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Associations between food portion sizes, insulin resistance, VO2 max and metabolic syndrome in European adolescents: The HELENA study

2022; Elsevier BV; Volume: 32; Issue: 9 Linguagem: Inglês

10.1016/j.numecd.2022.05.017

1590-3729

Sondos M. Flieh, María L. Miguel‐Berges, Inge Huybrechts, M.J. Castillo, Marcela González‐Gross, Laura Censi, F. Gottrand, Cinzia Le Donne, K. Widhalm, Dénes Molnár, Peter Stehle, Anthony Kafatos, J. Dallongeville, Eva Gesteiro, Souheila Abbeddou, Luís A. Moreno, Esther M. González‐Gil, Coordinator, Luís A. Moreno, Core Group members, Luís A. Moreno, F. Gottrand, Stefaan De Henauw, Marcela González‐Gross, C. Gilbert, Steering Committee, Anthony Kafatos, Luís A. Moreno, Christian Libersa, S. De Henauw, S. Castelló, F. Gottrand, M. Kersting, Michael Sjöstróm, Dénes Molnár, M. González-Gross, J. Dallongeville, C. Gilbert, G. Hall, L. Maes, L. Scalfi, Project Manager, P. Meléndez, L.A. Moreno, José A. Casajús, Jesús Fleta, Germán Rodríguez, Concepción Tomás, M.I. Mesana, Germán Vicente‐Rodríguez, Adoración Villarroya, Carlos Martínez Gil, Ignacio Ara, J.F. Alvira, Gloria Bueno, O. Bueno, J.F. León, J. M. Garagorri, Idoia Labayen, I. Iglesia, Silvia Bel, Luis Gracia‐Marco, Theodora Mouratidou, Alba M. Santaliestra-Pasías, I. Iglesia, Esther M. González‐Gil, Pilar De Miguel‐Etayo, María L. Miguel‐Berges, Isabel Iguacel, Azahara I. Rupérez, Laura Censi, J. Wärnberg, Esther Nova, Sonia Gómez, L. E. Díaz, Javier Romeo, Ana M. Veses, Belén Zapatera, T. Pozo, David Martínez, Laurent Béghin, Christian Libersa, F. Gottrand, Cătălina Iliescu Gheorghiu, J. Von Berlepsch, M. Kersting, Wolfgang Sichert‐Hellert, E. Koeppen, Dénes Molnár, Éva Erhardt, Katalin Csernus, Katalin Török, Szilvia Bokor, Mrs Angster, Enikő Nagy, Orsolya Kovács, J. Répasi, Anthony Kafatos, C. Codrington, María Plada, Angeliki Papadaki, Katerina Sarri, A. Viskadourou, C. Hatzis, Michael Kiriakakis, G. Tsibinos, Constantine Vardavas, M. Sbokos, E. Protoyeraki, Maria Fasoulaki, Peter Stehle, Klaus Pietrzik, M. González-Gross, C. Breidenassel, André Spinneker, J Al-Tahan, Miriam Segoviano, A. Berchtold, C. Bierschbach, E. Blatzheim, A. Schuch, P. Pickert, M.J. Castillo, Ángel Gutiérrez, F.B. Ortega, J.R. Ruiz, Enrique G. Artero, V. España, D. Jiménez-Pavón, Palma Chillón, Cristóbal Sánchez‐Muñoz, M. Cuenca, former INRAN, D. Arcella, Elena Azzini, E. Barrison, Noemi Bevilacqua, Pasquale Buonocore, Giovina Catasta, Laura Censi, Donatella Ciarapica, P. D'Acapito, M Ferrari, Myriam Galfo, Cinzia Le Donne, Céline C. Leclercq, Giuseppe Maiani, Mauro Virgílio Gomes de Barros, Lorenza Mistura, A. Pasquali, Raffaela Piccinelli, Angela Polito, Romana Roccaldo, Raffaella Spada, Stefania Sette, M. Zaccaria, L. Scalfi, Paola Vitaglione, Concetta Montagnese, Ilse De Bourdeaudhuij, S. De Henauw, Tineke De Vriendt, L. Maes, Christophe Matthys, Carine Vereecken, Mieke De Maeyer, Charlene Ottevaere, Inge Huybrechts, K. Widhalm, Katharina Phillipp, S. Dietrich, B. Kubelka, Marion Boriss-Riedl, Yannis Μanios, Evangelia Grammatikaki, Z. Bouloubasi, Tina Louisa Cook, S. Eleutheriou, O. Consta, George Moschonis, Ioanna Katsaroli, G. Kraniou, Στάλω Παπούτσου, D. Keke, Ioanna Petraki, Elena Bellou, Sofia Tanagra, K. Kallianoti, Dionysia Argyropoulou, Stamatoula Tsikrika, Christos Karaiskos, J. Dallongeville, Aline Meirhaeghe, Michael Sjöstróm, J.R. Ruiz, F.B. Ortega, María Hagströmer, Anita Hurtig Wennlöf, Lena Hällström, E. Patterson, Lydia Kwak, J. Wärnberg, Nico Rizzo, J. Sánchez-Molero, S. Castelló, E. Picó, Maite Navarro, Blanca Viadel, J.E. Carreres, G. Merino, R. Sanjuán, M. Lorente, María‐José Sánchez, C. Gilbert, S. Thoma-IRs, E. Allchurch, P. Burgess, G. Hall, Annika Åström, A. Sverkén, A. Broberg, A. Masson, Claire Lehoux, Paige Brabant, P. Pate, L. Fontaine, A. Sebok, Tünde Kuti, Adrienn Hegyi, Cristina A. Maldonado, Ana Llorente, Emilio García García, H. von Fircks, Marianne Lilja Hallberg, Maria Messerer, Mats Larsson, Helena Fredriksson, Viola Adamsson, I. Börjesson, L. Fernández, Laura Smillie, J. Wills, M. González-Gross, Raquel Pedrero‐Chamizo, A. Mélendez, Jara Valtueña, D. Jiménez-Pavón, Ulrike Albers, Pedro J. Benito, J.J. Gómez Lorente, D. Cañada, A. Urzanqui, Rosa María Torres, Paloma Navarro,

Consumer Attitudes and Food Labeling

Background and aimsThis study aims to examine the associations of food portion size (PS) with markers of insulin resistance (IR) and clustered of metabolic risk score in European adolescents.MethodsA total of 495 adolescents (53.5% females) from the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study were included. The association between PS from food groups and homeostasis model assessment of insulin resistance (HOMA-IR) index, VO2 max, and metabolic risk score was assessed by multilinear regression analysis adjusting for several confounders. Analysis of covariance (ANCOVA) was used to determine the mean differences of food PS from food groups by HOMA-IR cutoff categories by using maternal education as a covariable.ResultsLarger PS from vegetables in both gender and milk, yoghurt, and milk beverages in males were associated with higher VO2 max, while larger PS from margarines and vegetable oils were associated with lower VO2 max (p < 0.05). Males who consumed larger PS from fish and fish products; meat substitutes, nuts, and pulses; cakes, pies, and biscuits; and sugar, honey, jams, and chocolate have a higher metabolic risk score (p < 0.05). Males with lower HOMA-IR cutoff values consumed larger PS from vegetables, milk, yoghurt, and milk beverages (p < 0.05). Females with lower HOMA-IR cutoff values consumed larger PS from breakfast cereals, while those with higher HOMA-IR cutoff values consumed larger PS from butter and animal fats (p = 0.018).ConclusionThe results show that larger PS from dairy products, cereals, and high energy dense foods are a significant determinant of IR and VO2 max, and larger PS from food with higher content of sugar were associated with higher metabolic risk score.