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1. 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

2. 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

3. Relationship between school rhythm and physical activity in adolescents:the HELENA study

Author

Vanhelst, Jeremy, BEGHIN, Laurent, Duhamel, Alain, De Henauw, Stefaan, Molnar, Dénes, Vicente-Rodríguez, German, Manios, Yannis, Widhalm, Kurt, Kersting, Mathilde, Polito, Angela, Ruiz , Jonatan R, Moreno, Luis A, Gottrand, Frédéric, Inserm, Université de Lille, CHU Lille, Lille Inflammation Research International Center - U 995 [LIRIC], Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS], Lille Inflammation Research International Center - U 995 (LIRIC), Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille-Institut Pasteur de Lille, Réseau International des Instituts Pasteur (RIIP)-Réseau International des Instituts Pasteur (RIIP), Evaluation des technologies de santé et des pratiques médicales - ULR 2694 (METRICS), Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille)-Université de Lille, Institut Pasteur de Lille, Réseau International des Instituts Pasteur (RIIP)-Réseau International des Instituts Pasteur (RIIP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), and Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille)

Subjects
Male, [SDV.MHEP.PED]Life Sciences [q-bio]/Human health and pathology/Pediatrics, Physical Education and Training, Schools, Time Factors, School rhythm, Adolescent, Mesh:Actigraphy, Mesh:Time Factors, Mesh:Female, Mesh:Humans, Mesh:Male, Mesh:Adolescent Behavior/physiology, Mesh:Adolescent, Mesh:Europe, Mesh:Physical Education and Training, Mesh:Exercise, Mesh:Schools, Mesh:Sedentary Lifestyle, health, school rhythm, Physical activity, adolescents, education, Physical Activity, Adolescents, Actigraphy, Europe, Health, Adolescent Behavior, [SDV.MHEP.PHY]Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO], Humans, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Female, Sedentary Behavior, Exercise
Abstract

International audience; The aim was to assess the relationship between school rhythm and physical activity (PA) in adolescents. The study included 2024 adolescents (12.5–17.4 years). Participants wore an accelerometer for 7 days. A short school rhythm was defined as a short time at school with short recesses and less time in teaching per day (Group 1). A long school rhythm was defined as a longer time at school with more time in teaching and recess (Group 2). Adolescents in group 1 performed less moderate to vigorous PA (MVPA) than those in group 2 per week (P < .0001), especially during school days (recess: 3.9 ± 4.0 vs. 9.8 ± 7.9 min.day-1 ; P

Published
2017

4. More physically active and leaner adolescents have higher energy intake

Author

Cuenca García, Magdalena, Ortega, Francisco B., Ruiz, Jonatan R., Labayen, Idoia, Moreno, Luis A., Patterson, Emma, Vicente Rodríguez, Germán, González Gross, Marcela, Marcos, Ascensión, Polito, Angela, Manios, Yannis, Beghin, Laurent, Huybrechts, Inge, Wästlund, Acki, Hurtig Wennlöf, Anita, Hagströmer, Maria, Molnár, Dénes, Widhalm, Kurt, Kafatos, Anthony, De Henauw, Stefaan, Castillo, Manuel J., Gutin, Bernard, Sjöström, Michael, Moreno LA, Gottrand F, De Henauw S, González Gross M, Gilbert C, Kafatos A, Libersa C, Sánchez Molero J, Kersting M, Sjöstrom M, Molnár D, Dallongeville J, Hall G, Maes L, Scalfi L, Meléndez P, 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, Bueno O, León JF, Garagorri JM, Bueno M, 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, Iliescu C, Von Berlepsch J, Sichert Hellert W, Koeppen E, Molnar D, Erhardt E, Csernus K, Török K, Bokor S, Nagy E, Kovács O, Repásy J, 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, 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, Donne CL, Leclercq C, Maiani G, Mauro B, Mistura L, Pasquali A, Piccinelli R, Polito A, Spada R, Sette S, Zaccaria M, II F, Montagnese C, De Bourdeaudhuij I, De Vriendt T, Matthys C, Vereecken C, de Maeyer M, Ottevaere C, Huybrechts I, Widhalm K, Phillipp K, Dietrich S, Manios Y, Grammatikaki E, Bouloubasi Z, Cook TL, Consta O, Moschonis G, Katsaroli I, Kraniou G, Papoutsou S, Keke D, Petraki I, Bellou E, Kallianoti K, Argyropoulou D, Kondaki K, Tsikrika S, Karaiskos C, Meirhaeghe A, Bergman P, Hagströmer M, Hallström L, Hallberg M, Poortvliet E, Rizzo N, Beckman L, Wennlöf AH, Patterson E, Kwak L, Cernerud L, Tillgren P, Sörensen S, Picó E, Navarro M, Viadel B, Carreres JE, Merino G, Sanjuán R, Lorente M, Sánchez MJ, Castelló S, Thomas S, Allchurch E, Burguess P, 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, Valtueña J, Albers U, Pedrero R, Meléndez A, Benito PJ, Lorente JJ, Cañada D, Urzanqui A, Ortiz JC, Fuentes F, Torres RM, Navarro P., VITAGLIONE, PAOLA, Cuenca García, Magdalena, Ortega, Francisco B., Ruiz, Jonatan R., Labayen, Idoia, Moreno, Luis A., Patterson, Emma, Vicente Rodríguez, Germán, González Gross, Marcela, Marcos, Ascensión, Polito, Angela, Manios, Yanni, Beghin, Laurent, Huybrechts, Inge, Wästlund, Acki, Hurtig Wennlöf, Anita, Hagströmer, Maria, Molnár, Déne, Widhalm, Kurt, Kafatos, Anthony, De Henauw, Stefaan, Castillo, Manuel J., Gutin, Bernard, Sjöström, Michael, Moreno, La, Gottrand, F, De Henauw, S, González Gross, M, Gilbert, C, Kafatos, A, Libersa, C, Sánchez Molero, J, Kersting, M, Sjöstrom, M, Molnár, D, Dallongeville, J, Hall, G, Maes, L, Scalfi, L, Meléndez, P, 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, Bueno, O, León, Jf, Garagorri, Jm, Bueno, M, 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, Iliescu, C, Von Berlepsch, J, Sichert Hellert, W, Koeppen, E, Molnar, D, Erhardt, E, Csernus, K, Török, K, Bokor, S, Nagy, E, Kovács, O, Repásy, J, 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, 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, Donne, Cl, Leclercq, C, Maiani, G, Mauro, B, Mistura, L, Pasquali, A, Piccinelli, R, Polito, A, Spada, R, Sette, S, Zaccaria, M, Ii, F, Vitaglione, Paola, Montagnese, C, De Bourdeaudhuij, I, De Vriendt, T, Matthys, C, Vereecken, C, de Maeyer, M, Ottevaere, C, Huybrechts, I, Widhalm, K, Phillipp, K, Dietrich, S, Manios, Y, Grammatikaki, E, Bouloubasi, Z, Cook, Tl, Consta, O, Moschonis, G, Katsaroli, I, Kraniou, G, Papoutsou, S, Keke, D, Petraki, I, Bellou, E, Kallianoti, K, Argyropoulou, D, Kondaki, K, Tsikrika, S, Karaiskos, C, Meirhaeghe, A, Bergman, P, Hagströmer, M, Hallström, L, Hallberg, M, Poortvliet, E, Rizzo, N, Beckman, L, Wennlöf, Ah, Patterson, E, Kwak, L, Cernerud, L, Tillgren, P, Sörensen, S, Picó, E, Navarro, M, Viadel, B, Carreres, Je, Merino, G, Sanjuán, R, Lorente, M, Sánchez, Mj, Castelló, S, Thomas, S, Allchurch, E, Burguess, P, 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, Valtueña, J, Albers, U, Pedrero, R, Meléndez, A, Benito, Pj, Lorente, Jj, Cañada, D, Urzanqui, A, Ortiz, Jc, Fuentes, F, Torres, Rm, and Navarro, P.

Subjects
Male, Metabolic equivalent, Body Mass Index, Bioelectrical impedance, Medicine, Child, Adiposity, DXA, medicine.diagnostic_test, Dual-energy X-ray absorptiometry, food and beverages, Europe, Nutritional Statu, MET, Total energy expenditure, Female, EYHS, Bioelectrical impedance analysis, Human, medicine.medical_specialty, Adolescent, Physical activity, Nutritional Status, Healthy Lifestyle in Europe by Nutrition in Adolescence, Motor Activity, Basal metabolic rate, BMI, Internal medicine, BIA, HELENA, Humans, BMR, MSM, Life Style, Cross-Sectional Studie, business.industry, European Youth Heart Study, TEE, Endocrinology, Cross-Sectional Studies, DIAT, Dietary Intake Assessment Tool, Pediatrics, Perinatology and Child Health, Multiple Source Method, business, Energy Intake, Body mass index, Energy (signal processing)
Abstract

Objective To test whether youths who engage in vigorous physical activity are more likely to have lean bodies while ingesting relatively large amounts of energy. For this purpose, we studied the associations of both physical activity and adiposity with energy intake in adolescents. Study design The study subjects were adolescents who participated in 1 of 2 cross-sectional studies, the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study (n = 1450; mean age, 14.6 years) or the European Youth Heart Study (EYHS; n = 321; mean age, 15.6 years). Physical activity was measured by accelerometry, and energy intake was measured by 24-hour recall. In the HELENA study, body composition was assessed by 2 or more of the following methods: skinfold thickness, bioelectrical impedance analysis, plus dual-energy X-ray absorptiometry or air-displacement plethysmography in a subsample. In the EYHS, body composition was assessed by skinfold thickness. Results Fat mass was inversely associated with energy intake in both studies and using 4 different measurement methods (P ≤.006). Overall, fat-free mass was positively associated with energy intake in both studies, yet the results were not consistent across measurement methods in the HELENA study. Vigorous physical activity in the HELENA study (P

Published
2014

5. Seasonal variation in physical activity and sedentary time in different European regions. The HELENA study

Author

Gracia Marco, Luis, Ortega, Francisco B., Ruiz, Jonatan R., Williams, Craig A., Hagströmer, Maria, Manios, Yannis, Kafatos, Anthony, Béghin, Laurent, Polito, Angela, De Henauw, Stefaan, Valtueña, Jara, Widhalm, Kurt, Molnar, Denes, Alexy, Ute, Moreno, Luis A., Sjöström, Michael, 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, Le, Juan Fón, Garagorri, Jesús M., Bueno, Manuel, López, Juan Pablo Rey, Iglesia, Iris, Velasco, Paula, Bel, Silvia, Mouratidou, Theodora, 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, Molnar, Dénes, Erhardt, Eva, Csernus, Katalin, Török, Katalin, Bokor, Szilvia, Angster, Mrs, Nagy, Enikö, Kovács, Orsolya, Repásy, Judit, 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, González Gross, Marcela, Breidenassel, Christina, Spinneker, Andre, Al Tahan, Jasmin, Segoviano, Miriam, Berchtold, Anke, Bierschbach, Christine, Blatzheim, Erika, Schuch, Adelheid, Stehle, Peter, Pickert, Petra, Castillo, Manuel J., Gutiérrez, Ángel, 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, Maiani, Giuseppe, Mauro, Beatrice, Mistura, Lorenza, Pasquali, Antonella, Piccinelli, Raffaela, Spada, Raffaella, Sette, Stefania, Zaccaria, Maria, SCALFI, LUCA, Montagnese, Concetta, de Bourdeaudhuij, Ilse, de Henauw, Stefaan, de Vriendt, Tineke, Maes, Lea, Matthys, Christophe, Vereecken, Carine, de Maeyer, Mieke, Ottevaere, Charlene, Huybrechts, Inge, 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, 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., Lorente, Juan José Gómez, Cañada, David, Urzanqui, Alejandro, Ortiz, Juan Carlos, Fuentes, Francisco, Torres, Rosa María, Navarro, Paloma, VITAGLIONE, PAOLA, Gracia Marco, Lui, Ortega, Francisco B., Ruiz, Jonatan R., Williams, Craig A., Hagströmer, Maria, Manios, Yanni, Kafatos, Anthony, Béghin, Laurent, Polito, Angela, De Henauw, Stefaan, Valtueña, Jara, Widhalm, Kurt, Molnar, Dene, Alexy, Ute, Moreno, Luis A., Sjöström, Michael, 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, Le, Juan Fón, Garagorri, Jesús M., Bueno, Manuel, López, Juan Pablo Rey, Iglesia, Iri, Velasco, Paula, Bel, Silvia, Mouratidou, Theodora, 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, Molnar, Déne, Erhardt, Eva, Csernus, Katalin, Török, Katalin, Bokor, Szilvia, Angster, Mr, Nagy, Enikö, Kovács, Orsolya, Repásy, Judit, 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, González Gross, Marcela, Breidenassel, Christina, Spinneker, Andre, Al Tahan, Jasmin, Segoviano, Miriam, Berchtold, Anke, Bierschbach, Christine, Blatzheim, Erika, Schuch, Adelheid, Stehle, Peter, Pickert, Petra, Castillo, Manuel J., Gutiérrez, Ángel, 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, Maiani, Giuseppe, Mauro, Beatrice, Mistura, Lorenza, Pasquali, Antonella, Piccinelli, Raffaela, Spada, Raffaella, Sette, Stefania, Zaccaria, Maria, Scalfi, Luca, Vitaglione, Paola, Montagnese, Concetta, de Bourdeaudhuij, Ilse, de Henauw, Stefaan, de Vriendt, Tineke, Maes, Lea, Matthys, Christophe, Vereecken, Carine, de Maeyer, Mieke, Ottevaere, Charlene, Huybrechts, Inge, 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, 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., Lorente, Juan José Gómez, Cañada, David, Urzanqui, Alejandro, Ortiz, Juan Carlo, Fuentes, Francisco, Torres, Rosa María, and Navarro, Paloma

Subjects
Male, medicine.medical_specialty, Adolescent, Climate, Physical activity, active, Physical Therapy, Sports Therapy and Rehabilitation, Sex Factor, Motor Activity, Sex Factors, Accelerometry, medicine, Humans, Orthopedics and Sports Medicine, Child, inactive, Exercise, Sedentary time, Analysis of Variance, moderate-to-vigorous physical activity, paediatric population, Seasonality, medicine.disease, Europe, accelerometer, Geography, Sedentary Lifestyle, Physical therapy, Sunlight, Female, Seasons, Season, Sedentary Behavior, Demography, Bone mass, Paediatric population, Human
Abstract

This report aims (1) to examine the association between seasonality and physical activity (PA) and sedentary time in European adolescents and (2) to investigate whether this association was influenced by geographical location (Central-North versus South of Europe), which implies more or less extreme weather and daylight hours. Valid data on PA, sedentary time and seasonality were obtained in 2173 adolescents (1175 females; 12.5-17.5 years) included in this study. Physical activity and sedentary time were measured by accelerometers. ANCOVA was conducted to analyse the differences in PA and sedentary time across seasons. Results showed that girls had lower levels of moderate to vigorous PA (MVPA) and average PA, and spent more time in sedentary activities in winter compared with spring (all P0.05). Stratified analyses showed differences in PA and sedentary time between winter and spring in European girls from Central-North of Europe (P0.05 for sedentary time). There were no differences between PA and sedentary time across seasonality in boys. In conclusion, winter is related with less time spent in MVPA, lower average PA and higher time spent in sedentary activities in European adolescent girls, compared with spring. These differences seem to mainly occur in Central-North Europe.

Published
2013

6. European adolescents' level of perceived stress is inversely related to their diet quality: the Healthy Lifestyle in Europe by Nutrition in Adolescence study

Author

De Vriendt, Tineke, Clays, Els, Huybrechts, Inge, De Bourdeaudhuij, Ilse, Moreno, Luis A., Patterson, Emma, Molnár, Dénes, Mesana, María I., Beghin, Laurent, Widhalm, Kurt, Manios, Yannis, De Henauw, Stefaan, Moreno LA, Gottrand F, De Henauw S, González Gross M, Gilbert C, Kafatos A, Libersa C, Castelló S, Kersting M, Sjöstrom M, Molnár D, Dallongeville J, Hall G, Maes L, Scalfi L, Meléndez P, 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, López JP, Iglesia I, Velasco P, Bel S, Marco LA, Mouratidou T, Marcos A, Wärnberg J, Nova E, Gómez S, Díaz LE, Romeo J, Veses A, Zapatera B, Pozo T, Martínez D, Beghin L, Iliescu C, Von Berlepsch J, Sichert Hellert W, Koeppen E, Molnar D, Erhardt E, Csernus K, Török K, Bokor S, Angster M, Nagy E, Kovács O, Répasi J, 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, Breidenassel C, Spinneker A, Al Tahan J, Segoviano M, Berchtold A, Bierschbach C, Blatzheim E, Schuch A, Pickert P, Castillo MJ, Gutiérrez A, Ortega FB, Ruiz JR, Artero EG, España V, Jiménez Pavón D, Chillón P, Sánchez Muñoz C, Cuenca M, Arcella D, Azzini E, Barrison E, Bevilacqua 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, Montagnese C, De Bourdeaudhuij I, De Vriendt T, Matthys C, Vereecken C, de Maeyer M, Ottevaere C, Huybrechts I, Widhalm K, Phillipp K, Dietrich S, Boriss Riedl BK, 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, Meirhaeghe A, Hagströmer M, Wennlöf AH, Hallström L, Patterson E, Kwak L, Rizzo N, Sánchez Molero J, Picó E, Navarro M, Viadel B, Carreres JE, Merino G, Sanjuán R, Lorente M, Sánchez MJ, Thomas S, Allchurch E, Burgess P, 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, Valtueña J, Albers U, Pedrero R, Meléndez A, Benito PJ, Lorente JJ, Cañada D, Urzanqui A, Torres RM, Navarro P., VITAGLIONE, PAOLA, De Vriendt, Tineke, Clays, El, Huybrechts, Inge, De Bourdeaudhuij, Ilse, Moreno, Luis A., Patterson, Emma, Molnár, Déne, Mesana, María I., Beghin, Laurent, Widhalm, Kurt, Manios, Yanni, De Henauw, Stefaan, Moreno, La, Gottrand, F, De Henauw, S, González Gross, M, Gilbert, C, Kafatos, A, Libersa, C, Castelló, S, Kersting, M, Sjöstrom, M, Molnár, D, Dallongeville, J, Hall, G, Maes, L, Scalfi, L, Meléndez, P, 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, López, Jp, Iglesia, I, Velasco, P, Bel, S, Marco, La, Mouratidou, T, Marcos, A, Wärnberg, J, Nova, E, Gómez, S, Díaz, Le, Romeo, J, Veses, A, Zapatera, B, Pozo, T, Martínez, D, Beghin, L, Iliescu, C, Von Berlepsch, J, Sichert Hellert, W, Koeppen, E, Molnar, D, Erhardt, E, Csernus, K, Török, K, Bokor, S, Angster, M, Nagy, E, Kovács, O, Répasi, J, 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, Breidenassel, C, Spinneker, A, Al Tahan, J, Segoviano, M, Berchtold, A, Bierschbach, C, Blatzheim, E, Schuch, A, Pickert, P, Castillo, Mj, Gutiérrez, A, Ortega, Fb, Ruiz, Jr, Artero, Eg, España, V, Jiménez Pavón, D, Chillón, P, Sánchez Muñoz, C, Cuenca, M, Arcella, D, Azzini, E, Barrison, E, Bevilacqua, 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, Vitaglione, Paola, Montagnese, C, De Bourdeaudhuij, I, De Vriendt, T, Matthys, C, Vereecken, C, de Maeyer, M, Ottevaere, C, Huybrechts, I, Widhalm, K, Phillipp, K, Dietrich, S, Boriss Riedl, Bk, 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, Meirhaeghe, A, Hagströmer, M, Wennlöf, Ah, Hallström, L, Patterson, E, Kwak, L, Rizzo, N, Sánchez Molero, J, Picó, E, Navarro, M, Viadel, B, Carreres, Je, Merino, G, Sanjuán, R, Lorente, M, Sánchez, Mj, Thomas, S, Allchurch, E, Burgess, P, 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, Valtueña, J, Albers, U, Pedrero, R, Meléndez, A, Benito, Pj, Lorente, Jj, Cañada, D, Urzanqui, A, Torres, Rm, and Navarro, P.

Subjects
Gerontology, Male, Adolescent, Dietary diversity, Physical activity, Medicine (miscellaneous), Dietary restraint, Body Mass Index, Cohort Studies, Pubertal stage, Stress, Physiological, Stress (linguistics), medicine, Humans, Perceived stre, Obesity, Child, Life Style, Cross-Sectional Studie, Sex Characteristics, Nutrition and Dietetics, business.industry, Multilevel model, Urban Health, Nutrition Survey, Diet quality index, Sex Characteristic, Adolescent Development, medicine.disease, Nutrition Surveys, Mental health, Adolescence, Diet, Europe, Cross-Sectional Studies, Diet quality, Adolescent Behavior, Female, Cohort Studie, business, Stress, Psychological, Demography, Human
Abstract

As stress is hypothesised to influence dietary behaviour, the relationship between perceived stress and diet quality in European adolescents was investigated. Within the Healthy Lifestyle in Europe by Nutrition in Adolescence study, adolescents (n 704, aged 12–17 years) from schools in five European cities (Ghent, Stockholm, Zaragoza, Athens and Vienna) completed a 2 d 24 h dietary recall assessment and an Adolescent Stress Questionnaire. Measurements and information were taken on height, weight, pubertal stage, parental education level, the level of moderate-to-vigorous physical activity (MVPA) and sleep duration. The Diet Quality Index for Adolescents (DQI-A) was calculated from the dietary data, which comprised three components reflecting dietary diversity, quality and equilibrium. Hierarchical linear models were performed to investigate the relationship between the adolescents' level of perceived stress and the DQI-A and its components, adjusting for relevant covariates (age, BMI z-score, pubertal stage and parental education). These models were additionally adjusted for MVPA or sleep duration. In both boys and girls, perceived stress was a significant independent negative predictor for their overall DQI-A. This inverse relationship was observed for all dietary components, except for dietary diversity in boys, and it was unaltered when additionally adjusted for MVPA or sleep duration. The observed inverse relationship between stress and diet quality within these European adolescents supports the hypothesis that stress influences dietary behaviour, thus emphasising the need for preventive stress-coping strategies for adolescents.

Published
2011

7. Objectively measured physical activity and sedentary time in european adolescents

Author

Ruiz, Jonatan R., Ortega, Francisco B., Martínez Gómez, David, Labayen, Idoia, Moreno, Luis A., De Bourdeaudhuij, Ilse, Manios, Yannis, Gonzalez Gross, Marcela, Mauro, Beatrice, Molnar, Denes, Widhalm, Kurt, Marcos, Ascensión, Beghin, Laurent, Castillo, Manuel J., Sjöström, Michael, Moreno LA, Gottrand F, De Henauw S, González Gross M, Gilbert C, Kafatos A, Libersa C, Sánchez J, Kersting M, Sjöstrom M, Molnár D, Dallongeville J, Hall G, Maes L, Scalfi L, Meléndez P, 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, 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, Beghin L, Iliescu C, Von Berlepsch J, Sichert Hellert W, Koeppen E, Molnar D, Erhardt E, Csernus K, Török K, Bokor S, Nagy E, Kovács O, Repásy J, Codrington C, Plada M, Papadaki A, Sarri K, Viskadourou A, Hatzis C, Kiriakakis M, Tsibinos G, Sbokos CV, Protoyeraki E, Fasoulaki M, Stehle P, Pietrzik K, Breidenassel C, Spinneker A, Al Tahan J, Segoviano M, Berchtold A, Bierschbach C, Blatzheim E, Schuch A, Pickert P, Castillo MJ, Gutiérrez A, Ortega FB, Ruiz JR, Artero EG, España Romero V, Jiménez Pavón D, Chillón P, Arcella D, Catasta G, Censi L, Ciarapica D, Ferrari M, Le Donne C, Leclerq C, Magrí L, Maiani G, Piccinelli R, Polito A, Spada R, Toti E, Montagnese C, De Bourdeaudhuij I, De Vriendt T, Matthys C, Vereecken C, de Maeyer M, Ottevaere C, Widhalm K, Phillipp K, Dietrich S, Boriss Riedl BK, 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, Meirhaeghe A, Bergman P, Hagströmer M, Hallström L, Hallberg M, Poortvliet E, 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, Thomas S, Allchurch E, Burguess P, 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, Meléndez A, Benito PJ, Calderón J, Valtueña J, Navarro P, Urzanqui A, Albers U, Pedrero R, Lorente J.J., VITAGLIONE, PAOLA, Ruiz, Jonatan R., Ortega, Francisco B., Martínez Gómez, David, Labayen, Idoia, Moreno, Luis A., De Bourdeaudhuij, Ilse, Manios, Yanni, Gonzalez Gross, Marcela, Mauro, Beatrice, Molnar, Dene, Widhalm, Kurt, Marcos, Ascensión, Beghin, Laurent, Castillo, Manuel J., Sjöström, Michael, Moreno, La, Gottrand, F, De Henauw, S, González Gross, M, Gilbert, C, Kafatos, A, Libersa, C, Sánchez, J, Kersting, M, Sjöstrom, M, Molnár, D, Dallongeville, J, Hall, G, Maes, L, Scalfi, L, Meléndez, P, 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, 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, Beghin, L, Iliescu, C, Von Berlepsch, J, Sichert Hellert, W, Koeppen, E, Molnar, D, Erhardt, E, Csernus, K, Török, K, Bokor, S, Nagy, E, Kovács, O, Repásy, J, Codrington, C, Plada, M, Papadaki, A, Sarri, K, Viskadourou, A, Hatzis, C, Kiriakakis, M, Tsibinos, G, Sbokos, Cv, Protoyeraki, E, Fasoulaki, M, Stehle, P, Pietrzik, K, Breidenassel, C, Spinneker, A, Al Tahan, J, Segoviano, M, Berchtold, A, Bierschbach, C, Blatzheim, E, Schuch, A, Pickert, P, Castillo, Mj, Gutiérrez, A, Ortega, Fb, Ruiz, Jr, Artero, Eg, España Romero, V, Jiménez Pavón, D, Chillón, P, Arcella, D, Catasta, G, Censi, L, Ciarapica, D, Ferrari, M, Le Donne, C, Leclerq, C, Magrí, L, Maiani, G, Piccinelli, R, Polito, A, Spada, R, Toti, E, Vitaglione, Paola, Montagnese, C, De Bourdeaudhuij, I, De Vriendt, T, Matthys, C, Vereecken, C, de Maeyer, M, Ottevaere, C, Widhalm, K, Phillipp, K, Dietrich, S, Boriss Riedl, Bk, 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, Meirhaeghe, A, Bergman, P, Hagströmer, M, Hallström, L, Hallberg, M, Poortvliet, E, 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, Thomas, S, Allchurch, E, Burguess, P, 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, Meléndez, A, Benito, Pj, Calderón, J, Valtueña, J, Navarro, P, Urzanqui, A, Albers, U, Pedrero, R, and Lorente, J. J.

Subjects
Europe, Cross-Sectional Studie, Male, obesity, physical fitne, sedentary lifestyle, exercise, Adolescent, motor activity, Epidemiology, Female, social cla, Human
Published
2011

8. Nutritional knowledge in European adolescents : results from the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study

Author

Sichert Hellert, Wolfgang, Beghin, Laurent, De Henauw, Stefaan, Grammatikaki, Evangelia, Hallström, Lena, Manios, Yannis, Mesana, María I, Molnár, Dénes, Dietrich, Sabine, Piccinelli, Raffaela, Plada, Maria, Sjöström, Michael, Moreno, Luis A, Kersting, Mathilde, Moreno LA, Gottrand F, De Henauw S, González Gross M, Gilbert C, Kafatos A, Libersa C, Sánchez J, Kersting M, Sjöstrom M, Molnár D, Dallongeville J, Hall G, Maes L, Scalfi L, Meléndez P, 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, 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, Beghin L, Iliescu C, Von Berlepsch J, Sichert Hellert W, Koeppen E, Molnar D, Erhardt E, Csernus K, Török K, Bokor S, Angster, Nagy E, Kovács O, Répasi J, Codrington C, Plada M, Papadaki A, Sarri K, Viskadourou A, Hatzis C, Kiriakakis M, Tsibinos G, Sbokos CV, Protoyeraki E, Fasoulaki M, Stehle P, Pietrzik K, Breidenassel C, Spinneker A, Al Tahan J, Segoviano M, Berchtold A, Bierschbach C, Blatzheim E, Schuch A, Pickert P, Garzón MJ, Sáinz ÁG, Porcel FB, Ruiz JR, Artero EG, Romero VE, Pavón DJ, Muñoz CS, Soto V, Chillón P, Heredia JM, Aparicio V, Baena P, Cardia CM, Carbonell A, Arcella D, Catasta G, Censi L, Ciarapica D, Ferrari M, Le Donne C, Leclerq C, Magrì L, Maiani G, Piccinelli R, Polito A, Spada R, Toti E, Montagnese C, De Bourdeaudhuij I, De Vriendt T, Matthys C, Vereecken C, de Maeyer M, Ottevaere C, 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, Meirhaeghe A, Bergman P, Hagströmer M, Hallström L, Hallberg M, Poortvliet E, 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, Thomas S, Burguess P, 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, Meléndez A, Benito PJ, Calderón J, Jiménez Pavón D, Valtueña J, Navarro P, Urzanqui A, Albers U, Pedrero R, Lorente J.J., VITAGLIONE, PAOLA, Sichert Hellert, Wolfgang, Beghin, Laurent, De Henauw, Stefaan, Grammatikaki, Evangelia, Hallström, Lena, Manios, Yanni, Mesana, María I, Molnár, Déne, Dietrich, Sabine, Piccinelli, Raffaela, Plada, Maria, Sjöström, Michael, Moreno, Luis A, Kersting, Mathilde, Moreno, La, Gottrand, F, De Henauw, S, González Gross, M, Gilbert, C, Kafatos, A, Libersa, C, Sánchez, J, Kersting, M, Sjöstrom, M, Molnár, D, Dallongeville, J, Hall, G, Maes, L, Scalfi, L, Meléndez, P, 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, 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, Beghin, L, Iliescu, C, Von Berlepsch, J, Sichert Hellert, W, Koeppen, E, Molnar, D, Erhardt, E, Csernus, K, Török, K, Bokor, S, Angster, Nagy, E, Kovács, O, Répasi, J, Codrington, C, Plada, M, Papadaki, A, Sarri, K, Viskadourou, A, Hatzis, C, Kiriakakis, M, Tsibinos, G, Sbokos, Cv, Protoyeraki, E, Fasoulaki, M, Stehle, P, Pietrzik, K, Breidenassel, C, Spinneker, A, Al Tahan, J, Segoviano, M, Berchtold, A, Bierschbach, C, Blatzheim, E, Schuch, A, Pickert, P, Garzón, Mj, Sáinz, Ág, Porcel, Fb, Ruiz, Jr, Artero, Eg, Romero, Ve, Pavón, Dj, Muñoz, C, Soto, V, Chillón, P, Heredia, Jm, Aparicio, V, Baena, P, Cardia, Cm, Carbonell, A, Arcella, D, Catasta, G, Censi, L, Ciarapica, D, Ferrari, M, Le Donne, C, Leclerq, C, Magrì, L, Maiani, G, Piccinelli, R, Polito, A, Spada, R, Toti, E, Vitaglione, Paola, Montagnese, C, De Bourdeaudhuij, I, De Vriendt, T, Matthys, C, Vereecken, C, de Maeyer, M, Ottevaere, C, 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, Meirhaeghe, A, Bergman, P, Hagströmer, M, Hallström, L, Hallberg, M, Poortvliet, E, 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, Thomas, S, Burguess, P, 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, Meléndez, A, Benito, Pj, Calderón, J, Jiménez Pavón, D, Valtueña, J, Navarro, P, Urzanqui, A, Albers, U, Pedrero, R, and Lorente, J. J.

Subjects
Male, Gerontology, Health Knowledge, Attitudes, Practice, Medicin och hälsovetenskap, Cross-sectional study, Medicine (miscellaneous), Sex Factor, Socioeconomic Factor, Medical and Health Sciences, Sex factors, Surveys and Questionnaires, Nutritional knowledge, Nutrition and Dietetic, gender, Surveys and Questionnaire, Cluster Analysis, Medicine, Age Factor, Child, Meals, Adolescent Nutritional Physiological Phenomena, Nutrition and Dietetics, Socio-economic statu, Age Factors, Large sample, Europe, Nutritional Statu, Female, Human, Adolescent, Socio-economic status, Nutritional Status, Sex Factors, Nutrition knowledge, Humans, Meal, Life Style, Socioeconomic status, Cross-Sectional Studie, Cluster Analysi, business.industry, Body Weight, Public Health, Environmental and Occupational Health, Gender, Feeding Behavior, Healthy diet, Cross-Sectional Studies, Socioeconomic Factors, Food Habit, Multiple-choice test, business, Body mass index
Abstract

ObjectiveTo build up sufficient knowledge of a ‘healthy diet’. Here, we report on the assessment of nutritional knowledge using a uniform method in a large sample of adolescents across Europe.DesignA cross-sectional study.SettingThe European multicentre HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study conducted in 2006–2007 in ten cities in Austria, Belgium, France, Germany, Greece (one inland and one island city), Hungary, Italy, Spain and Sweden.SubjectsA total of 3546 adolescents (aged 12·5–17·5 years) completed a validated nutritional knowledge test (NKT). Socio-economic variables and anthropometric data were considered as potential confounders.ResultsNKT scores increased with age and girls had higher scores compared with boys (62 % v. 59 %; P < 0·0001). Scores were approximately 10 % lower in ‘immigrant’ adolescents or in adolescents with ‘immigrant’ mothers. Misconceptions with respect to the sugar content in food or in beverages were found. Overall, there was no correlation between BMI values and NKT scores. After categorization according to BMI, scores increased significantly with BMI group only in boys. These differences disappeared after controlling for socio-economic status (SES). Smoking status and educational level of the mother influenced the NKT scores significantly in boys, as well as the educational levels of both parents in girls.ConclusionsNutritional knowledge was modest in our sample. Interventions should be focused on the lower SES segments of the population. They should be initiated at a younger age and should be combined with environmental prevention (e.g. healthy meals in school canteens).

Published
2011

9. Reference values for leptin, cortisol, insulin and glucose, among European adolescents and their association with adiposity: the HELENA study

Author

Koester-Weber, Thabata, Valtueña, Jara, Breidenassel, Christina, Beghin, Laurent, Plada, María, Moreno, Sara, Huybrechts, Inge, Palacios, Gonzalo, Gómez-Martínez, Sonia, Albers, Ulrike, Henauw, Stefaan de, Maiani, Guiseppe, Kafatos, Anthony, Molnar, Dénes, Sjöstrom, Michael, Widhalm, Kurt, Manios, Yannis, Moreno, Luis A., Marcos, Ascensión, Castillo Garzón, Manuel J., Stehle, Peter, and González Gross, Marcela

Subjects
Blood Glucose, Leptin, Male, Adolescent, Hydrocortisone, Adiposity and Adolescent, Adolescents, Cortisol, White People, Europe, Glucose, Leptina, Adiposidad, Reference Values, Insulina, Glucosa, Humans, Insulin, Female, HELENA Study, Adolescentes, Adiposity
Abstract

Background and Objective: Adequate concentrations of leptin, cortisol, and insulin are important for a suitable metabolism and development during adolescence. These hormones jointly with glucose play a major role in fat metabolism and development of childhood obesity. Our main objective was to quantify biomarkers as leptin, cortisol, insulin and glucose status in European adolescents to contribute to establish reference ranges. Methods: A representative sample of 927 adolescents (45% males, 14.9±1.2 years for the overall population) from ten European cities of the HELENA study was used to obtain fasting blood samples for these biomarkers. The percentile distributions were computed by sex and age and percentiles were associated with BMI classification. Results: Serum leptin concentration in adolescents varied significantly according to BMI, sex and age (all p

Published
2014

10. Nutrient intake of European adolescents: results of the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study.

Author

Diethelm, Katharina, Huybrechts, Inge, Moreno, Luis, De Henauw, Stefaan, Manios, Yannis, Beghin, Laurent, González-Gross, Marcela, Le Donne, Cinzia, Cuenca-García, Magdalena, Castillo, Manuel J, Widhalm, Kurt, Patterson, Emma, and Kersting, Mathilde

Subjects
INGESTION, ADOLESCENT nutrition, LIFESTYLES, CHILD development, CHILDHOOD obesity
Abstract

ObjectiveAn adequate nutritional intake in childhood and adolescence is crucial for growth and the prevention of youth and adult obesity and nutrition-related morbidities. Improving nutrient intake in children and adolescents is of public health importance. The purpose of the present study was to describe and evaluate the nutrient intake in a European sample using the D-A-CH nutrient intake recommendations and the Nutritional Quality Index (NQI).DesignThe HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study is a cross-sectional study, the main objective of which is to obtain comparable data on a variety of nutritional and health-related parameters in adolescents aged 12·5–17·5 years.SettingEight cities in Europe.SubjectsThe initial sample consisted of 3528 European adolescents. Among these, 1590 adolescents (54 % female) had sufficient and plausible dietary data on energy and nutrient intakes from two 24 h recalls using the HELENA-DIAT software.ResultsThe intakes of most macronutrients, vitamins and minerals were in line with the D-A-CH recommendations. While the intakes of SFA and salt were too high, the intake of PUFA was too low. Furthermore, the intakes of vitamin D, folate, iodine and F were less than about 55 % of the recommendations. The median NQI was about 71 (of a maximum of 100).ConclusionsThe intakes of most nutrients were adequate. However, further studies using suitable criteria to assess nutrient status are needed. Public health initiatives should educate children and adolescents regarding balanced food choices. [ABSTRACT FROM AUTHOR]

Published
2014
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11. 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

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