Research Council, Avellino, Italy
| | - T Intemann
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany; Institute of Statistics, Bremen University, Bremen, Germany
| | - Y A Kourides
- Research and Education Institute of Child Health, Strovolos, Cyprus
| | - L Lissner
- Section for Epidemiology and Social Medicine, Institute of Medicine, Sahlgrenska Academic, University of Gothenburg, Gothenburg, Sweden
| | - D Molnar
- Department of Paediatrics, Medical Faculty, University of Pecs, Pecs, Hungary
| | - L A Moreno
- GENUD (Growth, Exercise, Nutrition and Development Research Group), Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBERObn), University of Zaragoza, Zaragoza, Spain
| | - V Pala
- Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale Dei Tumori, Milan, Italy
| | - I Sioen
- Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium; Department of Food Safety and Food Quality, Faculty of Bioscience Engineering, Ghent University, Ghent, Belgium
| | - T Veidebaum
- National Institute for Health Development, Tallin, Estonia
| | - M Wolters
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - A Siani
- Institute of Food Sciences, National Research Council, Avellino, Italy.
| | - P Russo
- Institute of Food Sciences, National Research Council, Avellino, Italy
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11
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Graffe MIM, Pala V, De Henauw S, Eiben G, Hadjigeorgiou C, Iacoviello L, Intemann T, Jilani H, Molnar D, Russo P, Veidebaum T, Moreno LA. Dietary sources of free sugars in the diet of European children: the IDEFICS Study. Eur J Nutr 2019; 59:979-989. [PMID: 30949765 DOI: 10.1007/s00394-019-01957-y] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2017] [Accepted: 03/25/2019] [Indexed: 12/24/2022]
Abstract
OBJECTIVE To report dietary free sugars consumption and their different types and food sources in European children. METHODS The present study is based on the IDEFICS study, a European multicenter cohort study in children (2-9 years old) from eight countries, comprising 8308 children (51.4% males). Dietary intake of the previous 24 h was assessed using a computer-assisted 24-h dietary recalls (24-HDR) and the different types of sugars were assessed using the German food composition database. RESULTS Mean total energy intake was 1720 (SD 477) kcal/d for boys and 1631 (SD 451) kcal/d for girls. Total sugars intake was 98 (SD 52) g/day for boys and 93 (SD 49) g/day for girls. Free sugars intake was 81 (SD 49) g/day for boys and 77 (SD 47) g/day for girls. Girls had significantly lower intakes of energy, total and free sugars compared with than boys but did not differ in terms of percent of energy from total (23%) or free sugars (18%). There were large variations between countries in average % energy from free sugars (ranging from 13% in Italy to 27% in Germany). Less than 20% of children were within the recommended intake of 10% of energy from free sugars. The food groups that contributed substantially to free sugars intakes were "Fruit juices", "Soft drinks", "Dairy" and "Sweets and candies". CONCLUSIONS The contribution of free sugars to total energy intake in European children is higher than recommendations. The main food contributors to free sugars intake are sweetened beverages ("Fruit juices" and "Soft drinks"). It is especially important to reduce children's intake of free sugars, focusing in target population on certain foods and food groups.
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Affiliation(s)
- María Isabel Mesana Graffe
- Growth, Exercise, NUtrition and Development (GENUD) Research Group, University of Zaragoza, C/Pedro Cerbuna 12, 50009, Saragossa, Spain. .,Instituto Agroalimentario de Aragón (IA2), Saragossa, Spain. .,Instituto de Investigación Sanitaria Aragón (IIS Aragón), Saragossa, Spain. .,Red de Salud Materno-infantil y del Desarrollo (SAMID), Barakaldo, Spain.
| | - V Pala
- Epidemiology and Prevention Unit, Department of Research, Fondazione IRCCS Istituto Nazionale Dei Tumori, Milan, Italy
| | - S De Henauw
- Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - G Eiben
- Section for Epidemiology and Social Medicine, Institute of Medicine Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.,Department of Biomedicine and Public Health, School of Health and Education, University of Skövde, Skövde, Sweden
| | - C Hadjigeorgiou
- Research and Education Institute of Child Health, Strovolos, Cyprus
| | - L Iacoviello
- Laboratory of Molecular and Nutritional Epidemiology, Department of Epidemiology and Prevention, IRCCS Istituto Neurologico Mediterraneo Neuromed, Pozzilli, IS, Italy
| | - T Intemann
- Department of Epidemiological Methods and Etiological Research, Leibniz Institute for Prevention Research and Epidemiology, BIPS, Bremen, Germany.,Institute for Public Health and Nursing- IPP, Bremen University, Bremen, Germany
| | - H Jilani
- Department of Epidemiological Methods and Etiological Research, Leibniz Institute for Prevention Research and Epidemiology, BIPS, Bremen, Germany.,Institute for Public Health and Nursing- IPP, Bremen University, Bremen, Germany
| | - D Molnar
- Department of Paediatrics, Medical Faculty, University of Pécs, Pecs, Hungary
| | - P Russo
- Institute of Food Sciences, National Research Council, Avellino, Italy
| | - T Veidebaum
- National Institute for Health Development, Tallinn, Estonia
| | - L A Moreno
- Growth, Exercise, NUtrition and Development (GENUD) Research Group, University of Zaragoza, C/Pedro Cerbuna 12, 50009, Saragossa, Spain.,Instituto Agroalimentario de Aragón (IA2), Saragossa, Spain.,Instituto de Investigación Sanitaria Aragón (IIS Aragón), Saragossa, Spain.,Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Madrid, Spain
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12
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Jilani HS, Pohlabeln H, Buchecker K, Gwozdz W, De Henauw S, Eiben G, Molnar D, Moreno LA, Pala V, Reisch L, Russo P, Veidebaum T, Ahrens W, Hebestreit A. Association between parental consumer attitudes with their children's sensory taste preferences as well as their food choice. PLoS One 2018; 13:e0200413. [PMID: 30067786 PMCID: PMC6070197 DOI: 10.1371/journal.pone.0200413] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2017] [Accepted: 06/26/2018] [Indexed: 11/30/2022] Open
Abstract
Background We investigated the association between the consumer attitudes of European parents and their children’s taste preferences and food choice. Furthermore, we studied whether the parental consumer attitudes were related to education level. Methods This analysis included 1,407 IDEFICS study children aged 6.0 to 11.8 years and from 7 European countries, who participated in the sensory taste perception module between 2007 and 2010. Parental consumer attitude was operationalized as ‘trusting in foods known from advertisements’ (trusting advertisements) and as ‘not avoiding additives in food’ (not avoiding additives). Parents reported their educational attainment and completed a food frequency questionnaire for their children. Consumption frequencies of sweet, fatty and processed foods as well as a healthy diet adherence score were calculated. Children performed fat, sweet and umami taste preference tests. Multivariable logistic models were used to analyse the association between parental consumer attitudes and their children’s taste preference frequencies as well as parental education. Linear regression models were used to analyse the association between parental consumer attitudes and their children’s food consumption. Results Parental consumer attitudes were not associated with children’s fat, sweet and umami taste preferences. Children of parents trusting advertisements consumed more frequently processed foods (β = 1.21, 95% CI: 0.49; 1.93). Children of parents not avoiding additives consumed more often sweet, fatty and processed foods and had a lower healthy diet adherence score (β = 2.37, 95% CI: 1.03; 3.70; β = 2.27, 95% CI: 1.12; 3.43; β = 0.91, 95% CI: 0.22; 1.59; β = -2.87, 95% CI: -3.89; -1.85, respectively). Unfavourable parental consumer attitudes were associated with a lower parental education level across Europe (Compared to high education: Odds Ratio (OR) of trusting advertisements with medium education: 1.04, 95% CI: 0.77; 1.40; OR with low education: 2.01, 95% CI: 1.15; 3.54; OR of not avoiding additives with medium education: 1.91, 95% CI: 1.44; 2.54; OR with low education: 1.76, 95% CI: 0.96; 3.24). Conclusions Across Europe, unfavourable parental consumer attitudes are associated with a lower diet quality of their children. Parental consumer attitudes in turn were associated with their own level of education. This has implications for policy makers, interventions and health promotion programmes that aim to promote healthy eating.
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Affiliation(s)
- Hannah S. Jilani
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
- Institute for Public Health and Nursing Research, University of Bremen and Health Sciences Bremen, University of Bremen, Bremen, Germany
| | - Hermann Pohlabeln
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | | | - Wencke Gwozdz
- Department of Management, Society and Communication, Copenhagen Business School, Frederiksberg, Denmark
| | - Stefaan De Henauw
- Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Gabriele Eiben
- Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden
- Department of Biomedicine and Public Health, School of Health and Education, University of Skövde, Skövde, Sweden
| | - Dénes Molnar
- Department of Pediatrics, University of Pécs, Medical School, Pécs, Hungary
| | - Luis A. Moreno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
| | - Valeria Pala
- Department of Preventive and Predictive Medicine, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - Lucia Reisch
- Department of Management, Society and Communication, Copenhagen Business School, Frederiksberg, Denmark
| | - Paola Russo
- Epidemiology and Population Genetics, Institute of Food Sciences, National Research Council, Avellino, Italy
| | - Toomas Veidebaum
- Department of Chronic Diseases, National Institute for Health Development, Tallinn, Estonia
| | - Wolfgang Ahrens
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
- Institute of Statistics, Faculty of Mathematics and Computer Science, University of Bremen, Bremen, Germany
| | - Antje Hebestreit
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
- * E-mail:
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Nagy Z, Kis Z, Molnar D, Som Z, Foldesi C, Kardos A. P352Myocardial injury biomarkers and outcomes after pulmonary vein isolation using contact force sensing radiofrequency catheter or advanced cryoballoon. Europace 2018. [DOI: 10.1093/europace/euy015.163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Z Nagy
- Gottsegen Gyorgy Hungarian Institute of Cardiology, Budapest, Hungary
| | - Z Kis
- Erasmus Medical Center, Rotterdam, Netherlands
| | - D Molnar
- Semmelweis University, Budapest, Hungary
| | - Z Som
- Gottsegen Gyorgy Hungarian Institute of Cardiology, Budapest, Hungary
| | - C Foldesi
- Gottsegen Gyorgy Hungarian Institute of Cardiology, Budapest, Hungary
| | - A Kardos
- Gottsegen Gyorgy Hungarian Institute of Cardiology, Budapest, Hungary
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Mesana MI, Hilbig A, Androutsos O, Cuenca-García M, Dallongeville J, Huybrechts I, De Henauw S, Widhalm K, Kafatos A, Nova E, Marcos A, González-Gross M, Molnar D, Gottrand F, Moreno LA. Dietary sources of sugars in adolescents' diet: the HELENA study. Eur J Nutr 2018; 57:629-641. [PMID: 27896443 DOI: 10.1007/s00394-016-1349-z] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2016] [Accepted: 11/15/2016] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To report dietary sugars consumption and their different types and food sources, in European adolescents. METHODS Food consumption data of selected groups were obtained from 1630 adolescents (45.6% males, 12.5-17.5 years) from the HELENA study using two nonconsecutive 24-h recalls. Energy intake, total sugars and free sugars were assessed using the HELENA-DIAT software. Multiple regression analyses were performed adjusting for relevant confounders. RESULTS Total sugars intake (137.5 g/day) represented 23.6% and free sugars (110.1 g/day), 19% of energy intake. Girls had significantly lower intakes of energy, carbohydrates, total sugars and free sugars. 94% of adolescents had a consumption of free sugars above 10% of total energy intake. The main food contributor to free sugars was 'carbonated, soft and isotonic drinks,' followed by 'non-chocolate confectionary' and 'sugar, honey, jam and syrup.' Older boys and girls had significantly higher intakes of free sugars from 'cakes, pies and biscuits.' Free sugars intake was negatively associated with low socioeconomic status for 'non-chocolate confectionary' and 'sugar, honey and jam' groups; with low maternal educational level for carbonated and 'soft drinks,' 'sugar, honey and jam,' 'cakes and pies' and 'breakfast cereals' groups; and with high paternal educational level for 'carbonated and soft drinks' and 'chocolates' group. CONCLUSIONS The majority (94%) of studied adolescents consumed free sugars above 10% of daily energy intake. Our data indicate a broad variety in foods providing free sugars. Continued efforts are required at different levels to reduce the intake of free sugars, especially in families with a low educational level.
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Affiliation(s)
- M I Mesana
- Growth, Exercise, Nutrition and Development (GENUD) Research Group, University of Zaragoza, C/Pedro Cerbuna 12, 50009, Saragossa, Spain.
- Instituto Agroalimentario de Aragón (IA2), Saragossa, Spain.
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), Saragossa, Spain.
- Red de Salud Materno-infantil y del Desarrollo (SAMID), Madrid, Spain.
| | - A Hilbig
- Research Institute of Child Nutrition (FKE), Dortmund, Germany
| | - O Androutsos
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece
| | - M Cuenca-García
- Department of Medical Physiology, School of Medicine, University of Granada, Granada, Spain
- GALENO Research Group, Department of Physical Education, School of Education, University of Cadiz, Puerto Real, Spain
| | - J Dallongeville
- Service d'Epidémiologie et Santé Publique - INSERM U1167 Institut Pasteur de Lille, Lille, France
| | - I Huybrechts
- Faculty of Medicine and Health Sciences, Department of Public Health, Ghent University, Ghent, Belgium
- Dietary Exposure Assessment Group, International Agency for Research on Cancer, Lyon, France
| | - S De Henauw
- Faculty of Medicine and Health Sciences, Department of Public Health, Ghent University, Ghent, Belgium
| | - K Widhalm
- Division of Clinical Nutrition and Prevention, Department of Pediatrics, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria
| | - A Kafatos
- Department of Social Medicine, Preventive Medicine and Nutrition Clinic, School of Medicine, University of Crete, Heraklion, Crete, Greece
| | - E Nova
- Inmunonutrition Research Group, Department of Metabolism and Nutrition, Instituto del Frío, Institute of Food Science and Technology and Nutrition (ICTAN), Spanish National Research Council (CSIC), Madrid, Spain
| | - A Marcos
- Inmunonutrition Research Group, Department of Metabolism and Nutrition, Instituto del Frío, Institute of Food Science and Technology and Nutrition (ICTAN), Spanish National Research Council (CSIC), Madrid, Spain
| | - M González-Gross
- ImFINE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport-INEF, Technical University of Madrid, Madrid, Spain
- Institut für Ernährungs- und Lebensmittelwissenschaften - Ernährungphysiologie, Rheinische Friedrich Wilhelms Universität, Bonn, Germany
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Madrid, Spain
| | - D Molnar
- Department of Paediatrics, Medical Faculty, University of Pécs, Pecs, Hungary
| | - F Gottrand
- Lille Inflammation Research International Center (LIRIC) UMR 995 Inserm, University of Lille, CHU Lille, 59000, Lille cedex, France
| | - L A Moreno
- Growth, Exercise, Nutrition and Development (GENUD) Research Group, University of Zaragoza, C/Pedro Cerbuna 12, 50009, Saragossa, Spain
- Instituto Agroalimentario de Aragón (IA2), Saragossa, Spain
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), Saragossa, Spain
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Madrid, Spain
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15
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Borges CA, Slater B, Santaliestra-Pasías AM, Mouratidou T, Huybrechts I, Widhalm K, Gottrand F, Manios Y, Jimenez-Pavón D, Valtueña J, Le Donne C, Marcos A, Molnar D, Castillo MJ, De Henauw S, Moreno LA. Dietary Patterns in European and Brazilian Adolescents: Comparisons and Associations with Socioeconomic Factors. Nutrients 2018; 10:E57. [PMID: 29315272 PMCID: PMC5793285 DOI: 10.3390/nu10010057] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2017] [Revised: 12/22/2017] [Accepted: 01/04/2018] [Indexed: 11/17/2022] Open
Abstract
Associations between dietary patterns (DP) and socioeconomic factors have been little explored in adolescents. The aim of this study was to identify DP in European and Brazilian adolescents and to investigate their associations with a range of socioeconomic indicators. Adolescents from the HELENA-study and the Household Budget Survey were analyzed. Factor analysis was used to obtain DP. Linear regression was used to examine the association between DP and SES. In Europeans, the Western DP was associated with low education of the mother, high socioeconomic status (boys), older age (boys), and living in cities of the Northern Europe; in Brazilians, the Western DP was associated with high secondary education of the mother, high socioeconomic status and living in Southern areas of the country. The Traditional European DP, in both genders, was associated with high secondary education of the mother and inversely associated with a high socioeconomic status; the Traditional Brazilian DP, was associated with university level education of the mother and older age (boys). The association between DP and socioeconomic factors is relevant for the understanding of food-related practices and highlight the importance of performing a complete assessment of the socioeconomic influence in adolescent's DP from developed and developing countries.
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Affiliation(s)
- Camila Aparecida Borges
- School of Public Health, Department of Nutrition, University of Sao Paulo Avenue Dr. Arnaldo 715, Sao Paulo 01246-904, Brazil;
| | - Betzabeth Slater
- School of Public Health, Department of Nutrition, University of Sao Paulo Avenue Dr. Arnaldo 715, Sao Paulo 01246-904, Brazil;
| | - Alba Maria Santaliestra-Pasías
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Universidad de Zaragoza, Agroalimentary Institute of Aragon (IA2), Institute of Health Research of Aragon (IIS Aragon), Center for Biomedical Research Network Pathophysiology of Obesity and Nutrition (CIBERObn), 50009 Zaragoza, Spain; (A.M.S.-P.); (T.M.); (L.A.M.)
| | - Theodora Mouratidou
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Universidad de Zaragoza, Agroalimentary Institute of Aragon (IA2), Institute of Health Research of Aragon (IIS Aragon), Center for Biomedical Research Network Pathophysiology of Obesity and Nutrition (CIBERObn), 50009 Zaragoza, Spain; (A.M.S.-P.); (T.M.); (L.A.M.)
| | - Inge Huybrechts
- International Agency for Research on Cancer, 150 Cours Albert Thomas, 69372 Lyon CEDEX 08, France;
| | - Kurt Widhalm
- Medical University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria;
| | - Frédéric Gottrand
- Inserm U955, IFR 114/IMPRT, Faculty of Medicine, University Lille 2, F-59037 Lille, France;
| | - Yannis Manios
- Department of Nutrition and Dietetics, Harokopio University, 70 El Venizelou Ave, 176 71 Athens, Greece;
| | - David Jimenez-Pavón
- MOVE-IT Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cádiz, 11519 Cádiz, Spain;
| | - Jara Valtueña
- ImFINE Research Group, Department of Health and Human Performance, Facultad de Ciencias de la Actividad Física y del Deporte (INEF), Universidad Politécnica de Madrid, C/Martín Fierro, 7, 28040 Madrid, Spain;
| | - Cinzia Le Donne
- Council for Agricultural Research and Economics, Research Centre for Food and Nutrition, Via Ardeatina, 546, 00178 Rome, Italy;
| | - Ascensión Marcos
- Institute of Food Science, Technology and Nutrition (ICTAN), Spanish National Research Council (CSIC), C/Jose Antonio Novais 10, 28040 Madrid, Spain;
| | - Dénes Molnar
- Department of Pediatrics, University of Pécs, Medical School, József A. u. 7., 7623 Pécs, Hungary;
| | - Manuel J. Castillo
- Department of Medical Physiology, Faculty of Medicine, University of Granada, Avenida Madrid, 12, 18012 Granada, Spain;
| | - Stefaan De Henauw
- Faculty of Medicine and Health Sciences, Department of Public Health, Ghent University, 9000 Ghent, Belgium;
| | - Luis A. Moreno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Universidad de Zaragoza, Agroalimentary Institute of Aragon (IA2), Institute of Health Research of Aragon (IIS Aragon), Center for Biomedical Research Network Pathophysiology of Obesity and Nutrition (CIBERObn), 50009 Zaragoza, Spain; (A.M.S.-P.); (T.M.); (L.A.M.)
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16
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González-Gil EM, Cadenas-Sanchez C, Santabárbara J, Bueno-Lozano G, Iglesia I, González-Gross M, Molnar D, Gottrand F, De Henauw S, Kafatos A, Widhalm K, Manios Y, Siani A, Amaro-Gahete F, Rupérez AI, Cañada D, Censi L, Kersting M, Dallongeville J, Marcos A, Ortega FB, Moreno LA. Inflammation in metabolically healthy and metabolically abnormal adolescents: The HELENA study. Nutr Metab Cardiovasc Dis 2018; 28:77-83. [PMID: 29174028 DOI: 10.1016/j.numecd.2017.10.004] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2017] [Revised: 09/21/2017] [Accepted: 10/04/2017] [Indexed: 01/11/2023]
Abstract
BACKGROUND AND AIMS Inflammation may influence the cardio-metabolic profile which relates with the risk of chronic diseases. This study aimed to assess the inflammatory status by metabolic health (MH)/body mass index (BMI) category and to assess how inflammatory markers can predict the cardio-metabolic profile in European adolescents, considering BMI. METHODS AND RESULTS A total of 659 adolescents (295 boys) from a cross-sectional European study were included. Adolescents were classified by metabolic health based on age- and sex-specific cut-off points for glucose, blood pressure, triglycerides, high density cholesterol and BMI. C-reactive protein (CRP), tumor necrosis factor alpha (TNF-α), interleukin (IL-6), complement factors (C3, C4) and cell adhesion molecules were assessed. RESULTS Metabolically abnormal (MA) adolescents had higher values of C3 (p < 0.001) and C4 (p = 0.032) compared to those metabolically healthy (MHy). C3 concentrations significantly increased with the deterioration of the metabolic health and BMI (p < 0.001). Adolescents with higher values of CRP had higher probability of being in the overweight/obese-MH group than those allocated in other categories. Finally, high C3 and C4 concentrations increased the probability of having an unfavorable metabolic/BMI status. CONCLUSIONS Metabolic/BMI status and inflammatory biomarkers are associated, being the CRP, C3 and C4 the most related inflammatory markers with this condition. C3 and C4 were associated with the cardio-metabolic health consistently.
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Affiliation(s)
- E M González-Gil
- GENUD "Growth, Exercise, NUtrition and Development" Research Group, Faculty of Health Sciences, Universidad de Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Spain; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain.
| | - C Cadenas-Sanchez
- PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Spain
| | - J Santabárbara
- Department of Preventive Medicine and Public Health, University of Zaragoza, Zaragoza, Spain
| | - G Bueno-Lozano
- Service of Pediatrics, Hospital Clínico Universitario "Lozano Blesa", Zaragoza, Spain
| | - I Iglesia
- GENUD "Growth, Exercise, NUtrition and Development" Research Group, Faculty of Health Sciences, Universidad de Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Spain; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Spain; Red de Salud materno-infantil y del desarrollo (SAMID), Spain
| | - M González-Gross
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain; ImFine Research Group, Facultad de Ciencias de la Actividad Física y del Deporte-INEF, Universidad Politécnica de Madrid, Madrid, Spain
| | - D Molnar
- Department of Pediatrics, University of Pecs, Pecs, Hungary
| | - F Gottrand
- Univ Lille 2, INSERM U995, CHU-Lille, France
| | - S De Henauw
- Department of Public Health, Ghent University, Ghent, Belgium
| | - A Kafatos
- Preventive Medicine and Nutrition Unit, School of Medicine, University of Crete, Crete, Greece
| | - K Widhalm
- Department of Pediatrics, Division of Clinical Nutrition, Medical University of Vienna, Vienna, Austria
| | - Y Manios
- Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
| | - A Siani
- Unit of Epidemiology and Population Genetics, Institute of Food Sciences, National Research Council, Avellino, Italy
| | - F Amaro-Gahete
- Department of Medical Physiology, School of Medicine, University of Granada, Granada, Spain
| | - A I Rupérez
- GENUD "Growth, Exercise, NUtrition and Development" Research Group, Faculty of Health Sciences, Universidad de Zaragoza, Spain
| | - D Cañada
- ImFine Research Group, Facultad de Ciencias de la Actividad Física y del Deporte-INEF, Universidad Politécnica de Madrid, Madrid, Spain
| | - L Censi
- CREA (Council for Agricultural Research and Economics) - Research Center for Food and Nutrition, Rome, Italy
| | - M Kersting
- Research Institute of Child Nutrition, Rheinische Friedrich-Wilhelms-University Bonn, Dortmund, Germany
| | | | - A Marcos
- Immunonutrition Group, Institute of Food Science, Technology and Nutrition (ICTAN), Spanish National Research Council (CSIC), Madrid, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain
| | - F B Ortega
- PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Spain; Department of Biosciences and Nutrition, Karolinska Institutet, Sweden
| | - L A Moreno
- GENUD "Growth, Exercise, NUtrition and Development" Research Group, Faculty of Health Sciences, Universidad de Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Spain; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain
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17
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Jilani HS, Intemann T, Bogl LH, Eiben G, Molnar D, Moreno LA, Pala V, Russo P, Siani A, Solea A, Veidebaum T, Ahrens W, Hebestreit A. Familial aggregation and socio-demographic correlates of taste preferences in European children. BMC Nutr 2017; 3:87. [PMID: 32153863 PMCID: PMC7050807 DOI: 10.1186/s40795-017-0206-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2017] [Accepted: 11/17/2017] [Indexed: 11/10/2022] Open
Abstract
Background Studies on aggregation of taste preferences among children and their siblings as well as their parents are scarce. We investigated the familial aggregation of taste preferences as well as the effect of sex, age, country of residence and education on variation in taste preferences in the pan- European I.Family cohort. Method Thirteen thousand one hundred sixty-five participants from 7 European countries, comprising 2,230 boys <12 years, 2,110 girls <12 years, 1,682 boys ≥12 years, 1,744 girls ≥12 years and 5,388 parents, completed a Food and Beverage Preference Questionnaire containing 63 food items representing the taste modalities sweet, bitter, salty and fatty. We identified food items that represent the different taste qualities using factor analysis. On the basis of preference ratings for these food and drink items, a preference score for each taste was calculated for children and parents individually. Sibling and parent-child correlations for taste preference scores were calculated. The proportion of variance in children's preference scores that could be explained by their parents' preference scores and potential correlates including sex, age and parental educational was explored. Results Mean taste preferences for sweet, salty and fatty decreased and for bitter increased with age. Taste preference scores correlated stronger between siblings than between children and parents. Children's salty preference scores could be better explained by country than by family members. Children's fatty preference scores could be better explained by family members than by country. Age explained 17% of the variance in sweet and 16% of the variance in fatty taste preference. Sex and education were not associated with taste preference scores. Conclusion Taste preferences are correlated between siblings. Country could explain part of the variance of salty preference scores in children which points to a cultural influence on salt preference. Further, age also explained a relevant proportion of variance in sweet and fatty preference scores.
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Affiliation(s)
- Hannah S Jilani
- 1Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.,2Institute of Statistics, Faculty of Mathematics and Computer Science, University of Bremen, Bremen, Germany
| | - Timm Intemann
- 1Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.,2Institute of Statistics, Faculty of Mathematics and Computer Science, University of Bremen, Bremen, Germany
| | - Leonie H Bogl
- 1Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.,3Institute for Molecular Medicine FIMM, Helsinki, Finland
| | - Gabriele Eiben
- 4Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden
| | - Dénes Molnar
- 5Department of Pediatrics, University of Pécs, Pécs, Hungary
| | - Luis A Moreno
- 6GENUD (Growth, Exercise, Nutrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
| | - Valeria Pala
- 7Department of Preventive and Predictive Medicine, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - Paola Russo
- 8Institute of Food Sciences, National Research Council, Avellino, Italy
| | - Alfonso Siani
- 8Institute of Food Sciences, National Research Council, Avellino, Italy
| | - Antonia Solea
- Research and Education Institute of Child Health, Strovolos, Cyprus
| | - Toomas Veidebaum
- 10Department of Chronic Diseases, National Institute for Health Development, Tallinn, Estonia
| | - Wolfgang Ahrens
- 1Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.,2Institute of Statistics, Faculty of Mathematics and Computer Science, University of Bremen, Bremen, Germany
| | - Antje Hebestreit
- 1Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
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18
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Barker AR, Gracia-Marco L, Ruiz JR, Castillo MJ, Aparicio-Ugarriza R, González-Gross M, Kafatos A, Androutsos O, Polito A, Molnar D, Widhalm K, Moreno LA. Physical activity, sedentary time, TV viewing, physical fitness and cardiovascular disease risk in adolescents: The HELENA study. Int J Cardiol 2017; 254:303-309. [PMID: 29221862 DOI: 10.1016/j.ijcard.2017.11.080] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2017] [Revised: 10/31/2017] [Accepted: 11/22/2017] [Indexed: 12/30/2022]
Abstract
BACKGROUND To examine the independent associations between physical activity (PA) intensities, sedentary time (ST), TV viewing, cardiorespiratory fitness (CRF) and muscular fitness (MF) with cardiovascular disease (CVD) risk in youth. METHODS A cross-sectional study on 534 European adolescents (252 males, 282 females, 12.5-17.5years). Minutes per day of light (LPA), moderate (MPA) and vigorous (VPA) PA and total ST were measured using accelerometers. TV viewing time was measured using a questionnaire. CRF and MF were measured using the 20m shuttle run test and a hand dynamometer respectively. CVD outcomes included markers of body composition (body mass index (BMI), waist circumference (WC), WC/height (Ht) and sum of skinfolds (SumSF)), blood pressure, blood lipids and insulin resistance (HOMA-IR). Clustered CVD risk was calculated using SumSF, HOMA-IR, blood lipids and blood pressure. RESULTS LPA had a significant positive independent relationship with all body composition outcomes (P<0.001) and clustered CVD risk (P=0.046). VPA was negatively related to SumSF (P<0.001), BMI (P=0.018), WC/Ht (P=0.013) and clustered CVD risk (P=0.001), but was non-significant for all when other exposures were considered (P>0.10). MPA had a negative independent relationship with only WC (P=0.029) and ST was not significantly related to CVD risk (P>0.16). TV viewing had a significant positive independent relationship with HOMA-IR (P<0.001) and clustered CVD risk (P=0.019). CRF (all P<0.002) and MF (all P<0.009) had a negative independent relationship with body composition outcomes and clustered CVD risk. CONCLUSIONS Public health guidelines should prioritize on increasing levels of CRF, MF and VPA, and reducing TV viewing time to lower CVD risk in youth.
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Affiliation(s)
- Alan R Barker
- Children's Health and Exercise Research Centre, Sport and Health Sciences, Life and Environmental Sciences, University of Exeter, Exeter, UK.
| | - Luis Gracia-Marco
- PROFITH "PROmoting FITness and Health Through Physical Activity" Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain; Growth, Exercise, NUtrition and Development (GENUD) Research Group, Universidad de Zaragoza, Zaragoza, Spain
| | - Jonatan R Ruiz
- PROFITH "PROmoting FITness and Health Through Physical Activity" Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain
| | - Manuel J Castillo
- Department of Medical Physiology, School of Medicine, University of Granada, Spain
| | - Raquel Aparicio-Ugarriza
- ImFine Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences-INEF, Universidad Politécnica de Madrid, Spain
| | - Marcela González-Gross
- ImFine Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences-INEF, Universidad Politécnica de Madrid, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Nutrición y la Obesidad (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain
| | | | - Odysseas Androutsos
- School of Health Science and Education, Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
| | - Angela Polito
- Council for Agricultural Research and Economics, Research Centre for Food and Nutrition, Rome, Italy
| | - Dénes Molnar
- Department of Pediatrics, University of Pecs, Hungary
| | - Kurt Widhalm
- Division of Nutrition and Metabolism, Department of Pediatrics, Medical University of Vienna, Austria
| | - Luis A Moreno
- Growth, Exercise, NUtrition and Development (GENUD) Research Group, Universidad de Zaragoza, Zaragoza, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Nutrición y la Obesidad (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain; Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria de Aragón (IIS Aragón), Spain
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19
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González-Gil EM, Santabárbara J, Ruiz JR, Bel-Serrat S, Huybrechts I, Pedrero-Chamizo R, de la O A, Gottrand F, Kafatos A, Widhalm K, Manios Y, Molnar D, De Henauw S, Plada M, Ferrari M, Palacios Le Blé G, Siani A, González-Gross M, Gómez-Martínez S, Marcos A, Moreno Aznar LA. Ideal cardiovascular health and inflammation in European adolescents: The HELENA study. Nutr Metab Cardiovasc Dis 2017; 27:447-455. [PMID: 28416098 DOI: 10.1016/j.numecd.2016.12.003] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2016] [Revised: 12/13/2016] [Accepted: 12/14/2016] [Indexed: 11/21/2022]
Abstract
BACKGROUND AND AIMS Inflammation plays a key role in atherosclerosis and this process seems to appear in childhood. The ideal cardiovascular health index (ICHI) has been inversely related to atherosclerotic plaque in adults. However, evidence regarding inflammation and ICHI in adolescents is scarce. The aim is to assess the association between ICHI and inflammation in European adolescents. METHODS AND RESULTS As many as 543 adolescents (251 boys and 292 girls) from the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study, a cross-sectional multi-center study including 9 European countries, were measured. C-reactive protein (CRP), complement factors C3 and C4, leptin and white blood cell counts were used to compute an inflammatory score. Multilevel linear models and multilevel logistic regression were used to assess the association between ICHI and inflammation controlling by covariates. Higher ICHI was associated with a lower inflammatory score, as well as with several individual components, both in boys and girls (p < 0.01). In addition, adolescents with at least 4 ideal components of the ICHI had significantly lower inflammatory score and lower levels of the study biomarkers, except CRP. Finally, the multilevel logistic regression showed that for every unit increase in the ICHI, the probability of having an inflammatory profile decreased by 28.1% in girls. CONCLUSION Results from this study suggest that a better ICHI is associated with a lower inflammatory profile already in adolescence. Improving these health behaviors, and health factors included in the ICHI, could play an important role in CVD prevention.
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Affiliation(s)
- E M González-Gil
- GENUD "Growth, Exercise, NUtrition and Development" Research Group, Faculty of Health Sciences, Universidad de Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Spain; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain.
| | - J Santabárbara
- Department of Preventive Medicine and Public Health, University of Zaragoza, Zaragoza, Spain
| | - J R Ruiz
- PROmoting FITness and Health through physical activity research group (PROFIT), Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada, Spain
| | - S Bel-Serrat
- GENUD "Growth, Exercise, NUtrition and Development" Research Group, Faculty of Health Sciences, Universidad de Zaragoza, Spain
| | - I Huybrechts
- International Agency for Research on Cancer (IARC), Lyon, France; Department of Public Health, Ghent University, Ghent, Belgium
| | - R Pedrero-Chamizo
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain; ImFine Research Group, Facultad de Ciencias de la Actividad Física y del Deporte-INEF, Universidad Politécnica de Madrid, Madrid, Spain
| | - A de la O
- Department of Medical Physiology, School of Medicine, University of Granada, Granada, Spain
| | - F Gottrand
- Univ Lille 2, INSERM U995, CHU, Lille, France
| | - A Kafatos
- Preventive Medicine and Nutrition Unit, School of Medicine, University of Crete, Crete, Greece
| | - K Widhalm
- Department of Pediatrics, Division of Clinical Nutrition, Medical University of Vienna, Vienna, Austria
| | - Y Manios
- Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
| | - D Molnar
- Department of Pediatrics, University of Pecs, Pecs, Hungary
| | - S De Henauw
- Department of Public Health, Ghent University, Ghent, Belgium
| | - M Plada
- Preventive Medicine and Nutrition Unit, School of Medicine, University of Crete, Crete, Greece
| | - M Ferrari
- Research Center for Food and Nutrition, Council for Agricultural Research and Economics, Rome, Italy
| | - G Palacios Le Blé
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain; ImFine Research Group, Facultad de Ciencias de la Actividad Física y del Deporte-INEF, Universidad Politécnica de Madrid, Madrid, Spain
| | - A Siani
- Unit of Epidemiology and Population Genetics, Institute of Food Sciences, National Research Council, Avellino, Italy
| | - M González-Gross
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain; ImFine Research Group, Facultad de Ciencias de la Actividad Física y del Deporte-INEF, Universidad Politécnica de Madrid, Madrid, Spain
| | - S Gómez-Martínez
- Immunonutrition Group, Institute of Food Science, Technology and Nutrition. (ICTAN), Spanish National Research Council (CSIC), Madrid, Spain
| | - A Marcos
- Immunonutrition Group, Institute of Food Science, Technology and Nutrition. (ICTAN), Spanish National Research Council (CSIC), Madrid, Spain
| | - L A Moreno Aznar
- GENUD "Growth, Exercise, NUtrition and Development" Research Group, Faculty of Health Sciences, Universidad de Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Spain; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain
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Mielgo-Ayuso J, Valtueña J, Huybrechts I, Breidenassel C, Cuenca-García M, De Henauw S, Stehle P, Kafatos A, Kersting M, Widhalm K, Manios Y, Azzini E, Molnar D, Moreno LA, González-Gross M. Fruit and vegetables consumption is associated with higher vitamin intake and blood vitamin status among European adolescents. Eur J Clin Nutr 2017; 71:458-467. [PMID: 28120854 DOI: 10.1038/ejcn.2016.232] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2016] [Revised: 10/02/2016] [Accepted: 10/20/2016] [Indexed: 12/16/2022]
Abstract
BACKGROUND/OBJECTIVES Current research in adults indicates that fruit and vegetable (FAV) consumption increases serum levels of vitamins C, E and folate of β-carotene and reduces homocysteine concentrations. The aim of the present study was to examine the association of FAV consumption on vitamin intakes and their impact on blood vitamin concentrations in European adolescents. SUBJECT/METHODS This multi-center cross-sectional study included 702 (53.7% females) adolescents, aged 12.50-17.49 years, from 10 European cities. Two independent self-administered 24 h dietary recalls were used to estimate the adolescent's diet. The total energy, vitamins and FAV consumption were calculated. Adolescents were categorized into three groups: (i) very low FAV intake (<200 g/day); (ii) low FAV consumption (200-399 g/day) and (iii) adequate FAV consumption (⩾400 g/day). Adolescent's fasted blood samples were taken for their analysis on vitamin concentrations. RESULTS The main results showed that those adolescents meeting the FAV recommendation, classified as FAV adequate consumers, presented higher intake of energy and some vitamins as B6, total folic acid, C, E and β-carotene compared with FAV very low consumers (P<0.05). Regarding their blood status, male adolescents who had a very low FAV consumption presented lower plasma folate, RBC folate blood concentrations compared with adequate FAV consumers (P<0.05). Female adequate FAV consumers had higher concentrations of pyridoxal phosphate (PLP), plasma folate, RBC folate, vitamin C, β-carotene and α-tocopherol compared with very low and low consumers (P<0.05). CONCLUSIONS Having a FAV dairy intake above 400 g/day is associated with higher vitamin intake and blood vitamin concentrations, especially for antioxidant and B-vitamins concentrations.
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Affiliation(s)
- J Mielgo-Ayuso
- ImFINE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences (INEF), Technical University of Madrid, Madrid, Spain
| | - J Valtueña
- ImFINE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences (INEF), Technical University of Madrid, Madrid, Spain
| | - I Huybrechts
- Department of Public Health, Ghent University, Ghent, Belgium
- International Agency for Research on Cancer, Lyon CEDEX, France
| | - C Breidenassel
- ImFINE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences (INEF), Technical University of Madrid, Madrid, Spain
- Department of Nutrition and Food Science, University of Bonn, Bonn, Germany
| | - M Cuenca-García
- Department of Medical Physiology, School of Medicine, Granada University, Granada, Spain
- Department of Physical Education, Faculty of Education, Cádiz University, Cádiz, Spain
| | - S De Henauw
- Department of Public Health, Ghent University, Ghent, Belgium
| | - P Stehle
- Department of Nutrition and Food Science, University of Bonn, Bonn, Germany
| | - A Kafatos
- Preventive Medicine and Nutrition Unit, University of Crete, School of Medicine, Heraklion, Crete, Greece
| | - M Kersting
- Research Institute of Child Nutrition Dortmund, Rheinische Friedrich-Wilhelms Universitaät, Bonn, Germany
| | - K Widhalm
- Department of Pediatrics; Private Medical University, Salzburg, Austria
| | - Y Manios
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece
| | - E Azzini
- Council for Agricultural Research and Economics (CREA), Research Center for Food and Nutrition, Rome 00178, Italy
| | - D Molnar
- Department of Paediatrics, Medical Faculty, University of Pecs, Pecs, Hungary
| | - L A Moreno
- GENUD (Growth, Exercise, NUtrition and Development) Research group, Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón)
- CIBER: CB12/03/30038 Fisiopatología de la Obesidad y la Nutrición, CIBERobn, Instituto de Salud Carlos III (ISCIII), Madrid, Spain
| | - M González-Gross
- ImFINE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences (INEF), Technical University of Madrid, Madrid, Spain
- Department of Nutrition and Food Science, University of Bonn, Bonn, Germany
- CIBER: CB12/03/30038 Fisiopatología de la Obesidad y la Nutrición, CIBERobn, Instituto de Salud Carlos III (ISCIII), Madrid, Spain
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21
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Garaulet M, Martinez-Nicolas A, Ruiz JR, Konstabel K, Labayen I, González-Gross M, Marcos A, Molnar D, Widhalm K, Casajús JA, De Henauw S, Kafatos A, Breidenassel C, Sjöström M, Castillo MJ, Moreno LA, Madrid JA, Ortega FB. Fragmentation of daily rhythms associates with obesity and cardiorespiratory fitness in adolescents: The HELENA study. Clin Nutr 2016; 36:1558-1566. [PMID: 27890490 DOI: 10.1016/j.clnu.2016.09.026] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2016] [Revised: 09/22/2016] [Accepted: 09/26/2016] [Indexed: 12/23/2022]
Abstract
BACKGROUND & AIMS Chronobiology studies periodic changes in living organisms and it has been proposed as a promising approach to investigate obesity. We analyze the association of the characteristics of the rest-activity rhythms with obesity, cardiorespiratory fitness and metabolic risk in adolescents from nine European countries. METHODS 1044 adolescents (12.5-17.5 y) were studied. Circadian health was evaluated by actigraphy with accelerometers (Actigraph GT1M). Characteristics of the daytime activity such as fragmentation (intradaily variability), estimated acrophase, and 10 h mean daytime activity index were obtained. Body composition was assessed using Bioelectrical-Impedance-Analysis, skinfold thickness, air-displacement-plethysmography and Dual-energy-X-ray-Absorptiometry. Cardiorespiratory fitness (VO2max) and metabolic risk were studied. RESULTS Highly fragmented activity rhythms were associated with obesity and central adiposity (P < 0.05). Obese adolescents had ∼3 times higher odds of having a high fragmentation of daytime activity compared to normal weight adolescents OR (95% CI) = 2.8 (1.170, 6.443). A highly fragmented rhythm was also related to lower cardiorespiratory fitness and higher metabolic risk (P < 0.05) so those adolescents classified as low fitness showed a significantly higher fragmentation of daytime activity than those included in the high fitness group (P < 0.0001). Other characteristics of the rhythms such as smaller 10 h daytime mean activity index and delayed estimated acrophase were also related to obesity and metabolic risk (P < 0.05). CONCLUSIONS Our results indicate that the daily organization of the rest-activity cycle is more fragmented in obese and less fit adolescents and correlates with higher metabolic risk. This fact reinforces our hypothesis that disturbances in daily rhythms can be considered as sensitive markers of poorer adolescent's health.
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Affiliation(s)
- Marta Garaulet
- Chronobiology Laboratory, Department of Physiology, University of Murcia and Research Biomedical Institute of Murcia (IMIB), Murcia, Spain.
| | - Antonio Martinez-Nicolas
- Chronobiology Laboratory, Department of Physiology, University of Murcia and Research Biomedical Institute of Murcia (IMIB), Murcia, Spain
| | - Jonatan R Ruiz
- PROFITH "PROmoting FITness and Health Through Physical Activity" Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Spain; Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden
| | - Kenn Konstabel
- Department of Chronic Diseases, Centre of Health and Behavioral Sciences, National Institute for Health Development, Tallinn, Estonia
| | - Idoia Labayen
- Department of Nutrition and Food Science, University of the Basque Country, Vitoria, Spain
| | - Marcela González-Gross
- Department of Health and Human Performance, Facultad de Ciencias de la Actividad Física y del Deporte, Universidad Politécnica de Madrid, Madrid, Spain
| | - Ascensión Marcos
- Immunonutrition Research Group, Department of Metabolism and Nutrition, Instituto del Frio, Institute of Food Science, Technology and Nutrition (ICTAN), Spanish National Research Council (CSIC), Madrid, Spain
| | - Dénes Molnar
- Department of Paediatrics, Medical Faculty, University of Pécs, József A, Pécs, Hungary
| | - Kurt Widhalm
- Division of Clinical Nutrition and Prevention, Department of Pediatrics, Medical University of Vienna, Vienna, Austria
| | - Jose Antonio Casajús
- GENUD "Growth, Exercise, NUtrition and Development" Research Group, Universidad de Zaragoza, Spain; Faculty of Health and Sport Science (FCSD), Department of Physiotherapy and Nursing, Universidad de Zaragoza, Huesca, Spain
| | | | - Anthony Kafatos
- Preventive Medicine and Nutrition Unit, University of Crete, School of Medicine, Heraklion, Crete, Greece
| | - Christina Breidenassel
- Institut für Ernährungs- und Lebensmittelwissenschaften - Humanernährung, Rheinische Friedrich-Wilhelms Universität, Bonn, Germany
| | - Michael Sjöström
- Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden
| | - Manuel J Castillo
- Department of Medical Physiology, Faculty of Medicine, University of Granada, Granada, Spain
| | - Luis A Moreno
- GENUD "Growth, Exercise, NUtrition and Development" Research Group, Universidad de Zaragoza, Spain; Faculty of Health Science (FCS), Department of Physiotherapy and Nursing, Universidad de Zaragoza, Zaragoza, Spain; Department of Preventive Medicine, Faculty of Medicine, University of Sao Paulo, Brazil
| | - Juan A Madrid
- Chronobiology Laboratory, Department of Physiology, University of Murcia and Research Biomedical Institute of Murcia (IMIB), Murcia, Spain
| | - Francisco B Ortega
- PROFITH "PROmoting FITness and Health Through Physical Activity" Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Spain; Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden
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22
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Nagy P, Intemann T, Buck C, Pigeot I, Ahrens W, Molnar D. Percentile reference values for anthropometric body composition indices in European children from the IDEFICS study. Int J Obes (Lond) 2016; 40:1604-1605. [PMID: 27701402 PMCID: PMC5056956 DOI: 10.1038/ijo.2016.119] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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23
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Labayen I, Ruiz JR, Huybrechts I, Ortega FB, Arenaza L, González-Gross M, Widhalm K, Molnar D, Manios Y, DeHenauw S, Meirhaeghe A, Moreno LA. Dietary fat intake modifies the influence of the FTO rs9939609 polymorphism on adiposity in adolescents: The HELENA cross-sectional study. Nutr Metab Cardiovasc Dis 2016; 26:937-43. [PMID: 27514607 DOI: 10.1016/j.numecd.2016.07.010] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2016] [Revised: 07/15/2016] [Accepted: 07/17/2016] [Indexed: 11/18/2022]
Abstract
BACKGROUND AND AIMS The fat mass and obesity associated gene (FTO) has been associated with obesity and dietary intake. The aims were: (i) To assess whether energy and macronutrient intakes were different across the FTOrs9939609 genotypes in adolescents, and (ii) to explore whether dietary fat intake modified the association of the rs9939609 polymorphism with adiposity. METHODS AND RESULTS The FTOrs9939609 polymorphism was genotyped in 652 adolescents (53% females, 14.8 ± 1.2 years, TT = 246, TA = 296, AA = 110). Energy and macronutrient intake were assessed by two non-consecutive 24 h-recalls. Weight, height, waist circumference and skinfold thicknesses were measured and body fat percent was calculated. Energy and macronutrient intake were similar across the FTOrs9939609 genotypes (P > 0.2). There were significant interactions between the FTO polymorphism and fat intake on adiposity estimates (P < 0.05). In adolescents whose fat intake was below 30% (N = 203), the A allele of rs9939609 was not associated with adiposity indices. In contrast, in adolescents whose fat intake was between 30% and 35% of energy (N = 190), the rs9939609 polymorphism was associated with a 1.9% higher body fat per risk allele (95%CI: 0.39, 3.33; P < 0.05), and in those whose fat intake was higher than 35% (N = 259), it was associated with a 2.8% higher body fat per risk allele (95%CI: 1.27, 4.43; P < 0.001). CONCLUSIONS These findings support the concept that the deleterious effect of the FTOrs9939609 polymorphism on adiposity is exacerbated in adolescents consuming high fat diets. In contrast, the consumption of low fat diets (<30% of energy) may attenuate the genetic predisposition to obesity in risk allele carriers.
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Affiliation(s)
- I Labayen
- Department of Nutrition and Food Science, University of the Basque Country, UPV/EHU, Vitoria, Spain; Nutrition, Exercise and Health Research Group, Elikadura, Ariketa Fisikoa eta Osasuna, ELIKOS Group, University of the Basque Country, UPV/EHU, Vitoria-Gasteiz, Spain.
| | - J R Ruiz
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain
| | - I Huybrechts
- Department of Public Health, Ghent University, Ghent, Belgium; International Agency for Research on Cancer, Dietary Exposure Assessment Group, Lyon, France
| | - F B Ortega
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain
| | - L Arenaza
- Department of Nutrition and Food Science, University of the Basque Country, UPV/EHU, Vitoria, Spain; Nutrition, Exercise and Health Research Group, Elikadura, Ariketa Fisikoa eta Osasuna, ELIKOS Group, University of the Basque Country, UPV/EHU, Vitoria-Gasteiz, Spain
| | - M González-Gross
- Faculty of Physical Activity and Sport Sciences (INEF), Universidad Politécnica de Madrid, Madrid, Spain
| | - K Widhalm
- Division of Nutrition and Metabolism, Department of Pediatrics, Medical University of Vienna, Vienna, Austria
| | - D Molnar
- Department of Pediatrics, University of Pecs, Pécs, Hungary
| | - Y Manios
- Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
| | - S DeHenauw
- Department of Public Health, Ghent University, Ghent, Belgium
| | - A Meirhaeghe
- INSERM U1167, Institut Pasteur de Lille, Université Lille Nord de France, France
| | - L A Moreno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, University of Zaragoza, Zaragoza, Spain; Department of Preventive Medicine, Faculty of Medicine, University of Sao Paulo, Sao Paulo, Brazil
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24
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Hunsberger M, Lehtinen-Jacks S, Mehlig K, Gwozdz W, Russo P, Michels N, Bammann K, Pigeot I, Fernández-Alvira JM, Thumann BF, Molnar D, Veidebaum T, Hadjigeorgiou C, Lissner L. Bidirectional associations between psychosocial well-being and body mass index in European children: longitudinal findings from the IDEFICS study. BMC Public Health 2016; 16:949. [PMID: 27608963 PMCID: PMC5017061 DOI: 10.1186/s12889-016-3626-4] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2015] [Accepted: 09/01/2016] [Indexed: 11/10/2022] Open
Abstract
Background The negative impact of childhood overweight on psychosocial well-being has been demonstrated in a number of studies. There is also evidence that psychosocial well-being may influence future overweight. We examined the bidirectional association between childhood overweight and psychosocial well-being in children from a large European cohort. The dual aim was to investigate the chronology of associations between overweight and psychosocial health indicators and the extent to which these associations may be explained by parental education. Methods Participants from the IDEFICS study were recruited from eight countries between September 2007 and June 2008 when the children were aged 2 to 9.9 years old. Children and families provided data on lifestyle, psychosocial well-being, and measured anthropometry at baseline and at follow-up 2 years later. This study includes children with weight, height, and psychosocial well-being measurements at both time points (n = 7,831). Psychosocial well-being was measured by the KINDL® and Strengths and Difficulties Questionnaire respectively. The first instrument measures health-related quality of life including emotional well-being, self-esteem, parent relations and social relations while the second measures well-being based on emotional symptoms, conduct problems and peer-related problems. Logistic regression was used for modeling longitudinal associations. Results Children who were overweight at baseline had increased risk of poor health-related quality of life (odds ratio (OR) = 1.23; 95 % confidence interval (CI):1.03–1.48) measured 2 years later; this association was unidirectional. In contrast to health-related quality of life, poor well-being at baseline was associated with increased risk of overweight (OR = 1.39; 95 % CI:1.03–1.86) at 2 year follow-up; this association was also only observed in one direction. Adjustment for parental education did not change our findings. Conclusion Our findings indicate that the association between overweight and psychosocial well-being may be bidirectional but varies by assessment measures. Future research should further investigate which aspects of psychosocial well-being are most likely to precede overweight and which are more likely to be consequences of overweight.
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Affiliation(s)
- Monica Hunsberger
- Section for Epidemiology and Social Medicine (EPSO), The Sahlgrenska Academy, University of Gothenburg, Box 453, 40530, Gothenburg, Sweden.
| | | | - Kirsten Mehlig
- Section for Epidemiology and Social Medicine (EPSO), The Sahlgrenska Academy, University of Gothenburg, Box 453, 40530, Gothenburg, Sweden
| | - Wencke Gwozdz
- Department of Intercultural Communication and Management, Copenhagen Business School, POR/18.B-1.118, Copenhagen, Denmark
| | - Paola Russo
- Institute of Food Sciences, CNR Via Roma 64-83100, Avellino, Italy
| | | | - Karin Bammann
- Institute for Public Health and Nursing Research, Faculty of Human and Health Sciences (FB 11), University of Bremen, Grazer Str. 2a, 28359, Bremen, Germany
| | - Iris Pigeot
- Institute of Statistics, Faculty of Mathematics and Computer Science, University of Bremen, Bremen, Germany.,Leibniz Institute for Prevention Research and Epidemiology, BIPS, Achterstr. 30, 28359, Bremen, Germany
| | - Juan Miguel Fernández-Alvira
- Centro Nacional de Investigaciones Cardiovasculares Carlos III Madrid, Spain and GENUD (Growth, Exercise, Nutrition and Development) Research group, University of Zaragoza, Madrid, Spain
| | - Barbara Franziska Thumann
- Leibniz Institute for Prevention Research and Epidemiology, BIPS, Achterstr. 30, 28359, Bremen, Germany
| | - Dénes Molnar
- Department of Pediatrics, Medical Faculty, University of Pécs, H-7623, Pécs, József A. u. 7, Hungary
| | - Toomas Veidebaum
- National Institute for Health and Development, Hiiu 42, 11619, Tallinn, Estonia
| | | | - Lauren Lissner
- Section for Epidemiology and Social Medicine (EPSO), The Sahlgrenska Academy, University of Gothenburg, Box 453, 40530, Gothenburg, Sweden
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25
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Peplies J, Börnhorst C, Günther K, Fraterman A, Russo P, Veidebaum T, Tornaritis M, De Henauw S, Marild S, Molnar D, Moreno LA, Ahrens W. Longitudinal associations of lifestyle factors and weight status with insulin resistance (HOMA-IR) in preadolescent children: the large prospective cohort study IDEFICS. Int J Behav Nutr Phys Act 2016; 13:97. [PMID: 27590045 PMCID: PMC5009569 DOI: 10.1186/s12966-016-0424-4] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2016] [Accepted: 08/24/2016] [Indexed: 12/31/2022] Open
Abstract
Background This study investigates prospective associations of anthropometrical and lifestyle indices with insulin resistance (IR) in European children from the IDEFICS cohort. Insulin resistance (IR) is a growing concern in childhood obesity and a central aspect of the metabolic syndrome (MS). It most likely represents the link between obesity and type 2 diabetes. Methods This longitudinal study included 3348 preadolescent children aged 3 to 10.9 years from 8 European countries who were observed from 2007/2008 to 2009/2010. The main outcome measure in the present analysis is HOMA-IR (homeostasis model assessment as a common proxy indicator to quantify IR) at follow-up and in its longitudinal development. Anthropometrical measures and lifestyle indices, including objectively determined physical activity, were considered, among others factors, as determinants of IR. Prospective associations between IR at follow-up and anthropometrical and lifestyle indices were estimated by logistic regression models. Results Country-specific prevalence rates of IR in the IDEFICS cohort of European children showed a positive trend with weight category. Prospective multivariate analyses showed the strongest positive associations of IR with BMI z-score (OR = 2.6 for unit change from the mean, 95 % CI 2.1–3.1) and z-score of waist circumference (OR = 2.2 for unit change from the mean, 95 % CI 1.9–2.6), which were analysed in separate models, but also for sex (OR = 2.2 for girls vs. boys, 95 % CI 1.5–3.1 up to OR 2.5, 95 % CI 1.8–3.6 depending on the model), audio-visual media time (OR = 1.2 for an additional hour per day, 95 % CI 1.0–1.4 in both models) and an inverse association of objectively determined physical activity (OR = 0.5 for 3rd compared to 1st quartile, 95 % CI 0.3–0.9 in both models). A longitudinal reduction of HOMA-IR was accompanied with a parallel decline in BMI. Conclusions This study is, to our knowledge, the first prospective study on IR in a preadolescent children’s population. It supports the common hypothesis that overweight and obesity are the main determinants of IR. Our data also indicate that physical inactivity and a sedentary lifestyle are likewise associated with the development of IR, independent of weight status. The promotion of physical activity should thus be considered as an equal option to dietary intervention for the treatment of IR in the paediatric practice.
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Affiliation(s)
- Jenny Peplies
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.,Faculty of Human and Health Sciences, Institute for Public Health and Nursing Research, Bremen University, Bremen, Germany
| | - Claudia Börnhorst
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - Kathrin Günther
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - Arno Fraterman
- MVZ Dortmund Dr. Eberhard und Partner, Dortmund, Germany
| | - Paola Russo
- Epidemiology & Population Genetics, Institute of Food Sciences, CNR, Avellino, Italy
| | | | | | | | - Staffan Marild
- Department of Public Health and Community Medicine, The Queen Silvia Children's Hospital, Göteborg, Sweden
| | - Dénes Molnar
- National Institute of Health Promotion, University of Pécs, Gyermekklinika, Pécs, Hungary
| | - Luis A Moreno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, School of Health Sciences, University of Zaragoza, Zaragoza, Spain
| | - Wolfgang Ahrens
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany. .,Faculty of Human and Health Sciences, Institute for Public Health and Nursing Research, Bremen University, Bremen, Germany. .,Epidemiological Methods and Etiologic Research, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstraße 30, 28359, Bremen, Germany.
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26
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Zaqout M, Michels N, Bammann K, Ahrens W, Sprengeler O, Molnar D, Hadjigeorgiou C, Eiben G, Konstabel K, Russo P, Jiménez-Pavón D, Moreno LA, De Henauw S. Influence of physical fitness on cardio-metabolic risk factors in European children. The IDEFICS study. Int J Obes (Lond) 2016; 40:1119-25. [PMID: 26857382 DOI: 10.1038/ijo.2016.22] [Citation(s) in RCA: 58] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2015] [Revised: 11/30/2015] [Accepted: 12/09/2015] [Indexed: 01/02/2023]
Abstract
OBJECTIVE The aim of the study was to assess the associations of individual and combined physical fitness components with single and clustering of cardio-metabolic risk factors in children. SUBJECTS/METHODS This 2-year longitudinal study included a total of 1635 European children aged 6-11 years. The test battery included cardio-respiratory fitness (20-m shuttle run test), upper-limb strength (handgrip test), lower-limb strength (standing long jump test), balance (flamingo test), flexibility (back-saver sit-and-reach) and speed (40-m sprint test). Metabolic risk was assessed through z-score standardization using four components: waist circumference, blood pressure (systolic and diastolic), blood lipids (triglycerides and high-density lipoprotein) and insulin resistance (homeostasis model assessment). Mixed model regression analyses were adjusted for sex, age, parental education, sugar and fat intake, and body mass index. RESULTS Physical fitness was inversely associated with clustered metabolic risk (P<0.001). All coefficients showed a higher clustered metabolic risk with lower physical fitness, except for upper-limb strength (β=0.057; P=0.002) where the opposite association was found. Cardio-respiratory fitness (β=-0.124; P<0.001) and lower-limb strength (β=-0.076; P=0.002) were the most important longitudinal determinants. The effects of cardio-respiratory fitness were even independent of the amount of vigorous-to-moderate activity (β=-0.059; P=0.029). Among all the metabolic risk components, blood pressure seemed not well predicted by physical fitness, while waist circumference, blood lipids and insulin resistance all seemed significantly predicted by physical fitness. CONCLUSION Poor physical fitness in children is associated with the development of cardio-metabolic risk factors. Based on our results, this risk might be modified by improving mainly cardio-respiratory fitness and lower-limb muscular strength.
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Affiliation(s)
- M Zaqout
- Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - N Michels
- Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - K Bammann
- Institute for Public Health and Nursing Research, Faculty for Human and Health Sciences, University of Bremen, Bremen, Germany.,Leibniz Institute for Prevention Research and Epidemiology BIPS, Bremen, Germany
| | - W Ahrens
- Leibniz Institute for Prevention Research and Epidemiology BIPS, Bremen, Germany
| | - O Sprengeler
- Leibniz Institute for Prevention Research and Epidemiology BIPS, Bremen, Germany
| | - D Molnar
- Department of Pediatrics, Medical Faculty, University of Pécs, Pécs, Hungary
| | - C Hadjigeorgiou
- Research and Education Institute of Child Health, Strovolos, Cyprus
| | - G Eiben
- Public Health Epidemiology Unit (EPI), Department of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - K Konstabel
- Department of Chronic Diseases, Centre of Behavioural and Health Sciences, National Institute for Health Development, Tallinn, Estonia
| | - P Russo
- Unit of Epidemiology and Population Genetics, Institute of Food Sciences, National Research Council, Avellino, Italy
| | - D Jiménez-Pavón
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, University of Zaragoza, Zaragoza, Spain
| | - L A Moreno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, University of Zaragoza, Zaragoza, Spain
| | - S De Henauw
- Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
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González-Gil EM, Santabárbara J, Siani A, Ahrens W, Sioen I, Eiben G, Günther K, Iacoviello L, Molnar D, Risé P, Russo P, Tornaritis M, Veidebaum T, Galli C, Moreno LA. Whole-blood fatty acids and inflammation in European children: the IDEFICS Study. Eur J Clin Nutr 2016; 70:819-23. [DOI: 10.1038/ejcn.2015.219] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2015] [Revised: 10/15/2015] [Accepted: 11/24/2015] [Indexed: 01/09/2023]
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de Moraes ACF, Fernández-Alvira JM, Rendo-Urteaga T, Julián-Almárcegui C, Beghin L, Kafatos A, Molnar D, De Henauw S, Manios Y, Widhalm K, Pedrero-Chamizo R, Galfo M, Gottrand F, Carvalho HB, Moreno LA. Effects of clustering of multiple lifestyle-related behaviors on blood pressure in adolescents from two observational studies. Prev Med 2016; 82:111-7. [PMID: 26592688 DOI: 10.1016/j.ypmed.2015.11.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2015] [Revised: 11/12/2015] [Accepted: 11/15/2015] [Indexed: 02/06/2023]
Abstract
BACKGROUD Several lifestyle-related behaviors are associated with cardiovascular health outcomes in adolescents. To examine the associations between clustered lifestyle-related behaviors and blood pressure (BP) levels in adolescents. METHODS Participants were recruited by multistage random cluster in two cross-sectional studies; one conducted in 2006 and 2007 in ten cities from nine European countries: Athens and Heraklion in Greece, Dortmund in Germany, Ghent in Belgium, Lille in France, Pécs in Hungary, Rome in Italy, Stockholm in Sweden, Vienna in Austria, and Zaragoza in Spain; and another conducted in 2007 one city in Brazil (Maringá/PR). Systolic BP (SBP) and diastolic BP (DBP) (outcomes) and clustered behaviors (weekly consumption of fruits and vegetables, weekly consumption of sugar-sweetened beverages, sleep duration, screen time and physical activity) were analyzed. RESULTS The Healthy Eating cluster was negatively associated with DBP in European girls, β=-2.46 (-4.62; -0.30), and with SBP in Brazilian boys, β=-2.79 (-3.10; -0.15). Furthermore, the Unhealthy Eating cluster was associated with increased SBP in European girls, β=4.54 (1.29; 7.79), and in Brazilian boys, β=4.10 (0.80; 7.40). CONCLUSION The Healthy Eating cluster was associated with lower blood pressure, whereas the Unhealthy Eating cluster was associated with increased SBP in adolescents.
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Affiliation(s)
- Augusto César Ferreira de Moraes
- School of Medicine of the University of São Paulo, YCARE (Youth/Child and cArdiovascular Risk and Environmental) Research Group, São Paulo, SP, Brazil; Facultad de Ciencias de la Salud de la Universidad de Zaragoza, GENUD (Growth, Exercise, NUtrition and Development) Research Group, Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain.
| | - Juan Miguel Fernández-Alvira
- Facultad de Ciencias de la Salud de la Universidad de Zaragoza, GENUD (Growth, Exercise, NUtrition and Development) Research Group, Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain; Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC), Madrid, Spain
| | - Tara Rendo-Urteaga
- School of Medicine of the University of São Paulo, YCARE (Youth/Child and cArdiovascular Risk and Environmental) Research Group, São Paulo, SP, Brazil; Facultad de Ciencias de la Salud de la Universidad de Zaragoza, GENUD (Growth, Exercise, NUtrition and Development) Research Group, Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain
| | - Cristina Julián-Almárcegui
- Facultad de Ciencias de la Salud de la Universidad de Zaragoza, GENUD (Growth, Exercise, NUtrition and Development) Research Group, Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain
| | - Laurent Beghin
- Univ. Lille, Inserm, CHU Lille, U995 LIRIC - Lille Inflammation Research International Center, F-59000 Lille, France; Centre d'Investigation Clinique, CIC-1403-Inserm-CH&U, Lille, F-59037 France
| | - Anthony Kafatos
- Preventive Medicine & Nutrition Unit, University of Crete School of Medicine, Heraklion, Crete, Greece
| | - Dénes Molnar
- Department of Paediatrics, Medical Faculty, University of Pécs, Pécs, Hungary
| | | | - Yannis Manios
- Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
| | - Kurt Widhalm
- Department of Pediatrics, Private Medical University Salzburg, Salzburg, Austria
| | | | - Myriam Galfo
- Agricultural Research Council, Food and Nutrition Research Centre (CRA-NUT), Rome, Italy
| | - Frederic Gottrand
- Univ. Lille, Inserm, CHU Lille, U995 LIRIC - Lille Inflammation Research International Center, F-59000 Lille, France; Centre d'Investigation Clinique, CIC-1403-Inserm-CH&U, Lille, F-59037 France
| | - Heráclito Barbosa Carvalho
- School of Medicine of the University of São Paulo, YCARE (Youth/Child and cArdiovascular Risk and Environmental) Research Group, São Paulo, SP, Brazil
| | - Luis A Moreno
- Facultad de Ciencias de la Salud de la Universidad de Zaragoza, GENUD (Growth, Exercise, NUtrition and Development) Research Group, Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain; School of Medicine of the University of São Paulo, Department of Preventive Medicine, São Paulo, SP, Brazil
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Vanhelst J, Béghin L, Duhamel A, Manios Y, Molnar D, De Henauw S, Moreno LA, Ortega FB, Sjöström M, Widhalm K, Gottrand F, Moreno LA, Gottrand F, De Henauw S, González-Gross M, Gilbert C, Kafatos A, Moreno LA, Libersa C, De Henauw S, Sánchez J, Gottrand F, Kersting M, Sjöstrom M, Molnár D, González-Gross M, Dallongeville J, Gilbert C, Hall G, Maes L, Scalfi L, Meléndez P, Moreno LA, Fleta J, Casajús JA, Rodríguez G, Tomás C, Mesana MI, Vicente-Rodríguez G, Villarroya A, Gil CM, Ara I, Revenga J, Lachen C, Alvira JF, Bueno G, Lázaro A, Bueno O, León JF, Garagorri JM, Bueno M, Rey López JP, Iglesia I, Velasco P, Bel S, Marcos A, Wärnberg J, Nova E, Gómez S, Díaz EL, Romeo J, Veses A, Puertollano MA, Zapatera B, Pozo T, Martínez D, Beghin L, Libersa C, Gottrand F, Iliescu C, Von Berlepsch J, Kersting M, Sichert-Hellert W, Koeppen E, Molnar D, Erhardt E, Csernus K, Török K, Bokor S, Angster M, Nagy E, Kovács O, Repásy J, Kafatos A, Codrington C, Plada M, Papadaki A, Sarri K, Viskadourou A, Hatzis C, Kiriakakis M, Tsibinos G, Vardavas C, Sbokos M, Protoyeraki E, Fasoulaki M, Stehle P, Pietrzik K, González-Gross M, Breidenassel C, Spinneker A, Al-Tahan J, Segoviano M, Berchtold A, Bierschbach C, Blatzheim E, Schuch A, Pickert P, Castillo MJ, Gutiérrez Á, Ortega FB, Ruiz JR, Artero EG, España-Romero V, Jiménez-Pavón D, Chillón P, Cuenca-García M, Arcella D, Azzini E, Barrison E, Bevilacqua N, Buonocore P, Catasta G, Censi L, Ciarapica D, D'Acapito P, Ferrari M, Galfo M, Le Donne C, Leclercq C, Maiani G, Mauro B, Mistura L, Pasquali A, Piccinelli R, Polito A, Spada R, Sette S, Zaccaria M, Scalfi L, Vitaglione P, Montagnese C, De Bourdeaudhuij I, De Henauw S, De Vriendt T, Maes L, Matthys C, Vereecken C, de Maeyer M, Ottevaere C, Huybrechts I, Widhalm K, Phillipp K, Dietrich S, Kubelka B, Boriss-Riedl M, Manios Y, Grammatikaki E, Bouloubasi Z, Cook TL, Eleutheriou S, Consta O, Moschonis G, Katsaroli I, Kraniou G, Papoutsou S, Keke D, Petraki I, Bellou E, Tanagra S, Kallianoti K, Argyropoulou D, Kondaki K, Tsikrika S, Karaiskos C, Dallongeville J, Meirhaeghe A, Sjöstrom M, Bergman P, Hagströmer M, Hallström L, Hallberg M, Poortvliet E, Wärnberg J, Rizzo N, Beckman L, Wennlöf AH, Patterson E, Kwak L, Cernerud L, Tillgren P, Sörensen S, Sánchez-Molero J, Picó E, Navarro M, Viadel B, Carreres JE, Merino G, Sanjuán R, Lorente M, Sánchez MJ, Castelló S, Gilbert C, Thomas S, Allchurch E, Burguess P, Hall G, Astrom A, Sverkén A, Broberg A, Masson A, Lehoux C, Brabant P, Pate P, Fontaine L, Sebok A, Kuti T, Hegyi A, Maldonado C, Llorente A, García E, von Fircks H, Hallberg ML, Messerer M, Larsson M, Fredriksson H, Adamsson V, Börjesson I, Fernández L, Smillie L, Wills J, González-Gross M, Meléndez A, Benito PJ, Calderón J, Jiménez-Pavón D, Valtueña J, Navarro P, Urzanqui A, Albers U, Pedrero R, Gómez Lorente JJ. Physical Activity Is Associated with Attention Capacity in Adolescents. J Pediatr 2016; 168:126-131.e2. [PMID: 26480921 DOI: 10.1016/j.jpeds.2015.09.029] [Citation(s) in RCA: 50] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2015] [Revised: 08/13/2015] [Accepted: 09/08/2015] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To assess the relationships among physical activity, measured objectively, and attention capacity in European adolescents. STUDY DESIGN The study included 273 adolescents, aged 12.5-17.5 years, who participated in the Healthy Lifestyle in Europe by Nutrition in Adolescence Study. Participants wore a uniaxial accelerometer for 7 days to measure physical activity. The d2 Test of Attention was administered to assess attention capacity. Multivariate analyses were used to study the association of attention capacity with each measure of physical activity. Receiver operating characteristic analysis was performed to determine thresholds that best discriminate between low and good attention capacity. RESULTS After controlling for potential confounding variables (age, sex, body mass index, parental educational level, fat mass, aerobic fitness, and center), adolescents' attention capacity test performances were significantly and positively associated with longer time spent in moderate or moderate-to-vigorous physical activity (MVPA) in free-living conditions (P < .05). Receiver operating characteristic curve analyses revealed that the physical activity thresholds that best discriminated between low/good attention capacities were ≥41 min·day(-1) for moderate, ≥12 min·day(-1) for vigorous, and ≥58 min·day(-1) for MVPA. CONCLUSION These findings suggest that promoting MVPA may be have a beneficial effect on attention capacity, an important component of cognition, in adolescents.
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Affiliation(s)
- Jérémy Vanhelst
- University of Lille, INSERM, CHU Lille, LIRIC, UMR995, F-59000, Lille, France; CHU Lille, INSERM, CIC-PT-1403, F-59000, Lille, France.
| | - Laurent Béghin
- University of Lille, INSERM, CHU Lille, LIRIC, UMR995, F-59000, Lille, France; CHU Lille, INSERM, CIC-PT-1403, F-59000, Lille, France
| | - Alain Duhamel
- Department of Biostatistics, University of Lille, Lille, France
| | - Yannis Manios
- Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
| | - Denes Molnar
- Department of Pediatrics, Pécs University, Pécs, Hungary
| | - Sefaan De Henauw
- Department of Movement and Sport Sciences, Ghent University, Ghent, Belgium
| | - Luis A Moreno
- Growth, Exercise, Nutrition, and Development Research Group, Escuela Universitaria de Ciencias de la Salud, Zaragoza University, Zaragoza, Spain
| | - Francisco B Ortega
- School of Sport Sciences, University of Granada, Granada, Spain; Unit for Preventive Nutrition, Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden
| | - Michael Sjöström
- Unit for Preventive Nutrition, Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden
| | - Kurt Widhalm
- Department of Pediatrics, Paracelsus Private Medical University of Salzburg, Salzburg, Austria
| | - Frédéric Gottrand
- University of Lille, INSERM, CHU Lille, LIRIC, UMR995, F-59000, Lille, France
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Hunsberger M, Mehlig K, Börnhorst C, Hebestreit A, Moreno L, Veidebaum T, Kourides Y, Siani A, Molnar D, Sioen I, Lissner L. Dietary Carbohydrate and Nocturnal Sleep Duration in Relation to Children's BMI: Findings from the IDEFICS Study in Eight European Countries. Nutrients 2015; 7:10223-36. [PMID: 26670249 PMCID: PMC4690081 DOI: 10.3390/nu7125529] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2015] [Revised: 11/28/2015] [Accepted: 12/01/2015] [Indexed: 11/16/2022] Open
Abstract
Previous research has found an association between being overweight and short sleep duration. We hypothesized that this association could be modified by a high carbohydrate (HC) diet and that the timing and type (starch or sugar) of intake may be an important factor in this context. Participants in the prospective, eight-country European study IDEFICS were recruited from September 2007 to June 2008, when they were aged two to nine years. Data on lifestyle, dietary intake and anthropometry were collected on two occasions. This study included 5944 children at baseline and 4301 at two-year follow-up. For each meal occasion (morning, midday, and evening), starch in grams and sugar in grams were divided by total energy intake (EI), and quartiles calculated. HC-starch and HC-sugar intake categories were defined as the highest quartile for each meal occasion. In a mutually adjusted linear regression model, short sleep duration as well as HC-starch in the morning were positively associated with body mass index (BMI) z-scores at baseline. HC-starch at midday was positively associated with body mass index (BMI) z-scores in children with short sleep duration, and negatively associated with BMI z-scores in those with normal sleep. After adjustment for baseline BMI z-scores, associations between total HC from starch or sugar and high BMI z-scores at two-year follow-up did not persist. Our observations offer a perspective on optimal timing for macronutrient consumption, which is known to be influenced by circadian rhythms. Reduced carbohydrate intake, especially during morning and midday meals, and following nocturnal sleep duration recommendations are two modifiable factors that may protect children from being overweight in the future.
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Affiliation(s)
- Monica Hunsberger
- Section for Epidemiology and Social Medicine, University of Gothenburg, P.O. Box 453, 40530 Gothenburg, Sweden.
| | - Kirsten Mehlig
- Section for Epidemiology and Social Medicine, University of Gothenburg, P.O. Box 453, 40530 Gothenburg, Sweden.
| | - Claudia Börnhorst
- Leibniz Institute for Prevention Research and Epidemiology-BIPS GmbH, Achterstrasse 30, D-28359 Bremen, Germany.
| | - Antje Hebestreit
- Leibniz Institute for Prevention Research and Epidemiology-BIPS GmbH, Achterstrasse 30, D-28359 Bremen, Germany.
| | - Luis Moreno
- Growth, Exercise, Nutrition, and Development (GENUD) research group, University of Zaragoza, Domingo Miral, 50009 Zaragoza, Spain.
| | - Toomas Veidebaum
- National Institute for Health Development, P.O. Box 3012, 10504 Tallinn, Estonia.
| | - Yiannis Kourides
- Research and Education Institute of Child Health, 138 Limassol Ave, #205, 2015, Strovolos 510903, Cyprus.
| | - Alfonso Siani
- Institute for Food Sciences, Unit of Epidemiology and Population Genetics, National Research Council, Via Roma 64, 83100 Avellino, Italy.
| | - Dénes Molnar
- Department of Paediatrics, Medical Faculty, University of Pécs, Jozsef A.u., 7 H-1062 Budapest, Hungary.
| | - Isabelle Sioen
- Department of Public Health, Ghent University, 4K3, De Pintelaan 185, 9000 Ghent, Belgium.
- Research Foundation-Flanders, Egmonstraat 5, B-1000 Brussels, Belgium.
| | - Lauren Lissner
- Section for Epidemiology and Social Medicine, University of Gothenburg, P.O. Box 453, 40530 Gothenburg, Sweden.
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Labayen I, Ruiz JR, Ortega FB, Davis CL, Rodríguez G, González-Gross M, Breidenassel C, Dallongeville J, Marcos A, Widhalm K, Kafatos A, Molnar D, DeHenauw S, Gottrand F, Moreno LA. Liver enzymes and clustering cardiometabolic risk factors in European adolescents: the HELENA study. Pediatr Obes 2015; 10:361-70. [PMID: 25515703 DOI: 10.1111/ijpo.273] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2014] [Revised: 06/26/2014] [Accepted: 09/26/2014] [Indexed: 11/29/2022]
Abstract
OBJECTIVES This study aimed to explore the associations of liver biomarkers with cardiometabolic risk factors and their clustering, and to provide reference values (percentiles) and cut-off points for liver biomarkers associated with high cardiometabolic risk in European adolescents. METHODS Alanine aminotransferase (ALT), gamma-glutamyltransferase (GGT), aspartate aminotransferase to ALT ratio (AST/ALT), waist circumference, blood pressure, triglycerides, high-density lipoprotein cholesterol and insulin were measured in 1084 adolescents. We computed a continuous cardiometabolic risk score and defined the high cardiometabolic risk. RESULTS Higher ALT and GGT and lower AST/ALT were associated with adiposity and with the number of adverse cardiometabolic risk factors (Ps < 0.05). Higher GGT and lower AST/ALT were associated with higher cardiometabolic risk score (Ps < 0.001) in males and females, and ALT only in males (Ps < 0.001). Gender- and age-specific percentiles for liver biomarkers were provided. Receiver operating characteristic analyses showed a significant discriminatory accuracy of AST/ALT in identifying the low/high cardiometabolic risk (Ps < 0.01) and thresholds were provided. CONCLUSIONS Higher GGT and lower AST/ALT are associated with higher cardiometabolic risk factors and their clustering in male and female European adolescents, whereas the associations of ALT were gender dependent. Our results suggest the usefulness of AST/ALT as a screening test in the assessment of adolescents with high cardiometabolic risk and provide gender- and age-specific thresholds that might be of clinical interest.
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Affiliation(s)
- I Labayen
- Department of Nutrition and Food Science, University of the Basque Country, UPV/EHU, Vitoria, Spain
| | - J R Ruiz
- PROFITH 'PROmoting FITness and Health through Physical Activity' Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain.,Department of Biosciences and Nutrition at NOVUM, Unit for Preventive Nutrition, Karolinska Institutet, Huddinge, Sweden
| | - F B Ortega
- PROFITH 'PROmoting FITness and Health through Physical Activity' Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain.,Department of Biosciences and Nutrition at NOVUM, Unit for Preventive Nutrition, Karolinska Institutet, Huddinge, Sweden
| | - C L Davis
- Georgia Prevention Institute, Medical College of Georgia, Georgia Regents University, Augusta, GA, USA
| | - G Rodríguez
- Department of Pediatrics, Faculty of Medicine, University of Zaragoza, Health Research Institute of Aragon (IIS Aragón), Aragon, Spain
| | - M González-Gross
- Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences-INEF, Universidad Politécnica de Madrid, Madrid, Spain
| | - C Breidenassel
- Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences-INEF, Universidad Politécnica de Madrid, Madrid, Spain.,Department of Nutrition and Food Science, University of Bonn, Bonn, Germany
| | - J Dallongeville
- INSERM, U744, Institut Pasteur de Lille, UDSL, Lille, France
| | - A Marcos
- Immunonutrition Research Group, Department of Metabolism and Nutrition, Spanish Council for Scientific Research (CSIC), Madrid, Spain
| | - K Widhalm
- Division of Nutrition and Metabolism, Department of Pediatrics, Medical University of Vienna, Vienna, Austria
| | - A Kafatos
- University of Crete School of Medicine, Greece
| | - D Molnar
- Department of Pediatrics, University of Pecs, Pecs, Hungary
| | - S DeHenauw
- Department of Public Health, School of Medicine, Ghent University, Ghent, Belgium
| | - F Gottrand
- Inserm U995, Pediatric Department, Lille University Hospital and University Lille 2, France
| | - L A Moreno
- Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain.,Department of Preventive Medicine, Faculty of Medicine, University of Sao Paulo, Sao Paulo, Brazil
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32
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de Moraes ACF, Fernandez-Alvira JM, Carvalho HB, Meirhaeghe-Hurez A, Dallongeville J, Kafatos A, Molnar D, Manios Y, Labayen I, Ruiz JR, Widhalm K, Breidenassel C, Gonzalez-Gross M, Moreno LA. Attenuation of the Effect of the MTHFR and NOS3 Polymorphism on Blood Pressure by Physical Activity in European Adolescents. The HELENA Study. Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv097.276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Herrmann D, Pohlabeln H, Gianfagna F, Konstabel K, Lissner L, Mårild S, Molnar D, Moreno LA, Siani A, Sioen I, Veidebaum T, Ahrens W. Association between bone stiffness and nutritional biomarkers combined with weight-bearing exercise, physical activity, and sedentary time in preadolescent children. A case-control study. Bone 2015; 78:142-9. [PMID: 25952968 DOI: 10.1016/j.bone.2015.04.043] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2014] [Revised: 04/18/2015] [Accepted: 04/27/2015] [Indexed: 11/24/2022]
Abstract
Physical activity (PA) and micronutrients such as calcium (Ca), vitamin D (25OHD), and phosphate (PO) are important determinants of skeletal development. This case-control study examined the association of these nutritional biomarkers and different PA behaviours, such as habitual PA, weight-bearing exercise (WBE) and sedentary time (SED) with bone stiffness (SI) in 1819 2-9-year-old children from the IDEFICS study (2007-2008). SI was measured on the calcaneus using quantitative ultrasound. Serum and urine Ca and PO and serum 25OHD were determined. Children's sports activities were reported by parents using a standardised questionnaire. A subsample of 1089 children had accelerometer-based PA data (counts per minute, cpm). Moderate-to-vigorous PA (MVPA) and SED were estimated. Children with poor SI (below the 15th age-/sex-/height-specific percentile) were defined as cases (N=603). Randomly selected controls (N=1216) were matched by age, sex, and country. Odds ratios (OR) for poor SI were calculated by conditional logistic regression for all biomarkers and PA behaviour variables separately and combined (expressed as tertiles and dichotomised variables, respectively). ORs were adjusted for fat-free mass, dairy product consumption, and daylight duration. We observed increased ORs for no sports (OR=1.39, p<0.05), PA levels below 524 cpm (OR=1.85, p<0.05) and MVPA below 4.2% a day (OR=1.69, p<0.05) compared to WBE, high PA levels (<688 cpm) and high MVPA (6.7%), respectively. SED was not associated with SI. ORs were moderately elevated for low serum Ca and 25OHD. However, biomarkers were not statistically significantly associated with SI and did not modify the association between PA behaviours and SI. Although nutritional biomarkers appear to play a minor role compared to the osteogenic effect of PA and WBE, it is noteworthy that the highest risk for poor SI was observed for no sports or low MVPA combined with lower serum Ca (<2.5 mmol/l) or lower 25OHD (<43.0 nmol/l).
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Affiliation(s)
- Diana Herrmann
- Department of Epidemiological Methods and Etiologic Research, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstr. 30, 28359 Bremen, Germany.
| | - Hermann Pohlabeln
- Department of Biometry and Data Management, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstr. 30, 28359 Bremen, Germany.
| | - Francesco Gianfagna
- Research Centre in Epidemiology and Preventive Medicine - EPIMED, Department of Clinical and Experimental Medicine, University of Insubria, Via O Rossi 9, 21100 Varese, Italy; Department of Epidemiology and Prevention, IRCCS Istituto Neurologico Mediterraneo Neuromed, Via dell'Elettronica, 86077 Pozzilli, Italy.
| | - Kenn Konstabel
- Department of Chronic Diseases, Centre of Behavioural and Health Sciences, National Institute for Health Development, Hiiu St 42, 11619 Tallinn, Estonia.
| | - Lauren Lissner
- Department of Public Health and Community Medicine, University of Gothenburg, Medicinaregatan 16, 40530 Gothenburg, Sweden.
| | - Staffan Mårild
- Department of Paediatrics, Queen Silvia Children's Hospital, University of Gothenburg, Rondvägen 10, SE 41686 Gothenburg, Sweden.
| | - Dénes Molnar
- Department of Pediatrics, University of Pécs, József A. u. 7, 7623 Pécs, Hungary.
| | - Luis A Moreno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, University School of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain.
| | - Alfonso Siani
- Institute of Food Sciences, National Research Council, Via Roma 64, 83100 Avellino, Italy.
| | - Isabelle Sioen
- Department of Public Health, Ghent University, UZ 2 Blok A De Pintelaan 185, 9000 Ghent, Belgium.
| | - Toomas Veidebaum
- Department of Chronic Diseases, Centre of Behavioural and Health Sciences, National Institute for Health Development, Hiiu St 42, 11619 Tallinn, Estonia.
| | - Wolfgang Ahrens
- Department of Epidemiological Methods and Etiologic Research, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstr. 30, 28359 Bremen, Germany; Faculty of Mathematics and Computer Science, Bremen University, Bibliothekstr. 1, 28359 Bremen, Germany.
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De Henauw S, Michels N, Vyncke K, Hebestreit A, Russo P, Intemann T, Peplies J, Fraterman A, Eiben G, de Lorgeril M, Tornaritis M, Molnar D, Veidebaum T, Ahrens W, Moreno L. Blood lipids among young children in Europe. Results from the European IDEFICS study. Appetite 2015. [DOI: 10.1016/j.appet.2014.12.082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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de Moraes ACF, Bel-Serrat S, Manios Y, Molnar D, Kafatos A, Cuenca-García M, Huybrechts I, Sette S, Widhalm K, Stehle P, Jiménez-Pavón D, Carvalho HB, Moreno LA. Dietary protein and amino acids intake and its relationship with blood pressure in adolescents: the HELENA STUDY. Eur J Public Health 2015; 25:450-6. [PMID: 25619683 DOI: 10.1093/eurpub/cku233] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
OBJECTIVE To analyze the association between dietary protein and amino acids intake and systolic (SBP) and diastolic (DBP) blood pressure in European adolescents. METHODS Participants were from the cross-sectional study performed in Europe, Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA study; n = 1605; 12.5-17.5 years; 833 girls) selected by complex sampling. The associations between dietary protein and amino acids intake and SBP/DBP were examined by multilevel linear regression models (context variable by school); the analysis being stratified by sex. Cities, seasonality, age, socioeconomic level, parental education level, body mass index, waist circumference, Tanner stage and physical activity were used as covariates. RESULTS In boys, we found an inverse association between protein (animal and vegetable) intake and DBP; and a positive association between histidine and SBP. In girls, we observed a positive association among tryptophan, histidine with SBP and methionine with DBP. On the other hand, we observed an inverse association between tyrosine and both SBP and DBP levels in girls. CONCLUSIONS The association between amino acids and BP levels is controversial and depends on the type of amino acids, and protein intake can help control the DBP in boys.
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Affiliation(s)
- Augusto César Ferreira de Moraes
- 1 Department of Preventive Medicine, School of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil 2 GENUD-Growth, Exercise, Nutrition and Development, University of Zaragoza, Zaragoza, Spain 3 School of Health Sciences of the University of Zaragoza, Zaragoza, Spain 4 YCARE (Youth/Child and cArdiovascular Risk and Environmental) Research Group, FMUSP, São Paulo, SP, Brazil
| | - Silvia Bel-Serrat
- 2 GENUD-Growth, Exercise, Nutrition and Development, University of Zaragoza, Zaragoza, Spain 3 School of Health Sciences of the University of Zaragoza, Zaragoza, Spain
| | - Yannis Manios
- 5 Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
| | - Dénes Molnar
- 6 Department of Paediatrics, Medical Faculty, University of Pécs, Pécs, Hungary
| | - Anthony Kafatos
- 7 Preventive Medicine & Nutrition Unit, University of Crete School of Medicine, Heraklion, Crete, Greece
| | - Magdalena Cuenca-García
- 8 Galeno Research Group, Department of Physical Education, Faculty of Education, University of Cádiz, Cádiz, Spain 9 Department of Medical Physiology, School of Medicine, University of Granada, Granada, Spain
| | - Inge Huybrechts
- 10 Department of Public Health, Ghent University, Ghent, Belgium 11 International Agency for Research on Cancer, Dietary Exposure Assessment Group, Lyon, France
| | - Stefania Sette
- 12 Agricultural Research Council, Food and Nutrition Research Centre (CRA-NUT), Rome, Italy
| | - Kurt Widhalm
- 13 Department of Pediatrics, Private Medical University of Salzburg, Salzburg, Austria
| | - Peter Stehle
- 14 Department of Nutrition and Food Sciences, Bonn University, Bonn, Germany
| | - David Jiménez-Pavón
- 2 GENUD-Growth, Exercise, Nutrition and Development, University of Zaragoza, Zaragoza, Spain 8 Galeno Research Group, Department of Physical Education, Faculty of Education, University of Cádiz, Cádiz, Spain
| | - Heráclito Barbosa Carvalho
- 1 Department of Preventive Medicine, School of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil 4 YCARE (Youth/Child and cArdiovascular Risk and Environmental) Research Group, FMUSP, São Paulo, SP, Brazil
| | - Luis A Moreno
- 2 GENUD-Growth, Exercise, Nutrition and Development, University of Zaragoza, Zaragoza, Spain 3 School of Health Sciences of the University of Zaragoza, Zaragoza, Spain 15 Visiting Professor at Department of Preventive Medicine, School of Medicine of the University of São Paulo, São Paulo
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Nagy P, Kovacs E, Molnar D. Europe-specific percentile reference values for anthropometric body composition indices in children of the IDEFICS study. Appetite 2015. [DOI: 10.1016/j.appet.2014.12.079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Kovacs E, Pohlabeln H, Ahrens W, Molnar D. Differences in adherence to the obesity-related lifestyle intervention targets in the metabolically unhealthy population of the IDEFICS study. Appetite 2015. [DOI: 10.1016/j.appet.2014.12.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Ferrari M, Cuenca-García M, Valtueña J, Moreno LA, Censi L, González-Gross M, Androutsos O, Gilbert CC, Huybrechts I, Dallongeville J, Sjöström M, Molnar D, De Henauw S, Gómez-Martínez S, de Moraes ACF, Kafatos A, Widhalm K, Leclercq C. Inflammation profile in overweight/obese adolescents in Europe: an analysis in relation to iron status. Eur J Clin Nutr 2015; 69:247-55. [PMID: 25205319 DOI: 10.1038/ejcn.2014.154] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2013] [Revised: 06/27/2014] [Accepted: 07/10/2014] [Indexed: 01/22/2023]
Abstract
BACKGROUND/OBJECTIVES The objectives of this study were to investigate the relationship between inflammatory parameters (CRP, c-reactive protein; AGP, α1-acid glycoprotein), iron status indicators (SF, serum ferritin; sTfR, soluble transferrin receptor) and body mass index (BMI) z-score, fat-free mass (FFM) and fat mass (FM) in European adolescents. Differences in intake for some nutrients (total iron, haem and non-haem iron, vitamin C, calcium, proteins) were assessed according to BMI categories, and the association of nutrient intakes with BMI z-score, FM and FFM was evaluated. METHODS A total of 876 adolescents participating in the Healthy Lifestyle in Europe by Nutrition in Adolescence-Cross Sectional Study were included in the study sample. RESULTS Mean CRP values (standard error; s.e.) were significantly higher in overweight/obese adolescents (1.7±0.3 and 1.4±0.3 mg/l in boys and girls, respectively) than in thin/normal-weight adolescents (1.1±0.2 and 1.0±0.1 mg/l in boys and girls, respectively) (P<0.05). For boys, mean SF values (s.e.) were significantly higher in overweight/obese adolescents (46.9±2.7 μg/l) than in thin/normal-weight adolescents (35.7±1.7 μg/l) (P<0.001), whereas median sTfR values did not differ among BMI categories for both boys and girls. Multilevel regression analyses showed that BMI z-score and FM were significantly related to CRP and AGP (P<0.05). Dietary variables did not differ significantly among BMI categories, except for the intake of vegetable proteins, which, for boys, was higher in thin/normal-weight adolescents than in overweight/obese adolescents (P<0.05). CONCLUSIONS The adiposity of the European adolescents was sufficient to cause chronic inflammation but not sufficient to impair iron status and cause iron deficiency.
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Affiliation(s)
- M Ferrari
- CRA-NUT, Agricultural Research Council-Food and Nutrition Research Centre, Rome, Italy
| | - M Cuenca-García
- Department of Medical Physiology, School of Medicine, Granada University, Granada, Spain
| | - J Valtueña
- 1] CRA-NUT, Agricultural Research Council-Food and Nutrition Research Centre, Rome, Italy [2] ImFine Research Group, Department of Health and Human Performance, Facultad de Ciencias de la Actividad Fisica y del Deporte-INEF, Universidad Politécnica de Madrid, Madrid, Spain
| | - L A Moreno
- 1] GENUD (Growth, Exercise, Nutrition and Development) research group, E.U. Ciencias de la Salud, Universidad de Zaragoza, Zaragoaza, Spain [2] Visiting Professor, School of Medicine of the University of São Paulo - Department of Preventive Medicine, São Paulo, Brazil
| | - L Censi
- CRA-NUT, Agricultural Research Council-Food and Nutrition Research Centre, Rome, Italy
| | - M González-Gross
- 1] ImFine Research Group, Department of Health and Human Performance, Facultad de Ciencias de la Actividad Fisica y del Deporte-INEF, Universidad Politécnica de Madrid, Madrid, Spain [2] Department of Nutrition and Food Sciences-Nutritional Physiology, University of Bonn, Bonn, Germany
| | - O Androutsos
- Department of Nutrition and Dietetics, Harakopio University, Athens, Greece
| | - C C Gilbert
- Department of Consumer & Sensory Sciences, Campden BRI, Gloucestershire, UK
| | - I Huybrechts
- International Agency for research on Cancer (IARC), Dietary Exposure Assessment group, Lyon, France
| | - J Dallongeville
- INSERM U744, Institut Pasteur de Lille, Univesité Lille Nord de France, Lille, France
| | - M Sjöström
- Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden
| | - D Molnar
- Department of Paediatrics, University of Pécs, Pécs-József A.7, Hungary
| | - S De Henauw
- 1] Ghent University, Department of Public Health, University Hospital, Ghent, Belgium [2] University College Ghent, Department of Nutrition and Dietetics, Faculty of Health Care 'Vesalius', Ghent, Belgium
| | - S Gómez-Martínez
- Immunonutrition Research Group, Department of Metabolism and Nutrition, Spanish Council for Scientific Research (CSIC), Madrid, Spain
| | - A C F de Moraes
- 1] GENUD (Growth, Exercise, Nutrition and Development) research group, E.U. Ciencias de la Salud, Universidad de Zaragoza, Zaragoaza, Spain [2] School of Medicine of the University of São Paulo - Post-Graduate Program in Science, Department of Preventive Medicine, São Paulo/SP, Brazil
| | - A Kafatos
- Department of Social Medicine, Preventive Medicine and Nutrition Clinic, School of Medicine, University of Crete, Crete, Greece
| | - K Widhalm
- Department of Paediatrics and Adolescents Medicine, Division of Clinical Nutrition, Private Medical University of Salzburg, Salzburg, Austria
| | - C Leclercq
- CRA-NUT, Agricultural Research Council-Food and Nutrition Research Centre, Rome, Italy
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de Moraes ACF, Fernández-Alvira JM, Carvalho HB, Meirhaeghe A, Dallongeville J, Kafatos A, Marcos A, Molnar D, Manios Y, Ruiz JR, Labayen I, Widhalm K, Breidenassel C, Gonzalez-Gróss M, Moreno LA. Physical activity modifies the associations between genetic variants and blood pressure in European adolescents. J Pediatr 2014; 165:1046-9.e1-2. [PMID: 25129643 DOI: 10.1016/j.jpeds.2014.07.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/30/2013] [Revised: 06/23/2014] [Accepted: 07/02/2014] [Indexed: 01/05/2023]
Abstract
We hypothesized that physical activity and sedentary behavior could modify the associations between known genetic variants blood pressure-associated genes in European adolescents. Meeting current physical activity recommendations (≥ 60 minutes/day) was able attenuate the deleterious effect of the NOS3 rs3918227 polymorphism on systolic blood pressure in European adolescents.
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Affiliation(s)
- Augusto César Ferreira de Moraes
- Department of Preventive Medicine, School of Medicine of the University of São Paulo, São Paulo, SP, Brazil; GENUD (Growth, Exercise, Nutrition, and Development) Research Group, Universidad de Zaragoza, Zaragoza, Spain; Faculty of Health Sciences of the University of Zaragoza, Zaragoza, Spain.
| | - Juan Miguel Fernández-Alvira
- GENUD (Growth, Exercise, Nutrition, and Development) Research Group, Universidad de Zaragoza, Zaragoza, Spain; Faculty of Health Sciences of the University of Zaragoza, Zaragoza, Spain
| | - Heráclito Barbosa Carvalho
- Department of Preventive Medicine, School of Medicine of the University of São Paulo, São Paulo, SP, Brazil
| | - Aline Meirhaeghe
- INSERM, U744, Institut Pasteur de Lille, Univ Lille Nord de France; UDSL, Lille, France
| | - Jean Dallongeville
- INSERM, U744, Institut Pasteur de Lille, Univ Lille Nord de France; UDSL, Lille, France
| | - Anthony Kafatos
- Preventive Medicine and Nutrition Unit, University of Crete School of Medicine, Heraklion, Crete, Greece
| | - Ascensión Marcos
- Immunonutrition Research Group, Department of Metabolism and Nutrition, Food Science and Technology and Nutrition Institute, Spanish National Research Council, Madrid, Spain
| | - Dénes Molnar
- Department of Pediatrics, Medical Faculty, University of Pécs, Pécs, Hungary
| | - Yannis Manios
- Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
| | - Jonatan R Ruiz
- Promoting Fitness and Health through Physical Activity Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada, Spain
| | - Idoia Labayen
- Department of Nutrition and Food Science, University of the Basque Country, Vitoria, Spain
| | - Kurt Widhalm
- Department of Pediatrics, Private Medical University Salzburg, Salzburg, Austria
| | - Christina Breidenassel
- Institut für Ernährungs-und Lebensmittelwissenschaften-Humanernährung, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany
| | - Marcela Gonzalez-Gróss
- Institut für Ernährungs-und Lebensmittelwissenschaften-Humanernährung, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany; Department of Health and Human Performance, Faculty of Physical Activity and Sport-INEF, Technical University of Madrid, Madrid, Spain
| | - Luis A Moreno
- GENUD (Growth, Exercise, Nutrition, and Development) Research Group, Universidad de Zaragoza, Zaragoza, Spain; Faculty of Health Sciences of the University of Zaragoza, Zaragoza, Spain
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Artero EG, España-Romero V, Jiménez-Pavón D, Martinez-Gómez D, Warnberg J, Gómez-Martínez S, González-Gross M, Vanhelst J, Kafatos A, Molnar D, De Henauw S, Moreno LA, Marcos A, Castillo MJ. Muscular fitness, fatness and inflammatory biomarkers in adolescents. Pediatr Obes 2014; 9:391-400. [PMID: 23828843 DOI: 10.1111/j.2047-6310.2013.00186.x] [Citation(s) in RCA: 55] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2013] [Revised: 04/18/2013] [Accepted: 05/24/2013] [Indexed: 12/22/2022]
Abstract
BACKGROUND Muscular fitness, cardiorespiratory fitness (CRF) and fatness are mutually related with chronic inflammation. PURPOSE To examine the independent association of muscular fitness with inflammatory biomarkers in adolescents from nine European countries. METHODS A total of 639 adolescents (296 boys) aged from 12.5 to 17.5 year were included in this report. Data collection took place in 2006-2007 and analyses in 2012. A muscular fitness score was computed from handgrip strength and standing long jump. CRF was measured using the 20 m shuttle run test. Z-scores of C-reactive protein, complement factors C3 and C4, leptin and white blood cell counts were summed to create a cluster of inflammatory biomarkers. Sex, age, pubertal stage and centre were used as main confounders. Additional models were further adjusted for insulin resistance (HOMA-IR) and sum of four skinfolds. RESULTS Muscular fitness was negatively associated with single and clustered inflammatory biomarkers (standardized β from -0.399 to -0.100, all P-values < 0.05). Additional adjustments for CRF and HOMA-IR weakened the associations, but they still remained significant. The association was no longer significant when adjusting for skinfolds. Decreasing values of inflammatory score were observed across incremental levels of muscular fitness in both non-overweight and overweight adolescents (P ≤ 0.05). CONCLUSIONS Adolescents with higher levels of muscular fitness present a lower chronic inflammation, and this seems to be explained by lower levels of fatness. Yet, overweight and obese adolescents may exhibit a less adverse profile if they maintain appropriate levels of muscular fitness.
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Affiliation(s)
- E G Artero
- Department of Medical Physiology, School of Medicine, University of Granada, Granada, Spain; Area of Physical Education and Sport, School of Education, University of Almería, Almería, Spain
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Santaliestra-Pasías AM, Mouratidou T, Verbestel V, Bammann K, Molnar D, Sieri S, Siani A, Veidebaum T, Mårild S, Lissner L, Hadjigeorgiou C, Reisch L, De Bourdeaudhuij I, Moreno LA. Physical activity and sedentary behaviour in European children: the IDEFICS study. Public Health Nutr 2014; 17:2295-306. [PMID: 24103326 PMCID: PMC10282627 DOI: 10.1017/s1368980013002486] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2012] [Revised: 08/02/2013] [Accepted: 08/07/2013] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To estimate the prevalence of physical activity and sedentary behaviours in European children, and to evaluate the relationship between media availability in personal space and physical activity in relation to total screen time. DESIGN Data from the baseline IDEFICS (Identification and prevention of dietary- and lifestyle-induced health effects in children and infants) cross-sectional survey. Information on hours of television/digital video disk/video viewing and computer/games-console use (weekday and weekend days), media device availability in personal space, sports club membership, hours of active organized play and commuting (to and from school) were assessed via a self-reported parental questionnaire. Total screen time was defined as the sum of daily media use and subsequently dichotomized into meeting or not meeting the guidelines of the American Academy of Pediatrics. SETTING Eight survey centres (Italy, Estonia, Cyprus, Belgium, Sweden, Germany, Hungary and Spain). SUBJECTS Children (n 15 330; 51% males) aged 2-10 years. RESULTS Percentage of children engaged in total screen time for >2 h/d was higher on weekend days (52% v. 20% on weekdays) and in the older group (71% in males; 57% in females), varying by country. Children with a television set in their bedroom were more likely not to meet the screen time recommendations (OR = 1·54; 95% CI 1·60, 1·74). CONCLUSIONS Approximately a third of the children failed to meet current screen time recommendations. Availability of a television set in personal space increased the risk of excess total screen time. This information could be used to identify potential targets for public health promotion actions of young population groups.
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Affiliation(s)
- Alba Ma Santaliestra-Pasías
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, School of Health Science (EUCS), Department of Psychiatry and Nursing, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain
| | - Theodora Mouratidou
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, School of Health Science (EUCS), Department of Psychiatry and Nursing, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain
| | - Vera Verbestel
- Department of Movement and Sport Sciences, Ghent University, Ghent, Belgium
| | - Karin Bammann
- Department of Biometry and Data Management, Bremen Institute for Prevention Research and Social Medicine (BIPS), Bremen University, Bremen, Germany
| | - Dénes Molnar
- Department of Pediatrics, Medical Faculty, University of Pécs, Pécs, Hungary
| | - Sabina Sieri
- Department of Preventive and Predictive Medicine, Nutritional Epidemiology Unit, Fondazione IRCCS, Istituto Nazionale dei Tumori, Milan, Italy
| | - Alfonso Siani
- Unit of Epidemiology and Population Genetics, Institute of Food Sciences, National Research Council, Avellino, Italy
| | - Toomas Veidebaum
- National Institute for Health Development, Center of Health and Behavioral Sciences, Tallinn, Estonia
| | - Staffan Mårild
- Department of Paediatrics, The Queen Silvia Children's Hospital, University of Gothenburg, Gothenburg, Sweden
| | - Lauren Lissner
- Department of Public Health and Community Medicine, Public Health Epidemiology Unit, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | | | - Lucia Reisch
- Department of Intercultural Communication and Management, Copenhagen Business School, Frederiksberg, Denmark
| | | | - Luis A Moreno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, School of Health Science (EUCS), Department of Psychiatry and Nursing, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain
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Formisano A, Hunsberger M, Bammann K, Vanaelst B, Molnar D, Moreno LA, Tornaritis M, Veidebaum T, Lissner L, Barba G, Siani A. Family structure and childhood obesity: results of the IDEFICS Project. Public Health Nutr 2014; 17:2307-15. [PMID: 24053908 PMCID: PMC10282634 DOI: 10.1017/s1368980013002474] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2013] [Revised: 07/04/2013] [Accepted: 08/07/2013] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To analyse the association between family structure and adiposity in children. DESIGN Cross-sectional and longitudinal analysis of the IDEFICS (Identification and prevention of dietary- and lifestyle-induced health effects in children and infants) study cohort. SETTING Primary schools and kindergartens. SUBJECTS Children (n 12 350; aged 7·9 (SD 1·8) years) for the cross-sectional analysis and children (n 5236; at baseline: normal weight, aged 5·9 (SD 1·8) years) for the longitudinal study underwent anthropometry. Family structure was analysed as (i) number and type of cohabiting adults and (ii) number of siblings. RESULTS In the cross-sectional analysis, after controlling for covariates, children living with grandparents had significantly higher BMI Z-score than those living with both parents (0·63; 95% CI 0·33, 0·92 v. 0·19; 95% CI 0·17, 0·22; P < 0·01); in addition, the higher the number of siblings, the lower the BMI Z-score (only child = 0·31; 95% CI 0·24, 0·38; 1 sibling = 0·19; 95% CI 0·16, 0·23; 2 siblings = 0·15; 95% CI 0·09, 0·20; >2 siblings = 0·07, 95% CI 0·04, 0·19; P < 0·001). Over the 2-year follow-up, differences in weight gain were observed across family-structure categories. Further, the risk of incidence of overweight/obesity was significantly lower the higher the number of siblings living in the household (v. only child: 1 sibling = 0·74, 95% CI 0·57, 0·96; 2 siblings = 0·63, 95% CI 0·45, 0·88; >2 siblings = 0·40, 95% CI 0·21, 0·77), independently of confounders. CONCLUSIONS The study suggests that an independent association between family structure and childhood obesity exists.
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Affiliation(s)
- Annarita Formisano
- Epidemiology and Population Genetics, Institute of Food Science, National Research Council, Via Roma 64, 83100 Avellino, Italy
| | - Monica Hunsberger
- Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden
| | - Karin Bammann
- Human Health Sciences, Institute for Public Health Nursing, University of Bremen, Bremen, Germany
- BIPS Institute for Epidemiology and Prevention Research, Bremen, Germany
| | | | - Dénes Molnar
- Department of Pediatrics, University of Pécs Medical School, Pécs, Hungary
| | - Luis A Moreno
- Growth, Exercise, Nutrition and Development (GENUD) Research Group, University of Zaragoza, Zaragoza, Spain
| | | | | | - Lauren Lissner
- Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden
| | - Gianvincenzo Barba
- Epidemiology and Population Genetics, Institute of Food Science, National Research Council, Via Roma 64, 83100 Avellino, Italy
| | - Alfonso Siani
- Epidemiology and Population Genetics, Institute of Food Science, National Research Council, Via Roma 64, 83100 Avellino, Italy
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Cuenca-García M, Ruiz JR, Ortega FB, Labayen I, González-Gross M, Moreno LA, Gomez-Martinez S, Ciarapica D, Hallström L, Wästlund A, Molnar D, Gottrand F, Manios Y, Widhalm K, Kafatos A, De Henauw S, Sjöström M, Castillo MJ. Association of breakfast consumption with objectively measured and self-reported physical activity, sedentary time and physical fitness in European adolescents: the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study. Public Health Nutr 2014; 17:2226-36. [PMID: 24021021 PMCID: PMC10282635 DOI: 10.1017/s1368980013002437] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2013] [Revised: 06/13/2013] [Accepted: 07/25/2013] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To examine the association of breakfast consumption with objectively measured and self-reported physical activity, sedentary time and physical fitness. DESIGN The HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Cross-Sectional Study. Breakfast consumption was assessed by two non-consecutive 24 h recalls and by a 'Food Choices and Preferences' questionnaire. Physical activity, sedentary time and physical fitness components (cardiorespiratory fitness, muscular fitness and speed/agility) were measured and self-reported. Socio-economic status was assessed by questionnaire. SETTING Ten European cities. SUBJECTS Adolescents (n 2148; aged 12·5-17·5 years). RESULTS Breakfast consumption was not associated with measured or self-reported physical activity. However, 24 h recall breakfast consumption was related to measured sedentary time in males and females; although results were not confirmed when using other methods to assess breakfast patterns or sedentary time. Breakfast consumption was not related to muscular fitness and speed/agility in males and females. However, male breakfast consumers had higher cardiorespiratory fitness compared with occasional breakfast consumers and breakfast skippers, while no differences were observed in females. Overall, results were consistent using different methods to assess breakfast consumption or cardiorespiratory fitness (all P ≤ 0·005). In addition, both male and female breakfast skippers (assessed by 24 h recall) were less likely to have high measured cardiorespiratory fitness compared with breakfast consumers (OR = 0·33; 95% CI 0·18, 0·59 and OR = 0·56; 95%CI 0·32, 0·98, respectively). Results persisted across methods. CONCLUSIONS Skipping breakfast does not seem to be related to physical activity, sedentary time or muscular fitness and speed/agility as physical fitness components in European adolescents; yet it is associated with both measured and self-reported cardiorespiratory fitness, which extends previous findings.
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Affiliation(s)
- Magdalena Cuenca-García
- Department of Medical Physiology, School of Medicine, Granada University, Avenida Madrid s/n, 18012 Granada, Spain
| | - Jonatan R Ruiz
- Department of Physical Education and Sport, School of Sport Sciences, Granada University, Granada, Spain
- Unit for Preventive Nutrition, Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden
| | - Francisco B Ortega
- Department of Physical Education and Sport, School of Sport Sciences, Granada University, Granada, Spain
- Unit for Preventive Nutrition, Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden
| | - Idoia Labayen
- Department of Nutrition and Food Sciences, University of the Basque Country, UPV/EHU, Vitoria, Spain
| | - Marcela González-Gross
- ImFINE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences – INEF, Technical University of Madrid, Madrid, Spain
| | - Luis A Moreno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Facultad de Ciencias de la Salud, Zaragoza University, Zaragoza, Spain
| | - Sonia Gomez-Martinez
- Immunonutrition Research Group, Department of Metabolism and Nutrition, Institute of Food Science, Technology and Nutrition, Spanish National Research Council, Madrid, Spain
| | | | - Lena Hallström
- Unit for Preventive Nutrition, Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden
- Public Health Department, School of Health, Care and Social Welfare, Märlardalens University, Västerås, Sweden
| | - Acki Wästlund
- Unit for Preventive Nutrition, Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden
| | - Dénes Molnar
- Department of Pediatrics, Pécs University, Pécs, Hungary
| | | | - Yannis Manios
- Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
| | - Kurt Widhalm
- Department of Pediatrics, School of Medicine, Vienna University, Vienna, Austria
| | - Anthony Kafatos
- Preventive Medicine and Nutrition Clinic, Crete University, Heraklion, Crete, Greece
| | | | - Michael Sjöström
- Unit for Preventive Nutrition, Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden
| | - Manuel J Castillo
- Department of Medical Physiology, School of Medicine, Granada University, Avenida Madrid s/n, 18012 Granada, Spain
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Papoutsou S, Briassoulis G, Wolters M, Peplies J, Iacoviello L, Eiben G, Veidebaum T, Molnar D, Russo P, Michels N, Moreno LA, Tornaritis M. No breakfast at home: association with cardiovascular disease risk factors in childhood. Eur J Clin Nutr 2014; 68:829-34. [DOI: 10.1038/ejcn.2014.88] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2013] [Revised: 03/24/2014] [Accepted: 03/27/2014] [Indexed: 11/09/2022]
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de Moraes ACF, Gracia-Marco L, Iglesia I, González-Gross M, Breidenassel C, Ferrari M, Molnar D, Gómez-Martínez S, Androutsos O, Kafatos A, Cuenca-García M, Sjöström M, Gottrand F, Widhalm K, Carvalho HB, Moreno LA. Vitamins and iron blood biomarkers are associated with blood pressure levels in European adolescents. The HELENA study. Nutrition 2014; 30:1294-300. [PMID: 25194965 DOI: 10.1016/j.nut.2014.03.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2013] [Revised: 02/08/2014] [Accepted: 03/12/2014] [Indexed: 10/25/2022]
Abstract
OBJECTIVES Previous research showed that low concentration of biomarkers in the blood during adolescence (i.e., iron status; retinol; and vitamins B6, B12, C, and D) may be involved in the early stages of development of many chronic diseases, such as hypertension. The aim was to evaluate if iron biomarkers and vitamins in the blood are associated with blood pressure in European adolescents. METHODS Participants from the Healthy Lifestyle in Europe by Nutrition in Adolescence cross-sectional study (N = 1089; 12.5-17.5 y; 580 girls) were selected by complex sampling. Multilevel linear regression models examined the associations between iron biomarkers and vitamins in the blood and blood pressure; the analyses were stratified by sex and adjusted for contextual and individual potential confounders. RESULTS A positive association was found in girls between RBC folate concentration and systolic blood pressure (SBP) (β = 3.19; 95% confidence interval [CI], 0.61-5.77), although no association between the vitamin serum biomarkers concentrations and diastolic blood pressure (DBP) was found. In boys, retinol was positively associated with DBP (β = 3.84; 95% CI, 0.51-7.17) and vitamin B6 was positively associated with SBP (β = 3.82; 95% CI, 1.46-6.18). In contrast, holotranscobalamin was inversely associated with SBP (β = -3.74; 95% CI, -7.28 to -0.21). CONCLUSIONS Levels of RBC folate and vitamin B6 in blood may affect BP in adolescents. In this context, programs aimed at avoiding high BP levels should promote healthy eating behavior by focusing on the promotion of vegetable proteins and foods rich in vitamin B12 (i.e., white meat and eggs), which may help to achieve BP blood control in adolescents.
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Affiliation(s)
- Augusto César Ferreira de Moraes
- Department of Preventive Medicine, School of Medicine of the University of São Paulo, São Paulo, Brazil; GENUD-Growth, Exercise, Nutrition and Development Research Group, University of Zaragoza, Zaragoza, Spain; Faculty of Health Sciences of the University of Zaragoza, Zaragoza, Spain.
| | - Luis Gracia-Marco
- GENUD-Growth, Exercise, Nutrition and Development Research Group, University of Zaragoza, Zaragoza, Spain; University of Exeter, Children's Health and Exercise Research Centre, Sport and Health Sciences, Exeter, United Kingdom
| | - Iris Iglesia
- GENUD-Growth, Exercise, Nutrition and Development Research Group, University of Zaragoza, Zaragoza, Spain; Faculty of Health Sciences of the University of Zaragoza, Zaragoza, Spain
| | - Marcela González-Gross
- Faculty of Physical Activity and Sport-INEF, Department of Health and Human Performance, Technical University of Madrid, Madrid, Spain; Universität Bonn, Institut für Ernährungs-und Lebensmittelwissenschaften-Humanernährung, Rheinische Friedrich-Wilhelms, Bonn, Germany
| | - Christina Breidenassel
- Faculty of Physical Activity and Sport-INEF, Department of Health and Human Performance, Technical University of Madrid, Madrid, Spain; Universität Bonn, Institut für Ernährungs-und Lebensmittelwissenschaften-Humanernährung, Rheinische Friedrich-Wilhelms, Bonn, Germany
| | - Marika Ferrari
- National Research Institute on Food and Nutrition, Rome, Italy
| | - Dénes Molnar
- Medical Faculty, University of Pécs, Department of Paediatrics, Pécs, Hungary
| | - Sonia Gómez-Martínez
- Food Science and Technology and Nutrition Institute, Spanish National Research Council Immunonutrition-Research Group Department of Metabolism and Nutrition, Madrid, Spain
| | | | - Anthony Kafatos
- University of Crete School of Medicine, Preventive Medicine & Nutrition Unit, Heraklion, Crete, Greece
| | - Magdalena Cuenca-García
- Department of Medical Physiology, School of Medicine of the University of Granada, Granada, Spain
| | - Michael Sjöström
- Department of Biosciences, Unit for Preventive Nutrition, Karolinska Institutet, Stockholm, Sweden
| | - Frederic Gottrand
- Unité Inserm U995 & Université Lille Nord de France, Lille, France; Centre d'Investigation Clinique, Lille, France
| | - Kurt Widhalm
- Department of Pediatrics, Private Medical University Salzburg, Salzburg, Austria
| | | | - Luis A Moreno
- Department of Preventive Medicine, School of Medicine of the University of São Paulo, São Paulo, Brazil; GENUD-Growth, Exercise, Nutrition and Development Research Group, University of Zaragoza, Zaragoza, Spain; Faculty of Health Sciences of the University of Zaragoza, Zaragoza, Spain
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46
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Ortega FB, Ruiz JR, Labayen I, Martínez-Gómez D, Vicente-Rodriguez G, Cuenca-García M, Gracia-Marco L, Manios Y, Beghin L, Molnar D, Polito A, Widhalm K, Marcos A, González-Gross M, Kafatos A, Breidenassel C, Moreno LA, Sjöström M, Castillo MJ. Health inequalities in urban adolescents: role of physical activity, diet, and genetics. Pediatrics 2014; 133:e884-95. [PMID: 24639267 DOI: 10.1542/peds.2013-1665] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE Coordinated European projects relying on standardized methods are needed to identify health inequalities across Europe. This study aimed to compare fitness, fatness, and cardiometabolic risk between urban adolescents from the south and center-north of Europe and to explore whether physical activity (PA) and other factors might explain these differences. METHODS The Healthy Lifestyle in Europe by Nutrition in Adolescence cross-sectional project comprised 3528 adolescents from the south (4 cities) and central-north (6 cities) of Europe, 1089 of whom provided blood samples for analysis. Fitness (strength, speed-agility, and cardiorespiratory fitness), total and abdominal fatness (anthropometry and bioelectrical impedance), and cardiometabolic risk (z scores including fitness, fatness, blood lipids, insulin resistance, and blood pressure) were assessed. The analyses were adjusted for socioeconomic factors, objectively measured PA (accelerometry), total energy intake and diet quality, and genetic variants of the FTO rs9939609 polymorphism. RESULTS Adolescents from southern Europe were less fit and fatter according to all markers (P < .001). Differences in cardiometabolic risk scores were not consistent. Adolescents from the south were less active and this would largely explain the differences observed in speed-agility and cardiorespiratory fitness. Differences in total and abdominal fatness could not be explained by PA, energy intake, diet quality, or FTO rs9939609 polymorphism. CONCLUSIONS Fitness and fatness levels indicate that urban adolescents from the south are less healthy than those from central-northern Europe. Our data suggest that differences in PA might explain differences in important health-related fitness components, yet factors explaining the differences in fatness encountered remain unknown.
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Affiliation(s)
- Francisco B Ortega
- PROFITH (PROmoting FITness and Health through physical activity) research group, Department of Physical Education and Sports, Faculty of Sport Sciences, and
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47
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Vanhelst J, Béghin L, Salleron J, Ruiz JR, Ortega FB, De Bourdeaudhuij I, Molnar D, Manios Y, Widhalm K, Vicente-Rodriguez G, Mauro B, Moreno LA, Sjöström M, Castillo MJ, Gottrand F. A favorable built environment is associated with better physical fitness in European adolescents. Prev Med 2013; 57:844-9. [PMID: 24076010 DOI: 10.1016/j.ypmed.2013.09.015] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2013] [Revised: 08/12/2013] [Accepted: 09/18/2013] [Indexed: 10/26/2022]
Abstract
OBJECTIVE To assess the association between the built environment and physical fitness and physical activity in adolescents. METHODS The study included 3528 adolescents, aged 12.5-17.5 years, who participated in the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study. The health-related physical fitness components were assessed using the physical fitness tests. Participants wore a uniaxial accelerometer (ActiGraph®) for 7 days to measure physical activity. A specific questionnaire addressing the built environment was used. Potential confounding factors including age, gender, body mass index, body composition, pubertal status, smoking, educational level of parents, and socioeconomic status were analyzed using backward stepwise linear regression analysis. RESULTS Heavy traffic in the neighborhood was the strongest factor negatively associated with both physical fitness and physical activity (both P<0.05). Conversely, a secure bicycling or walking route from home to school was positively associated with various components of physical fitness and physical activity (P<0.01). Outdoor fields and gymnasiums near home were also associated with better physical fitness (P<0.01), but not with physical activity. CONCLUSIONS A favorable built environment may contribute to health-related physical fitness and physical activity of adolescents and should be considered in future interventions and health promotion strategies.
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Affiliation(s)
- Jérémy Vanhelst
- INSERM U995, University Lille Nord de France, Lille, France; CIC-PT-9301-INSERM-CH&U, University Hospital, Lille, France.
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Rousseaux J, Duhamel A, Dallongeville J, Molnar D, Widhalm K, Manios Y, Sjöström M, Kafatos A, Breidenassel C, Gonzales-Gross M, Cuenca M, Censi L, Ascensión M, De Henauw S, Moreno L, Meirhaeghe A, Gottrand F. O25 Les acides gras polyinsaturés à longue chaîne modulent l’impact du polymorphisme Pro446Leu de GCKR sur les triglycérides chez les adolescents, l’étude HELENA. NUTR CLIN METAB 2013. [DOI: 10.1016/s0985-0562(13)70297-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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49
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Rey-López JP, Bel-Serrat S, Santaliestra-Pasías A, de Moraes AC, Vicente-Rodríguez G, Ruiz JR, Artero EG, Martínez-Gómez D, Gottrand F, De Henauw S, Huybrechts I, Polito A, Molnar D, Manios Y, Moreno LA. Sedentary behaviour and clustered metabolic risk in adolescents: the HELENA study. Nutr Metab Cardiovasc Dis 2013; 23:1017-1024. [PMID: 22906564 DOI: 10.1016/j.numecd.2012.06.006] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2012] [Revised: 06/25/2012] [Accepted: 06/27/2012] [Indexed: 11/24/2022]
Abstract
BACKGROUND AND AIMS Although sedentary behaviours are linked with mortality for cardiovascular reasons, it is not clear whether they are negatively related with cardio-metabolic risk factors. The aim was to examine the association between time engaged in television (TV) viewing or playing with videogames and a clustered cardio-metabolic risk in adolescents. METHODS AND RESULTS Sedentary behaviours and physical activity were assessed in 769 adolescents (376 boys, aged 12.5-17.5 years) from the HELENA-CSS study. We measured systolic blood pressure, HOMA index, triglycerides, TC/HDL-c, VO₂max and the sum of four skinfolds, and a clustered metabolic risk index was computed. A multilevel regression model (by Poisson) was performed to calculate the prevalence ratio of having a clustered metabolic risk. In boys, playing >4 h/day with videogames (weekend) and moderate to vigorous PA (MVPA) was associated with cardio-metabolic risk after adjustment for age, maternal education and MVPA. In contrast, TV viewing was not associated with the presence of cardio-metabolic risk. CONCLUSION In boys, playing with videogames may impair cardio-metabolic health during the adolescence. Adolescents should be encouraged to increase their participation in physical activity of at least moderate intensity to obtain a more favourable risk factor profile.
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Affiliation(s)
- J P Rey-López
- GENUD Research Group, University of Zaragoza, C/Corona de Aragon, 42, Zaragoza E-50009, Spain.
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Santaliestra-Pasías AM, Mouratidou T, Huybrechts I, Beghin L, Cuenca-García M, Castillo MJ, Galfo M, Hallstrom L, Kafatos A, Manios Y, Marcos A, Molnar D, Plada M, Pedrero-Chamizo R, Widhalm K, De Bourdeaudhuij I, Moreno LA. Increased sedentary behaviour is associated with unhealthy dietary patterns in European adolescents participating in the HELENA study. Eur J Clin Nutr 2013; 68:300-8. [DOI: 10.1038/ejcn.2013.170] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2013] [Revised: 07/31/2013] [Accepted: 08/02/2013] [Indexed: 11/09/2022]
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