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Associations between macronutrient intake and serum lipid profile depend on body fat in European adolescents: the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study

(2014) BRITISH JOURNAL OF NUTRITION. 112(12). p.2049-2059
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Abstract
The present study aimed to investigate the relationships between macronutrient intake and serum lipid profile in adolescents from eight European cities participating in the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) cross-sectional study (2006-7), and to assess the role of body fat-related variables in these associations. Weight, height, waist circumference, skinfold thicknesses, total cholesterol, HDL-cholesterol (HDL-C), LDL-cholesterol, TAG, apoB and apoA1 were measured in 454 adolescents (44% boys) aged 12.5-17.5 years. Macronutrient intake (g/4180 kJ per d (1000 kcal per d)) was assessed using two non-consecutive 24 h dietary recalls. Associations were evaluated by multi-level analysis and adjusted for sex, age, maternal education, centre, sum of four skinfolds, moderate-to-vigorous physical activity, sedentary behaviours and diet quality index for adolescents. Carbohydrate intake was inversely associated with HDL-C (beta = -0.189, P<0.001). An inverse association was found between fat intake and TAG (beta = -0.319, P<0.001). Associations between macronutrient intake and serum lipids varied according to adiposity levels, i.e. an inverse association between carbohydrate intake and HDL-C was only observed in those adolescents with a higher waist: height ratio. As serum lipids and excess body fat are the major markers of CVD, these findings should be considered when developing strategies to prevent the risk of CVD among adolescents.
Keywords
Serum lipids, Macronutrient intake, Body fat, Adolescents, CORONARY-HEART-DISEASE, SATURATED FAT, RISK-FACTORS, DIETARY-FAT, CARDIOVASCULAR-DISEASE, CARBOHYDRATE INTAKE, PHYSICAL-ACTIVITY, LIPOPROTEIN RESPONSE, INTERNATIONAL SURVEY, MONOUNSATURATED FAT

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Citation

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MLA
Bel-Serrat, Silvia et al. “Associations Between Macronutrient Intake and Serum Lipid Profile Depend on Body Fat in European Adolescents: The Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) Study.” BRITISH JOURNAL OF NUTRITION 112.12 (2014): 2049–2059. Print.
APA
Bel-Serrat, Silvia, Mouratidou, T., Huybrechts, I., Labayen, I., Cuenca-García, M., Palacios, G., Breidenassel, C., et al. (2014). Associations between macronutrient intake and serum lipid profile depend on body fat in European adolescents: the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study. BRITISH JOURNAL OF NUTRITION, 112(12), 2049–2059.
Chicago author-date
Bel-Serrat, Silvia, Theodora Mouratidou, Inge Huybrechts, Idoia Labayen, Magdalena Cuenca-García, Gonzalo Palacios, Christina Breidenassel, et al. 2014. “Associations Between Macronutrient Intake and Serum Lipid Profile Depend on Body Fat in European Adolescents: The Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) Study.” British Journal of Nutrition 112 (12): 2049–2059.
Chicago author-date (all authors)
Bel-Serrat, Silvia, Theodora Mouratidou, Inge Huybrechts, Idoia Labayen, Magdalena Cuenca-García, Gonzalo Palacios, Christina Breidenassel, Dénes Molnár, Romana Roccaldo, Kurt Widhalm, Frederic Gottrand, Anthony Kafatos, Yannis Manios, Krishna Vyncke, Michael Sjöström, Lars Libuda, Sonia Gómez-Martínez, and Luis A Moreno. 2014. “Associations Between Macronutrient Intake and Serum Lipid Profile Depend on Body Fat in European Adolescents: The Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) Study.” British Journal of Nutrition 112 (12): 2049–2059.
Vancouver
1.
Bel-Serrat S, Mouratidou T, Huybrechts I, Labayen I, Cuenca-García M, Palacios G, et al. Associations between macronutrient intake and serum lipid profile depend on body fat in European adolescents: the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study. BRITISH JOURNAL OF NUTRITION. 2014;112(12):2049–59.
IEEE
[1]
S. Bel-Serrat et al., “Associations between macronutrient intake and serum lipid profile depend on body fat in European adolescents: the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study,” BRITISH JOURNAL OF NUTRITION, vol. 112, no. 12, pp. 2049–2059, 2014.
@article{7089933,
  abstract     = {The present study aimed to investigate the relationships between macronutrient intake and serum lipid profile in adolescents from eight European cities participating in the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) cross-sectional study (2006-7), and to assess the role of body fat-related variables in these associations. Weight, height, waist circumference, skinfold thicknesses, total cholesterol, HDL-cholesterol (HDL-C), LDL-cholesterol, TAG, apoB and apoA1 were measured in 454 adolescents (44% boys) aged 12.5-17.5 years. Macronutrient intake (g/4180 kJ per d (1000 kcal per d)) was assessed using two non-consecutive 24 h dietary recalls. Associations were evaluated by multi-level analysis and adjusted for sex, age, maternal education, centre, sum of four skinfolds, moderate-to-vigorous physical activity, sedentary behaviours and diet quality index for adolescents. Carbohydrate intake was inversely associated with HDL-C (beta = -0.189, P<0.001). An inverse association was found between fat intake and TAG (beta = -0.319, P<0.001). Associations between macronutrient intake and serum lipids varied according to adiposity levels, i.e. an inverse association between carbohydrate intake and HDL-C was only observed in those adolescents with a higher waist: height ratio. As serum lipids and excess body fat are the major markers of CVD, these findings should be considered when developing strategies to prevent the risk of CVD among adolescents.},
  author       = {Bel-Serrat, Silvia and Mouratidou, Theodora and Huybrechts, Inge and Labayen, Idoia and Cuenca-García, Magdalena and Palacios, Gonzalo and Breidenassel, Christina and Molnár, Dénes and Roccaldo, Romana and Widhalm, Kurt and Gottrand, Frederic and Kafatos, Anthony and Manios, Yannis and Vyncke, Krishna and Sjöström, Michael and Libuda, Lars and Gómez-Martínez, Sonia and Moreno, Luis A},
  issn         = {0007-1145},
  journal      = {BRITISH JOURNAL OF NUTRITION},
  keywords     = {Serum lipids,Macronutrient intake,Body fat,Adolescents,CORONARY-HEART-DISEASE,SATURATED FAT,RISK-FACTORS,DIETARY-FAT,CARDIOVASCULAR-DISEASE,CARBOHYDRATE INTAKE,PHYSICAL-ACTIVITY,LIPOPROTEIN RESPONSE,INTERNATIONAL SURVEY,MONOUNSATURATED FAT},
  language     = {eng},
  number       = {12},
  pages        = {2049--2059},
  title        = {Associations between macronutrient intake and serum lipid profile depend on body fat in European adolescents: the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study},
  url          = {http://dx.doi.org/10.1017/S0007114514003183},
  volume       = {112},
  year         = {2014},
}

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