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10. 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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11. 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

12. Combined influence of lifestyle risk factors on body fat in Spanish adolescents--the Avena study

Author

Martínez Gómez, D., Moreno, Luis A., Romeo, J., Rey López, J. P., Castillo-Gualda, Ruth, Cabero, M.J., Vicente-Rodríguez, G., Gutierrez, Angel, Veiga, Óscar, and Marcos, Ascensión

Subjects
Male, medicine.medical_specialty, Health (social science), Waist, Adolescent, Health Behavior, Overweight, Risk Factors, Physiology (medical), Internal medicine, medicine, Odds Ratio, Humans, Obesity, Socioeconomic status, Life Style, Meal, Sleep duration, business.industry, Physical activity, Odds ratio, Feeding Behavior, Circumference, medicine.disease, Confidence interval, Body Height, Adolescence, Diet, Skinfold Thickness, Endocrinology, Cross-Sectional Studies, Adipose Tissue, Adolescent Behavior, Spain, Body Composition, Female, Television, Original Article, Self Report, medicine.symptom, Television viewing, Sedentary Behavior, Waist Circumference, business, Sleep, Demography
Abstract

Objective: To examine the combined influence of four lifestyle risk factors related to physical activity, television viewing, sleep duration, and meal frequency on body fat (BF) in adolescents. Method: This cross-sectional study comprised 1,310 Spanish adolescents (age 13-18.5 years). Lifestyle variables were self-reported and BF indicators (weight, height, six skinfold thicknesses, waist circumference) measured during the years 2000-2002. Lifestyle risk factors were: physically inactive, ≥3 h/day watching television, a grant from the Spanish Ministry of Education (AP2006–02464). a grant from the Spanish Ministry of Health: Maternal, Child Health and Development Network (RD08/0072).

Published
2011

13. Clustering patterns of physical activity, sedentary and dietary behavior among European adolescents: The HELENA study

Author

Ottevaere, C., Huybrechts, Inge, Benser, J., Bourdeaudhuij, I. D., Cuenca García, María Luisa, Dallongeville, J., Zaccaria, M., Gottrand, Frederic, Kersting, Mathilde, Rey López, J. P., Manios, Yannis, Molnár, Dénes, Moreno, Luis A., Smpokos, E, Widhalm, Kurt, Nova, Esther, Gómez Martínez, Sonia, Díaz, L. E., Romeo, J., Veses, Ana M., Zapatera, Belén, Pozo Rubio, Tamara, Martínez, D., Marcos, Ascensión, and De Henauw, Stefaan

Abstract

Evidence suggests possible synergetic effects of multiple lifestyle behaviors on health risks like obesity and other health outcomes. A better insight in the clustering of those behaviors, could help to identify groups who are at risk in developing chronic diseases. This study examines the prevalence and clustering of physical activity, sedentary and dietary patterns among European adolescents and investigates if the identified clusters could be characterized by socio-demographic factors. METHODS: The study comprised a total of 2084 adolescents (45.6% male), from eight European cities participating in the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study. Physical activity and sedentary behavior were measured using self-reported questionnaires and diet quality was assessed based on dietary recall. Based on the results of those three indices, cluster analyses were performed. To identify gender differences and associations with socio-demographic variables, chi-square tests were executed. RESULTS: Five stable and meaningful clusters were found. Only 18% of the adolescents showed healthy and 21% unhealthy scores on all three included indices. Males were highly presented in the cluster with high levels of moderate to vigorous physical activity (MVPA) and low quality diets. The clusters with low levels of MVPA and high quality diets comprised more female adolescents. Adolescents with low educated parents had diets of lower quality and spent more time in sedentary activities. In addition, the clusters with high levels of MVPA comprised more adolescents of the younger age category. CONCLUSION: In order to develop effective primary prevention strategies, it would be important to consider multiple health indices when identifying high risk groups.

Published
2011

14. Sleep time and cardiovascular risk factors in adolescents: The HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study

Author

Rey López, J. P., Marcos, Ascensión, Moreno, Luis A., Rey López, J. P., Marcos, Ascensión, and Moreno, Luis A.

Abstract

Objective: We aimed to examine the association between adolescents' sleep time and a cardiometabolic risk score. A second aim was to examine associations between sleep time and individual cardiometabolic risk factors. Methods: Adolescents (N= 699; ages, 12.5-17.5. years) participating in the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study were examined. Sleep time was reported by a questionnaire. Physical activity (PA) was assessed by accelerometry (n= 497). Cardiometabolic risk factors measurements included insulin resistance, blood pressure, adiposity markers, cardiorespiratory fitness, and blood lipids. A cardiovascular disease risk score was computed. Associations were examined by a multilevel regression analysis (linear for individual risk factors and Poisson for the clustered risk score). Results: For school days no association was found between sleep time and cardiometabolic risk factors. At weekend days, the prevalence ratio (PR) of having a clustered risk score increased by 15% for each additional hour of sleep controlling for age, sex, and socioeconomic status (SES); however, the prevalence disappeared when adjusting for PA. Conclusions: In European adolescents sleep time is not associated with cardiometabolic risk factors when important confounders are considered. Future research about sleep cardiovascular risk factors should register other sleep dimensions (sleep patterns or disturbances) to provide a better insight in this scientific field. © 2013 Elsevier B.V.

Published
2014

15. Sedentary behaviour and clustered metabolic risk in adolescents: The HELENA study

Author

Rey López, J. P., Martínez-Gómez, David, Rey López, J. P., and Martínez-Gómez, David

Abstract

Background and aims: Although sedentary behaviours are linked with mortality for cardiovascular reasons, it is not clear whether they are negatively related with cardio-metabolic risk factors. The aim was to examine the association between time engaged in television (TV) viewing or playing with videogames and a clustered cardio-metabolic risk in adolescents. Methods and results: Sedentary behaviours and physical activity were assessed in 769 adolescents (376 boys, aged 12.5-17.5 years) from the HELENA-CSS study. We measured systolic blood pressure, HOMA index, triglycerides, TC/HDL-c, VO2max and the sum of four skinfolds, and a clustered metabolic risk index was computed. A multilevel regression model (by Poisson) was performed to calculate the prevalence ratio of having a clustered metabolic risk. In boys, playing >4h/day with videogames (weekend) and moderate to vigorous PA (MVPA) was associated with cardio-metabolic risk after adjustment for age, maternal education and MVPA. In contrast, TV viewing was not associated with the presence of cardio-metabolic risk. Conclusion: In boys, playing with videogames may impair cardio-metabolic health during the adolescence. Adolescents should be encouraged to increase their participation in physical activity of at least moderate intensity to obtain a more favourable risk factor profile. © 2012 Elsevier B.V.

Published
2013

16. Sedentary behaviours and its association with bone mass in adolescents: the HELENA cross-sectional study

Author

Gracia-Marco, Luis, Rey López, J. P., Santaliestra-Pasías, A. M., Jiménez-Pavón, David, Díaz-Prieto, Ligia E., Moreno, Luis A., Vicente-Rodríguez, G., Gracia-Marco, Luis, Rey López, J. P., Santaliestra-Pasías, A. M., Jiménez-Pavón, David, Díaz-Prieto, Ligia E., Moreno, Luis A., and Vicente-Rodríguez, G.

Abstract

Background We aimed to examine whether time spent on different sedentary behaviours is associated with bone mineral content (BMC) in adolescents, after controlling for relevant confounders such as lean mass and objectively measured physical activity (PA), and if so, whether extra-curricular participation in osteogenic sports could have a role in this association. Methods Participants were 359 Spanish adolescents (12.5-17.5 yr, 178 boys,) from the HELENA-CSS (2006–07). Relationships of sedentary behaviours with bone variables were analysed by linear regression. The prevalence of low BMC (at least 1SD below the mean) and time spent on sedentary behaviours according to extracurricular sport participation was analysed by Chi-square tests. Results In boys, the use of internet for non-study was negatively associated with whole body BMC after adjustment for lean mass and moderate to vigorous PA (MVPA). In girls, the time spent studying was negatively associated with femoral neck BMC. Additional adjustment for lean mass slightly reduced the negative association between time spent studying and femoral neck BMC. The additional adjustment for MVPA did not change the results at this site. The percentage of girls having low femoral neck BMC was significantly smaller in those participating in osteogenic sports (≥ 3 h/week) than in the rest, independently of the cut-off selected for the time spent studying. Conclusions The use of internet for non-study (in boys) and the time spent studying (in girls) are negatively associated with whole body and femoral neck BMC, respectively. In addition, at least 3 h/week of extra-curricular osteogenic sports may help to counteract the negative association of time spent studying on bone health in girls.

Published
2012

17. Eating habits and total and abdominal fat in Spanish adolescents: Influence of physical activity. the AVENA study

Author

Gómez-Martínez, Sonia, Martínez-Gómez, David, Pérez de Heredia, F., Romeo, J., Cuenca García, María Luisa, Martín-Matillas, Miguel, Castillo, Manuel J., Rey López, J. P., Vicente-Rodríguez, G., Moreno, Luis A., Marcos, Ascensión, Gómez-Martínez, Sonia, Martínez-Gómez, David, Pérez de Heredia, F., Romeo, J., Cuenca García, María Luisa, Martín-Matillas, Miguel, Castillo, Manuel J., Rey López, J. P., Vicente-Rodríguez, G., Moreno, Luis A., and Marcos, Ascensión

Abstract

Objective: To evaluate the association between specific dietary habits and body fatness in Spanish adolescents, and to analyze the role of leisure-time physical activity (LTPA) in this association. Methods: In this cross-sectional study, 1,978 adolescents (1,017 girls) aged 13.018.5 years from the AVENA (Alimentación y Valoración del Estado Nutricional en Adolescentes) study were included. Particular dietary habits (breakfast, mid-morning snack, lunch, afternoon snack, dinner, and nighttime snack, as well as time spent eating, number of meals, consumption of soft drinks, and ready-to-eat foods) and LTPA were self-reported and analyzed as dichotomic variables (yes/no). The sum of six skinfold thicknesses and waist circumference (WC) values were the main body fatness variables. Result: Skinfolds and WC values were lower in adolescents who reported consumption of mid-morning snack, afternoon snack, more than four meals per day, and an adequate speed of eating, independently of participation in LTPA. Moreover, a beneficial influence of breakfast consumption on skinfolds and WC values was observed in those adolescent boys who did not participate in LTPA (p for interactions =.044 and.040, respectively). Conclusions: In Spanish adolescents, certain healthy dietary habits (i.e., mid-morning snack, afternoon snack, > 4 meals per day, adequate eating speed) are associated with lower body fatness, independently of engaging in LTPA. In addition, among boys with non-LTPA, those who skipped breakfast showed the highest body fatness values, indicating a beneficial influence of daily breakfast on body fat in this particular group. © 2012 Society for Adolescent Health and Medicine. All rights reserved.

Published
2012

18. Active Commuting to School and Cognitive Performance in Adolescents: The AVENA Study.

Author

Martínez-Gómez, David, Ruiz, Jonatan R., Gómez-Martínez, Sonia, Chillón, P., Rey López, J. P., Díaz-Prieto, Ligia E., Castillo-Gualda, Ruth, Veiga, Óscar, Marcos, Ascensión, Martínez-Gómez, David, Ruiz, Jonatan R., Gómez-Martínez, Sonia, Chillón, P., Rey López, J. P., Díaz-Prieto, Ligia E., Castillo-Gualda, Ruth, Veiga, Óscar, and Marcos, Ascensión

Abstract

OBJECTIVE:To examine the associations between active commuting to school and cognitive performance in adolescents. DESIGN:Cross-sectional study. SETTING Five cities (Granada, Madrid, Murcia, Santander, and Zaragoza) in Spain. PARTICIPANTS: A total of 1700 adolescents (892 girls) aged 13 to 18.5 years. Main Exposures Mode and duration of transportation to school and participation in extracurricular physical activity were self-reported. MAIN OUTCOME MEASURES: Cognitive performance (verbal, numeric, and reasoning abilities and an overall score) was measured by the Spanish version of the SRA Test of Educational Ability. RESULTS: Active commuting to school was associated with better cognitive performance (all P < .05) in girls but not in boys, independent of potential confounders including participation in extracurricular physical activity. In addition, adolescent girls who spent more than 15 minutes actively commuting to school had better scores in 3 of the 4 cognitive performance variables (all P < .05) than those who spent less time actively commuting to school (¿15 minutes) as well as better scores in all of the cognitive performance variables (all P < .001) than girls inactively commuting. CONCLUSION: Active commuting to school and its duration may positively influence cognitive performance in adolescent girls.

Published
2011

19. Sedentary behaviours and socio-economic status in Spanish adolescents: The AVENA study

Author

Rey López, J. P., Tomas, C., Vicente-Rodríguez, G., Gracia-Marco, Luis, Jiménez-Pavón, David, Pérez-Llamas, F., Redondo, Carlos, De Bourdeaudhuij, I., Sjöström, Michael, Marcos, Ascensión, Chillón, P., Moreno, Luis A., Rey López, J. P., Tomas, C., Vicente-Rodríguez, G., Gracia-Marco, Luis, Jiménez-Pavón, David, Pérez-Llamas, F., Redondo, Carlos, De Bourdeaudhuij, I., Sjöström, Michael, Marcos, Ascensión, Chillón, P., and Moreno, Luis A.

Abstract

Background: This study aimed to describe the influence of socio-economic status (SES) on the prevalence sedentary behaviours among Spanish adolescents. Methods: Cross-sectional data from Spanish adolescents from the Alimentación y Valoración del Estado Nutricional de los Adolescentes (AVENA) Study (2002). A national representative sample of 1776 adolescents aged 13-18.5 years provided information about time spent watching television (TV), playing with computer or videogames and studying. Parental education and occupation were assessed as SES. Participants were categorized by gender, age, parental education and occupation. Logistic regression models were used. Results: No gender differences were found for TV viewing. For computer and videogames use (weekdays), more boys played >3 h/day (P < 0.001), whereas a higher percentage of girls reported studying >3 h/day (P < 0.001). Among boys, parental education and occupation were inversely associated with TV viewing, parental occupation directly associated with study and maternal education inversely with computer and videogames use during weekdays (all P < 0.05). For girls, parental occupation was inversely associated with TV viewing. Conclusion: Spanish adolescents presented different sedentary patterns according to age, gender and SES. Boys reported more time engaged in electronic games, whereas girls reported more time studying. Parental occupation had more influence than parental education on the time spent in sedentary behaviours. © The Author 2010.

Published
2011

20. Combined influence of lifestyle risk factors on body fat in Spanish adolescents - The AVENA study

Author

Martínez-Gómez, David, Moreno, Luis A., Romeo, J., Rey López, J. P., Castillo-Gualda, Ruth, Cabero, M.J., Vicente-Rodríguez, G., Gutierrez, Angel, Veiga, Óscar, Marcos, Ascensión, Martínez-Gómez, David, Moreno, Luis A., Romeo, J., Rey López, J. P., Castillo-Gualda, Ruth, Cabero, M.J., Vicente-Rodríguez, G., Gutierrez, Angel, Veiga, Óscar, and Marcos, Ascensión

Abstract

Objective: To examine the combined influence of four lifestyle risk factors related to physical activity, television viewing, sleep duration, and meal frequency on body fat (BF) in adolescents. Method: This cross-sectional study comprised 1,310 Spanish adolescents (age 13-18.5 years). Lifestyle variables were self-reported and BF indicators (weight, height, six skinfold thicknesses, waist circumference) measured during the years 2000-2002. Lifestyle risk factors were: physically inactive, ≥3 h/day watching television, <8 h/day sleep duration, and <5 meals a day. The number of lifestyle risk factors was calculated for each participant, ranging from 0 to 4. Results: The number of lifestyle risk factors was positively associated with sum of six skinfolds, %BF, waist circumference, and waist-height ratio (all p < 0.001). The odds ratios (95% confidence interval) of overweight (including obesity) for groups with 1, 2, and 3-4 lifestyle risk factors compared with those with 0 were 2.86 (1.77-4.62), 3.61 (2.16-6.04), and 5.81 (3.07-10.99), respectively (p for trend <0.001). All the observations were independent of age, gender, race, socioeconomic status, and fat free mass. Conclusion: The combined influence of four lifestyle risk factors is positively associated with BF and an approximately sixfold risk of overweight in adolescents. © 2011 S. Karger AG, Basel.

Published
2011

24. Promoting healthy European lifestyle by exercise and nutrition in adolescents: The HELENA study,Promocionado un estilo de vida saludable en los adolescentes europeos mediante el ejercicio y la nutrición El proyecto HELENA

Author

Moreno Aznar, L. A., González-Gross, M., Marcos, A., Jiménez-Pavón, D., Sánchez, M. J., Mesana, M. I., Gómez, S., Vicente-Rodríguez, G., Diaz, L. E., Castillo, M. J., Gottrand, F., Henauw, S., Gilbert, C., Kafatos, A., Libersa, C., Sánchez, J., Kersting, M., Sjöstrom, M., Molnánar, D., Dallongeville, J., Hall, G., Maes, L., Scalfi, L., Meléndez, P., Fleta, J., Casajús, J. A., Rodríguez, G., Tomás, C., Villaroya, 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., Bueno, M., Rey López, J. P., Iglesia, I., Velasco, P., Bel, S., Wärnberg, J., Nova, E., Esperanza Díaz, L., Romeo, J., Prato, A., Linde, J., Beghin, L., Iliescu, C., Berlepsch, J., Sichert-Hellert, W., Koeppen, E., Erhardt, E., Csernus, K., Török, K., Bokor, S., Angster, Nagy, E., Kováes, O., Répasi, J., Codrington, C., Papadaki, A., Plada, M., Sarri, K., Moschandreas, J., Hatzis, C., Linardakis, M., Vardavas, C., Bervanaki, F., Viskadourou, A., Stehle, P., Pietrzik, K., Breidenassel, C., Spinneker, A., Al-Tahan, J., Segoviano, M., Bierschbach, C., Blatzheim, E., Schuch, A., Pickert, P., Bülow, P., Gutiérrez Sáinz, Á, Ruiz, J. R., Ortega Porcel, F. B., Enrique G. Artero, Carreño Gálvez, F., España Romero, V., Sánchez Muñoz, C., Arcella, D., Catasta, G., Censi, L., Ciarapica, D., Ferrari, M., Le Donne, C., Leclerq, C., and Magri, L.

26. Promoting healthy European lifestyle by exercise and nutrition in adolescents: The HELENA study | Promocionado un estilo de vida saludable en los adolescentes europeos mediante el ejercicio y la nutrición El proyecto HELENA

Author

Moreno Aznar, L. A., González-Gross, M., Marcos, A., Jiménez-Pavón, D., Sánchez, M. J., Mesana, M. I., Gómez, S., Vicente-Rodríguez, G., Diaz, L. E., Castillo, M. J., Gottrand, F., Henauw, S., Gilbert, C., Kafatos, A., Libersa, C., Sánchez, J., Kersting, M., Sjöstrom, M., Molnánar, D., Dallongeville, J., Hall, G., Maes, L., Scalfi, L., Meléndez, P., Fleta, J., Casajús, J. A., Rodríguez, G., Tomás, C., Villaroya, 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., Bueno, M., Rey López, J. P., Iglesia, I., Velasco, P., Bel, S., Wärnberg, J., Nova, E., Esperanza Díaz, L., Romeo, J., Prato, A., Linde, J., Beghin, L., Iliescu, C., Berlepsch, J., Sichert-Hellert, W., Koeppen, E., Erhardt, E., Csernus, K., Török, K., Bokor, S., Angster, Nagy, E., Kováes, O., Répasi, J., Codrington, C., Papadaki, A., Plada, M., Sarri, K., Moschandreas, J., Hatzis, C., Linardakis, M., Vardavas, C., Bervanaki, F., Viskadourou, A., Stehle, P., Pietrzik, K., Breidenassel, C., Spinneker, A., Al-Tahan, J., Segoviano, M., Bierschbach, C., Blatzheim, E., Schuch, A., Pickert, P., Bülow, P., Gutiérrez Sáinz, Á, Ruiz, J. R., Ortega Porcel, F. B., García Artero, E., Carreño Gálvez, F., España Romero, V., Sánchez Muñoz, C., Arcella, D., Catasta, G., Censi, L., Donatella Ciarapica, Ferrari, M., Le Donne, C., Leclerq, C., and Magri, L.

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

Author

P. Henriksson, H. Henriksson, I. Labayen, I. Huybrechts, L. Gracia-Marco, F.B. Ortega, V. España-Romero, Y. Manios, M. González-Gross, A. Marcos, L.A. Moreno, Á. Gutiérrez, J.R. Ruiz, F. Gottrand, S. De Henauw, C. Gilbert, A. Kafatos, C. Libersa, J. Sánchez, M. Kersting, M. Sjöstrom, D. Molnár, J. Dallongeville, G. Hall, L. Maes, L. Scalfi, P. Meléndez, J. Fleta, J.A. Casajús, G. Rodríguez, C. Tomás, M.I. Mesana, G. Vicente-Rodríguez, A. Villarroya, C.M. Gil, I. Ara, J. Revenga, C. Lachen, J.F. Alvira, G. Bueno, A. Lázaro, O. Bueno, J.F. León, J.Ma Garagorri, M. Bueno, J.P. Rey López, I. Iglesia, P. Velasco, S. Bel, J. Wärnberg, E. Nova, S. Gómez-Martinez, L.E. Díaz, J. Romeo, A. Veses, M.A. Puertollano, B. Zapatera, T. Pozo, L. Beghin, C. Iliescu, J. Von Berlepsch, W. Sichert-Hellert, E. Koeppen, D. Molnar, E. Erhardt, K. Csernus, K. Török, S. Bokor, null Angster, E. Nagy, O. Kovács, J. Repásy, C. Codrington, M. Plada, A. Papadaki, K. Sarri, A. Viskadourou, C. Hatzis, M. Kiriakakis, G. Tsibinos, C. Vardavas, M. Sbokos, E. Protoyeraki, M. Fasoulaki, P. Stehle, K. Pietrzik, C. Breidenassel, A. Spinneker, J. Al-Tahan, M. Segoviano, A. Berchtold, C. Bierschbach, E. Blatzheim, A. Schuch, P. Pickert, M.J. Castillo, E.G. Artero, D. Jiménez-Pavón, P. Chillón, D. Arcella, E. Azzini, E. Barrison, N. Bevilacqua, P. Buonocore, G. Catasta, L. Censi, D. Ciarapica, P. D'Acapito, M. Ferrari, M. Galfo, C. Le Donne, C. Leclercq, G. Maiani, B. Mauro, L. Mistura, A. Pasquali, R. Piccinelli, A. Polito, R. Spada, S. Sette, M. Zaccaria, P. Vitaglione, C. Montagnese, I. De Bourdeaudhuij, T. De Vriendt, C. Matthys, C. Vereecken, M. de Maeyer, C. Ottevaere, K. Widhalm, K. Phillipp, S. Dietrich, B. Kubelka, M. Boriss-Riedl, E. Grammatikaki, Z. Bouloubasi, T.L. Cook, S. Eleutheriou, O. Consta, G. Moschonis, I. Katsaroli, G. Kraniou, S. Papoutsou, D. Keke, I. Petraki, E. Bellou, S. Tanagra, K. Kallianoti, D. Argyropoulou, K. Kondaki, S. Tsikrika, C. Karaiskos, A. Meirhaeghe, P. Bergman, M. Hagströmer, L. Hallström, M. Hallberg, E. Poortvliet, N. Rizzo, L. Beckman, A.H. Wennlöf, E. Patterson, L. Kwak, L. Cernerud, P. Tillgren, S. Sörensen, J. Sánchez-Molero, E. Picó, M. Navarro, B. Viadel, J.E. Carreres, G. Merino, R. Sanjuán, M. Lorente, M.J. Sánchez, S. Castelló, S. Thomas, E. Allchurch, P. Burguess, A. Astrom, A. Sverkén, A. Broberg, A. Masson, C. Lehoux, P. Brabant, P. Pate, L. Fontaine, A. Sebok, T. Kuti, A. Hegyi, C. Maldonado, A. Llorente, E. García, H. von Fircks, M.L. Hallberg, M. Messerer, M. Larsson, H. Fredriksson, V. Adamsson, I. Börjesson, L. Fernández, L. Smillie, J. Wills, J. Valtueña, U. Albers, R. Pedrero, A. Meléndez, P.J. Benito, J. Calderón, J.J. Gómez Lorente, D. Cañada, A. Urzanqui, J. Carlos Ortiz, F. Fuentes, R. María Torres, P. Navarro, European Commission, Ministerio de Ciencia e Innovación (España), Ministerio de Sanidad (España), Universidad de Granada, Swedish Society of Medicine, 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, Ã ., Ruiz, J. R., Gottrand, F., De Henauw, S., 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., Bueno, M., Rey López, J. P., Iglesia, I., Velasco, P., Bel, S., 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, Null, 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., Artero, E. G., 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., 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., and Navarro, P.

Subjects
Blood Glucose, Male, Health Knowledge, Attitudes, Practice, Adolescent, Epidemiology, Health Status, Endocrinology, Diabetes and Metabolism, Health Behavior, Ideal Body Weight, Medicine (miscellaneous), Blood Pressure, Health Promotion, 030204 cardiovascular system & hematology, Risk Assessment, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, Nutrition and Dietetic, Health Status Indicators, Humans, Socioeconomic statu, Healthy Lifestyle, 030212 general & internal medicine, Exercise, Public health, Nutrition and Dietetics, Prevention, Smoking, Age Factors, Protective Factors, Cardiovascular health, Europe, Primary Prevention, Cholesterol, Cross-Sectional Studies, Adolescent Behavior, Cardiovascular Diseases, Television, Female, Risk factor, Diet, Healthy, Cardiology and Cardiovascular Medicine, Biomarkers
Abstract

On behalf of the HELENA Study Group., [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., The HELENA project was supported by the European Community Sixth RTD Framework Programme (contract FOOD-CT-2005-007034). The data for this study was gathered under the aegis of the HELENA project, and further analysis was additionally supported by the Spanish Ministry of Economy and Competitiveness (grants RYC-2010-05957 and RYC-2011-09011), the Spanish Ministry of Health: Maternal, Child Health and Development Network (grant RD16/0022), the Fondo Europeo de Desarrollo Regional (MICINN-FEDER) and by the University of Granada, Plan Propio de Investigación 2016, Excellence actions: Units of Excellence; Unit of Excellence on Exercise and Health (UCEES). Pontus Henriksson was supported by a grant from Henning and Johan Throne-Holst Foundation. Hanna Henriksson was supported by grants from the Swedish Society of Medicine and the County Council of Östergötland, Sweden. Dr. Gracia-Marco acknowledges “Programa de Captación de Talento - UGR Fellows” as part of “Plan Propio” of the University of Granada (Spain).

Published
2018

30. Sleep time and cardiovascular risk factors in adolescents: the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study.

Author

Rey-López JP, de Carvalho HB, de Moraes AC, Ruiz JR, Sjöström M, Marcos A, Polito A, Gottrand F, Manios Y, Kafatos A, Molnar D, Widhalm K, De Henauw S, and Moreno LA

Subjects
Accelerometry, Adolescent, Adolescent Behavior, Child, Confounding Factors, Epidemiologic, Cross-Sectional Studies, Europe epidemiology, Female, Health Surveys, Humans, Life Style, Male, Physical Fitness, Prevalence, Regression Analysis, Risk Factors, Cardiovascular Diseases epidemiology, Metabolic Diseases epidemiology, Sleep, Sleep Wake Disorders epidemiology
Abstract

Objective: We aimed to examine the association between adolescents' sleep time and a cardiometabolic risk score. A second aim was to examine associations between sleep time and individual cardiometabolic risk factors., Methods: Adolescents (N=699; ages, 12.5-17.5 years) participating in the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study were examined. Sleep time was reported by a questionnaire. Physical activity (PA) was assessed by accelerometry (n=497). Cardiometabolic risk factors measurements included insulin resistance, blood pressure, adiposity markers, cardiorespiratory fitness, and blood lipids. A cardiovascular disease risk score was computed. Associations were examined by a multilevel regression analysis (linear for individual risk factors and Poisson for the clustered risk score)., Results: For school days no association was found between sleep time and cardiometabolic risk factors. At weekend days, the prevalence ratio (PR) of having a clustered risk score increased by 15% for each additional hour of sleep controlling for age, sex, and socioeconomic status (SES); however, the prevalence disappeared when adjusting for PA., Conclusions: In European adolescents sleep time is not associated with cardiometabolic risk factors when important confounders are considered. Future research about sleep cardiovascular risk factors should register other sleep dimensions (sleep patterns or disturbances) to provide a better insight in this scientific field., (Copyright © 2013 Elsevier B.V. All rights reserved.)

Published
2014
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31. Sedentary behaviour and clustered metabolic risk in adolescents: the HELENA study.

Author

Rey-López JP, Bel-Serrat S, Santaliestra-Pasías A, de Moraes AC, Vicente-Rodríguez G, Ruiz JR, Artero EG, Martínez-Gómez D, Gottrand F, De Henauw S, Huybrechts I, Polito A, Molnar D, Manios Y, and Moreno LA

Subjects
Accelerometry, Adolescent, Cardiovascular Diseases blood, Cardiovascular Diseases etiology, Cross-Sectional Studies, Europe epidemiology, Female, Humans, Leisure Activities, Male, Metabolic Diseases blood, Metabolic Diseases etiology, Motor Activity, Poisson Distribution, Prevalence, Risk Factors, Schools, Sex Characteristics, Television, Video Games adverse effects, Adolescent Behavior, Cardiovascular Diseases epidemiology, Metabolic Diseases epidemiology, Sedentary Behavior
Abstract

Background and Aims: Although sedentary behaviours are linked with mortality for cardiovascular reasons, it is not clear whether they are negatively related with cardio-metabolic risk factors. The aim was to examine the association between time engaged in television (TV) viewing or playing with videogames and a clustered cardio-metabolic risk in adolescents., Methods and Results: Sedentary behaviours and physical activity were assessed in 769 adolescents (376 boys, aged 12.5-17.5 years) from the HELENA-CSS study. We measured systolic blood pressure, HOMA index, triglycerides, TC/HDL-c, VO₂max and the sum of four skinfolds, and a clustered metabolic risk index was computed. A multilevel regression model (by Poisson) was performed to calculate the prevalence ratio of having a clustered metabolic risk. In boys, playing >4 h/day with videogames (weekend) and moderate to vigorous PA (MVPA) was associated with cardio-metabolic risk after adjustment for age, maternal education and MVPA. In contrast, TV viewing was not associated with the presence of cardio-metabolic risk., Conclusion: In boys, playing with videogames may impair cardio-metabolic health during the adolescence. Adolescents should be encouraged to increase their participation in physical activity of at least moderate intensity to obtain a more favourable risk factor profile., (Copyright © 2012 Elsevier B.V. All rights reserved.)

Published
2013
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32. Secular trends in health-related physical fitness in Spanish adolescents: the AVENA and HELENA studies.

Author

Moliner-Urdiales D, Ruiz JR, Ortega FB, Jiménez-Pavón D, Vicente-Rodriguez G, Rey-López JP, Martínez-Gómez D, Casajús JA, Mesana MI, Marcos A, Noriega-Borge MJ, Sjöström M, Castillo MJ, and Moreno LA

Subjects
Adolescent, Analysis of Variance, Body Composition, Cardiovascular Physiological Phenomena, Child, Female, Humans, Male, Muscle Strength, Odds Ratio, Respiratory Physiological Phenomena, Spain, Exercise Test statistics & numerical data, Physical Fitness physiology
Abstract

We analysed the secular trends in health-related physical fitness in Spanish adolescents between 2001-2002 and 2006-2007. Two representative population studies were conducted 5 years apart in adolescents (12.5-17.5 years) from Zaragoza (Spain) that participated in the AVENA study in 2001-2002 and in the HELENA-CSS study in 2006-2007. Both studies used the same tests to assess physical fitness: the handgrip strength, bent arm hang, standing broad jump, 4×10m shuttle run and 20m shuttle run tests. Performance in 4×10m shuttle run and 20m shuttle run tests was higher in 2006-2007 (Cohen's d ranging from 0.2 to 0.4, p<0.05), whereas performance in handgrip strength and standing broad jump tests was lower in 2006-2007 (Cohen's d ranging from 0.3 to 1.1, p<0.001). Adjustment for age, pubertal status, fat mass, fat free mass and parental education did not alter the results. The odds ratio (OR) of meeting the FITNESSGRAM Standards for healthy cardiorespiratory fitness was higher in 2006-2007 in both boys (OR, 95% CI: 2.123, 1.157-3.908) and girls (OR, 95% CI: 2.420, 1.377-4.255). The results indicate that levels of both speed/agility and cardiorespiratory fitness were higher in 2006-2007 than in 2001-2002, whereas muscular strength components were lower in 2006-2007., (Copyright © 2010 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.)

Published
2010
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33. Extracurricular physical activity participation modifies the association between high TV watching and low bone mass.

Author

Vicente-Rodríguez G, Ortega FB, Rey-López JP, España-Romero V, Blay VA, Blay G, Martín-Matillas M, and Moreno LA

Subjects
Adiposity physiology, Adolescent, Anthropometry, Body Height, Body Weight, Bone Density physiology, Confidence Intervals, Female, Humans, Male, Odds Ratio, Organ Size physiology, Sedentary Behavior, Bone and Bones anatomy & histology, Motor Activity physiology, Television
Abstract

Objectives: To examine whether different sedentary behaviours are associated with the risk of low bone mineral content in adolescents, and if so, whether extracurricular physical-sporting activity influences this association., Materials and Methods: A total of 277 adolescents from Zaragoza (168 females and 109 males) aged 13.0-18.5 yr within frame work of the multicentre AVENA study participated in this study. Bone mineral content (BMC), lean mass, and fat mass were measured with DXA. Physical activity and sedentary independent variables: participation in extracurricular physical-sporting activity (PA), h/d of television watching, playing video/computer games during school days and on weekend days and doing homework/studying. They all were assessed by questionnaire. The main outcome was low BMC, as defined by BMC Z-score for age and sex < percentile 10. Logistic regression was used to test the interaction and association of PA and sedentary variables with low BMC, after controlling for confounders like height, maturational status or lean mass., Results: Among the sedentary variables studied, only television watching > or =3 h/d was associated with an increased risk for low BMC in males (OR, 95% CI: 7.01, 1.73 to 28.40), after controlling for sexual maturation. When PA was in the models, television watching was not any longer associated with low BMC, while PA was so (OR, 95% CI: 0.23, 0.09 to 0.55). Involvement in such activity reduced the risk of low bone mass by 76% (P<0.01) independently of body mass, height and fat mass, but not of the lean mass., Conclusion: Watching television for 3 or more h/d seems to be associated with an increased risk for low BMC in male adolescents. However, this association is mediated by participation in PA, suggesting that negative consequences of excessive television watching on adolescent bone health could be counteracted by sport participation. Longitudinal data and randomized controlled trials will confirm or contrast our findings.

Published
2009
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