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2. Correlates of ideal cardiovascular health in European adolescents: The HELENA study

Author

Moreno, L.A., 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, J.A., Rodríguez, G., Tomás, C., Mesana, M.I., Vicente-Rodríguez, G., Villarroya, A., Gil, C.M., Ara, I., Revenga, J., Lachen, C., Alvira, J.F., Bueno, G., Lázaro, A., Bueno, O., León, J.F., Garagorri, J.M<ce:sup loc='post">a</ce:sup>, Bueno, M., Rey López, J.P., Iglesia, I., Velasco, P., Bel, S., Marcos, A., Wärnberg, J., Nova, E., Gómez-Martinez, S., Díaz, L.E., Romeo, J., Veses, A., Puertollano, M.A., 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., 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, M.J., Gutiérrez, Á., Ortega, F.B., Ruiz, J.R., Artero, E.G., España-Romero, V., Jiménez-Pavón, D., Chillón, P., Arcella, D., Azzini, E., Barrison, E., Bevilacqua, N., Buonocore, P., Catasta, G., Censi, L., Ciarapica, D., D'Acapito, P., Ferrari, M., Galfo, M., Le Donne, C., Leclercq, C., Maiani, G., Mauro, B., Mistura, L., Pasquali, A., Piccinelli, R., Polito, A., Spada, R., Sette, S., Zaccaria, M., Vitaglione, P., 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, T.L., 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, A.H., Patterson, E., Kwak, L., Cernerud, L., Tillgren, P., Sörensen, S., Sánchez-Molero, J., Picó, E., Navarro, M., Viadel, B., Carreres, J.E., Merino, G., Sanjuán, R., Lorente, M., Sánchez, M.J., 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, M.L., 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, P.J., Calderón, J., Gómez Lorente, J.J., Cañada, D., Urzanqui, A., Carlos Ortiz, J., Fuentes, F., María Torres, R., Navarro, P., Henriksson, P., Henriksson, H., Labayen, I., Huybrechts, I., and Gracia-Marco, L.

Published
2018
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4. Prospective BMI changes in preschool children are associated with parental characteristics and body weight perceptions: the ToyBox-study

Author

Manios, Y, Lambert, Katrina, Karaglani, E, Mavrogianni, C, Moreno, LA, Iotova, V, Świąder-Leśniak, A, Koletzko, B, Cardon, G, Androutsos, O, Moschonis, George, de Bourdeaudhuij, I, Paw, MCA, Summerbell, C, Lobstein, T, Annemans, L, Buijs, G, Reilly, J, Swinburn, B, Ward, D, Grammatikaki, E, Katsarou, C, Apostolidou, E, Livaniou, A, Lymperopoulou, K, Efstathopoulou, E, Lambrinou, CP, Giannopoulou, A, Siatitsa, E, Argiri, E, Maragkopoulou, K, Douligeris, A, Duvinage, K, Ibrügger, S, Strauß, A, Herbert, B, Birnbaum, J, Payr, A, Geyer, C, de Craemer, M, de Decker, E, de Henauw, S, Maes, L, Vereecken, C, van Assche, J, Pil, L, Velde, S te, Mouratidou, T, Fernandez, J, Mesana, M, de Miguel-Etayo, P, González-Gil, EM, Gracia-Marco, L, Oves, B, Yngve, A, Kugelberg, S, Lynch, C, Mosdøl, A, Nilsen, BB, Moore, H, Douthwaite, W, Nixon, C, Kreichauf, S, Wildgruber, A, Socha, P, Kulaga, Z, Zych, K, Góźdź, M, Gurzkowska, B, Szott, K, Lateva, M, Usheva, N, Galcheva, S, Marinova, V, Radkova, Z, Feschieva, N, Aikenhead, A, Dorgelo, A, Nethe, A, Jansen, J, Gmeiner, O, Retterath, J, Wildeis, J, Günthersberger, A, Gibson, L, and Voegele, C

Subjects
111712 Health Promotion, 111707 Family Care, FOS: Health sciences, 111704 Community Child Health
Abstract

Objective: To examine the effect of the intervention implemented in the ToyBox study on changes observed in age and sex specific BMI percentile and investigate the role of perinatal factors, parental perceptions and characteristics on this change. Design: A multicomponent, kindergarten-based, family-involved intervention with a cluster-randomized design. A standardized protocol was used to measure children’s body weight and height. Information was also collected from parents/caregivers via the use of validated questionnaires. Linear mixed effect models with random intercept for country, socioeconomic status and school were used. Setting: Selected preschools within the provinces of Oost-Flanders and West-Flanders (Belgium), Varna (Bulgaria), Bavaria (Germany), Attica (Greece), Mazowieckie (Poland) and Zaragoza (Spain). Participants: A sample of 6,268 pre-schoolers aged 3.5-5.5 (51.9% boys). Results: There was no intervention effect on the change in children’s BMI percentile. However, parents’ underestimation of their children’s actual weight status, parental overweight and mothers’ pre-pregnancy overweight/obesity were found to be significantly and independently associated with increases in children’s BMI percentile in multivariate modelling. Conclusion: Before or as part of the implementation of any childhood obesity intervention initiative, it is important to assist parents/caregivers to correctly perceive their own and their children’s weight status. Recognition of excessive weight by parents/caregivers can increase their readiness to change and as such facilitate higher adherence to favourable behavioural changes within the family.

Published
2022
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5. Prospective BMI changes in preschool children are not effected by changes in EBRBs but by parental characteristics and body weight perceptions: The ToyBox-study

Author

Manios Y., Lambert K.A., Karaglani E., Mavrogianni C., Moreno L.A., Iotova V., Swiader-Lesniak A., Koletzko B., Cardon G., Androutsos O., Moschonis G., de Bourdeaudhuij I., Paw M.C.A., Summerbell C., Lobstein T., Annemans L., Buijs G., Reilly J., Swinburn B., Ward D., Grammatikaki E., Katsarou C., Apostolidou E., Livaniou A., Lymperopoulou K., Efstathopoulou E., Lambrinou C.-P., Giannopoulou A., Siatitsa E., Argiri E., Maragkopoulou K., Douligeris A., Duvinage K., Ibrügger S., Strauß A., Herbert B., Birnbaum J., Payr A., Geyer C., de Craemer M., de Decker E., de Henauw S., Maes L., Vereecken C., van Assche J., Pil L., te Velde S., Moreno L., Mouratidou T., Fernandez J., Mesana M., de Miguel-Etayo P., González-Gil E.M., Gracia-Marco L., Oves B., Yngve A., Kugelberg S., Lynch C., Mosdøl A., Nilsen B.B., Moore H., Douthwaite W., Nixon C., Kreichauf S., Wildgruber A., Socha P., Kulaga Z., Zych K., Gózdz M., Gurzkowska B., Szott K., Lateva M., Usheva N., Galcheva S., Marinova V., Radkova Z., Feschieva N., Aikenhead A., Dorgelo A., Nethe A., Jansen J., Gmeiner O., Retterath J., Wildeis J., Günthersberger A., Gibson L., Voegele C., and ToyBox Study Group

Abstract

Objective: To examine the effect of the intervention implemented in the ToyBox study on changes observed in age and sex specific BMI percentile and investigate the role of perinatal factors, parental perceptions and characteristics on this change. Design: A multicomponent, kindergarten-based, family-involved intervention with a cluster-randomized design. A standardized protocol was used to measure children’s body weight and height. Information was also collected from parents/caregivers via the use of validated questionnaires. Linear mixed effect models with random intercept for country, socioeconomic status and school were used. Setting: Selected preschools within the provinces of Oost-Flanders and West-Flanders (Belgium), Varna (Bulgaria), Bavaria (Germany), Attica (Greece), Mazowieckie (Poland) and Zaragoza (Spain). Participants: A sample of 6, 268 pre-schoolers aged 3.5-5.5 (51.9% boys). Results: There was no intervention effect on the change in children’s BMI percentile. However, parents’ underestimation of their children’s actual weight status, parental overweight and mothers’ pre-pregnancy overweight/obesity were found to be significantly and independently associated with increases in children’s BMI percentile in multivariate modelling. Conclusion: Before or as part of the implementation of any childhood obesity intervention initiative, it is important to assist parents/caregivers to correctly perceive their own and their children’s weight status. Recognition of excessive weight by parents/caregivers can increase their readiness to change and as such facilitate higher adherence to favourable behavioural changes within the family. © 2021 Lippincott Williams and Wilkins. All rights reserved.

Published
2022

6. How do energy balance-related behaviors cluster in adolescents?

Author

Collese, Tatiana Sadalla, De Moraes, Augusto César Ferreira, Fernández-Alvira, Juan Miguel, Michels, Nathalie, De Henauw, Stefaan, Manios, Yannis, Androutsos, Odysseas, Kafatos, Anthony, Widhalm, Kurt, Galfo, Myriam, Beghin, Laurent, Sjöström, Michael, Pedrero-Chamizo, Raquel, Carvalho, Heráclito Barbosa, Moreno, Luis A., Moreno, L. A., 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, J. A., Rodríguez, G., Tomás, C., Mesana, M. I., Vicente-Rodríguez, G., Villarroya, A., Gil, C. M., Ara, I., Revenga, J., Lachen, C., Fernández Alvira, J., Bueno, G., Lázaro, A., Bueno, O., León, J. F., Garagorri, J. M., Bueno, M., Iglesia, I., Velasco, P., Bel, S., Gracia-Marco, L., Mouratidou, T., Marcos, A., Wärnberg, J., Nova, E., Gómez, S., Ligia Díaz, E., Romeo, J., Veses, A., Puertollano, M. Angeles, 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, null, 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, M. J., Gutiérrez, A., Ortega, F. B., Ruiz, J. R., Artero, E. G., España, V., Jiménez-Pavón, D., Chillón, P., Sánchez-Muñoz, C., Cuenca, M., Arcella, D., Azzini, E., Barrison, E., Bevilacqua, N., Buonocore, P., Catasta, G., Censi, L., Ciarapica, D., D’Acapito, P., Ferrari, M., Galfo, M., Le Donne, C., Leclercq, C., Maiani, G., Mauro, B., Mistura, L., Pasquali, A., Piccinelli, R., Polito, A., Spada, R., Sette, S., Zaccaria, M., Vitaglione, P., 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., Kubelka, B., Boriss-Riedl, M., Manios, Y., Grammatikaki, E., Bouloubasi, Z., Louisa Cook, T., 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., Sjöström, M., Hagströmer, M., Hallström, L., Patterson, E., Kwak, L., Rizzo, N., Hurtig Wennlöf, A., Sánchez-Molero, J., Picó, E., Navarro, M., Viadel, B., Carreres, J. E., Merino, G., Sanjuán, R., Lorente, M., Sánchez, M. J., 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., Lilja Hallberg, M., Messerer, M., Larsson, M., Fredriksson, H., Adamsson, V., Börjesson, I., Fernández, L., Smillie, L., Wills, J., Valtueña, Jara, Albers, Ulrike, Pedrero, Raquel, Palacios, Gonzalo, Meléndez, Agustín, Benito, Pedro J., Lorente, Juan José Gómez, Cañada, David, Urzanqui, Alejandro, Ortiz, Juan Carlos, Fuentes, Francisco, Torres, Rosa María, Navarro, Paloma, Collese, Tatiana Sadalla, De Moraes, Augusto César Ferreira, Fernández-Alvira, Juan Miguel, Michels, Nathalie, De Henauw, Stefaan, Manios, Yanni, Androutsos, Odyssea, Kafatos, Anthony, Widhalm, Kurt, Galfo, Myriam, Beghin, Laurent, Sjöström, Michael, Pedrero-Chamizo, Raquel, Carvalho, Heráclito Barbosa, Moreno, Luis A., Moreno, L. A., 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, J. A., Rodríguez, G., Tomás, C., Mesana, M. I., Vicente-Rodríguez, G., Villarroya, A., Gil, C. M., Ara, I., Revenga, J., Lachen, C., Fernández Alvira, J., Bueno, G., Lázaro, A., Bueno, O., León, J. F., Garagorri, J. M., Bueno, M., Iglesia, I., Velasco, P., Bel, S., Gracia-Marco, L., Mouratidou, T., Marcos, A., Wärnberg, J., Nova, E., Gómez, S., Ligia Díaz, E., Romeo, J., Veses, A., Puertollano, M. Angele, 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, Null, 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, M. J., Gutiérrez, A., Ortega, F. B., Ruiz, J. R., Artero, E. G., España, V., Jiménez-Pavón, D., Chillón, P., Sánchez-Muñoz, C., Cuenca, M., Arcella, D., Azzini, E., Barrison, E., Bevilacqua, N., Buonocore, P., Catasta, G., Censi, L., Ciarapica, D., D’Acapito, P., Ferrari, M., Galfo, M., Le Donne, C., Leclercq, C., Maiani, G., Mauro, B., Mistura, L., Pasquali, A., Piccinelli, R., Polito, A., Spada, R., Sette, S., Zaccaria, M., Vitaglione, P., 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., Kubelka, B., Boriss-Riedl, M., Manios, Y., Grammatikaki, E., Bouloubasi, Z., Louisa Cook, T., 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., Sjöström, M., Hagströmer, M., Hallström, L., Patterson, E., Kwak, L., Rizzo, N., Hurtig Wennlöf, A., Sánchez-Molero, J., Picó, E., Navarro, M., Viadel, B., Carreres, J. E., Merino, G., Sanjuán, R., Lorente, M., Sánchez, M. J., 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., Lilja Hallberg, M., Messerer, M., Larsson, M., Fredriksson, H., Adamsson, V., Börjesson, I., Fernández, L., Smillie, L., Wills, J., Valtueña, Jara, Albers, Ulrike, Pedrero, Raquel, Palacios, Gonzalo, Meléndez, Agustín, Benito, Pedro J., Lorente, Juan José Gómez, Cañada, David, Urzanqui, Alejandro, Ortiz, Juan Carlo, Fuentes, Francisco, Torres, Rosa María, Navarro, Paloma, Lille Inflammation Research International Center - U 995 (LIRIC), 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), Inserm, Université de Lille, CHU Lille, and Lille Inflammation Research International Center - U 995 [LIRIC]

Subjects
Male, medicine.medical_specialty, Parental education, Health (social science), Adolescent, Healthy eating, Disease cluster, socioeconomic status, parental education, 03 medical and health sciences, Screen time, 0302 clinical medicine, energy balance-related behaviors, Surveys and Questionnaires, Environmental health, [SDV.MHEP.PHY]Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO], medicine, Cluster Analysis, Humans, Socioeconomic statu, adolescents, Cluster analysi, 030212 general & internal medicine, Exercise, Socioeconomic status, [SDV.MHEP.PED]Life Sciences [q-bio]/Human health and pathology/Pediatrics, 030505 public health, 4. Education, Public health, Public Health, Environmental and Occupational Health, Feeding Behavior, Sedentary behavior, Country of origin, Cross-Sectional Studies, Social Class, Adolescent Behavior, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Female, Sedentary Behavior, Energy Metabolism, 0305 other medical science, Psychology, [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition, Brazil, Energy balance-related behavior
Abstract

International audience; OBJECTIVES: To delineate the clustering of energy balance-related behaviors in adolescents and investigate whether these behaviors are associated with the household socioeconomic status and parental education level. METHODS: Two cross-sectional studies assessed information on sedentary behavior, physical activity, sugar-sweetened beverages and fruit and vegetable consumption, and sleep duration by self-reported questionnaires in adolescents (12.5-17.5 years old) from Maringa/Brazil (BRACAH Study; n = 682) and ten European cities (HELENA Study; n = 1252) from nine different countries. Gender-specific cluster analyses were performed separately for each study, applying a combination of hierarchical and non-hierarchical methods. RESULTS: Girls showed equivalent behaviors: Sedentary; Active; Unhealthy Eating; Healthy Eating; while boys differed (Brazilian: Sedentary; Active; Healthy Eating; European: Sedentary; Healthy; Unhealthy Eating). In Brazil, we found no association between socioeconomic status and parental education. In European girls, the high socioeconomic status and both parents' university degree were associated with Healthy Eating. In European boys, the high socioeconomic status was associated with Unhealthy Eating, and the mothers' university degree was associated with the Healthy cluster. CONCLUSIONS: Adolescents show Sedentary behavior, regardless of their sex, country of origin, or socioeconomic condition.

Published
2018
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11. Cardiorespiratory fitness in males, and upper limbs muscular strength in females, are positively related with 25-hydroxyvitamin D plasma concentrations in European adolescents: the HELENA study

Author

Valtueña Santamaría, J., Gracia Marco, L., Huybrechts, I., Breidenassel, C., Ferrari, M., Gottrand, F., Dallongeville, J., Sioen, I., Gutierrez, A., Kersting, M., Kafatos, A., Manios, Y., Widhalm, K., Moreno, L. A., González Gross, M., Moreno LA, Gottrand F, De Henauw S, González Gross M, Gilbert C, Kafatos A, Libersa C, Sáchez J, Kesting M, Sjostrom 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, Gracia Marco L, Mouratidou T, 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, Kersting M, 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, 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, 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, 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, Sjöstrom M, 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, 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, Valtueña Santamaría, J., Gracia Marco, L., Huybrechts, I., Breidenassel, C., Ferrari, M., Gottrand, F., Dallongeville, J., Sioen, I., Gutierrez, A., Kersting, M., Kafatos, A., Manios, Y., Widhalm, K., Moreno, L. A., González Gross, M., Moreno, La, Gottrand, F, De Henauw, S, González Gross, M, Gilbert, C, Kafatos, A, Libersa, C, Sáchez, J, Kesting, M, Sjostrom, 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, Gracia Marco, L, Mouratidou, T, 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, Kersting, M, 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, 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, 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, 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, Sjöstrom, M, 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, 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, medicine.medical_specialty, Adolescent, European Continental Ancestry Group, Physical fitness, Physical strength, White People, vitamin D deficiency, Upper Extremity, Cardiovascular Disease, Internal medicine, medicine, Vitamin D and neurology, Humans, Muscle Strength, Vitamin D, Adiposity, Cross-Sectional Studie, business.industry, Medicine (all), VO2 max, Cardiorespiratory fitness, General Medicine, Vitamin D Deficiency, medicine.disease, Obesity, Europe, Cross-Sectional Studies, Endocrinology, Cardiovascular Diseases, Physical Fitness, Physical Fitne, Body Composition, Exercise Test, Female, business, Body mass index, Human
Abstract

Background: High prevalence of vitamin D insufficiency (

Published
2013
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14. The effect of 12-month participation in osteogenic and non-osteogenic sports on bone development in adolescent male athletes. The PRO-BONE study

Author

Vlachopoulos, D., Barker, A.R., Ubago-Guisado, E., Ortega, F.B., Krustrup, P., Metcalf, B., Castro Pinero, J., Ruiz, J.R., Knapp, K.M., Williams, C.A., Moreno, L.A., and Gracia-Marco, L.

Subjects
human activities
Abstract

Objectives: Research investigating the longitudinal effects of the most popular sports on bone development in adolescent males is scarce. The aim is to investigate the effect of 12-month participation in osteogenic and non-osteogenic sports on bone development. Design: A 12-month study was conducted in adolescent males involved in football, swimming and cycling and compared with an active control group. Methods: 116 adolescent males (13.1 ± 0.1 years at baseline): 37 footballers, 37 swimmers, 28 cyclists and 14 active controls were followed for 12 months. Bone mineral content (BMC) was measured by dual-energy X-ray absorptiometry, and bone stiffness was measured by quantitative ultrasound. Bone outcomes at 12 months were adjusted for baseline bone status, age, height, lean mass and moderate to vigorous physical activity. Results: Footballers had higher improvement in adjusted BMC at the total body, total hip, shaft, Ward''s triangle, legs and bone stiffness compared to cyclists (6.3–8.0%). Footballers had significantly higher adjusted BMC at total body, shaft and legs compared to swimmers (5.4–5.6%). There was no significant difference between swimmers and cyclists for any bone outcomes. Swimming and cycling participation resulted in non-significant lower bone development at most sites of the skeleton compared to controls (-4.3 to -0.6%). Conclusions: Football participation induces significantly greater improvements in BMC and bone stiffness over 12 months compared to cycling and swimming.

Published
2019

15. Physical activity, sedentary time, TV viewing, physical fitness and cardiovascular disease risk in adolescents: The HELENA study

Author

Barker, A.R., Gracia-Marco, L., Ruiz, J.R., Castillo, M.J., Aparicio-Ugarriza, R., González-Gross, M., Kafatos, A., Androutsos, O., Polito, A., Molnar, D., Widhalm, K., and Moreno, L.A.

Abstract

Background To examine the independent associations between physical activity (PA) intensities, sedentary time (ST), TV viewing, cardiorespiratory fitness (CRF) and muscular fitness (MF) with cardiovascular disease (CVD) risk in youth. Methods A cross-sectional study on 534 European adolescents (252 males, 282 females, 12.5–17.5 years). Minutes per day of light (LPA), moderate (MPA) and vigorous (VPA) PA and total ST were measured using accelerometers. TV viewing time was measured using a questionnaire. CRF and MF were measured using the 20 m shuttle run test and a hand dynamometer respectively. CVD outcomes included markers of body composition (body mass index (BMI), waist circumference (WC), WC/height (Ht) and sum of skinfolds (SumSF)), blood pressure, blood lipids and insulin resistance (HOMA-IR). Clustered CVD risk was calculated using SumSF, HOMA-IR, blood lipids and blood pressure. Results LPA had a significant positive independent relationship with all body composition outcomes (P < 0.001) and clustered CVD risk (P = 0.046). VPA was negatively related to SumSF (P < 0.001), BMI (P = 0.018), WC/Ht (P = 0.013) and clustered CVD risk (P = 0.001), but was non-significant for all when other exposures were considered (P > 0.10). MPA had a negative independent relationship with only WC (P = 0.029) and ST was not significantly related to CVD risk (P > 0.16). TV viewing had a significant positive independent relationship with HOMA-IR (P < 0.001) and clustered CVD risk (P = 0.019). CRF (all P < 0.002) and MF (all P < 0.009) had a negative independent relationship with body composition outcomes and clustered CVD risk. Conclusions Public health guidelines should prioritize on increasing levels of CRF, MF and VPA, and reducing TV viewing time to lower CVD risk in youth.

Published
2019

18. Physical activity does not attenuate the obesity risk of TV viewing in youth

Author

Rey López, J. P, Ruiz, J. R., Vicente Rodríguez, G., Gracia Marco, L., Manios, Y., Sjöström, M., De Bourdeaudhuij, I., Moreno, L. A., Moreno L, 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 M, Vicente Rodríguez G, Villarroya A, Gil C, Ara I, Revenga J, Lachen C, Fernández Alvira J, Bueno G, Lázaro A, Bueno O, León JF, Garagorri JM, Bueno M, Rey López J, Iglesia I, Velasco P, Bel S, Gracia Marco L, Mouratidou T, Marcos A, Wärnberg J, Nova E, Gómez S, Ligia Díaz E, Romeo J, Veses A, Angeles Puertollano M, 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 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 M, Gutiérrez A, Ortega F, Ruiz J, Artero E, España V, Jiménez Pavón D, Chillón P, Sánchez Muñoz C, Cuenca M, Arcella D, Azzini E, Barrison E, Bevilacqua N, Buonocore P, Catasta G, Censi L, Ciarapica D, D'Acapito P, Ferrari M, Galfo M, Le Donne C, Leclercq C, Maiani G, Mauro B, Mistura L, Pasquali A, Piccinelli R, Polito A, Spada R, Sette S, Zaccaria M, 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, Kubelka B, Boriss Riedl M, Manios Y, Grammatikaki E, Bouloubasi Z, Louisa Cook T, 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, Sjöström M, Hagströmer M, Hallström L, Patterson E, Kwak L, Rizzo N, Hurtig Wennlöf A, Sánchez Molero J, Picó E, Navarro M, Viadel B, Carreres J, Merino G, Sanjuán R, Lorente M, Sánchez M, 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, Lilja Hallberg M, Messerer M, Larsson M, Fredriksson H, Adamsson V, Börjesson I, Fernández L, Smillie L, Wills J, Meléndez A, Benito P, Calderón J, Valtueña J, Navarro P, Urzanqui A, Albers U, Pedrero R, Gómez Lorente J., VITAGLIONE, PAOLA, Rey López, J. P, Ruiz, J. R., Vicente Rodríguez, G., Gracia Marco, L., Manios, Y., Sjöström, M., De Bourdeaudhuij, I., Moreno, L. A., Moreno, L, 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, M, Vicente Rodríguez, G, Villarroya, A, Gil, C, Ara, I, Revenga, J, Lachen, C, Fernández Alvira, J, Bueno, G, Lázaro, A, Bueno, O, León, Jf, Garagorri, Jm, Bueno, M, Rey López, J, Iglesia, I, Velasco, P, Bel, S, Gracia Marco, L, Mouratidou, T, Marcos, A, Wärnberg, J, Nova, E, Gómez, S, Ligia Díaz, E, Romeo, J, Veses, A, Angeles Puertollano, M, 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, 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, M, Gutiérrez, A, Ortega, F, Ruiz, J, Artero, E, España, V, Jiménez Pavón, D, Chillón, P, Sánchez Muñoz, C, Cuenca, M, Arcella, D, Azzini, E, Barrison, E, Bevilacqua, N, Buonocore, P, Catasta, G, Censi, L, Ciarapica, D, D'Acapito, P, Ferrari, M, Galfo, M, Le Donne, C, Leclercq, C, Maiani, G, Mauro, B, Mistura, L, Pasquali, A, Piccinelli, R, Polito, A, Spada, R, Sette, S, Zaccaria, M, 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, Kubelka, B, Boriss Riedl, M, Manios, Y, Grammatikaki, E, Bouloubasi, Z, Louisa Cook, T, 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, Sjöström, M, Hagströmer, M, Hallström, L, Patterson, E, Kwak, L, Rizzo, N, Hurtig Wennlöf, A, Sánchez Molero, J, Picó, E, Navarro, M, Viadel, B, Carreres, J, Merino, G, Sanjuán, R, Lorente, M, Sánchez, M, 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, Lilja Hallberg, M, Messerer, M, Larsson, M, Fredriksson, H, Adamsson, V, Börjesson, I, Fernández, L, Smillie, L, Wills, J, Meléndez, A, Benito, P, Calderón, J, Valtueña, J, Navarro, P, Urzanqui, A, Albers, U, Pedrero, R, and Gómez Lorente, J.

Subjects
Male, Media, Adolescent, Logistic Model, Time Factor, Motor Activity, Risk Assessment, Odds Ratio, Surveys and Questionnaire, Age Factor, Obesity, Exercise, Adiposity, Cross-Sectional Studie, Nutrition and Dietetics, Anthropometry, Risk Factor, Health Policy, Public Health, Environmental and Occupational Health, Feeding Behavior, Actigraphy, Europe, Adolescent Behavior, Obesity, Abdominal, Sedentary Lifestyle, Pediatrics, Perinatology and Child Health, Female, Television, Human
Published
2012

19. Agreement between standard body composition methods to estimate percentage of body fat in young male athletes

Author

Ferri-Morales, A., Nascimento-Ferreira, M.V., Ubago-Guisado, E., De Moraes, A.C.F., Vlachopoulos, D., Torres-Costoso, A., Barker, A.R., Moreno, L.A., Martínez-Vizcaino, V., and Gracia-Marco, L.

Subjects
human activities
Abstract

Purpose: To examine the intermethods agreement of dual-energy X-ray absorptiometry (DXA) and foot-to-foot bioelectrical impedance analysis (BIA) to assess the percentage of body fat (%BF) in young male athletes using air-displacement plethysmography (ADP) as the reference method. Methods: Standard measurement protocols were carried out in 104 athletes (40 swimmers, 37 footballers, and 27 cyclists, aged 12–14 y). Results: Age-adjusted %BF ADP and %BF BIA were significantly higher in swimmers than footballers. ADP correlates better with DXA than with BIA (r = .84 vs r = .60, P < .001). %BF was lower when measured by DXA and BIA than ADP (P < .001), and the bias was higher when comparing ADP versus BIA than ADP versus DXA. The intraclass correlation coefficients between DXA and ADP showed a good to excellent agreement (r = .67–.79), though it was poor when BIA was compared with ADP (r = .26–.49). The ranges of agreement were wider when comparing BIA with ADP than DXA with ADP. Conclusion: DXA and BIA seem to underestimate %BF in young male athletes compared with ADP. Furthermore, the bias significantly increases with %BF in the BIA measurements. At the individual level, BIA and DXA do not seem to predict % BF precisely compared with ADP in young athletic populations.

Published
2018

20. The effect of a high-impact jumping intervention on bone mass, bone stiffness and fitness parameters in adolescent athletes

Author

Vlachopoulos, D., Barker, A.R., Ubago-Guisado, E., Williams, C.A., and Gracia-Marco, L.

Abstract

This study demonstrates that a 9-month jumping intervention can improve bone mass gains and physical fitness performance in adolescent males participating in non-osteogenic sports, such as swimming and cycling. Purpose To examine the effect of a jumping intervention on bone mass, bone stiffness and fitness parameters in adolescents involved in different sports. Methods Ninety-three adolescent male swimmers (SWI), footballers (FOO) and cyclists (CYC) were randomised to intervention (INT) and sport (INT-SWI = 19, INT-FOO = 15, INT-CYC = 14) or sport only (CON-SWI = 18, CON-FOO = 15, CON-CYC = 12) groups. The 9-month jumping intervention consisted of 3 levels (12 weeks each) of 20 repetitions per set of counter movement jumps (CMJ) using adjustable weight vests (level 1 = 20 CMJ jumps/set, 0 kg, 3 sets/day, 3 times/week; level 2 = 20 CMJ jumps/set, 2 kg, 4 sets/day, 3 times/week; level 3 = 20 CMJ jumps/set, 5 kg, 4 sets/day, 4 times/week). Total body bone mineral content (BMC) at total body less head (TBLH) was measured using dual-energy X-ray absorptiometry and bone stiffness using quantitative ultrasound. Fitness was assessed using the 20-m shuttle run (20mSRT), CMJ and standing long jump (SLJ) tests. Results INT-SWI had significantly higher increase in BMC legs and bone stiffness compared to CON-SWI (4.2–12.7%). INT-CYC had significantly higher increase in BMC at TBLH and legs and bone stiffness compared to CON-CYC (5.0–12.3%). There were no significant differences between INT-FOO and CON-FOO in any bone outcomes (0.9–3.9%). The increase in CMJ performance was significantly higher in INT-SWI (3.1 cm) and INT-CYC (3.2 cm) compared to CON-SWI and CON-CYC groups, respectively. Conclusions A 9-month jumping intervention can improve bone mass, bone stiffness and muscular fitness in adolescent males participating in non-osteogenic sports, such as swimming and cycling.

Published
2018

21. Bone Mass and Bone Metabolism Markers during Adolescence: The HELENA Study

Author

Gracia Marco, L., Vicente Rodríguez, G., Valtueña, J., Rey López, J. P., Díaz Martínez, A. E., Mesana, M. I., Widhalm, K., Ruiz, J. R., González Gross, M., Castillo, M. J., Moreno, L. A., 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, Mae 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 J, Bueno G, Lázaro A, Bueno O, Léon JF, Garagorri JM, Bueno M, López JP, Iglesia I, Velasco P, Bel S, Marco LA, Marcos A, Wärnberg J, Nova E, Gómez S, Daíz EL, Romeo J, Veses A, Puergollano MA, Zapatera B, Pozo T, Beghin L, Iliescu C, Von Berlepsch J, Sichert Hellert W, Koeppen E, 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, 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, Garzón MJ, Sáinz AG, 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, 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, Huybrechts I, Widhalm K, Phillipp K, Dietrich S, Kubelka B, Boriss Riedl M, Manios Y, Grammatikaki E, Bouloubasi Z, Cook TL, Eleutheriou S, Consta O, Moschonis G, Katsaroli I, Kraniou G, Papoutsou S, Keke D, Petraki I, Bellou E, Tanagra S, Kallianoti K, Argyropoulou D, Kondaki K, Tsikrika S, Karaiskos C, Meirhaeghe A, Bergman P, Hagströmer M, Hallströöm 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, Frederiksson 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, Gracia Marco, L., Vicente Rodríguez, G., Valtueña, J., Rey López, J. P., Díaz Martínez, A. E., Mesana, M. I., Widhalm, K., Ruiz, J. R., González Gross, M., Castillo, M. J., Moreno, L. A., 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, Mae, 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, J, Bueno, G, Lázaro, A, Bueno, O, Léon, Jf, Garagorri, Jm, Bueno, M, López, Jp, Iglesia, I, Velasco, P, Bel, S, Marco, La, Marcos, A, Wärnberg, J, Nova, E, Gómez, S, Daíz, El, Romeo, J, Veses, A, Puergollano, Ma, Zapatera, B, Pozo, T, Beghin, L, Iliescu, C, Von Berlepsch, J, Sichert Hellert, W, Koeppen, E, 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, 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, Garzón, Mj, Sáinz, Ag, 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, 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, Huybrechts, I, Widhalm, K, Phillipp, K, Dietrich, S, Kubelka, B, Boriss Riedl, M, Manios, Y, Grammatikaki, E, Bouloubasi, Z, Cook, Tl, Eleutheriou, S, Consta, O, Moschonis, G, Katsaroli, I, Kraniou, G, Papoutsou, S, Keke, D, Petraki, I, Bellou, E, Tanagra, S, Kallianoti, K, Argyropoulou, D, Kondaki, K, Tsikrika, S, Karaiskos, C, Meirhaeghe, A, Bergman, P, Hagströmer, M, Hallströöm, 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, Frederiksson, 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, musculoskeletal diseases, Aging, medicine.medical_specialty, Adolescent, Endocrinology, Diabetes and Metabolism, Osteocalcin, chemistry.chemical_element, Growth, Calcium, Bone and Bones, Collagen Type I, Bone remodeling, Absorptiometry, Photon, Endocrinology, Internal medicine, medicine, Humans, Bone Resorption, Sex Characteristics, β-Isomerized C-telopeptide, Bone Development, Anthropometry, biology, business.industry, musculoskeletal, neural, and ocular physiology, Puberty, Biomarker, Organ Size, Sex Characteristic, musculoskeletal system, Calcium, Dietary, chemistry, Propeptide of type I procollagen, Pediatrics, Perinatology and Child Health, Body Composition, biology.protein, Bone mineral content, Female, business, Biomarkers, Bone and Bone, Human, Sex characteristics, Bone mass
Abstract

Background/Aims: The assessment of bone mineral content (BMC) and density (BMD) status in children and adolescents is important for health and the prevention of diseases. Bone metabolic activity could provide early information on bone mass development. Our aim was to describe bone mass and metabolism markers according to age and Tanner stage in adolescents. Methods: Spanish adolescents (n = 345; 168 males and 177 females) aged 12.5–17.5 years participated in this cross-sectional study. Body composition variables were measured by dual-energy X-ray absorptiometry. Serum osteocalcin (n = 101), aminoterminal propeptide of type I procollagen (n = 92) and β-isomerized C-telopeptides (β-CTX, n = 65) and urine samples (β-CTX; n = 237) were analyzed by electrochemiluminescence immunoassay. Results: Analysis of covariance showed that females had higher values for BMC and BMD in most of the regions. Both males and females had a significant decrease in bone markers while sexual maturation increases (all p < 0.05). Males had an increased bone turnover compared to females (all p < 0.05, except for urine β-CTX in Tanner ≤IV). Conclusion: Our results support the evidence of dimorphic site-specific bone accretion between sexes and show an increased bone turnover in males, suggesting higher metabolic activity.

Published
2010
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22. Assessment of physical activity intensity and duration in the paediatric population: evidence to support ana priorihypothesis and sample size in the agreement between subjective and objective methods

Author

Nascimento-Ferreira, M. V., primary, De Moraes, A. C. F., additional, Toazza Oliveira, P. V., additional, Rendo-Urteaga, T., additional, Gracia-Marco, L., additional, Forjaz, C. L. M., additional, Moreno, L. A., additional, and Carvalho, H. B., additional

Published
2018
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23. Inflammation and insulin resistance according to body composition in European adolescents: The HELENA study [Inflamación y resistencia a la insulina según composición corporal en adolescentes europeos: El estudio HELENA]

Author

González-Gil, E.M., Gracia-Marco, L., Santabárbara, J., Molnar, D., Amaro-Gahete, F.J., Gottrand, F., Arouca, A., Kafatos, A., Widhalm, K., Manios, Y., Siani, A., González-Gross, M., Gómez-Martínez, S., Díaz, L.E., Leclerq, C., Dallongeville, J., Marcos, A., Moreno Aznar, L.A., and HELENA, Study, Group

Abstract

Introduction: Inflammation is related to insulin resistance in adults, especially on those individuals with high levels of body composition. Objectives: The aim of this study is to assess the relationship between a set of inflammatory biomarkers and insulin resistance by levels of body composition in a sample of European adolescents. Material and methods: Nine hundred and sixty-two adolescents (442 boys and 520 girls) from nine European countries met the inclusion criteria of having measurements for the homeostasis model assessment (HOMA) and a set of inflammation-related biomarkers: C-reactive protein (CRP), tumor necrosis factor alpha (TNF-a), interleukin (IL-6), complement factors C3 and C4 and selected cell adhesion molecules. Body mass index (BMI), fat mass index (FMI) and waist circumference (WC) were categorized using tertiles. To assess the associations stratifying by body composition indexes, ANOVA and linear regression models were performed. Results: Mean biomarkers’ concentrations differed across BMI, FMI and WC tertiles (p < 0.05) by sex. In both sexes, insulin, HOMA, CRP, C3 and C4 were significantly different between categories (p < 0.001), always showing the highest mean concentration in the upper category of BMI, FMI and WC. The most consistent finding was an association between insulin resistance and C3 concentrations (p < 0.05), in the adolescents in the highest tertile of BMI, FMI and WC, except in the case of FMI in girls. Conclusion: Inflammatory and glucose metabolism markers differed by tertiles of body composition, being usually higher in the highest tertile. C3 complement factor was associated with insulin resistance in adolescents, especially those with high total and abdominal adiposity. Introducción: la inflamación está relacionada con la resistencia a la insulina en adultos, especialmente en individuos con altos valores de composición corporal. Objetivos: valorar la relación entre diferentes marcadores inflamatorios y la resistencia a la insulina según valores de composición corporal en adolescentes europeos. Material y métodos: novecientos sesenta y dos adolescentes (442 chicos y 520 chicas) de nueve países europeos cumplían el criterio de inclusión de tener medidos la evaluación del modelo de homeostasis (HOMA) y diferentes marcadores inflamatorios: proteína C-reactiva (PCR), factor de necrosis tumoral alfa (TNF-a), interleukina (IL-6), factores de complemento C3 y C4 y moléculas de adhesión. El índice de masa corporal (IMC), el índice de masa grasa (IMG) y la circunferencia de cintura (CC) se categorizaron en tertiles. Para valorar las asociaciones por índices de composición corporal se realizó ANOVA y regresión. Resultados: las concentraciones de los marcadores diferían entre los tertiles de IMC, IMG y CC (p < 0,05), por sexo. En ambos sexos, insulina, HOMA, PCR, C3 y C4 fueron significativamente diferentes entre categorías (p < 0,001), presentando la mayor concentración en la categoría superior de IMC, IMG y CC. El resultado más consistente para los adolescentes del tertil superior de IMC, IMG y CC fue la asociación entre resistencia a la insulina y concentraciones de C3 (p < 0,05), excepto para IMG en chicas. Conclusión: los marcadores del metabolismo inflamatorio y de la glucosa diferían según tertiles de composición corporal, siendo mayores en el tertil superior. El C3 se asoció con resistencia a la insulina en adolescentes, especialmente en aquellos con adiposidad total y abdominal.

Published
2017

24. Is dairy consumption associated with low cardiovascular disease risk in European adolescents? Results from the HELENA Study

Author

Bel Serrat, S, Mouratidou, T., Jiménez Pavón, D., Huybrechts, I., Cuenca García, M., Mistura, L., Gottrand, F., González Gross, M., Dallongeville, J., Kafatos, A., Manios, Y., Stehle, P., Kersting, M., De Henauw, S., Castillo, M. J., Hallstrom, L., Molnár, D., Widhalm, K., Marcos, A., Moreno, L. A., 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, Fernández Alvira J, Bueno G, Lázaro A, Bueno O, León JF, Garagorri JM, Bueno M, Rey López JP, Iglesia I, Velasco P, Bel Serrat S, Gracia Marco L, Mouratidou T, Jiménez Pavón D, Marcos A, Wärnberg J, Nova E, Gómez S, Ligia Díaz E, Romeo J, Veses A, Angeles Puertollano M, 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, Kovács O, Répasi J, Kafatos, 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, Chillón P, Sánchez Muñoz C, Cuenca M, Arcella D, Azzini E, Barrison E, Bevilacqua N, Buonocore P, Catasta G, Censi L, Ciarapica D, D'Acapito P, Ferrari M, Galfo M, Le Donne C, Leclercq C, Maiani G, Mauro B, Mistura L, Pasquali A, Piccinelli R, Polito A, Spada R, Sette S, Zaccaria M, 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, 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, Sjöström M, Ruiz J, Hagströmer M, Hallström L, Patterson E, Kwak L, Rizzo N, Hurtig Wennlöf A, 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 M, 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, Cañada D, Urzanqui A, Ortiz JC, Fuentes F, Gómez Lorente JJ, Mardía Torres R, Navarro P., VITAGLIONE, PAOLA, Bel Serrat, S, Mouratidou, T., Jiménez Pavón, D., Huybrechts, I., Cuenca García, M., Mistura, L., Gottrand, F., González Gross, M., Dallongeville, J., Kafatos, A., Manios, Y., Stehle, P., Kersting, M., De Henauw, S., Castillo, M. J., Hallstrom, L., Molnár, D., Widhalm, K., Marcos, A., Moreno, L. A., 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, Fernández Alvira, J, Bueno, G, Lázaro, A, Bueno, O, León, Jf, Garagorri, Jm, Bueno, M, Rey López, Jp, Iglesia, I, Velasco, P, Gracia Marco, L, Mouratidou, T, Jiménez Pavón, D, Marcos, A, Wärnberg, J, Nova, E, Gómez, S, Ligia Díaz, E, Romeo, J, Veses, A, Angeles Puertollano, M, 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, Kovács, O, Répasi, J, Kafatos, 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, Chillón, P, Sánchez Muñoz, C, Cuenca, M, Arcella, D, Azzini, E, Barrison, E, Bevilacqua, N, Buonocore, P, Catasta, G, Censi, L, Ciarapica, D, D'Acapito, P, Ferrari, M, Galfo, M, Le Donne, C, Leclercq, C, Maiani, G, Mauro, B, Mistura, L, Pasquali, A, Piccinelli, R, Polito, A, Spada, R, Sette, S, Zaccaria, M, 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, 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, Sjöström, M, Ruiz, J, Hagströmer, M, Hallström, L, Patterson, E, Kwak, L, Rizzo, N, Hurtig Wennlöf, A, 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, M, 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, Cañada, D, Urzanqui, A, Ortiz, Jc, Fuentes, F, Gómez Lorente, Jj, Mardía Torres, R, and Navarro, P.

Subjects
Cross-Sectional Studie, Male, Adolescent, Health Policy, Medicine (all), Cholesterol, HDL, Public Health, Environmental and Occupational Health, Nutrition Survey, Lipid, Cardiovascular disease risk, Triglyceride, Body Mass Index, Dairy, Europe, Body fat, Cardiovascular Disease, Food Habit, Pediatrics, Perinatology and Child Health, Nutrition and Dietetic, Female, Insulin Resistance, Waist Circumference, Dairy Product, Adiposity, Human
Published
2014

25. Associations between macronutrient intake and serum lipid profile depend on body fat in European adolescents: the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study

Author

Bel Serrat S, Mouratidou T, Huybrechts I, Labayen I, Cuenca García M, Palacios G, Breidenassel C, Molnár D, Roccaldo R, Widhalm K, Gottrand F, Kafatos A, Manios Y, Vyncke K, Sjöström M, Libuda L, Gómez Martínez S, Moreno LA, Moreno L, De Henauw S, González Gross M, Gilbert C, Libersa C, Sánchez J, Kersting M, Sjöstrom M, Dallongeville J, Hall G, Maes L, Scalfi L, Meléndez P, Fleta J, Casajús J, Rodríguez G, Tomás C, Mesana M, Vicente Rodríguez G, Villarroya A, Gil C, Ara I, Revenga J, Lachen C, Fernández Alvira J, Bueno G, Lázaro A, Bueno O, León J, Garagorri JM, Rey López J, Iglesia I, Velasco P, Gracia Marco L, Jiménez Pavón D, Marcos A, Wärnberg J, Nova E, Ligia Díaz E, Romeo J, Veses A, Angeles Puertollano M, 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 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, Spinneker A, Al Tahan J, Segoviano M, Berchtold A, Bierschbach C, Blatzheim E, Schuch A, Pickert P, Castillo M, Gutiérrez A, Ortega F, Ruiz J, Artero E, España V, Chillón P, Sánchez Muñoz C, Cuenca M, Arcella D, Azzini E, Barrison E, Bevilacqua N, Buonocore P, Catasta G, Censi L, Ciarapica D, D'Acapito P, Ferrari M, Galfo M, Le Donne C, Leclercq C, Maiani G, Mauro B, Mistura L, Pasquali A, Piccinelli R, Polito A, Spada R, Sette S, Zaccaria M, Montagnese C, De Vriendt T, Matthys C, Vereecken C, de Maeyer M, Ottevaere C, Phillipp K, Dietrich S, Kubelka B, Boriss Riedl M, Grammatikaki E, Bouloubasi Z, Louisa Cook T, 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, Hallström L, Patterson E, Kwak L, Rizzo N, Hurtig Wennlöf A, Sánchez Molero J, Picó E, Navarro M, Viadel B, Carreres J, Merino G, Sanjuán R, Lorente M, Sánchez M, 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, Lilja Hallberg M, 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 P, Cañada D, Urzanqui A, Ortiz J, Fuentes F, Gómez Lorente J, Mardía Torres R, Navarro P., VITAGLIONE, PAOLA, Bel Serrat, S, Mouratidou, T, Huybrechts, I, Labayen, I, Cuenca García, M, Palacios, G, Breidenassel, C, Molnár, D, Roccaldo, R, Widhalm, K, Gottrand, F, Kafatos, A, Manios, Y, Vyncke, K, Sjöström, M, Libuda, L, Gómez Martínez, S, Moreno, La, Moreno, L, De Henauw, S, González Gross, M, Gilbert, C, Libersa, C, Sánchez, J, Kersting, M, Sjöstrom, M, Dallongeville, J, Hall, G, Maes, L, Scalfi, L, Meléndez, P, Fleta, J, Casajús, J, Rodríguez, G, Tomás, C, Mesana, M, Vicente Rodríguez, G, Villarroya, A, Gil, C, Ara, I, Revenga, J, Lachen, C, Fernández Alvira, J, Bueno, G, Lázaro, A, Bueno, O, León, J, Garagorri, Jm, Rey López, J, Iglesia, I, Velasco, P, Gracia Marco, L, Jiménez Pavón, D, Marcos, A, Wärnberg, J, Nova, E, Ligia Díaz, E, Romeo, J, Veses, A, Angeles Puertollano, M, 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, 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, Spinneker, A, Al Tahan, J, Segoviano, M, Berchtold, A, Bierschbach, C, Blatzheim, E, Schuch, A, Pickert, P, Castillo, M, Gutiérrez, A, Ortega, F, Ruiz, J, Artero, E, España, V, Chillón, P, Sánchez Muñoz, C, Cuenca, M, Arcella, D, Azzini, E, Barrison, E, Bevilacqua, N, Buonocore, P, Catasta, G, Censi, L, Ciarapica, D, D'Acapito, P, Ferrari, M, Galfo, M, Le Donne, C, Leclercq, C, Maiani, G, Mauro, B, Mistura, L, Pasquali, A, Piccinelli, R, Polito, A, Spada, R, Sette, S, Zaccaria, M, Vitaglione, Paola, Montagnese, C, De Vriendt, T, Matthys, C, Vereecken, C, de Maeyer, M, Ottevaere, C, Phillipp, K, Dietrich, S, Kubelka, B, Boriss Riedl, M, Grammatikaki, E, Bouloubasi, Z, Louisa Cook, T, 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, Hallström, L, Patterson, E, Kwak, L, Rizzo, N, Hurtig Wennlöf, A, Sánchez Molero, J, Picó, E, Navarro, M, Viadel, B, Carreres, J, Merino, G, Sanjuán, R, Lorente, M, Sánchez, M, 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, Lilja Hallberg, M, 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, P, Cañada, D, Urzanqui, A, Ortiz, J, Fuentes, F, Gómez Lorente, J, Mardía Torres, R, and Navarro, P.

Subjects
Male, 030309 nutrition & dietetics, Saturated fat, macronutrient intake, serum lipids, Medicine (miscellaneous), Blood lipids, Adolescents, 0302 clinical medicine, 2. Zero hunger, 0303 health sciences, Nutrition and Dietetics, medicine.diagnostic_test, Diet Records, 3. Good health, Europe, Adipose Tissue, Body fat, Female, lipids (amino acids, peptides, and proteins), medicine.medical_specialty, Waist, Adolescent, Medicina, 030209 endocrinology & metabolism, 03 medical and health sciences, Macronutrient intake, Internal medicine, Total cholesterol, Dietary Carbohydrates, medicine, Humans, Serum lipids, Triglycerides, Carbohydrate intake, Deportes, Waist-Height Ratio, business.industry, Cholesterol, HDL, Feeding Behavior, Dietary Fats, Coronary heart disease, Diet, Maternal education, Cross-Sectional Studies, Endocrinology, Mental Recall, Energy Intake, Lipid profile, business, Demography
Abstract

© 2014 The Authors. The present study aimed to investigate the relationships between macronutrient intake and serum lipid profile in adolescents from eight European cities participating in the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) cross-sectional study (2006-7), and to assess the role of body fat-related variables in these associations. Weight, height, waist circumference, skinfold thicknesses, total cholesterol, HDL-cholesterol (HDL-C), LDL-cholesterol, TAG, apoB and apoA1 were measured in 454 adolescents (44 % boys) aged 12·5-17·5 years. Macronutrient intake (g/4180 kJ per d (1000 kcal per d)) was assessed using two non-consecutive 24 h dietary recalls. Associations were evaluated by multi-level analysis and adjusted for sex, age, maternal education, centre, sum of four skinfolds, moderate-to-vigorous physical activity, sedentary behaviours and diet quality index for adolescents. Carbohydrate intake was inversely associated with HDL-C (β =-0·189, P< 0·001). An inverse association was found between fat intake and TAG (β =-0·319, P< 0·001). Associations between macronutrient intake and serum lipids varied according to adiposity levels, i.e. an inverse association between carbohydrate intake and HDL-C was only observed in those adolescents with a higher waist:height ratio. As serum lipids and excess body fat are the major markers of CVD, these findings should be considered when developing strategies to prevent the risk of CVD among adolescents., TheHELENA study was financially supported by the European Community Sixth RTD Framework Programme (contract FOOD-CT-2005-007034).

Published
2014

26. Health inequalities in urban adolescents: role of physical activity, diet, and genetics

Author

Ortega FB, Ruiz JR, Labayen I, Martínez Gómez D, Vicente Rodriguez G, Cuenca García M, Gracia Marco L, Manios Y, Beghin L, Molnar D, Polito A, Widhalm K, Marcos A, González Gross M, Kafatos A, Breidenassel C, Moreno LA, Sjöström M, Castillo MJ, Gottrand F, De Henauw S, Gilbert C, Libersa C, Sáchez J, Kesting M, Sjostrom 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, Mouratidou T, Wärnberg J, Nova E, Gómez S, Ligia Díaz E, Romeo J, Veses A, Puertollano MA, Zapatera B, Pozo T, Iliescu C, Von Berlepsch J, Kersting M, Sichert Hellert W, Koeppen E, 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, Spinneker A, Al Tahan J, Segoviano M, Berchtold A, Bierschbach C, Blatzheim E, Schuch A, Pickert P, Gutiérrez Á, Artero EG, España Romero V, Jiménez Pavón D, Chillón P, Arcella D, Azzini E, Barrison E, Bevilacqua N, Buonocore P, Catasta G, Censi L, Ciarapica D, D'Acapito P, Ferrari M, Galfo M, Le Donne C, Leclercq C, Maiani G, Mauro B, Mistura L, Pasquali A, Piccinelli R, Spada R, Sette S, Zaccaria M, Montagnese C, De Bourdeaudhuij I, De Vriendt T, Matthys C, Vereecken C, de Maeyer M, Ottevaere C, Huybrecht I, Phillipp K, Dietrich S, 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, Sjöstrom M, 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, Enrique Carreres J, 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, Lilja 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, Ortega, Fb, Ruiz, Jr, Labayen, I, Martínez Gómez, D, Vicente Rodriguez, G, Cuenca García, M, Gracia Marco, L, Manios, Y, Beghin, L, Molnar, D, Polito, A, Widhalm, K, Marcos, A, González Gross, M, Kafatos, A, Breidenassel, C, Moreno, La, Sjöström, M, Castillo, Mj, Gottrand, F, De Henauw, S, Gilbert, C, Libersa, C, Sáchez, J, Kesting, M, Sjostrom, 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, Mouratidou, T, Wärnberg, J, Nova, E, Gómez, S, Ligia Díaz, E, Romeo, J, Veses, A, Puertollano, Ma, Zapatera, B, Pozo, T, Iliescu, C, Von Berlepsch, J, Kersting, M, Sichert Hellert, W, Koeppen, E, 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, Spinneker, A, Al Tahan, J, Segoviano, M, Berchtold, A, Bierschbach, C, Blatzheim, E, Schuch, A, Pickert, P, Gutiérrez, Á, Artero, Eg, España Romero, V, Jiménez Pavón, D, Chillón, P, Arcella, D, Azzini, E, Barrison, E, Bevilacqua, N, Buonocore, P, Catasta, G, Censi, L, Ciarapica, D, D'Acapito, P, Ferrari, M, Galfo, M, Le Donne, C, Leclercq, C, Maiani, G, Mauro, B, Mistura, L, Pasquali, A, Piccinelli, R, 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, Huybrecht, I, Phillipp, K, Dietrich, S, 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, Sjöstrom, M, 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, Enrique Carreres, J, 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, Lilja, 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.

Published
2014

28. Reliability and validity of a screen time-based sedentary behaviour questionnaire for adolescents: The HELENA study

Author

Rey López, Juan P., Ruiz, Jonatan R., Ortega, Francisco B., Verloigne, Maite, Vicente Rodriguez, German, Gracia Marco, Luis, Gottrand, Frederic, Molnar, Denes, Widhalm, Kurt, Zaccaria, Maria, Cuenca García, Magdalena, Sjöström, Michael, De Bourdeaudhuij, Ilse, Moreno, Luis A., 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, Fernández Alvira J, Bueno G, Lázaro A, Bueno O, León JF, Garagorri JM, Bueno M, Rey López JP, Iglesia I, Velasco P, Bel S, Gracia Marco L, Mouratidou T, Marcos A, Wärnberg J, Nova E, Gómez S, Ligia Díaz E, Romeo J, Veses A, Angeles Puertollano M, 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, 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 N, Buonocore P, Catasta G, Censi L, Ciarapica D, D'Acapito P, Ferrari M, Galfo M, Le Donne C, Leclercq C, Maiani G, Mauro B, Mistura L, Pasquali A, Piccinelli R, Polito A, Spada R, Sette S, Zaccaria M, 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, Kubelka B, Boriss Riedl M, Manios Y, Grammatikaki E, Bouloubasi Z, Louisa Cook T, 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, Sjöström M, Ruiz J, Hagströmer M, Hallström L, Patterson E, Kwak L, Rizzo N, Hurtig Wennlöf A, 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, Lilja Hallberg M, 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, Gómez Lorente J.J., VITAGLIONE, PAOLA, Rey López, Juan P., Ruiz, Jonatan R., Ortega, Francisco B., Verloigne, Maite, Vicente Rodriguez, German, Gracia Marco, Lui, Gottrand, Frederic, Molnar, Dene, Widhalm, Kurt, Zaccaria, Maria, Cuenca García, Magdalena, Sjöström, Michael, De Bourdeaudhuij, Ilse, Moreno, Luis A., 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, Fernández Alvira, J, Bueno, G, Lázaro, A, Bueno, O, León, Jf, Garagorri, Jm, Bueno, M, Rey López, Jp, Iglesia, I, Velasco, P, Bel, S, Gracia Marco, L, Mouratidou, T, Marcos, A, Wärnberg, J, Nova, E, Gómez, S, Ligia Díaz, E, Romeo, J, Veses, A, Angeles Puertollano, M, 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, 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, N, Buonocore, P, Catasta, G, Censi, L, Ciarapica, D, D'Acapito, P, Ferrari, M, Galfo, M, Le Donne, C, Leclercq, C, Maiani, G, Mauro, B, Mistura, L, Pasquali, A, Piccinelli, R, Polito, A, Spada, R, Sette, S, Zaccaria, M, 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, Kubelka, B, Boriss Riedl, M, Manios, Y, Grammatikaki, E, Bouloubasi, Z, Louisa Cook, T, 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, Sjöström, M, Ruiz, J, Hagströmer, M, Hallström, L, Patterson, E, Kwak, L, Rizzo, N, Hurtig Wennlöf, A, 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, Lilja Hallberg, M, 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 Gómez Lorente, J. J.

Subjects
Gerontology, Male, medicine.medical_specialty, Validation study, Television viewing, Time Factors, Time Factor, Adolescent, Health Behavior, Reproducibility of Result, Screen time, Computer, Reliability study, Surveys and Questionnaires, Epidemiology, medicine, Surveys and Questionnaire, Humans, Exercise, Life Style, Reliability (statistics), Sedentary time, Internet, Computers, Public Health, Environmental and Occupational Health, Reproducibility of Results, Health Survey, Health Surveys, Physical therapy, Female, Television, Health behavior, Psychology, Human
Abstract

Background: Although there is a growing interest in the epidemiology of sedentary behaviours, it is unknown whether sedentary behaviour questionnaires are broad markers of sedentary time. The aims of this study were to determine the: (i) reliability of the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) screen time-based sedentary behaviour questionnaire; and (ii) its validity, i.e. the ability of the questionnaire to correctly rank adolescents according to the objectively measured sedentary time. Methods: A total of 183 adolescents (104 females aged 12.5–17.5 years) were involved in the reliability study. Participants completed the HELENA sedentary questionnaire twice (1 week apart). The validity study comprised 2048 (1212 females) adolescents (12.5–17.5 years of age) included in the HELENA cross-sectional study. Questions included television viewing, computer games, console games, Internet for study and non-study reasons and study during week and weekend days. We compared median values of sedentary time, using accelerometers, by tertiles of self-reported sedentary behaviours and their sum (composite sedentary score). Results: Reliability study: κ-values showed a good agreement (>0.7), except for Internet for study reasons (0.46 weekdays, 0.33 weekend). The questionnaire correctly classified boys’ sedentary time when analysed by specific behaviours and by a composite sedentary score. In girls, median values of objectively measured sedentary time were not different across tertiles of self-reported sedentary behaviours or the composite sedentary score. Conclusion: The HELENA sedentary questionnaire is reliable, yet only correctly classifies objectively measured sedentary time in boys.

Published
2011

29. Levels of physical activity that predict optimal bone mass in adolescents: The HELENA study

Author

Gracia Marco, Luis, Moreno, Luis A., Ortega, Francisco B., Len, Francisco, Sioen, Isabelle, Kafatos, Anthony, Martinez Gomez, David, Widhalm, Kurt, Castillo, Manuel J., Vicente Rodrguez, Germn, Moreno LA, Gottrand F, De Henauw S, González Gross M, Kafatos A, Libersa C, Castelló S, Kersting M, Sjöstrom M, Molnár D, Dallongeville J, Gilbert C, 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, Fernández Alvira J, Bueno G, Lázaro A, Bueno O, León JF, Garagorri JM, Bueno M, López JP, Iglesia I, Velasco P, Bel S, Gracia Marco L, 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 Á, 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 N, Buonocore P, Catasta G, Censi L, Ciarapica D, D'Acapito P, Ferrari M, Galfo M, Le Donne C, Leclercq C, Maiani G, Mauro B, Mistura L, Pasquali A, Piccinelli R, Polito A, Spada R, Sette S, Zaccaria M, 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, 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, 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, Meléndez A, Benito PJ, Calderón J, Valtueña J, Navarro P, Urzanqui A, Albers U, Pedrero R, Gómez Lorente J.J., VITAGLIONE, PAOLA, Gracia Marco, Lui, Moreno, Luis A., Ortega, Francisco B., Len, Francisco, Sioen, Isabelle, Kafatos, Anthony, Martinez Gomez, David, Widhalm, Kurt, Castillo, Manuel J., Vicente Rodrguez, Germn, Moreno, La, Gottrand, F, De Henauw, S, González Gross, M, Kafatos, A, Libersa, C, Castelló, S, Kersting, M, Sjöstrom, M, Molnár, D, Dallongeville, J, Gilbert, C, 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, Fernández Alvira, J, Bueno, G, Lázaro, A, Bueno, O, León, Jf, Garagorri, Jm, Bueno, M, López, Jp, Iglesia, I, Velasco, P, Bel, S, Gracia Marco, L, 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, Á, 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, N, Buonocore, P, Catasta, G, Censi, L, Ciarapica, D, D'Acapito, P, Ferrari, M, Galfo, M, Le Donne, C, Leclercq, C, Maiani, G, Mauro, B, Mistura, L, Pasquali, A, Piccinelli, R, Polito, A, Spada, R, Sette, S, Zaccaria, M, 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, 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, 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, Meléndez, A, Benito, Pj, Calderón, J, Valtueña, J, Navarro, P, Urzanqui, A, Albers, U, Pedrero, R, and Gómez Lorente, J. J.

Subjects
Epidemiology, Public Health, Environmental and Occupational Health
Published
2011

30. Differences in energy balance-related behaviours in European preschool children: The ToyBox-study

Author

De Craemer, M., Lateva, M., Iotova, V., De Decker, E., Verloigne, M., De Bourdeaudhuij, I., Androutsos, O., Socha, P., Kulaga, Z., Moreno, L., Koletzko, B., Manios, Y., Cardon, G., Paw, M.C.A., Summerbell, C., Lobstein, T., Annemans, L., Buijs, G., Reilly, J., Swinburn, B., Ward, D., Grammatikaki, E., Katsarou, C., Apostolidou, E., Efstathopoulou, E., Duvinage, K., Ibrügger, S., Strauß, A., Herbert, B., Birnbaum, J., Payr, A., Geyer, C., De Henauw, S., Maes, L., Vereecken, C., Van Assche, J., Pil, L., Te Velde, S., Mouratidou, T., Fernandez, J., Mesana, M., De Miguel-Etayo, P., González, E., Gracia-Marco, L., Oves, B., Yngve, A., Kugelberg, S., Lynch, C., Mosdøl, A., Moore, H., Douthwaite, W., Nixon, C., Kreichauf, S., Wildgruber, A., Zych, K., Gózdz, M., Gurzkowska, B., Szott, K., Usheva, N., Galcheva, S., Marinova, V., Radkova, Z., Feschieva, N., Aikenhead, A., Dorgelo, A., Nethe, A., Jansen, J., Gmeiner, O., Retterath, J., Wildeis, J., Günthersberger, A., Gibson, L., and Voegele, C.

Abstract

Background: The aim of the current study was to compare levels of energy balance-related behaviours (physical activity, sedentary behaviour, and dietary behaviours (more specifically water consumption, sugar-sweetened beverage consumption and unhealthy snacking)) in four- to six-year-old preschoolers from six European countries (Belgium, Bulgaria, Germany, Greece, Poland, and Spain) within the ToyBox cross-sectional study. Methods: A sample of 4,045 preschoolers (4.77 ± 0.43 years; 52.2% boys) had valid physical activity data (steps per day), parents of 8,117 preschoolers (4.78 ± 0.46 years; 53.0% boys) completed a parental questionnaire with questions on sedentary behaviours (television viewing, computer use, and quiet play), and parents of 7,244 preschoolers (4.77 ± 0.44 years; 52.0% boys) completed a food frequency questionnaire with questions on water consumption, sugar-sweetened beverage consumption and unhealthy snacking. Results: The highest levels of physical activity were found in Spain (12,669 steps/day on weekdays), while the lowest levels were found in Bulgaria and Greece (9,777 and 9,656 steps/day on weekdays, respectively). German preschoolers spent the least amount of time in television viewing (43.3 min/day on weekdays), while Greek preschoolers spent the most time in television viewing (88.5 min/day on weekdays). A considerable amount of time was spent in quiet play in all countries, with the highest levels in Poland (104.9 min/day on weekdays), and the lowest levels in Spain (60.4 min/day on weekdays). Belgian, German, and Polish preschoolers had the lowest intakes of water and the highest intakes of sugar-sweetened beverages. The intake of snacks was the highest in Belgian preschoolers (73.1 g/day) and the lowest in Greek preschoolers (53.3 g/day). Conclusions: Across six European countries, differences in preschoolers'' energy balance-related behaviours were found. Future interventions should target European preschoolers '' energy balance- related behaviours simultaneously, but should apply country-specific adaptations.

Published
2015

31. Assessment of physical activity intensity and duration in the paediatric population: evidence to support an <italic>a priori</italic> hypothesis and sample size in the agreement between subjective and objective methods.

Author

Nascimento‐Ferreira, M. V., De Moraes, A. C. F., Toazza Oliveira, P. V., Rendo‐Urteaga, T., Gracia‐Marco, L., Forjaz, C. L. M., Moreno, L. A., and Carvalho, H. B.

Subjects
PHYSICAL activity, PEDIATRICS, QUESTIONNAIRES, STATISTICAL correlation, DIABETES
Abstract

Summary: We aimed to provide evidence for an a priori hypothesis and sample size for subjectively assessing physical activity intensity and duration in paediatric population, adopting objective methods as the reference. We searched electronic databases, reference lists and author databases. Correlation coefficients were pooled as an indicator of agreement estimates. We found 183 agreement analyses (94.5% based on correlation coefficients) from 89 studies that met our inclusion criteria. We identified four physical activity parameters addressing intensity and two parameters addressing duration. The physical activity parameters focusing on intensity were measured only by questionnaires, and the best correlation was achieved by moderate‐to‐vigorous physical activity compared with a heart rate monitor. In addition, total physical activity duration had a stronger correlation with an accelerometer when measured by diaries or logs than when measured by questionnaires. In both cases, the correlation was moderate. Studies with sample sizes between 50 and 99 subjects showed measurements that were stable in both magnitude and interpretation. Our findings suggest that the agreement between subjective and objective methods for assessing physical activity intensity and duration is weak to moderate. Furthermore, sample sizes ranging from 50 to 99 subjects provide stable agreement estimates between methods. [ABSTRACT FROM AUTHOR]

Published
2018
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32. Mediterranean diet, diet quality, and bone mineral content in adolescents: the HELENA study.

Author

Vicente-Rodríguez, G., Julián, C., González-Gil, E. M., Moreno, L. A., Gracia-Marco, L., Widhalm, K., Kafatos, A., Huybrechts, I., Gutiérrez, Á., González-Gross, M., and Marcos, A.

Subjects
OSTEOPENIA, HIP joint physiology, LUMBAR vertebrae physiology, FEMUR neck, CONFIDENCE intervals, FOOD quality, FRUIT, GRAIN, NUTS, PLANT roots, LOGISTIC regression analysis, BONE density, CROSS-sectional method, LEAN body mass, PHYSICAL activity, MEDITERRANEAN diet, PHOTON absorptiometry, ODDS ratio, ADOLESCENCE, PHYSIOLOGY, DISEASE risk factors
Abstract

Summary: Dietary scores, rather than individual nutrients, allow exploring associations between overall diet and bone health. The aim of the present study was to assess the associations between the Mediterranean Diet Score for Adolescents (MDS-A) and the Diet Quality Index for Adolescents (DQI-A) and bone mineral content (BMC) among Spanish adolescents. Our results do not support an association between dietary scores or indices and BMC in adolescents.Introduction: To assess the associations between the MDS-A and a DQI-A with the BMC measured with dual-energy X-ray absorptiometry.Methods: The MDS-A and the DQI-A were calculated in 179 Spanish adolescents, based on two 24-h dietary recalls from the HELENA cross-sectional study. The associations between the diet scores and the BMC outcomes [total body less head (TBLH), femoral neck (FN), lumbar spine (LS), and hip] were analyzed using logistic regression models adjusting for several confounders.Results: Four hundred ninety-two models were included and only fruits and nuts and cereal and roots were found to provide significant ORs with regard to BMC. The risk of having low BMC reduced by 32% (OR 0.684; CI 0.473-0.988) for FN when following the ideal MDS-A, but this association lost significance when adjusting for lean mass and physical activity. For every 1-point increase in the cereal and root and the fruit and nut components, the risk of having low FN diminished by 56% (OR 0.442; CI 0.216-0.901) and by 67% (OR 0.332; CI 0.146-0.755), respectively.Conclusion: An overall dietary score or index is not associated with BMC in our adolescent Spanish sample. [ABSTRACT FROM AUTHOR]

Published
2018
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33. Correlates of ideal cardiovascular health in European adolescents: The HELENA study.

Author

Henriksson, P., Henriksson, H., Labayen, I., Huybrechts, I., Gracia-Marco, L., Ortega, F.B., España-Romero, V., Manios, Y., González-Gross, M., Marcos, A., Moreno, L.A., Gutiérrez, Á., Ruiz, J.R., and HELENA Study Group

Abstract

Background and Aims: The ideal cardiovascular health (iCVH) construct consists of 4 health behaviors (smoking status, body mass index, physical activity and diet) and 3 health factors (total cholesterol, blood pressure and fasting glucose). A greater number of iCVH components in adolescence are related to better cardiovascular health, but little is known about the correlates of iCVH in adolescents. Thus, the aim of the study was to examine correlates of iCVH in European adolescents.Methods and Results: The study comprised 637 European adolescents with complete iCVH data. Participants were part of the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study, a cross-sectional, multicenter study conducted in 9 different European countries. Correlates investigated were sex and age, family affluence scale, maternal education, geographic location, sleep time, television viewing, duration of pregnancy, birth weight and breastfeeding. Younger adolescents, those whose mothers had medium/high education or those who watched television less than 2 h per day had a greater number of iCVH components compared to those who were older, had a mother with low education or watched television 2 h or more daily (P ≤ 0.01).Conclusion: Since in our study older adolescents had worse iCVH than younger adolescents, early promotion of cardiovascular health may be important. Future studies may also investigate the usefulness of limiting television viewing to promote iCVH. Finally, since adolescents of mothers with low education had poorer iCVH, it may be of special interest to tailor public health promotion to adolescents from families with low socioeconomic status. [ABSTRACT FROM AUTHOR]

Published
2018
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34. The association between childhood fractures and adolescence bone outcomes: a population-based study, the Tromsø Study, Fit Futures.

Author

Christoffersen, T., Emaus, N., Dennison, E., Furberg, A.-S., Gracia-Marco, L., Grimnes, G., Nilsen, O. A., Vlachopoulos, D., Winther, A., and Ahmed, L. A.

Subjects
HIP joint radiography, FEMUR neck, BONE fractures, BONE fractures in children, QUESTIONNAIRES, T-test (Statistics), HUMERUS injuries, MULTIPLE regression analysis, BONE density, RETROSPECTIVE studies, PHYSICAL activity, PHOTON absorptiometry
Abstract

Summary: Childhood fracture may predict persistent skeletal fragility, but it may also reflect high physical activity which is beneficial to bone development. We observe a difference in the relationship between previous fracture and bone outcome across physical activity level and sex. Further elaboration on this variation is needed.Purpose: Childhood fracture may be an early marker of skeletal fragility, or increased levels of physical activity (PA), which are beneficial for bone mineral accrual. This study investigated the association between a previous history of childhood fracture and adolescent bone mineral outcomes by various PA levels.Methods: We recruited 469 girls and 492 boys aged 15–18 years to this study. We assessed PA levels by questionnaire and measured areal bone mineral density (aBMD) and bone mineral content (BMC) using dual-energy X-ray absorptiometry (DXA) at arm, femoral neck (FN), total hip (TH), and total body (TB) and calculated bone mineral apparent density (BMAD, g/cm3). Fractures from birth to time of DXA measurements were retrospectively recorded. We analyzed differences among participants with and without fractures using independent sample t test. Multiple linear regression was used to examine the association between fractures and aBMD and BMC measurements according to adolescent PA.Results: Girls with and without a previous history of fracture had similar BMC, aBMD, and BMAD at all sites. In multiple regression analyses stratified by physical activity intensity (PAi), there was a significant negative association between fracture and aBMD-TH and BMC-FN yet only in girls reporting low PAi. There was a significant negative association between forearm fractures, BMAD-FN, and BMAD-arm among vigorously active boys.Conclusion: Our findings indicate a negative association between childhood fractures and aBMD/BMC in adolescent girls reporting low PAi. In boys, such an association appears only in vigorously active participants with a history of forearm fractures. [ABSTRACT FROM AUTHOR]

Published
2018
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35. Cardiorespiratory fitness in males, and upper limbs muscular strength in females, are positively related with 25-hydroxyvitamin D plasma concentrations in European adolescents: the HELENA study

Author

Valtuena, J. Gracia-Marco, L. Huybrechts, I. Breidenassel, C. Ferrari, M. Gottrand, F. Dallongeville, J. Sioen, I. and Gutierrez, A. Kersting, M. Kafatos, A. Manios, Y. and Widhalm, K. Moreno, L. A. Gonzalez-Gross, M. Helena Study Grp

Abstract

Background: High prevalence of vitamin D insufficiency (

Published
2013

37. Methods and Social Marketing

Author

J-M. Borys, Y. Le Bodo, S. De Henauw, L.A. Moreno, M. Romon, J.C. Seidell, T.L.S. Visscher, Gracia-Marco, L., Mayer, J., Vicente-Rodriguez, G., Vinck, J., Pettigrew, Simone, Renes, R., Le Bodo, Y., Moreno, L., J-M. Borys, Y. Le Bodo, S. De Henauw, L.A. Moreno, M. Romon, J.C. Seidell, T.L.S. Visscher, Gracia-Marco, L., Mayer, J., Vicente-Rodriguez, G., Vinck, J., Pettigrew, Simone, Renes, R., Le Bodo, Y., and Moreno, L.

Published
2011

40. Role of Cardiorespiratory Fitness on the Association Between Physical Activity and Abdominal Fat Content in Adolescents: The HELENA Study

Author

España-Romero, V., primary, Ortega, F. B., additional, Ruiz, J. R., additional, Artero, E. G., additional, Martínez-Gómez, D., additional, Vicente-Rodriguez, G., additional, Moliner-Urdiales, D., additional, Gracia-Marco, L., additional, Ciarapica, D., additional, Widhalm, K., additional, Castillo Garzon, M., additional, Sjöstrom, M., additional, and Moreno, L., additional

Published
2010
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41. Bone markers and physical activity in Spanish adolescents

Author

Gracia-Marco, L., primary, Vicente-Rodríguez, G., additional, Valtueña, J., additional, Rey-López, J.P., additional, Díaz Martínez, E., additional, Mesana, M.I., additional, Widhalm, K., additional, Ruiz, J.R., additional, González-Gross, M., additional, Sjöström, M., additional, Castillo, M.J., additional, and Moreno, L.A., additional

Published
2009
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42. Osteocalcin, n-telopeptides and beta crosslaps in Spanish adolescents

Author

Gracia-Marco, L., primary, Vicente-Rodríguez, G., additional, Valtueña, J., additional, Rey-López, J.P., additional, DíazMartínez, E., additional, Mesana, M.I., additional, Widhalm, K., additional, Ruiz, J.R., additional, González-Gross, M., additional, Castillo, M.J., additional, and Moreno, L.A., additional

Published
2009
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44. Physiology & Biochemistry. Role of Cardiorespiratory Fitness on the Association Between Physical Activity and Abdominal Fat Content in Adolescents: The HELENA Study.

Author

España-Romero, V., Ortega, F. B., Ruiz, J. R., Artero, E. G., Martinez-Gómez, D., Vicente-Rodriguez, G., Moliner-Urdiales, D., Gracia-Marco, L., Ciarapica, D., Widhalm, K., Castillo Garzon, M. J., Sjöstrom, M., and Moreno, L. A.

Subjects
ABDOMEN, ADIPOSE tissues, COMPUTER software, EXERCISE, MEDICAL cooperation, PHYSICAL fitness, RESEARCH, RESEARCH funding, RUNNING, X-ray densitometry in medicine, STATISTICAL power analysis, DATA analysis, ACCELEROMETRY, WAIST-hip ratio
Abstract

The article presents a study on the role of cardiorespiratory fitness (CRF) on the link between physical activity (PA) and abdominal fat content in adolescents. For the study, researchers measured abdominal fat content by waist circumference, waist-to-heigh ratio and dual energy X-ray absoptiometry (DXA) at 3 locations. They found that vigorous PA was inversely linked to waist circumference and waist-to-height ratio. They concluded that it is not clear whether CRF plays a role in the link between PA and abdominal fat in adolescents.

Published
2010
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45. Dietary animal and plant protein intakes and their associations with obesity and cardio-metabolic indicators in European adolescents: the HELENA cross-sectional study

Author

Lin Y, Mouratidou T, Vereecken C, Kersting M, Bolca S, de Moraes AC, Cuenca García M, Moreno LA, González Gross M, Valtueña J, Labayen I, Grammatikaki E, Hallstrom L, Leclercq C, Ferrari M, Gottrand F, Beghin L, Manios Y, Ottevaere C, Van Oyen H, Molnar D, Kafatos A, Widhalm K, Gómez Martinez S, Prieto LE, De Henauw S, Huybrechts I, Gilbert C, Libersa C, Sánchez J, 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, Fernández Alvira J, Bueno G, Lázaro A, Bueno O, León JF, Garagorri JM, Bueno M, Rey López JP, Iglesia I, Velasco P, Bel Serrat S, Gracia Marco L, Jiménez Pavón D, Marcos A, Wärnberg J, Nova E, Gómez Martínez S, Ligia Díaz E, Romeo J, Veses A, Angeles Puertollano M, Zapatera B, Pozo T, Iliescu C, Von Berlepsch J, Sichert Hellert W, Koeppen E, 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, 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, Chillón P, Sánchez Muñoz C, Cuenca M, Arcella D, Azzini E, Barrison E, Bevilacqua N, Buonocore P, Catasta G, Censi L, Ciarapica D, D'Acapito P, Galfo M, le Donne 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, de Maeyer M, Phillipp K, Dietrich S, Kubelka B, Boriss Riedl M, Bouloubasi Z, Louisa Cook T, 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, Sjöström M, Ruiz J, Hagströmer M, Hallström L, Patterson E, Kwak L, Rizzo N, Hurtig Wennlöf A, 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, Cárnicas Serrano SL, García E, von Fircks H, Lilja Hallberg M, Messerer M, Larsson M, Fredriksson H, Adamsson V, Börjesson I, Fernández L, Smillie L, Wills J, Albers U, Pedrero R, Meléndez A, Benito PJ, Cañada D, Urzanqui A, Ortiz JC, Fuentes F, Gómez Lorente JJ, Mardía Torres R, Navarro P., VITAGLIONE, PAOLA, Lin, Y, Mouratidou, T, Vereecken, C, Kersting, M, Bolca, S, de Moraes, Ac, Cuenca García, M, Moreno, La, González Gross, M, Valtueña, J, Labayen, I, Grammatikaki, E, Hallstrom, L, Leclercq, C, Ferrari, M, Gottrand, F, Beghin, L, Manios, Y, Ottevaere, C, Van Oyen, H, Molnar, D, Kafatos, A, Widhalm, K, Gómez Martinez, S, Prieto, Le, De Henauw, S, Huybrechts, I, Gilbert, C, Libersa, C, Sánchez, J, 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, Fernández Alvira, J, Bueno, G, Lázaro, A, Bueno, O, León, Jf, Garagorri, Jm, Bueno, M, Rey López, Jp, Iglesia, I, Velasco, P, Bel Serrat, S, Gracia Marco, L, Jiménez Pavón, D, Marcos, A, Wärnberg, J, Nova, E, Gómez Martínez, S, Ligia Díaz, E, Romeo, J, Veses, A, Angeles Puertollano, M, Zapatera, B, Pozo, T, Iliescu, C, Von Berlepsch, J, Sichert Hellert, W, Koeppen, E, 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, 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, Chillón, P, Sánchez Muñoz, C, Cuenca, M, Arcella, D, Azzini, E, Barrison, E, Bevilacqua, N, Buonocore, P, Catasta, G, Censi, L, Ciarapica, D, D'Acapito, P, Galfo, M, le Donne, 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, de Maeyer, M, Phillipp, K, Dietrich, S, Kubelka, B, Boriss Riedl, M, Bouloubasi, Z, Louisa Cook, T, 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, Sjöström, M, Ruiz, J, Hagströmer, M, Hallström, L, Patterson, E, Kwak, L, Rizzo, N, Hurtig Wennlöf, A, 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, Cárnicas Serrano, Sl, García, E, von Fircks, H, Lilja Hallberg, M, Messerer, M, Larsson, M, Fredriksson, H, Adamsson, V, Börjesson, I, Fernández, L, Smillie, L, Wills, J, Albers, U, Pedrero, R, Meléndez, A, Benito, Pj, Cañada, D, Urzanqui, A, Ortiz, Jc, Fuentes, F, Gómez Lorente, Jj, Mardía Torres, R, Navarro, P., European Commission, Swedish Council for Working Life and Social Research, Ministerio de Educación (España), Ministerio de Sanidad y Consumo (España), Ministerio de Ciencia e Innovación (España), Fundação de Amparo à Pesquisa do Estado de São Paulo, Conselho Nacional de Desenvolvimento Científico e Tecnológico (Brasil), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Brasil), and Matthys, Christophe

Subjects
Male, NUTRITION AND DIETETICS, CHILDHOOD, Medicine (miscellaneous), Overweight, Body fat percentage, Body Mass Index, clinical-trial, fat, Medicine and Health Sciences, HELENA cross-sectional study, dietary proteins, adolescence, Child, treat obesity, Plant Proteins, 2. Zero hunger, Nutrition and Dietetics, Anthropometry, Age Factors, Lipids, Diet Records, 3. Good health, Europe, Plant protein, HELENA study, Female, Dietary Proteins, medicine.symptom, Underweight, Life Sciences & Biomedicine, energy, medicine.medical_specialty, Meat, Adolescent, Clinical nutrition, Sex Factors, Thinness, children, Internal medicine, Environmental health, medicine, body-weight, Animals, Humans, overweight, Obesity, Exercise, body composition, Science & Technology, Nutrition & Dietetics, business.industry, MEDICINE, Research, biomarkers, medicine.disease, protein intake, disease risk, Diet, chilhood, Endocrinology, Cross-Sectional Studies, Nutrition Assessment, adolescence, business, Energy Intake, nutritional-status, Body mass index
Abstract

Lin, Y. et al., [Background] Previous studies suggest that dietary protein might play a beneficial role in combating obesity and its related chronic diseases. Total, animal and plant protein intakes and their associations with anthropometry and serum biomarkers in European adolescents using one standardised methodology across European countries are not well documented., [Objectives] To evaluate total, animal and plant protein intakes in European adolescents stratified by gender and age, and to investigate their associations with cardio-metabolic indicators (anthropometry and biomarkers)., [Methods] The current analysis included 1804 randomly selected adolescents participating in the HELENA study (conducted in 2006–2007) aged 12.5-17.5 y (47% males) who completed two non-consecutive computerised 24-h dietary recalls. Associations between animal and plant protein intakes, and anthropometry and serum biomarkers were examined with General linear Model multivariate analysis., [Results] Average total protein intake exceeded the recommendations of World Health Organization and European Food Safety Authority. Mean total protein intake was 96 g/d (59% derived from animal protein). Total, animal and plant protein intakes (g/d) were significantly lower in females than in males and total and plant protein intakes were lower in younger participants (12.5-14.9 y). Protein intake was significantly lower in underweight subjects and higher in obese ones; the direction of the relationship was reversed after adjustments for body weight (g/(kg.d)). The inverse association of plant protein intakes was stronger with BMI z-score and body fat percentage (BF%) compared to animal protein intakes. Additionally, BMI and BF% were positively associated with energy percentage of animal protein., [Conclusions] This sample of European adolescents appeared to have adequate total protein intake. Our findings suggest that plant protein intakes may play a role in preventing obesity among European adolescents. Further longitudinal studies are needed to investigate the potential beneficial effects observed in this study in the prevention of obesity and related chronic diseases., The HELENA-study took place with the financial support of the European Community Sixth RTD Framework Programme. This work was also partially supported by the European Union in the framework of the Public Health Programme, the Swedish Council for Working Life and Social Research (FAS), the Spanish Ministry of Education, and the Spanish Ministry of Health, Maternal, Child Health and Development Network and the Spanish Ministry of Science and Innovation AGL2007-29784-E. The content of this paper reflect only the authors' views and the rest of HELENA-study members and the European Community is not liable for any use that may be made of the information contained therein. Augusto César F. de Moraes is in receipt of a PhD scholarship from the São Paulo State Research Foundation (FAPESP: proc. 2011/11137-1 and 2011/20662-2) and Postdoctoral Research Fellow scholarship from National Counsel of Technological and Scientific Development (CNPq: proc. 313772/2014-2); Luis A. Moreno was given scholarship of Visiting Professor from Brazilian government by Science without Borders Program by CNPq and CAPES (Coordination of Improvement of Higher Education Personnel) (proc. 007/2012). The GENUD Research Group co-financed by the European Regional Development Fund (MICINN-FEDER). Many thanks to Petra Pickert, Anke Carstensen and Rosa Maria Torres for their contribution to laboratory work.

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