Adherence to the Mediterranean diet in metabolically healthy and unhealthy overweight and obese European adolescents: the HELENA study

Arenaza, Lide; Huybrechts, Inge; Ortega, F. B.; Ruiz, Jonatan R.; De Henauw, Stefaan; Manios, Yannis; Marcos, Ascensión; Julián, Cristina; Widhalm, Kurt; Bueno, Gloria; Kersting, Mathilde; Kafatos, Anthony; Breidenassel, C.; Pedrero-Chamizo, Raquel; Gottrand, Frederic; González Gross, Marcela; Moreno, Luis A.; Labayen, Idoia; Ministerio de Ciencia e Innovación (España)

Adherence to the Mediterranean diet in metabolically healthy and unhealthy overweight and obese European adolescents: the HELENA study

[Purpose]: To examine the adherence to the Mediterranean dietary pattern (MDP) in metabolically healthy overweight or obese (MHO) and metabolically unhealthy obese (MUO) European adolescents.

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Main Authors:	Arenaza, Lide, Huybrechts, Inge, Ortega, F. B., Ruiz, Jonatan R., De Henauw, Stefaan, Manios, Yannis, Marcos, Ascensión, Julián, Cristina, Widhalm, Kurt, Bueno, Gloria, Kersting, Mathilde, Kafatos, Anthony, Breidenassel, C., Pedrero-Chamizo, Raquel, Gottrand, Frederic, González Gross, Marcela, Moreno, Luis A., Labayen, Idoia
Other Authors:	Ministerio de Ciencia e Innovación (España)
Format:	artículo biblioteca
Language:	English
Published:	Springer Nature 2019
Subjects:	Metabolic health, Obesity, Mediterranean diet, Adolescents, Cardiorespiratory fitness,
Online Access:	http://hdl.handle.net/10261/203223 http://dx.doi.org/10.13039/501100006393 http://dx.doi.org/10.13039/501100004837 http://dx.doi.org/10.13039/501100003086 http://dx.doi.org/10.13039/501100000780 http://dx.doi.org/10.13039/501100003329
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spelling	dig-ictan-es-10261-2032232020-04-07T01:13:06Z Adherence to the Mediterranean diet in metabolically healthy and unhealthy overweight and obese European adolescents: the HELENA study Arenaza, Lide Huybrechts, Inge Ortega, F. B. Ruiz, Jonatan R. De Henauw, Stefaan Manios, Yannis Marcos, Ascensión Julián, Cristina Widhalm, Kurt Bueno, Gloria Kersting, Mathilde Kafatos, Anthony Breidenassel, C. Pedrero-Chamizo, Raquel Gottrand, Frederic González Gross, Marcela Moreno, Luis A. Labayen, Idoia Ministerio de Ciencia e Innovación (España) Ministerio de Economía y Competitividad (España) European Commission Universidad del País Vasco Eusko Jaurlaritza Universidad de Granada Metabolic health Obesity Mediterranean diet Adolescents Cardiorespiratory fitness [Purpose]: To examine the adherence to the Mediterranean dietary pattern (MDP) in metabolically healthy overweight or obese (MHO) and metabolically unhealthy obese (MUO) European adolescents. [Methods]: In this cross-sectional study, 137 overweight/obese adolescents aged 12–17 years old from the HELENA study were included. Height, weight, waist circumference and skinfold thickness were measured and body mass index and body fat percent were calculated. Systolic and diastolic blood pressure, glucose, HDL cholesterol, triglycerides and cardiorespiratory fitness (20 m shuttle run test) were measured. MHO and MUO phenotypes were categorized following the Jolliffe and Janssen criteria. Two non-consecutive 24 h recalls were used for dietary intake assessment and the adherence to the MDP was calculated using the Mediterranean dietary pattern score (MDP score) (range 0–9). [Results]: A total of 45 (22 girls) adolescents (32.8%) were categorized as MHO. The adherence to the MDP was significantly higher in MHO than in MUO adolescents regardless of age, sex, body fat percentage, energy intake and center (MDP score: 4.6 ± 1.6 vs. 3.9 ± 1.5, p = 0.036), but this difference became non-significant after further adjustment for cardiorespiratory fitness. Participants who had a low adherence to the MDP (MDP score ≤ 4) had a higher likelihood of having MUO phenotype regardless of sex, age, energy intake, center and body fat percentage (OR 2.2; 95% CI 1.01–4.81, p = 0.048). [Conclusions]: Adherence to the MDP might be beneficial to maintain metabolic health in overweight/obese adolescents, yet cardiorespiratory fitness seems to play a key role on the metabolic phenotype. The HELENA project was supported by the European Community Sixth RTD Framework Programme (contract FOODCT-2005-007034), by the Education Department of the Government of the Basque Country (PRE_2016_1_0057, PRE_2017_2_0224), by the Spanish Ministry of Science and Innovation (RYC-2011-09011), by the University of the Basque Country (GIU14/21), and by the University of Granada, Plan Propio de Investigación 2016, Excellence actions: Units of Excellence; Unit of Excellence on Exercise and Health (UCEES). Furthermore, the current study was supported by the Spanish Ministry of Health (CIBERobn CB12/03/30038). Peer reviewed 2020-03-09T12:12:21Z 2020-03-09T12:12:21Z 2019 artículo http://purl.org/coar/resource_type/c_6501 European Journal of Nutrition 58(7): 2615-2623 (2019) 1436-6207 http://hdl.handle.net/10261/203223 10.1007/s00394-018-1809-8 1436-6215 http://dx.doi.org/10.13039/501100006393 http://dx.doi.org/10.13039/501100004837 http://dx.doi.org/10.13039/501100003086 http://dx.doi.org/10.13039/501100000780 http://dx.doi.org/10.13039/501100003329 30121807 en Postprint https://doi.org/10.1007/s00394-018-1809-8 Sí open Springer Nature
institution	ICTAN ES
collection	DSpace
country	España
countrycode	ES
component	Bibliográfico
access	En linea
databasecode	dig-ictan-es
tag	biblioteca
region	Europa del Sur
libraryname	Biblioteca del ICTAN España
language	English
topic	Metabolic health Obesity Mediterranean diet Adolescents Cardiorespiratory fitness Metabolic health Obesity Mediterranean diet Adolescents Cardiorespiratory fitness
spellingShingle	Metabolic health Obesity Mediterranean diet Adolescents Cardiorespiratory fitness Metabolic health Obesity Mediterranean diet Adolescents Cardiorespiratory fitness Arenaza, Lide Huybrechts, Inge Ortega, F. B. Ruiz, Jonatan R. De Henauw, Stefaan Manios, Yannis Marcos, Ascensión Julián, Cristina Widhalm, Kurt Bueno, Gloria Kersting, Mathilde Kafatos, Anthony Breidenassel, C. Pedrero-Chamizo, Raquel Gottrand, Frederic González Gross, Marcela Moreno, Luis A. Labayen, Idoia Adherence to the Mediterranean diet in metabolically healthy and unhealthy overweight and obese European adolescents: the HELENA study
description	[Purpose]: To examine the adherence to the Mediterranean dietary pattern (MDP) in metabolically healthy overweight or obese (MHO) and metabolically unhealthy obese (MUO) European adolescents.
author2	Ministerio de Ciencia e Innovación (España)
author_facet	Ministerio de Ciencia e Innovación (España) Arenaza, Lide Huybrechts, Inge Ortega, F. B. Ruiz, Jonatan R. De Henauw, Stefaan Manios, Yannis Marcos, Ascensión Julián, Cristina Widhalm, Kurt Bueno, Gloria Kersting, Mathilde Kafatos, Anthony Breidenassel, C. Pedrero-Chamizo, Raquel Gottrand, Frederic González Gross, Marcela Moreno, Luis A. Labayen, Idoia
format	artículo
topic_facet	Metabolic health Obesity Mediterranean diet Adolescents Cardiorespiratory fitness
author	Arenaza, Lide Huybrechts, Inge Ortega, F. B. Ruiz, Jonatan R. De Henauw, Stefaan Manios, Yannis Marcos, Ascensión Julián, Cristina Widhalm, Kurt Bueno, Gloria Kersting, Mathilde Kafatos, Anthony Breidenassel, C. Pedrero-Chamizo, Raquel Gottrand, Frederic González Gross, Marcela Moreno, Luis A. Labayen, Idoia
author_sort	Arenaza, Lide
title	Adherence to the Mediterranean diet in metabolically healthy and unhealthy overweight and obese European adolescents: the HELENA study
title_short	Adherence to the Mediterranean diet in metabolically healthy and unhealthy overweight and obese European adolescents: the HELENA study
title_full	Adherence to the Mediterranean diet in metabolically healthy and unhealthy overweight and obese European adolescents: the HELENA study
title_fullStr	Adherence to the Mediterranean diet in metabolically healthy and unhealthy overweight and obese European adolescents: the HELENA study
title_full_unstemmed	Adherence to the Mediterranean diet in metabolically healthy and unhealthy overweight and obese European adolescents: the HELENA study
title_sort	adherence to the mediterranean diet in metabolically healthy and unhealthy overweight and obese european adolescents: the helena study
publisher	Springer Nature
publishDate	2019
url	http://hdl.handle.net/10261/203223 http://dx.doi.org/10.13039/501100006393 http://dx.doi.org/10.13039/501100004837 http://dx.doi.org/10.13039/501100003086 http://dx.doi.org/10.13039/501100000780 http://dx.doi.org/10.13039/501100003329
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Adherence to the Mediterranean diet in metabolically healthy and unhealthy overweight and obese European adolescents: the HELENA study

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