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Association between adherence to the EAT-Lancet sustainable reference diet and cardiovascular health among European adolescents : the HELENA study

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Abstract
Background: The EAT-Lancet Commission proposed a global reference diet to promote healthy diets within planetary boundaries. Studies evaluating the associations between the reference diet with health outcomes among adolescents are scarce. Thus, our aim was to assess the association between adherence to the EAT-Lancet diet and cardiovascular health among European adolescents. Methods: Data from the HELENA study were used. Usual dietary intake was assessed using two 24-h dietary recalls and adherence to the EAT-Lancet diet was assessed using the Planetary Health Diet Index (PHDI), a 16-component index that ranges from 0 to 150 points. Cardiovascular health was assessed through the seven-component Ideal Cardiovascular Health (ICH) score: never smoked, eutrophic body mass index, moderate-to-vigorous physical activity, healthy dietary pattern, low blood pressure, low fasting plasma glucose, and low total cholesterol. Total ICH score was categorized into ideal (5-7) and non-ideal (0-4). Results: A 10-point increment in the PHDI was associated with a lower probability of a non-ideal ICH status (OR 0.84, [95% CI: 0.75, 0.94]) among European adolescents, after adjusting for age, sex, socio-economic status, and total energy intake. Furthermore, a 10-point increment in the PHDI was associated with lower probability of high blood pressure (OR: 0.87 [0.79, 0.96]) and a lower probability of high blood cholesterol (OR: 0.88 [0.78, 0.99]). Conclusion: Our study suggests that a higher PHDI may be associated with a better cardiovascular health status among European adolescents.
Keywords
LIFE-STYLE, RISK, DISEASE, QUESTIONNAIRE, MULTICENTER, NUTRITION, CHILDREN, IMPACTS

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MLA
Cacau, Leandro Teixeira, et al. “Association between Adherence to the EAT-Lancet Sustainable Reference Diet and Cardiovascular Health among European Adolescents : The HELENA Study.” EUROPEAN JOURNAL OF CLINICAL NUTRITION, vol. 78, no. 3, 2024, pp. 202–08, doi:10.1038/s41430-023-01379-4.
APA
Cacau, L. T., Hanley-Cook, G., Vandevijvere, S., Leclercq, C., De Henauw, S., Santaliestra-Pasias, A., … Moreno, L. A. (2024). Association between adherence to the EAT-Lancet sustainable reference diet and cardiovascular health among European adolescents : the HELENA study. EUROPEAN JOURNAL OF CLINICAL NUTRITION, 78(3), 202–208. https://doi.org/10.1038/s41430-023-01379-4
Chicago author-date
Cacau, Leandro Teixeira, Giles Hanley-Cook, Stefanie Vandevijvere, Catherine Leclercq, Stefaan De Henauw, Alba Santaliestra-Pasias, Yannis Manios, et al. 2024. “Association between Adherence to the EAT-Lancet Sustainable Reference Diet and Cardiovascular Health among European Adolescents : The HELENA Study.” EUROPEAN JOURNAL OF CLINICAL NUTRITION 78 (3): 202–8. https://doi.org/10.1038/s41430-023-01379-4.
Chicago author-date (all authors)
Cacau, Leandro Teixeira, Giles Hanley-Cook, Stefanie Vandevijvere, Catherine Leclercq, Stefaan De Henauw, Alba Santaliestra-Pasias, Yannis Manios, Niki Mourouti, Ligia Esperanza Díaz, Marcela Gonzalez-Gross, Kurt Widhalm, Dénes Molnar, Peter Stehle, Anthony Kafatos, Frederic Gottrand, Mathilde Kersting, Manuel Castillo, Carl Lachat, Dirce Maria Marchioni, Inge Huybrechts, and Luis A. Moreno. 2024. “Association between Adherence to the EAT-Lancet Sustainable Reference Diet and Cardiovascular Health among European Adolescents : The HELENA Study.” EUROPEAN JOURNAL OF CLINICAL NUTRITION 78 (3): 202–208. doi:10.1038/s41430-023-01379-4.
Vancouver
1.
Cacau LT, Hanley-Cook G, Vandevijvere S, Leclercq C, De Henauw S, Santaliestra-Pasias A, et al. Association between adherence to the EAT-Lancet sustainable reference diet and cardiovascular health among European adolescents : the HELENA study. EUROPEAN JOURNAL OF CLINICAL NUTRITION. 2024;78(3):202–8.
IEEE
[1]
L. T. Cacau et al., “Association between adherence to the EAT-Lancet sustainable reference diet and cardiovascular health among European adolescents : the HELENA study,” EUROPEAN JOURNAL OF CLINICAL NUTRITION, vol. 78, no. 3, pp. 202–208, 2024.
@article{01HY5XEB3E9ZFJ7K0VNRKJSJRV,
  abstract     = {{Background: The EAT-Lancet Commission proposed a global reference diet to promote healthy diets within planetary boundaries. Studies evaluating the associations between the reference diet with health outcomes among adolescents are scarce. Thus, our aim was to assess the association between adherence to the EAT-Lancet diet and cardiovascular health among European adolescents.

Methods: Data from the HELENA study were used. Usual dietary intake was assessed using two 24-h dietary recalls and adherence to the EAT-Lancet diet was assessed using the Planetary Health Diet Index (PHDI), a 16-component index that ranges from 0 to 150 points. Cardiovascular health was assessed through the seven-component Ideal Cardiovascular Health (ICH) score: never smoked, eutrophic body mass index, moderate-to-vigorous physical activity, healthy dietary pattern, low blood pressure, low fasting plasma glucose, and low total cholesterol. Total ICH score was categorized into ideal (5-7) and non-ideal (0-4).

Results: A 10-point increment in the PHDI was associated with a lower probability of a non-ideal ICH status (OR 0.84, [95% CI: 0.75, 0.94]) among European adolescents, after adjusting for age, sex, socio-economic status, and total energy intake. Furthermore, a 10-point increment in the PHDI was associated with lower probability of high blood pressure (OR: 0.87 [0.79, 0.96]) and a lower probability of high blood cholesterol (OR: 0.88 [0.78, 0.99]).

Conclusion: Our study suggests that a higher PHDI may be associated with a better cardiovascular health status among European adolescents.}},
  author       = {{Cacau, Leandro Teixeira and Hanley-Cook, Giles and Vandevijvere, Stefanie and Leclercq, Catherine and De Henauw, Stefaan and Santaliestra-Pasias, Alba and Manios, Yannis and Mourouti, Niki and Esperanza Díaz, Ligia and Gonzalez-Gross, Marcela and Widhalm, Kurt and Molnar, Dénes and Stehle, Peter and Kafatos, Anthony and Gottrand, Frederic and Kersting, Mathilde and Castillo, Manuel and Lachat, Carl and Marchioni, Dirce Maria and Huybrechts, Inge and Moreno, Luis A.}},
  issn         = {{0954-3007}},
  journal      = {{EUROPEAN JOURNAL OF CLINICAL NUTRITION}},
  keywords     = {{LIFE-STYLE,RISK,DISEASE,QUESTIONNAIRE,MULTICENTER,NUTRITION,CHILDREN,IMPACTS}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{202--208}},
  title        = {{Association between adherence to the EAT-Lancet sustainable reference diet and cardiovascular health among European adolescents : the HELENA study}},
  url          = {{http://doi.org/10.1038/s41430-023-01379-4}},
  volume       = {{78}},
  year         = {{2024}},
}

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