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Dietary and lifestyle quality indices with/without physical activity and markers of insulin resistance in European adolescents: the HELENA study

(2013) BRITISH JOURNAL OF NUTRITION. 110(10). p.1919-1925
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Abstract
Emerging data indicate that higher levels of insulin resistance (IR) are common among children and adolescents and are related to cardiometabolic risk; therefore, IR requires consideration early in life. In addition, there is a lack of conclusive evidence regarding the role of dietary nutrients on IR. The Healthy Lifestyle in Europe by Nutrition in Adolescence Cross-Sectional Study (HELENA-CSS) was conducted in European adolescents aged 12.5-17.5 years. A total of 637 participants with valid homeostasis model assessment (HOMA) index data and who completed at least a 2 d 24 h dietary recall were included in the study (60% of the total HELENA-CSS sample). There were two dietary indices calculated, with the only difference between them being the inclusion or not of physical activity (PA). Markers of IR such as HOMA and the quantitative insulin sensitivity check index (QUICKI) were calculated. Pubertal status, BMI and cardiorespiratory fitness (CRF) were measured as potential confounders. The dietary index including PA was inversely associated with HOMA and directly with the QUICKI in females, but not in males, after adjusting for pubertal status, centre, BMI and CRF. In conclusion, the present study indicates that considering PA as part of the dietary index is of relevance as the resulted index is inversely related to IR independently of potential confounders including CRF. Overall, these findings suggest that intervention studies aimed at preventing IR in young people should focus on increasing the quality of the diet and also on including an optimal PA level in healthy adolescents.
Keywords
CONSUMPTION, NUTRIENT, MULTICENTER, CHILDREN, RISK-FACTORS, US ADOLESCENTS, SEDENTARY TIME, ANTHROPOMETRIC MEASUREMENTS, METABOLIC SYNDROME, NUTRITIONAL-STATUS, Insulin resistance, Physical activity, Adolescents, Sex Factors, Diet quality index

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MLA
Jiménez-Pavón, David et al. “Dietary and Lifestyle Quality Indices With/without Physical Activity and Markers of Insulin Resistance in European Adolescents: The HELENA Study.” BRITISH JOURNAL OF NUTRITION 110.10 (2013): 1919–1925. Print.
APA
Jiménez-Pavón, D., Sesé, M. A., Huybrechts, I., Cuenca-García, M., Palacios, G., Ruiz, J. R., Breidenassel, C., et al. (2013). Dietary and lifestyle quality indices with/without physical activity and markers of insulin resistance in European adolescents: the HELENA study. BRITISH JOURNAL OF NUTRITION, 110(10), 1919–1925.
Chicago author-date
Jiménez-Pavón, David, Maria A Sesé, Inge Huybrechts, Magdalena Cuenca-García, Gonzalo Palacios, Jonatan R Ruiz, Christina Breidenassel, et al. 2013. “Dietary and Lifestyle Quality Indices With/without Physical Activity and Markers of Insulin Resistance in European Adolescents: The HELENA Study.” British Journal of Nutrition 110 (10): 1919–1925.
Chicago author-date (all authors)
Jiménez-Pavón, David, Maria A Sesé, Inge Huybrechts, Magdalena Cuenca-García, Gonzalo Palacios, Jonatan R Ruiz, Christina Breidenassel, Catherine Leclercq, Laurent Beghin, Maria Plada, Yannis Manios, Odysseas Androutsos, Jean Dallongeville, Anthony Kafatos, Kurt Widhalm, Dénes Molnar, and Luis A Moreno. 2013. “Dietary and Lifestyle Quality Indices With/without Physical Activity and Markers of Insulin Resistance in European Adolescents: The HELENA Study.” British Journal of Nutrition 110 (10): 1919–1925.
Vancouver
1.
Jiménez-Pavón D, Sesé MA, Huybrechts I, Cuenca-García M, Palacios G, Ruiz JR, et al. Dietary and lifestyle quality indices with/without physical activity and markers of insulin resistance in European adolescents: the HELENA study. BRITISH JOURNAL OF NUTRITION. 2013;110(10):1919–25.
IEEE
[1]
D. Jiménez-Pavón et al., “Dietary and lifestyle quality indices with/without physical activity and markers of insulin resistance in European adolescents: the HELENA study,” BRITISH JOURNAL OF NUTRITION, vol. 110, no. 10, pp. 1919–1925, 2013.
@article{5854023,
  abstract     = {Emerging data indicate that higher levels of insulin resistance (IR) are common among children and adolescents and are related to cardiometabolic risk; therefore, IR requires consideration early in life. In addition, there is a lack of conclusive evidence regarding the role of dietary nutrients on IR. The Healthy Lifestyle in Europe by Nutrition in Adolescence Cross-Sectional Study (HELENA-CSS) was conducted in European adolescents aged 12.5-17.5 years. A total of 637 participants with valid homeostasis model assessment (HOMA) index data and who completed at least a 2 d 24 h dietary recall were included in the study (60% of the total HELENA-CSS sample). There were two dietary indices calculated, with the only difference between them being the inclusion or not of physical activity (PA). Markers of IR such as HOMA and the quantitative insulin sensitivity check index (QUICKI) were calculated. Pubertal status, BMI and cardiorespiratory fitness (CRF) were measured as potential confounders. The dietary index including PA was inversely associated with HOMA and directly with the QUICKI in females, but not in males, after adjusting for pubertal status, centre, BMI and CRF. In conclusion, the present study indicates that considering PA as part of the dietary index is of relevance as the resulted index is inversely related to IR independently of potential confounders including CRF. Overall, these findings suggest that intervention studies aimed at preventing IR in young people should focus on increasing the quality of the diet and also on including an optimal PA level in healthy adolescents.},
  author       = {Jiménez-Pavón, David and Sesé, Maria A and Huybrechts, Inge and Cuenca-García, Magdalena and Palacios, Gonzalo and Ruiz, Jonatan R and Breidenassel, Christina and Leclercq, Catherine and Beghin, Laurent and Plada, Maria and Manios, Yannis and Androutsos, Odysseas and Dallongeville, Jean and Kafatos, Anthony and Widhalm, Kurt and Molnar, Dénes and Moreno, Luis A},
  issn         = {0007-1145},
  journal      = {BRITISH JOURNAL OF NUTRITION},
  keywords     = {CONSUMPTION,NUTRIENT,MULTICENTER,CHILDREN,RISK-FACTORS,US ADOLESCENTS,SEDENTARY TIME,ANTHROPOMETRIC MEASUREMENTS,METABOLIC SYNDROME,NUTRITIONAL-STATUS,Insulin resistance,Physical activity,Adolescents,Sex Factors,Diet quality index},
  language     = {eng},
  number       = {10},
  pages        = {1919--1925},
  title        = {Dietary and lifestyle quality indices with/without physical activity and markers of insulin resistance in European adolescents: the HELENA study},
  url          = {http://dx.doi.org/10.1017/S0007114513001153},
  volume       = {110},
  year         = {2013},
}

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