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1. Do dietary patterns determine levels of vitamin B6, folate, and vitamin B12 intake and corresponding biomarkers in European adolescents? The Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study

Author

Iris Iglesia, Inge Huybrechts, Theodora Mouratidou, Javier Santabárbara, Juan M. Fernández-Alvira, Alba M. Santaliestra-Pasías, Yannis Manios, Alejandro De la O Puerta, Anthony Kafatos, Frédéric Gottrand, Ascensión Marcos, Stefania Sette, Maria Plada, Peter Stehle, Dénes Molnár, Kurt Widhalm, Mathilde Kersting, Stefaan De Henauw, Luis A. Moreno, Marcela González-Gross, Jesús Fleta, José A. Casajús, Gerardo Rodríguez, Concepción Tomás, María I. Mesana, Germán Vicente-Rodríguez, Adoración Villarroya, Carlos M. Gil, Ignacio Ara, Juan Fernández Alvira, Gloria Bueno, Aurora Lázaro, Olga Bueno, Juan F. León, Jesús M.a Garagorri, Manuel Bueno, Idoia Labayen, Silvia Bel, Luis A. Gracia Marco, Alba Santaliestra-Pasías, Esther González-Gil, Pilar De Miguel-Etayo, Cristina Julián Almárcegui, Mary Miguel-Berges, Isabel Iguacel, Julia Wärnberg, Esther Nova, Sonia Gómez, Ligia Esperanza Díaz, Javier Romeo, Ana Veses, Belén Zapatera, Tamara Pozo, David Martínez, Laurent Beghin, Christian Libersa, Catalina Iliescu, Juliana Von Berlepsch, Wolfgang Sichert-Hellert, Ellen Koeppen, Eva Erhardt, Katalin Csernus, Katalin Török, Szilvia Bokor, Mrs Angster, Enikö Nagy, Orsolya Kovács, Judit Répasi, Caroline Codrington, María Plada, Angeliki Papadaki, Katerina Sarri, Anna Viskadourou, Christos Hatzis, Michael Kiriakakis, George Tsibinos, Constantine Vardavas, Manolis Sbokos, Eva Protoyeraki, Maria Fasoulaki, Klaus Pietrzik, Christina Breidenassel, Andre Spinneker, Jasmin Al-Tahan, Miriam Segoviano, Anke Berchtold, Christine Bierschbach, Erika Blatzheim, Adelheid Schuch, Petra Pickert, Manuel J. Castillo, Ángel Gutiérrez, Francisco B. Ortega, Jonatan R. Ruiz, Enrique G. Artero, Vanesa España, David Jiménez-Pavón, Palma Chillón, Cristóbal Sánchez-Muñoz, Magdalena Cuenca, Davide Arcella, Elena Azzini, Emma Barison, Noemi Bevilacqua, Pasquale Buonocore, Giovina Catasta, Laura Censi, Donatella Ciarapica, Paola D'Acapito, Marika Ferrari, Myriam Galfo, Cinzia Le Donne, Catherine Leclercq, Giuseppe Maiani, Beatrice Mauro, Lorenza Mistura, Antonella Pasquali, Raffaela Piccinelli, Angela Polito, Romana Roccaldo, Raffaella Spada, Maria Zaccaria, Luca Scalfi, Paola Vitaglione, Concetta Montagnese, Ilse De Bourdeaudhuij, Tineke De Vriendt, Lea Maes, Christophe Matthys, Carine Vereecken, Mieke de Maeyer, Charlene Ottevaere, Katharina Phillipp, Sabine Dietrich, Eva Grammatikaki, Zoi Bouloubasi, Tina Louisa Cook, Sofia Eleutheriou, Orsalia Consta, George Moschonis, Ioanna Katsaroli, George Kraniou, Stalo Papoutsou, Despoina Keke, Ioanna Petraki, Elena Bellou, Sofia Tanagra, Kostalenia Kallianoti, Dionysia Argyropoulou, Stamatoula Tsikrika, Christos Karaiskos, Jean Dallongeville, Aline Meirhaeghe, Michael Sjöstrom, María Hagströmer, Anita Hurtig Wennlöf, Lena Hallström, Emma Patterson, Lydia Kwak, Nico Rizzo, Jackie Sánchez-Molero, Sara Castelló, Elena Picó, Maite Navarro, Blanca Viadel, José Enrique Carreres, Gema Merino, Rosa Sanjuán, María Lorente, María José Sánchez, Chantal Gilbert, Sarah Thomas, Elaine Allchurch, Peter Burgess, Gunnar Hall, Annika Astrom, Anna Sverkén, Agneta Broberg, Annick Masson, Claire Lehoux, Pascal Brabant, Philippe Pate, Laurence Fontaine, Andras Sebok, Tunde Kuti, Adrienn Hegyi, Cristina Maldonado, Ana Llorente, Emilio García, Holger von Fircks, Marianne Lilja Hallberg, Maria Messerer, Mats Larsson, Helena Fredriksson, Viola Adamsson, Ingmar Börjesson, Laura Fernández, Laura Smillie, Josephine Wills, Raquel Pedrero-Chamizo, Agustín Meléndez, Jara Valtueña, Ulrike Albers, Pedro J. Benito, Juan José Gómez Lorente, David Cañada, Alejandro Urzanqui, Rosa María Torres, Paloma Navarro, European Commission, Ministerio de Educación (España), Ministerio de Ciencia e Innovación (España), Instituto de Salud Carlos III, Iglesia, Iri, Huybrechts, Inge, Mouratidou, Theodora, Santabárbara, Javier, Fernández-Alvira, Juan M., Santaliestra-Pasías, Alba M., Manios, Yanni, De la O Puerta, Alejandro, Kafatos, Anthony, Gottrand, Frédéric, Marcos, Ascensión, Sette, Stefania, Plada, Maria, Stehle, Peter, Molnár, Déne, Widhalm, Kurt, Kersting, Mathilde, De Henauw, Stefaan, Moreno, Luis A., González-Gross, Marcela, Fleta, Jesú, Casajús, José A., Rodríguez, Gerardo, Tomás, Concepción, Mesana, María I., Vicente-Rodríguez, Germán, Villarroya, Adoración, Gil, Carlos M., Ara, Ignacio, Alvira, Juan Fernández, Bueno, Gloria, Lázaro, Aurora, Bueno, Olga, León, Juan F., Garagorri, Jesús M. a, Bueno, Manuel, Labayen, Idoia, Bel, Silvia, Marco, Luis A. Gracia, Santaliestra-Pasías, Alba, González-Gil, Esther, De Miguel-Etayo, Pilar, Almárcegui, Cristina Julián, Miguel-Berges, Mary, Iguacel, Isabel, Wärnberg, Julia, Nova, Esther, Gómez, Sonia, Díaz, Ligia Esperanza, Romeo, Javier, Veses, Ana, Zapatera, Belén, Pozo, Tamara, Martínez, David, Beghin, Laurent, Libersa, Christian, Iliescu, Catalina, Von Berlepsch, Juliana, Sichert-Hellert, Wolfgang, Koeppen, Ellen, Erhardt, Eva, Csernus, Katalin, Török, Katalin, Bokor, Szilvia, Angster, Mr, Nagy, Enikö, Kovács, Orsolya, Répasi, Judit, Codrington, Caroline, Plada, María, Papadaki, Angeliki, Sarri, Katerina, Viskadourou, Anna, Hatzis, Christo, Kiriakakis, Michael, Tsibinos, George, Vardavas, Constantine, Sbokos, Manoli, Protoyeraki, Eva, Fasoulaki, Maria, Pietrzik, Klau, Breidenassel, Christina, Spinneker, Andre, Al-Tahan, Jasmin, Segoviano, Miriam, Berchtold, Anke, Bierschbach, Christine, Blatzheim, Erika, Schuch, Adelheid, Pickert, Petra, Castillo, Manuel J., Gutiérrez, Ángel, Ortega, Francisco B., Ruiz, Jonatan R., Artero, Enrique G., España, Vanesa, Jiménez-Pavón, David, Chillón, Palma, Sánchez-Muñoz, Cristóbal, Cuenca, Magdalena, Arcella, Davide, Azzini, Elena, Barison, Emma, Bevilacqua, Noemi, Buonocore, Pasquale, Catasta, Giovina, Censi, Laura, Ciarapica, Donatella, D'Acapito, Paola, Ferrari, Marika, Galfo, Myriam, Donne, Cinzia Le, Leclercq, Catherine, Maiani, Giuseppe, Mauro, Beatrice, Mistura, Lorenza, Pasquali, Antonella, Piccinelli, Raffaela, Polito, Angela, Roccaldo, Romana, Spada, Raffaella, Zaccaria, Maria, Scalfi, Luca, Vitaglione, Paola, Montagnese, Concetta, De Bourdeaudhuij, Ilse, De Vriendt, Tineke, Maes, Lea, Matthys, Christophe, Vereecken, Carine, de Maeyer, Mieke, Ottevaere, Charlene, Phillipp, Katharina, Dietrich, Sabine, Grammatikaki, Eva, Bouloubasi, Zoi, Cook, Tina Louisa, Eleutheriou, Sofia, Consta, Orsalia, Moschonis, George, Katsaroli, Ioanna, Kraniou, George, Papoutsou, Stalo, Keke, Despoina, Petraki, Ioanna, Bellou, Elena, Tanagra, Sofia, Kallianoti, Kostalenia, Argyropoulou, Dionysia, Tsikrika, Stamatoula, Karaiskos, Christo, Dallongeville, Jean, Meirhaeghe, Aline, Sjöstrom, Michael, Hagströmer, María, Wennlöf, Anita Hurtig, Hallström, Lena, Patterson, Emma, Kwak, Lydia, Rizzo, Nico, Sánchez-Molero, Jackie, Castelló, Sara, Picó, Elena, Navarro, Maite, Viadel, Blanca, Carreres, José Enrique, Merino, Gema, Sanjuán, Rosa, Lorente, María, Sánchez, María José, Gilbert, Chantal, Thomas, Sarah, Allchurch, Elaine, Burgess, Peter, Hall, Gunnar, Astrom, Annika, Sverkén, Anna, Broberg, Agneta, Masson, Annick, Lehoux, Claire, Brabant, Pascal, Pate, Philippe, Fontaine, Laurence, Sebok, Andra, Kuti, Tunde, Hegyi, Adrienn, Maldonado, Cristina, Llorente, Ana, García, Emilio, von Fircks, Holger, Hallberg, Marianne Lilja, Messerer, Maria, Larsson, Mat, Fredriksson, Helena, Adamsson, Viola, Börjesson, Ingmar, Fernández, Laura, Smillie, Laura, Wills, Josephine, Pedrero-Chamizo, Raquel, Meléndez, Agustín, Valtueña, Jara, Albers, Ulrike, Benito, Pedro J., Lorente, Juan José Gómez, Cañada, David, Urzanqui, Alejandro, Torres, Rosa María, and Navarro, Paloma

Subjects
0301 basic medicine, Vitamin b, Food intake, 030109 nutrition & dietetics, Nutrition and Dietetics, Adolescent, business.industry, Endocrinology, Diabetes and Metabolism, Physiology, Dietary pattern, Reduced rank regression, Fish products, Whole milk, Europe, 03 medical and health sciences, Medicine, Biomarker (medicine), Vitamin B12, Vitamin b6, business, Vitamin B
Abstract

On behalf of the HELENA study group: et al., [Objectives]: To determine dietary patterns (DPs) and explain the highest variance of vitamin B6, folate, and B12 intake and related concentrations among European adolescents., [Methods]: A total of 2173 adolescents who participated in the Healthy Lifestyle in Europe by Nutrition in Adolescence study met the eligibility criteria for the vitamin B intake analysis (46% boys) and 586 adolescents for the biomarkers analysis (47% boys). Two non-consecutive, 24-h, dietary recalls were used to assess the mean intakes. Concentrations were measured by chromatography and immunoassay testing. A reduced rank regression was applied to elucidate the combined effect of food intake of vitamin B and related concentrations., [Results]: The identified DPs (one per vitamin B intake and biomarker and by sex) explained a variability between 34.2% and 23.7% of the vitamin B intake and between 17.2% and 7% of the biomarkers. In the reduced rank regression models, fish, eggs, cheese, whole milk and buttermilk intakes were loaded positively for vitamin B intake in both sexes; however, soft drinks and chocolate were loaded negatively. For the biomarkers, a higher variability was observed in the patterns in terms of food loads such as alcoholic drinks, sugars, and soft drinks. Some food items were loaded differently between intakes and biomarkers such as fish products, which was loaded positively for intakes but negatively for plasma folate in girls., [Conclusions]: The identified DPs explained up to 34.2% and 17.2% of the variability of the vitamin B intake and plasma concentrations, respectively, in European adolescents. Further studies are needed to elucidate the factors that determine such patterns., HELENA study received funding from the European Union’s Sixth RTD Framework Programme (Contract FOODCT-2005-007034). Additional support from the Spanish Ministry of Education (AGL2007-29784-E/ALI), Axis-Shield Diagnostics Ltd (Oslo, Norway), Abbot Científica S.A. (Spain). This analysis was also supported by the Spanish Ministry of Science and Innovation (JCI-2010-07055) with the contribution of the European Regional Development Fund (FEDER). The first author is supported by a grant from the Spanish Carlos III Health Institute: RD08/0072/0025 (Red SAMID: Maternal, Child Health and Development Research Network).

Published
2018

2. Diet as a moderator in the association of sedentary behaviors with inflammatory biomarkers among adolescents in the HELENA study

Author

Arouca, Aline B., Santaliestra-Pasías, Alba M., Moreno, Luis A., Marcos, Ascensión, Widhalm, Kurt, Molnár, Dénes, Manios, Yannis, Gottrand, Frederic, Kafatos, Anthony, Kersting, Mathilde, Sjöström, Michael, Sáinz, Ángel Gutiérrez, Ferrari, Marika, Huybrechts, Inge, González-Gross, Marcela, Forsner, Maria, de Henauw, Stefaan, Michels, Nathalie, Gottrand, Fréderic, Gilbert, Chantal, Libersa, Christian, Castelló, Sara, Sjöstrom, Michael, Dallongeville, Jean, Hall, Gunnar, Maes, Lea, Scalfi, Luca, Meléndez, Pilar, Casajús, José A., Fleta, Jesús, Rodríguez, Gerardo, Tomás, Concepción, Mesana, María I., Vicente-Rodríguez, Germán, Villarroya, Adoración, Gil, Carlos M., Ara, Ignacio, Alvira, Juan Fernández, Bueno, Gloria, Bueno, Olga, León, Juan F., Garagorri, Jesús Mª, Labayen, Idoia, Bel, Silvia, Gracia Marco, Luis A., Mouratidou, Theodora, Santaliestra-Pasías, Alba, Iglesia, Iris, González-Gil, Esther, de Miguel-Etayo, Pilar, Julián, Cristina, Miguel-Berges, Mary, Iguacel, Isabel, Rupérez, Azahara, Wärnberg, Julia, Nova, Esther, Gómez, Sonia, Díaz, Ligia Esperanza, Romeo, Javier, Veses, Ana, Zapatera, Belén, Pozo, Tamara, Martínez, David, Beghin, Laurent, Gottrand, Frédéric, Iliescu, Catalina, von Berlepsch, Juliana, Sichert-Hellert, Wolfgang, Koeppen, Ellen, Erhardt, Eva, Csernus, Katalin, Török, Katalin, Bokor, Szilvia, Angster, null, Nagy, Enikö, Kovács, Orsolya, Répasi, Judit, Codrington, Caroline, Plada, María, Papadaki, Angeliki, Sarri, Katerina, Viskadourou, Anna, Hatzis, Christos, Kiriakakis, Michael, Tsibinos, George, Vardavas, Constantine, Sbokos, Manolis, Protoyeraki, Eva, Fasoulaki, Maria, Stehle, Peter, Pietrzik, Klaus, Breidenassel, Christina, Spinneker, Andre, Al-Tahan, Jasmin, Segoviano, Miriam, Berchtold, Anke, Bierschbach, Christine, Blatzheim, Erika, Schuch, Adelheid, Pickert, Petra, Castillo, Manuel J., Gutiérrez, Ángel, Ortega, Francisco B, Ruiz, Jonatan R, Artero, Enrique G, España, Vanesa, Jiménez-Pavón, David, Chillón, Palma, Sánchez-Muñoz, Cristóbal, Cuenca, Magdalena, Arcella, Davide, Azzini, Elena, Barrison, Emma, Bevilacqua, Noemi, Buonocore, Pasquale, Catasta, Giovina, Censi, Laura, Ciarapica, Donatella, D’Acapito, Paola, Galfo, Myriam, Le Donne, Cinzia, Leclercq, Catherine, Maiani, Giuseppe, Mauro, Beatrice, Mistura, Lorenza, Pasquali, Antonella, Piccinelli, Raffaela, Polito, Angela, Roccaldo, Romana, Spada, Raffaella, Sette, Stefania, Zaccaria, Maria, Vitaglione, Paola, Montagnese, Concetta, de Bourdeaudhuij, Ilse, de Vriendt, Tineke, Matthys, Christophe, Vereecken, Carine, de Maeyer, Mieke, Ottevaere, Charlene, Phillipp, Katharina, Dietrich, Sabine, Boriss-Riedl, Birgit Kubelka Marion, Grammatikaki, Eva, Bouloubasi, Zoi, Cook, Tina Louisa, Eleutheriou, Sofia, Consta, Orsalia, Moschonis, George, Katsaroli, Ioanna, Kraniou, George, Papoutsou, Stalo, Keke, Despoina, Petraki, Ioanna, Bellou, Elena, Tanagra, Sofia, Kallianoti, Kostalenia, Argyropoulou, Dionysia, Tsikrika, Stamatoula, Karaiskos, Christos, Meirhaeghe, Aline, Hagströmer, María, Wennlöf, Anita Hurtig, Hallström, Lena, Patterson, Emma, Kwak, Lydia, Rizzo, Nico, Sánchez-Molero, Jackie, Picó, Elena, Navarro, Maite, Viadel, Blanca, Carreres, José Enrique, Merino, Gema, Sanjuán, Rosa, Lorente, María, Sánchez, María José, Thomas, Sarah, Allchurch, Elaine, Burgess, Peter, Astrom, Annika, Sverkén, Anna, Broberg, Agneta, Masson, Annick, Lehoux, Claire, Brabant, Pascal, Pate, Philippe, Fontaine, Laurence, Sebok, Andras, Kuti, Tunde, Hegyi, Adrienn, Maldonado, Cristina, Llorente, Ana, García, Emilio, von Fircks, Holger, Hallberg, Marianne Lilja, Messerer, Maria, Larsson, Mats, Fredriksson, Helena, Adamsson, Viola, Börjesson, Ingmar, Fernández, Laura, Smillie, Laura, Wills, Josephine, Pedrero-Chamizo, Raquel, Meléndez, Agustín, Valtueña, Jara, Albers, Ulrike, Benito, Pedro J., Lorente, Juan José Gómez, Cañada, David, Urzanqui, Alejandro, Torres, Rosa María, Navarro, Paloma, Arouca, Aline B., Santaliestra-Pasías, Alba M., Moreno, Luis A., Marcos, Ascensión, Widhalm, Kurt, Molnár, Déne, Manios, Yanni, Gottrand, Frederic, Kafatos, Anthony, Kersting, Mathilde, Sjöström, Michael, Sáinz, Ángel Gutiérrez, Ferrari, Marika, Huybrechts, Inge, González-Gross, Marcela, Forsner, Maria, de Henauw, Stefaan, Michels, Nathalie, Gottrand, Fréderic, Gilbert, Chantal, Libersa, Christian, Castelló, Sara, Sjöstrom, Michael, Dallongeville, Jean, Hall, Gunnar, Maes, Lea, Scalfi, Luca, Meléndez, Pilar, Casajús, José A., Fleta, Jesú, Rodríguez, Gerardo, Tomás, Concepción, Mesana, María I., Vicente-Rodríguez, Germán, Villarroya, Adoración, Gil, Carlos M., Ara, Ignacio, Alvira, Juan Fernández, Bueno, Gloria, Bueno, Olga, León, Juan F., Garagorri, Jesús Mª, Labayen, Idoia, Bel, Silvia, Gracia Marco, Luis A., Mouratidou, Theodora, Santaliestra-Pasías, Alba, Iglesia, Iri, González-Gil, Esther, de Miguel-Etayo, Pilar, Julián, Cristina, Miguel-Berges, Mary, Iguacel, Isabel, Rupérez, Azahara, Wärnberg, Julia, Nova, Esther, Gómez, Sonia, Díaz, Ligia Esperanza, Romeo, Javier, Veses, Ana, Zapatera, Belén, Pozo, Tamara, Martínez, David, Beghin, Laurent, Gottrand, Frédéric, Iliescu, Catalina, von Berlepsch, Juliana, Sichert-Hellert, Wolfgang, Koeppen, Ellen, Erhardt, Eva, Csernus, Katalin, Török, Katalin, Bokor, Szilvia, Angster, Null, Nagy, Enikö, Kovács, Orsolya, Répasi, Judit, Codrington, Caroline, Plada, María, Papadaki, Angeliki, Sarri, Katerina, Viskadourou, Anna, Hatzis, Christo, Kiriakakis, Michael, Tsibinos, George, Vardavas, Constantine, Sbokos, Manoli, Protoyeraki, Eva, Fasoulaki, Maria, Stehle, Peter, Pietrzik, Klau, Breidenassel, Christina, Spinneker, Andre, Al-Tahan, Jasmin, Segoviano, Miriam, Berchtold, Anke, Bierschbach, Christine, Blatzheim, Erika, Schuch, Adelheid, Pickert, Petra, Castillo, Manuel J., Gutiérrez, Ángel, Ortega, Francisco B, Ruiz, Jonatan R, Artero, Enrique G, España, Vanesa, Jiménez-Pavón, David, Chillón, Palma, Sánchez-Muñoz, Cristóbal, Cuenca, Magdalena, Arcella, Davide, Azzini, Elena, Barrison, Emma, Bevilacqua, Noemi, Buonocore, Pasquale, Catasta, Giovina, Censi, Laura, Ciarapica, Donatella, D’Acapito, Paola, Galfo, Myriam, Le Donne, Cinzia, Leclercq, Catherine, Maiani, Giuseppe, Mauro, Beatrice, Mistura, Lorenza, Pasquali, Antonella, Piccinelli, Raffaela, Polito, Angela, Roccaldo, Romana, Spada, Raffaella, Sette, Stefania, Zaccaria, Maria, Vitaglione, Paola, Montagnese, Concetta, de Bourdeaudhuij, Ilse, de Vriendt, Tineke, Matthys, Christophe, Vereecken, Carine, de Maeyer, Mieke, Ottevaere, Charlene, Phillipp, Katharina, Dietrich, Sabine, Boriss-Riedl, Birgit Kubelka Marion, Grammatikaki, Eva, Bouloubasi, Zoi, Cook, Tina Louisa, Eleutheriou, Sofia, Consta, Orsalia, Moschonis, George, Katsaroli, Ioanna, Kraniou, George, Papoutsou, Stalo, Keke, Despoina, Petraki, Ioanna, Bellou, Elena, Tanagra, Sofia, Kallianoti, Kostalenia, Argyropoulou, Dionysia, Tsikrika, Stamatoula, Karaiskos, Christo, Meirhaeghe, Aline, Hagströmer, María, Wennlöf, Anita Hurtig, Hallström, Lena, Patterson, Emma, Kwak, Lydia, Rizzo, Nico, Sánchez-Molero, Jackie, Picó, Elena, Navarro, Maite, Viadel, Blanca, Carreres, José Enrique, Merino, Gema, Sanjuán, Rosa, Lorente, María, Sánchez, María José, Thomas, Sarah, Allchurch, Elaine, Burgess, Peter, Astrom, Annika, Sverkén, Anna, Broberg, Agneta, Masson, Annick, Lehoux, Claire, Brabant, Pascal, Pate, Philippe, Fontaine, Laurence, Sebok, Andra, Kuti, Tunde, Hegyi, Adrienn, Maldonado, Cristina, Llorente, Ana, García, Emilio, von Fircks, Holger, Hallberg, Marianne Lilja, Messerer, Maria, Larsson, Mat, Fredriksson, Helena, Adamsson, Viola, Börjesson, Ingmar, Fernández, Laura, Smillie, Laura, Wills, Josephine, Pedrero-Chamizo, Raquel, Meléndez, Agustín, Valtueña, Jara, Albers, Ulrike, Benito, Pedro J., Lorente, Juan José Gómez, Cañada, David, Urzanqui, Alejandro, Torres, Rosa María, Navarro, Paloma, and European Commission

Subjects
0301 basic medicine, Male, Mediterranean diet, Adolescent, Physiology, Medicine (miscellaneous), 030209 endocrinology & metabolism, Low-grade inflammation, Diet, Mediterranean, Antioxidants, Low grade inflammation, Moderation, 03 medical and health sciences, 0302 clinical medicine, Insulin resistance, medicine, Humans, Inflammation, 030109 nutrition & dietetics, Nutrition and Dietetics, business.industry, medicine.disease, Healthy diet, Inflammatory biomarkers, Diet, Europe, Increased risk, Adolescent Behavior, HELENA study, Female, Sedentary Behavior, business, Biomarkers, Biomedical sciences
Abstract

HELENA study group., [Aim]: To assess if a healthy diet might attenuate the positive sedentary–inflammation relation, whereas an unhealthy diet may increase the effect of sedentary behaviors on inflammatory biomarkers., [Methods]: In 618 adolescents (13–17 years) of the European HELENA study, data were available on body composition, a set of inflammation markers, and food intake assessed by a self-administered computerized 24 h dietary recall for 2 days. A 9-point Mediterranean diet score and an antioxidant-rich diet z-score were used as dietary indices and tested as moderators. A set of low-grade inflammatory characteristics was used as outcome: several cytokines in an inflammatory ratio (IL-6, IL-10, TNF-α, TGFβ-1), C-reactive protein, three cell-adhesion molecules (sVCAM-1, sICAM-1, sE-selectin), three cardiovascular risk markers (GGT, ALT, homocysteine) and three immune cell types (white blood cells, lymphocytes, CD3). Sedentary behaviors were self-reported and analyzed as total screen time. Multiple linear regression analyses tested moderation by diet in the sedentary behaviors–inflammation association adjusted for age, sex, country, adiposity (sum of six skinfolds), parental education, and socio-economic status., [Results]: Both diet scores, Mediterranean and antioxidant-rich diet, were significant protective moderators in the effect of sedentary behaviors on alanine-transaminase enzyme (P = 0.014; P = 0.027), and on the pro/anti-inflammatory cytokine ratio (P = 0.001; P = 0.004), but not on other inflammatory parameters., [Conclusion]: A higher adherence to the Mediterranean diet or an antioxidant-rich diet may attenuate the onset of oxidative stress signs associated by sedentary behaviors, whereas a poor diet seems to increase inflammation., The HELENA Study was carried out with the financial support of the European Community Sixth RTD Framework Programme (Contract FOODCT-2005-007034).

Published
2017

3. Antioxidant Vitamin Status (A, E, C, and Beta-Carotene) in European Adolescents - The HELENA Study

Author

Breidenassel, Christina, Valtueña, Jara, González Gross, Marcela, Benser, Jasmin, Spinneker, Andre, Moreno, Luis A., de Henauw, Stefaan, Widhalm, Kurt, Molnar, Denes, Maiani, Guiseppe, Stehle, Peter, Fleta, Jesús, Casajús, José A., Rodríguez, Gerardo, Tomás, Concepción, Mesana, María I., Vicente Rodríguez, Germán, Villarroya, Adoración, Gil, Carlos M., Ara, Ignacio, Revenga, Juan, Lachen, Carmen, Alvira, Juan Fernández, Bueno, Gloria, Lázaro, Aurora, Bueno, Olga, León, Juan F., Garagorri, Jesús M., Bueno, Manuel, López, Juan Pablo Rey, Iglesia, Iris, Velasco, Paula, Bel, Silvia, Marcos, Ascensión, Wärnberg, Julia, Nova, Esther, Gómez, Sonia, Díaz, Esperanza Ligia, Romeo, Javier, Veses, Ana, Puertollano, Mari Angeles, Zapatera, Belén, Pozo, Tamara, Beghin, Laurent, Libersa, Christian, Gottrand, Frédéric, Iliescu, Catalina, Von Berlepsch, Juliana, Kersting, Mathilde, Sichert Hellert, Wolfgang, Koeppen, Ellen, Erhardt, Eva, Csernus, Katalin, Török, Katalin, Bokor, Szilvia, Angster, M.r.s., Nagy, Enikö, Kovács, Orsolya, Repásy, Judit, Kafatos, Anthony, Codrington, Caroline, Plada, María, Papadaki, Angeliki, Sarri, Katerina, Viskadourou, Anna, Hatzis, Christos, Kiriakakis, Michael, Tsibinos, George, Sbokos, Constantine Vardavas Manolis, Protoyeraki, Eva, Fasoulaki, Maria, Pietrzik, Klaus, Al Tahan, Jasmin, Segoviano, Miriam, Berchtold, Anke, Bierschbach, Christine, Blatzheim, Erika, Schuch, Adelheid, Pickert, Petra, Castillo, Manuel J., Gutiérrez, Ángel, Ortega, Francisco B., Ruiz, Jonatan R., Artero, Enrique G., España Romero, Vanesa, Jiménez Pavón, David, Chillón, Palma, Arcella, Davide, Azzini, Elena, Barrison, Emma, Bevilacqua, Noemi, Buonocore, Pasquale, Catasta, Giovina, Censi, Laura, Ciarapica, Donatella, D'Acapito, Paola, Ferrari, Marika, Galfo, Myriam, Le Donne, Cinzia, Leclercq, Catherine, Mauro, Beatrice, Mistura, Lorenza, Pasquali, Antonella, Piccinelli, Raffaela, Polito, Angela, Spada, Raffaella, Sette, Stefania, Zaccaria, Maria, SCALFI, LUCA, Montagnese, Concetta, De Bourdeaudhuij, Ilse, De Vriendt, Tineke, Maes, Lea, Matthys, Christophe, Vereecken, Carine, de Maeyer, Mieke, Ottevaere, Charlene, Phillipp, Katharina, Dietrich, Sabine, Boriss Riedl, Birgit Kubelka Marion, Manios, Yannis, Grammatikaki, Eva, Bouloubasi, Zoi, Cook, Tina Louisa, Eleutheriou, Sofia, Consta, Orsalia, Moschonis, George, Katsaroli, Ioanna, Kraniou, George, Papoutsou, Stalo, Keke, Despoina, Petraki, Ioanna, Bellou, Elena, Tanagra, Sofia, Kallianoti, Kostalenia, Argyropoulou, Dionysia, Kondaki, Katerina, Tsikrika, Stamatoula, Karaiskos, Christos, Dallongeville, Jean, Meirhaeghe, Aline, Sjöstrom, Michael, Bergman, Patrick, Hagströmer, María, Hallström, Lena, Hallberg, Mårten, Poortvliet, Eric, Rizzo, Nico, Beckman, Linda, Wennlöf, Anita Hurtig, Patterson, Emma, Kwak, Lydia, Cernerud, Lars, Tillgren, Per, Sörensen, Stefaan, Sánchez Molero, Jackie, Picó, Elena, Navarro, Maite, Viadel, Blanca, Carreres, José Enrique, Merino, Gema, Sanjuán, Rosa, Lorente, María, Sánchez, María José, Castelló, Sara, Gilbert, Chantal, Thomas, Sarah, Allchurch, Elaine, Burguess, Peter, Hall, Gunnar, Astrom, Annika, Sverkén, Anna, Broberg, Agneta, Masson, Annick, Lehoux, Claire, Brabant, Pascal, Pate, Philippe, Fontaine, Laurence, Sebok, Andras, Kuti, Tunde, Hegyi, Adrienn, Maldonado, Cristina, Llorente, Ana, García, Emilio, von Fircks, Holger, Hallberg, Marianne Lilja, Messerer, Maria, Larsson, Mats, Fredriksson, Helena, Adamsson, Viola, Börjesson, Ingmar, Fernández, Laura, Smillie, Laura, Wills, Josephine, Albers, Ulrike, Pedrero, Raquel, Meléndez, Agustín, Benito, Pedro J., Cañada, David, Urzanqui, Alejandro, Ortiz, Juan Carlos, Fuentes, Francisco, Lorente, Juan José Gómez, Torres, Rosa María, Navarro, Paloma, VITAGLIONE, PAOLA, Breidenassel, Christina, Valtueña, Jara, González Gross, Marcela, Benser, Jasmin, Spinneker, Andre, Moreno, Luis A., de Henauw, Stefaan, Widhalm, Kurt, Molnar, Dene, Maiani, Guiseppe, Stehle, Peter, Fleta, Jesú, Casajús, José A., Rodríguez, Gerardo, Tomás, Concepción, Mesana, María I., Vicente Rodríguez, Germán, Villarroya, Adoración, Gil, Carlos M., Ara, Ignacio, Revenga, Juan, Lachen, Carmen, Alvira, Juan Fernández, Bueno, Gloria, Lázaro, Aurora, Bueno, Olga, León, Juan F., Garagorri, Jesús M., Bueno, Manuel, López, Juan Pablo Rey, Iglesia, Iri, Velasco, Paula, Bel, Silvia, Marcos, Ascensión, Wärnberg, Julia, Nova, Esther, Gómez, Sonia, Díaz, Esperanza Ligia, Romeo, Javier, Veses, Ana, Puertollano, Mari Angele, Zapatera, Belén, Pozo, Tamara, Beghin, Laurent, Libersa, Christian, Gottrand, Frédéric, Iliescu, Catalina, Von Berlepsch, Juliana, Kersting, Mathilde, Sichert Hellert, Wolfgang, Koeppen, Ellen, Erhardt, Eva, Csernus, Katalin, Török, Katalin, Bokor, Szilvia, Angster, M. r. s., Nagy, Enikö, Kovács, Orsolya, Repásy, Judit, Kafatos, Anthony, Codrington, Caroline, Plada, María, Papadaki, Angeliki, Sarri, Katerina, Viskadourou, Anna, Hatzis, Christo, Kiriakakis, Michael, Tsibinos, George, Sbokos, Constantine Vardavas Manoli, Protoyeraki, Eva, Fasoulaki, Maria, Pietrzik, Klau, Al Tahan, Jasmin, Segoviano, Miriam, Berchtold, Anke, Bierschbach, Christine, Blatzheim, Erika, Schuch, Adelheid, Pickert, Petra, Castillo, Manuel J., Gutiérrez, Ángel, Ortega, Francisco B., Ruiz, Jonatan R., Artero, Enrique G., España Romero, Vanesa, Jiménez Pavón, David, Chillón, Palma, Arcella, Davide, Azzini, Elena, Barrison, Emma, Bevilacqua, Noemi, Buonocore, Pasquale, Catasta, Giovina, Censi, Laura, Ciarapica, Donatella, D'Acapito, Paola, Ferrari, Marika, Galfo, Myriam, Le Donne, Cinzia, Leclercq, Catherine, Mauro, Beatrice, Mistura, Lorenza, Pasquali, Antonella, Piccinelli, Raffaela, Polito, Angela, Spada, Raffaella, Sette, Stefania, Zaccaria, Maria, Scalfi, Luca, Vitaglione, Paola, Montagnese, Concetta, De Bourdeaudhuij, Ilse, De Vriendt, Tineke, Maes, Lea, Matthys, Christophe, Vereecken, Carine, de Maeyer, Mieke, Ottevaere, Charlene, Phillipp, Katharina, Dietrich, Sabine, Boriss Riedl, Birgit Kubelka Marion, Manios, Yanni, Grammatikaki, Eva, Bouloubasi, Zoi, Cook, Tina Louisa, Eleutheriou, Sofia, Consta, Orsalia, Moschonis, George, Katsaroli, Ioanna, Kraniou, George, Papoutsou, Stalo, Keke, Despoina, Petraki, Ioanna, Bellou, Elena, Tanagra, Sofia, Kallianoti, Kostalenia, Argyropoulou, Dionysia, Kondaki, Katerina, Tsikrika, Stamatoula, Karaiskos, Christo, Dallongeville, Jean, Meirhaeghe, Aline, Sjöstrom, Michael, Bergman, Patrick, Hagströmer, María, Hallström, Lena, Hallberg, Mårten, Poortvliet, Eric, Rizzo, Nico, Beckman, Linda, Wennlöf, Anita Hurtig, Patterson, Emma, Kwak, Lydia, Cernerud, Lar, Tillgren, Per, Sörensen, Stefaan, Sánchez Molero, Jackie, Picó, Elena, Navarro, Maite, Viadel, Blanca, Carreres, José Enrique, Merino, Gema, Sanjuán, Rosa, Lorente, María, Sánchez, María José, Castelló, Sara, Gilbert, Chantal, Thomas, Sarah, Allchurch, Elaine, Burguess, Peter, Hall, Gunnar, Astrom, Annika, Sverkén, Anna, Broberg, Agneta, Masson, Annick, Lehoux, Claire, Brabant, Pascal, Pate, Philippe, Fontaine, Laurence, Sebok, Andra, Kuti, Tunde, Hegyi, Adrienn, Maldonado, Cristina, Llorente, Ana, García, Emilio, von Fircks, Holger, Hallberg, Marianne Lilja, Messerer, Maria, Larsson, Mat, Fredriksson, Helena, Adamsson, Viola, Börjesson, Ingmar, Fernández, Laura, Smillie, Laura, Wills, Josephine, Albers, Ulrike, Pedrero, Raquel, Meléndez, Agustín, Benito, Pedro J., Cañada, David, Urzanqui, Alejandro, Ortiz, Juan Carlo, Fuentes, Francisco, Lorente, Juan José Gómez, Torres, Rosa María, and Navarro, Paloma

Subjects
Male, Vitamin, medicine.medical_specialty, Antioxidant, Adolescent, Endocrinology, Diabetes and Metabolism, medicine.medical_treatment, alpha-Tocopherol, Nutritional Status, Medicine (miscellaneous), Physiology, Ascorbic Acid, chemistry.chemical_compound, Reference Values, beta-Carotene, Internal medicine, Nutrition and Dietetic, medicine, Humans, Reference Value, Vitamin C, Child, Vitamin A, Cross-Sectional Studie, Sex Characteristics, α-tocopherol, Nutrition and Dietetics, Retinol, business.industry, Nutritional status, General Medicine, Sex Characteristic, beta Carotene, Antioxidant vitamins, Europe, Nutritional Statu, Cross-Sectional Studies, Endocrinology, Beta-carotene, chemistry, Female, business, Human
Abstract

Background: An adequate nutritional status of antioxidant vitamins (vitamins A, C, E) and β-carotene is essential especially during childhood and adolescence, because of their important roles in cell growth and development. Currently, there are no physiological reference values for blood concentration of these vitamins and β-carotene in apparently healthy European adolescents. The aim of the current study was to obtain reliable and comparable data of antioxidant vitamins and β-carotene in a cross-sectional study, within HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence), which was conducted in a representative sample of adolescents from ten European cities. Material and Methods: From a subsample of 1,054 adolescents (males= 501) of the HELENA Cross Sectional Study with an age range of 12.5 to 17.49 years, fasting blood samples were taken and analyzed for vitamins A, E, C, and β-carotene status. As specific reference values for adolescents are missing, percentile distribution by age and sex is given. Results: Mean concentrations were the following: Retinol: 356.4 ± 107.9 cm/mL; α-tocopherol: 9.9 ± 2.1 μg/mL; vitamin C: 10.3 ± 3.3 mg/L; and β-carotene: 245.6 ± 169.6 cm/mL. Females showed higher α-tocopherol and vitamin C values compared with males and 17-year-old boys had higher retinol levels than the same-aged girls (p = 0.018). Retinol serum concentrations increased significantly according to age in both gender, but girls had also significantly increasing β-carotene levels by age. Conclusions: For the first time, concentrations of antioxidant vitamins and pro-vitamin β-carotene have been obtained in a representative sample of apparently healthy European adolescents. These data can contribute to the establishment of reference ranges in adolescents. © 2011 Hans Huber Publishers, Hogrefe AG, Bern.

Published
2011
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4. Influence of parental socio-economic status on diet quality of European adolescents: Results from the HELENA study

Author

Béghin, L., Dauchet, L., De Vriendt, Tineke, Cuenca García, M., Manios, Y., Toti, E., Plada, M., Widhalm, K., Repasy, J., Huybrechts, I., Kersting, M., Moreno, L. A., Dallongeville, J., Gottrand, Frédéric, De Henauw, Stefaan, González Gross, Marcela, Gilbert, Chantal, Kafatos, Anthony, Libersa, Christian, Sánchez, Jackie, Sjöstrom, Michael, Molnár, Dénes, Hall, Gunnar, Maes, Lea, SCALFI, LUCA, Meléndez, Pilar, Fleta, Jesús, Casajús, J.o.s.é.a., Rodríguez, Gerardo, Tomás, Concepción, Mesana, María I., Vicente Rodríguez, Germán, Villarroya, Adoración, Gil, Carlos M., Ara, Ignacio, Revenga, Juan, Lachen, Carmen, Alvira, Juan Fernández, Bueno, Gloria, Lázaro, Aurora, Bueno, Olga, León, Juan F., Garagorri, Jesús Ma, Bueno, Manuel, López, Juan Pablo Rey, Iglesia, Iris, Velasco, Paula, Bel, Silvia, Marcos, Ascensión, Wärnberg, Julia, Nova, Esther, Gómez, Sonia, Díaz, Esperanza Ligia, Romeo, Javier, Veses, Ana, Puertollano, Mari Angeles, Zapatera, Belén, Pozo, Tamara, Iliescu, Catalina, Von Berlepsch, Juliana, Sichert Hellert, Wolfgang, Koeppen, Ellen, Erhardt, Eva, Csernus, Katalin, Török, Katalin, Bokor, Szilvia, Angster, M.r.s., Nagy, Enikö, Kovács, Orsolya, Répasi, Judit, Codrington, Caroline, Papadaki, Angeliki, Sarri, Katerina, Viskadourou, Anna, Hatzis, Christos, Kiriakakis, Michael, Tsibinos, George, Vardavas, Constantine, Sbokos, Manolis, Protoyeraki, Eva, Fasoulaki, Maria, Stehle, Peter, Pietrzik, Klaus, Breidenassel, Christina, Spinneker, Andre, Al Tahan, Jasmin, Segoviano, Miriam, Berchtold, Anke, Bierschbach, Christine, Blatzheim, Erika, Schuch, Adelheid, Pickert, Petra, Garzón, Manuel J. Castillo, Sáinz, Ángel Gutiérrez, Porcel, Francisco B. Ortega, Ruiz, Jonatan Ruiz, Artero, Enrique García, Romero, Vanesa España, Pavón, David Jiménez, Muñoz, Cristóbal Sánchez, Soto, Victor, Chillón, Palma, Heredia, Jose M., Aparicio, Virginia, Baena, Pedro, Cardia, Claudia M., Carbonell, Ana, Arcella, Davide, Catasta, Giovina, Censi, Laura, Ciarapica, Donatella, Ferrari, Marika, Le Donne, Cinzia, Leclerq, Catherine, Magrì, Luciana, Maiani, Giuseppe, Piccinelli, Rafaela, Polito, Angela, Spada, Raffaela, Montagnese, Concetta, De Bourdeaudhuij, Ilse, Matthys, Christophe, Vereecken, Carine, De Maeyer, Mieke, Ottevaere, Charlene, Phillipp, Katharina, Dietrich, Sabine, Grammatikaki, Eva, Bouloubasi, Zoi, Cook, Tina Louisa, Eleutheriou, Sofia, Consta, Orsalia, Moschonis, George, Katsaroli, Ioanna, Kraniou, George, Papoutsou, Stalo, Keke, Despoina, Petraki, Ioanna, Bellou, Elena, Tanagra, Sofia, Kallianoti, Kostalenia, Argyropoulou, Dionysia, Kondaki, Katerina, Tsikrika, Stamatoula, Karaiskos, Christos, Meirhaeghe, Aline, Bergman, Patrick, Hagströmer, María, Hallström, Lena, Hallberg, Mårten, Poortvliet, Eric, Rizzo, Nico, Beckman, Linda, Wennlöf, Anita Hurtig, Patterson, Emma, Kwak, Lydia, Cernerud, Lars, Tillgren, Per, Sörensen, Stefaan, Sánchez Molero, Jackie, Picó, Elena, Navarro, Maite, Viadel, Blanca, Carreres, José Enrique, Merino, Gema, Sanjuán, Rosa, Lorente, María, Sánchez, María José, Castelló, Sara, Thomas, Sarah, Allchurch, Elaine, Burguess, Peter, Astrom, Annika, Sverkén, Anna, Broberg, Agneta, Masson, Annick, Lehoux, Claire, Brabant, Pascal, Pate, Philippe, Fontaine, Laurence, Sebok, Andras, Kuti, Tunde, Hegyi, Adrienn, Maldonado, Cristina, Llorente, Ana, García, Emilio, Von Fircks, Holger, Hallberg, Marianne Lilja, Messerer, Maria, Larsson, Mats, Fredriksson, Helena, Adamsson, Viola, Börjesson, Ingmar, Fernández, Laura, Smillie, Laura, Wills, Josephine, Meléndez, Agustín, Benito, Pedro J., Calderón, Javier, Jiménez Pavón, David, Valtueña, Jara, Navarro, Paloma, Urzanqui, Alejandro, Albers, Ulrike, Pedrero, Raquel, Lorente, Juan José Gómez, VITAGLIONE, PAOLA, Béghin, L., Dauchet, L., De Vriendt, Tineke, Cuenca García, M., Manios, Y., Toti, E., Plada, M., Widhalm, K., Repasy, J., Huybrechts, I., Kersting, M., Moreno, L. A., Dallongeville, J., Gottrand, Frédéric, De Henauw, Stefaan, González Gross, Marcela, Gilbert, Chantal, Kafatos, Anthony, Libersa, Christian, Sánchez, Jackie, Sjöstrom, Michael, Molnár, Déne, Hall, Gunnar, Maes, Lea, Scalfi, Luca, Meléndez, Pilar, Fleta, Jesú, Casajús, J. o. s. é. a., Rodríguez, Gerardo, Tomás, Concepción, Mesana, María I., Vicente Rodríguez, Germán, Villarroya, Adoración, Gil, Carlos M., Ara, Ignacio, Revenga, Juan, Lachen, Carmen, Alvira, Juan Fernández, Bueno, Gloria, Lázaro, Aurora, Bueno, Olga, León, Juan F., Garagorri, Jesús Ma, Bueno, Manuel, López, Juan Pablo Rey, Iglesia, Iri, Velasco, Paula, Bel, Silvia, Marcos, Ascensión, Wärnberg, Julia, Nova, Esther, Gómez, Sonia, Díaz, Esperanza Ligia, Romeo, Javier, Veses, Ana, Puertollano, Mari Angele, Zapatera, Belén, Pozo, Tamara, Iliescu, Catalina, Von Berlepsch, Juliana, Sichert Hellert, Wolfgang, Koeppen, Ellen, Erhardt, Eva, Csernus, Katalin, Török, Katalin, Bokor, Szilvia, Angster, M. r. s., Nagy, Enikö, Kovács, Orsolya, Répasi, Judit, Codrington, Caroline, Papadaki, Angeliki, Sarri, Katerina, Viskadourou, Anna, Hatzis, Christo, Kiriakakis, Michael, Tsibinos, George, Vardavas, Constantine, Sbokos, Manoli, Protoyeraki, Eva, Fasoulaki, Maria, Stehle, Peter, Pietrzik, Klau, Breidenassel, Christina, Spinneker, Andre, Al Tahan, Jasmin, Segoviano, Miriam, Berchtold, Anke, Bierschbach, Christine, Blatzheim, Erika, Schuch, Adelheid, Pickert, Petra, Garzón, Manuel J. Castillo, Sáinz, Ángel Gutiérrez, Porcel, Francisco B. Ortega, Ruiz, Jonatan Ruiz, Artero, Enrique García, Romero, Vanesa España, Pavón, David Jiménez, Muñoz, Cristóbal Sánchez, Soto, Victor, Chillón, Palma, Heredia, Jose M., Aparicio, Virginia, Baena, Pedro, Cardia, Claudia M., Carbonell, Ana, Arcella, Davide, Catasta, Giovina, Censi, Laura, Ciarapica, Donatella, Ferrari, Marika, Le Donne, Cinzia, Leclerq, Catherine, Magrì, Luciana, Maiani, Giuseppe, Piccinelli, Rafaela, Polito, Angela, Spada, Raffaela, Vitaglione, Paola, Montagnese, Concetta, De Bourdeaudhuij, Ilse, Matthys, Christophe, Vereecken, Carine, De Maeyer, Mieke, Ottevaere, Charlene, Phillipp, Katharina, Dietrich, Sabine, Grammatikaki, Eva, Bouloubasi, Zoi, Cook, Tina Louisa, Eleutheriou, Sofia, Consta, Orsalia, Moschonis, George, Katsaroli, Ioanna, Kraniou, George, Papoutsou, Stalo, Keke, Despoina, Petraki, Ioanna, Bellou, Elena, Tanagra, Sofia, Kallianoti, Kostalenia, Argyropoulou, Dionysia, Kondaki, Katerina, Tsikrika, Stamatoula, Karaiskos, Christo, Meirhaeghe, Aline, Bergman, Patrick, Hagströmer, María, Hallström, Lena, Hallberg, Mårten, Poortvliet, Eric, Rizzo, Nico, Beckman, Linda, Wennlöf, Anita Hurtig, Patterson, Emma, Kwak, Lydia, Cernerud, Lar, Tillgren, Per, Sörensen, Stefaan, Sánchez Molero, Jackie, Picó, Elena, Navarro, Maite, Viadel, Blanca, Carreres, José Enrique, Merino, Gema, Sanjuán, Rosa, Lorente, María, Sánchez, María José, Castelló, Sara, Thomas, Sarah, Allchurch, Elaine, Burguess, Peter, Astrom, Annika, Sverkén, Anna, Broberg, Agneta, Masson, Annick, Lehoux, Claire, Brabant, Pascal, Pate, Philippe, Fontaine, Laurence, Sebok, Andra, Kuti, Tunde, Hegyi, Adrienn, Maldonado, Cristina, Llorente, Ana, García, Emilio, Von Fircks, Holger, Hallberg, Marianne Lilja, Messerer, Maria, Larsson, Mat, Fredriksson, Helena, Adamsson, Viola, Börjesson, Ingmar, Fernández, Laura, Smillie, Laura, Wills, Josephine, Meléndez, Agustín, Benito, Pedro J., Calderón, Javier, Jiménez Pavón, David, Valtueña, Jara, Navarro, Paloma, Urzanqui, Alejandro, Albers, Ulrike, Pedrero, Raquel, and Lorente, Juan José Gómez

Subjects
Parents, Employment, Male, Pediatrics, medicine.medical_specialty, Adolescent, Cross-sectional study, Medicine (miscellaneous), Health Promotion, Socioeconomic Factor, Educational level, Diet Quality Index, Nutrition Policy, Feeding behavior, Parental Occupation, Surveys and Questionnaires, medicine, Nutrition and Dietetic, Humans, Surveys and Questionnaire, Socioeconomic status, Life Style, Cross-Sectional Studie, Nutrition and Dietetics, Dietary intake, Medicine (all), Feeding Behavior, Adolescent Development, Educational Statu, Adolescence, Diet, Europe, Geography, Cross-Sectional Studies, Multicenter study, Diet quality, Socioeconomic Factors, Parent, Adolescent Behavior, Food Habit, Educational Status, Patient Compliance, Female, Adolescent development, Nutritive Value, Demography, Human
Abstract

Diet quality is influenced by socio-economic and geographical factors. The present study sought to assess whether adolescents' diet quality is affected by their parents' socio-economic status and whether the relationship between these factors is similar in northern and southern Europe. Data collected in the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study in eight European countries were analysed. Dietary intake data were recorded via repeated 24 h recalls (using specifically developed HELENA Dietary Intake Assessment Tool software) and converted into an adolescent-specific Diet Quality Index (DQI-AM). Socio-economic status was estimated through parental educational level (Par-Educ-Lev) and parental occupation level (Par-Occ-Lev) as reported by the adolescents in a specific questionnaire. The DQI-AM data were then analysed as a function of Par-Educ-Lev and Par-Occ-Lev in northern European countries (Austria, Belgium, France, Germany and Sweden) and southern European countries (Greece, Italy and Spain). We studied a total of 1768 adolescents (age 14·7 (sd 1·3) years; percentage of girls: 52·8 %; 1135 and 633 subjects from northern and southern Europe, respectively). On average, the DQI-AM score was higher in southern Europe than in northern Europe (69·1 (sd 0·1) v. 60·4 (sd 2·8), respectively; PP interaction = 0·004 for the mother and 0·06 for the father). The DQI was also positively correlated with Par-Occ-Lev (all P trends P interaction = 0·51 for the mother and 0·50 for the father). In conclusion, Par-Educ-Lev and Par-Occ-Lev are associated with diet quality in adolescents in Europe. However, this association differs between northern Europe and southern Europe.

Published
2014

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