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Free sugar consumption and obesity in European adolescents : the HELENA study

(2020) NUTRIENTS. 12(12).
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Abstract
Few studies have evaluated the association between dietary free sugars intake (FSI) and obesity in adolescents. We examined the relation between FSI and their contributors from the main food groups and obesity in European adolescents. We included 843 adolescents (51.6% male) from the cross-sectional HELENA study with two completed 24 h recalls and anthropometric data. Linear mixed models were applied to investigate the relation between FSI and different anthropometric indices. Odds ratios for having a high body mass index (BMI) were also estimated by multilevel ordinal regression. Total FSI was higher in males than females (102.60 g and 87.58 g, respectively, p < 0.001). No effect was observed between free sugar from the main food groups and BMI. Consumers of FSI from "cakes, pies and biscuits" in males (odd ratio (OR) = 0.455; 95% Confidence interval (CI) 0.251, 0.824) and from "breakfast cereals" in females had a lower probability of having obesity (OR = 0.423; 95%CI 0.204, 0.878), whereas females consuming FSI from 'fruit and vegetables juices' had a higher probability of obesity (OR= 2.733; 95% CI 1.286, 5.810). This study provides no evidence that increased FSI is associated with obesity in adolescents. Further studies are needed to assess the longitudinal exposure to FSI and their effect on obesity development.
Keywords
free sugars, food groups, overweight, body mass index, fat mass index, obesity, adolescents, Europe, SOFT DRINK CONSUMPTION, HEALTHY LIFE-STYLE, BODY-MASS INDEX, SWEETENED, BEVERAGES, WEIGHT-GAIN, MACRONUTRIENT INTAKE, PHYSICAL-ACTIVITY, ENERGY-INTAKE, CHILDREN, NUTRITION

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MLA
Flieh, Sondos M., et al. “Free Sugar Consumption and Obesity in European Adolescents : The HELENA Study.” NUTRIENTS, vol. 12, no. 12, MDPI, 2020, doi:10.3390/nu12123747.
APA
Flieh, S. M., Moreno, L. A., Miguel-Berges, M. L., Stehle, P., Marcos, A., Molnar, D., … Gonzalez-Gil, E. M. (2020). Free sugar consumption and obesity in European adolescents : the HELENA study. NUTRIENTS, 12(12). https://doi.org/10.3390/nu12123747
Chicago author-date
Flieh, Sondos M., Luis A. Moreno, Maria L. Miguel-Berges, Peter Stehle, Ascension Marcos, Denes Molnar, Kurt Widhalm, et al. 2020. “Free Sugar Consumption and Obesity in European Adolescents : The HELENA Study.” NUTRIENTS 12 (12). https://doi.org/10.3390/nu12123747.
Chicago author-date (all authors)
Flieh, Sondos M., Luis A. Moreno, Maria L. Miguel-Berges, Peter Stehle, Ascension Marcos, Denes Molnar, Kurt Widhalm, Laurent Beghin, Stefaan De Henauw, Anthony Kafatos, Catherine Leclercq, Marcela Gonzalez-Gross, Jean Dallongeville, Cristina Molina-Hidalgo, and Esther M. Gonzalez-Gil. 2020. “Free Sugar Consumption and Obesity in European Adolescents : The HELENA Study.” NUTRIENTS 12 (12). doi:10.3390/nu12123747.
Vancouver
1.
Flieh SM, Moreno LA, Miguel-Berges ML, Stehle P, Marcos A, Molnar D, et al. Free sugar consumption and obesity in European adolescents : the HELENA study. NUTRIENTS. 2020;12(12).
IEEE
[1]
S. M. Flieh et al., “Free sugar consumption and obesity in European adolescents : the HELENA study,” NUTRIENTS, vol. 12, no. 12, 2020.
@article{01GWH69ZKJA2PWWDX98D2R1V59,
  abstract     = {{Few studies have evaluated the association between dietary free sugars intake (FSI) and obesity in adolescents. We examined the relation between FSI and their contributors from the main food groups and obesity in European adolescents. We included 843 adolescents (51.6% male) from the cross-sectional HELENA study with two completed 24 h recalls and anthropometric data. Linear mixed models were applied to investigate the relation between FSI and different anthropometric indices. Odds ratios for having a high body mass index (BMI) were also estimated by multilevel ordinal regression. Total FSI was higher in males than females (102.60 g and 87.58 g, respectively, p < 0.001). No effect was observed between free sugar from the main food groups and BMI. Consumers of FSI from "cakes, pies and biscuits" in males (odd ratio (OR) = 0.455; 95% Confidence interval (CI) 0.251, 0.824) and from "breakfast cereals" in females had a lower probability of having obesity (OR = 0.423; 95%CI 0.204, 0.878), whereas females consuming FSI from 'fruit and vegetables juices' had a higher probability of obesity (OR= 2.733; 95% CI 1.286, 5.810). This study provides no evidence that increased FSI is associated with obesity in adolescents. Further studies are needed to assess the longitudinal exposure to FSI and their effect on obesity development.}},
  articleno    = {{3747}},
  author       = {{Flieh, Sondos M. and  Moreno, Luis A. and  Miguel-Berges, Maria L. and  Stehle, Peter and  Marcos, Ascension and  Molnar, Denes and  Widhalm, Kurt and  Beghin, Laurent and De Henauw, Stefaan and  Kafatos, Anthony and  Leclercq, Catherine and  Gonzalez-Gross, Marcela and  Dallongeville, Jean and  Molina-Hidalgo, Cristina and  Gonzalez-Gil, Esther M.}},
  issn         = {{2072-6643}},
  journal      = {{NUTRIENTS}},
  keywords     = {{free sugars,food groups,overweight,body mass index,fat mass index,obesity,adolescents,Europe,SOFT DRINK CONSUMPTION,HEALTHY LIFE-STYLE,BODY-MASS INDEX,SWEETENED,BEVERAGES,WEIGHT-GAIN,MACRONUTRIENT INTAKE,PHYSICAL-ACTIVITY,ENERGY-INTAKE,CHILDREN,NUTRITION}},
  language     = {{eng}},
  number       = {{12}},
  pages        = {{16}},
  publisher    = {{MDPI}},
  title        = {{Free sugar consumption and obesity in European adolescents : the HELENA study}},
  url          = {{http://doi.org/10.3390/nu12123747}},
  volume       = {{12}},
  year         = {{2020}},
}

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