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European adolescents' level of perceived stress is inversely related to their diet quality: the Healthy Lifestyle in Europe by Nutrition in Adolescence study

(2012) BRITISH JOURNAL OF NUTRITION. 108(2). p.371-380
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Abstract
As stress is hypothesised to influence dietary behaviour, the relationship between perceived stress and diet quality in European adolescents was investigated. Within the Healthy Lifestyle in Europe by Nutrition in Adolescence study, adolescents (n 704, aged 12-17 years) from schools in five European cities (Ghent, Stockholm, Zaragoza, Athens and Vienna) completed a 2 d 24 h dietary recall assessment and an Adolescent Stress Questionnaire. Measurements and information were taken on height, weight, pubertal stage, parental education level, the level of moderate-to-vigorous physical activity (MVPA) and sleep duration. The Diet Quality Index for Adolescents (DQI-A) was calculated from the dietary data, which comprised three components reflecting dietary diversity, quality and equilibrium. Hierarchical linear models were performed to investigate the relationship between the adolescents' level of perceived stress and the DQI-A and its components, adjusting for relevant covariates (age, BMI z-score, pubertal stage and parental education). These models were additionally adjusted for MVPA or sleep duration. In both boys and girls, perceived stress was a significant independent negative predictor for their overall DQI-A. This inverse relationship was observed for all dietary components, except for dietary diversity in boys, and it was unaltered when additionally adjusted for MVPA or sleep duration. The observed inverse relationship between stress and diet quality within these European adolescents supports the hypothesis that stress influences dietary behaviour, thus emphasising the need for preventive stress-coping strategies for adolescents.
Keywords
DEPRESSED MOOD, HELENA, QUESTIONNAIRE, VALIDITY, OBESITY, HABITS, Diet quality index, Dietary restraint, PHYSICAL-ACTIVITY, MENTAL-HEALTH, FOOD PREFERENCES, Perceived stress, Adolescence, ISSUES

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MLA
De Vriendt, Tineke, Els Clays, Inge Huybrechts, et al. “European Adolescents’ Level of Perceived Stress Is Inversely Related to Their Diet Quality: The Healthy Lifestyle in Europe by Nutrition in Adolescence Study.” BRITISH JOURNAL OF NUTRITION 108.2 (2012): 371–380. Print.
APA
De Vriendt, T., Clays, E., Huybrechts, I., De Bourdeaudhuij, I., Moreno, L. A., Patterson, E., Molnár, D., et al. (2012). European adolescents’ level of perceived stress is inversely related to their diet quality: the Healthy Lifestyle in Europe by Nutrition in Adolescence study. BRITISH JOURNAL OF NUTRITION, 108(2), 371–380.
Chicago author-date
De Vriendt, Tineke, Els Clays, Inge Huybrechts, Ilse De Bourdeaudhuij, Luis A Moreno, Emma Patterson, Dénes Molnár, et al. 2012. “European Adolescents’ Level of Perceived Stress Is Inversely Related to Their Diet Quality: The Healthy Lifestyle in Europe by Nutrition in Adolescence Study.” British Journal of Nutrition 108 (2): 371–380.
Chicago author-date (all authors)
De Vriendt, Tineke, Els Clays, Inge Huybrechts, Ilse De Bourdeaudhuij, Luis A Moreno, Emma Patterson, Dénes Molnár, María I Mesana, Laurent Beghin, Kurt Widhalm, Yannis Manios, and Stefaan De Henauw. 2012. “European Adolescents’ Level of Perceived Stress Is Inversely Related to Their Diet Quality: The Healthy Lifestyle in Europe by Nutrition in Adolescence Study.” British Journal of Nutrition 108 (2): 371–380.
Vancouver
1.
De Vriendt T, Clays E, Huybrechts I, De Bourdeaudhuij I, Moreno LA, Patterson E, et al. European adolescents’ level of perceived stress is inversely related to their diet quality: the Healthy Lifestyle in Europe by Nutrition in Adolescence study. BRITISH JOURNAL OF NUTRITION. 2012;108(2):371–80.
IEEE
[1]
T. De Vriendt et al., “European adolescents’ level of perceived stress is inversely related to their diet quality: the Healthy Lifestyle in Europe by Nutrition in Adolescence study,” BRITISH JOURNAL OF NUTRITION, vol. 108, no. 2, pp. 371–380, 2012.
@article{2141476,
  abstract     = {As stress is hypothesised to influence dietary behaviour, the relationship between perceived stress and diet quality in European adolescents was investigated. Within the Healthy Lifestyle in Europe by Nutrition in Adolescence study, adolescents (n 704, aged 12-17 years) from schools in five European cities (Ghent, Stockholm, Zaragoza, Athens and Vienna) completed a 2 d 24 h dietary recall assessment and an Adolescent Stress Questionnaire. Measurements and information were taken on height, weight, pubertal stage, parental education level, the level of moderate-to-vigorous physical activity (MVPA) and sleep duration. The Diet Quality Index for Adolescents (DQI-A) was calculated from the dietary data, which comprised three components reflecting dietary diversity, quality and equilibrium. Hierarchical linear models were performed to investigate the relationship between the adolescents' level of perceived stress and the DQI-A and its components, adjusting for relevant covariates (age, BMI z-score, pubertal stage and parental education). These models were additionally adjusted for MVPA or sleep duration. In both boys and girls, perceived stress was a significant independent negative predictor for their overall DQI-A. This inverse relationship was observed for all dietary components, except for dietary diversity in boys, and it was unaltered when additionally adjusted for MVPA or sleep duration. The observed inverse relationship between stress and diet quality within these European adolescents supports the hypothesis that stress influences dietary behaviour, thus emphasising the need for preventive stress-coping strategies for adolescents.},
  author       = {De Vriendt, Tineke and Clays, Els and Huybrechts, Inge and De Bourdeaudhuij, Ilse and Moreno, Luis A and Patterson, Emma and Molnár, Dénes and Mesana, María I and Beghin, Laurent and Widhalm, Kurt and Manios, Yannis and De Henauw, Stefaan},
  issn         = {0007-1145},
  journal      = {BRITISH JOURNAL OF NUTRITION},
  keywords     = {DEPRESSED MOOD,HELENA,QUESTIONNAIRE,VALIDITY,OBESITY,HABITS,Diet quality index,Dietary restraint,PHYSICAL-ACTIVITY,MENTAL-HEALTH,FOOD PREFERENCES,Perceived stress,Adolescence,ISSUES},
  language     = {eng},
  number       = {2},
  pages        = {371--380},
  title        = {European adolescents' level of perceived stress is inversely related to their diet quality: the Healthy Lifestyle in Europe by Nutrition in Adolescence study},
  url          = {http://dx.doi.org/10.1017/S0007114511005708},
  volume       = {108},
  year         = {2012},
}

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