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Polyphenol intake and metabolic syndrome risk in European adolescents : the HELENA study

Ratih Wirapuspita Wisnuwardani, Stefaan De Henauw (UGent) , Maria Forsner, Frédéric Gottrand, Inge Huybrechts (UGent) , Viktoria Knaze, Mathilde Kersting, Cinzia Le Donne, Yannis Manios, Ascensión Marcos, et al.
(2020) EUROPEAN JOURNAL OF NUTRITION. 59(2). p.801-812
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Abstract
Purpose The role of polyphenol intake during adolescence to prevent metabolic syndrome (MetS) is little explored. This study aimed to evaluate the association between intake of total polyphenols, polyphenol classes and the 10 most consumed individual polyphenols with MetS risk in European adolescents. Methods Of the cross-sectional HELENA study, 657 adolescents (54% girls; 14.8% overweight; 12.5-17.5 year) had a fasting blood sample and polyphenol intake data from two non-consecutive 24-h recalls matched with the Phenol-Explorer database. MetS was defined via the pediatric American Heart Association definition. Multilevel linear regressions examined the associations of polyphenol quartiles with MetS components, while logistic regression examined the associations with MetS risk. Results After adjusting for all potential confounders (socio-demographics and nine nutrients), total polyphenol intake, polyphenol classes and individual polyphenols were not associated with MetS risk. From all MetS components, only BMI z-score was modestly inversely associated with total polyphenol intake. Further sub analyses on polyphenol classes revealed that flavonoid intake was significantly associated with higher diastolic blood pressure and lower BMI, and phenolic acid intake was associated with higher low-density cholesterol. For individual polyphenols, the above BMI findings were often confirmed (not independent from dietary intake) and a few associations were found with insulin resistance. Conclusion Higher intakes of total polyphenols and flavonoids were inversely associated with BMI. No consistent associations were found for other MetS components.
Keywords
Nutrition and Dietetics, Medicine (miscellaneous), Risk factor, polyphenol, Flavonoid, Youth, Obesity, Cholesterol, TYPE-2 DIABETES-MELLITUS, BODY-MASS INDEX, CARDIOVASCULAR RISK, DIETARY POLYPHENOLS, COFFEE CONSUMPTION, ASSOCIATION, OBESITY, CHILDREN, WEIGHT, PLASMA

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MLA
Wisnuwardani, Ratih Wirapuspita, et al. “Polyphenol Intake and Metabolic Syndrome Risk in European Adolescents : The HELENA Study.” EUROPEAN JOURNAL OF NUTRITION, vol. 59, no. 2, 2020, pp. 801–12, doi:10.1007/s00394-019-01946-1.
APA
Wisnuwardani, R. W., De Henauw, S., Forsner, M., Gottrand, F., Huybrechts, I., Knaze, V., … Michels, N. (2020). Polyphenol intake and metabolic syndrome risk in European adolescents : the HELENA study. EUROPEAN JOURNAL OF NUTRITION, 59(2), 801–812. https://doi.org/10.1007/s00394-019-01946-1
Chicago author-date
Wisnuwardani, Ratih Wirapuspita, Stefaan De Henauw, Maria Forsner, Frédéric Gottrand, Inge Huybrechts, Viktoria Knaze, Mathilde Kersting, et al. 2020. “Polyphenol Intake and Metabolic Syndrome Risk in European Adolescents : The HELENA Study.” EUROPEAN JOURNAL OF NUTRITION 59 (2): 801–12. https://doi.org/10.1007/s00394-019-01946-1.
Chicago author-date (all authors)
Wisnuwardani, Ratih Wirapuspita, Stefaan De Henauw, Maria Forsner, Frédéric Gottrand, Inge Huybrechts, Viktoria Knaze, Mathilde Kersting, Cinzia Le Donne, Yannis Manios, Ascensión Marcos, Dénes Molnár, Joseph A. Rothwell, Augustin Scalbert, Michael Sjöström, Kurt Widhalm, Luis A. Moreno, and Nathalie Michels. 2020. “Polyphenol Intake and Metabolic Syndrome Risk in European Adolescents : The HELENA Study.” EUROPEAN JOURNAL OF NUTRITION 59 (2): 801–812. doi:10.1007/s00394-019-01946-1.
Vancouver
1.
Wisnuwardani RW, De Henauw S, Forsner M, Gottrand F, Huybrechts I, Knaze V, et al. Polyphenol intake and metabolic syndrome risk in European adolescents : the HELENA study. EUROPEAN JOURNAL OF NUTRITION. 2020;59(2):801–12.
IEEE
[1]
R. W. Wisnuwardani et al., “Polyphenol intake and metabolic syndrome risk in European adolescents : the HELENA study,” EUROPEAN JOURNAL OF NUTRITION, vol. 59, no. 2, pp. 801–812, 2020.
@article{8609497,
  abstract     = {{Purpose The role of polyphenol intake during adolescence to prevent metabolic syndrome (MetS) is little explored. This study aimed to evaluate the association between intake of total polyphenols, polyphenol classes and the 10 most consumed individual polyphenols with MetS risk in European adolescents. Methods Of the cross-sectional HELENA study, 657 adolescents (54% girls; 14.8% overweight; 12.5-17.5 year) had a fasting blood sample and polyphenol intake data from two non-consecutive 24-h recalls matched with the Phenol-Explorer database. MetS was defined via the pediatric American Heart Association definition. Multilevel linear regressions examined the associations of polyphenol quartiles with MetS components, while logistic regression examined the associations with MetS risk. Results After adjusting for all potential confounders (socio-demographics and nine nutrients), total polyphenol intake, polyphenol classes and individual polyphenols were not associated with MetS risk. From all MetS components, only BMI z-score was modestly inversely associated with total polyphenol intake. Further sub analyses on polyphenol classes revealed that flavonoid intake was significantly associated with higher diastolic blood pressure and lower BMI, and phenolic acid intake was associated with higher low-density cholesterol. For individual polyphenols, the above BMI findings were often confirmed (not independent from dietary intake) and a few associations were found with insulin resistance. Conclusion Higher intakes of total polyphenols and flavonoids were inversely associated with BMI. No consistent associations were found for other MetS components.}},
  author       = {{Wisnuwardani, Ratih Wirapuspita and De Henauw, Stefaan and Forsner, Maria and Gottrand, Frédéric and Huybrechts, Inge and Knaze, Viktoria and Kersting, Mathilde and Donne, Cinzia Le and Manios, Yannis and Marcos, Ascensión and Molnár, Dénes and Rothwell, Joseph A. and Scalbert, Augustin and Sjöström, Michael and Widhalm, Kurt and Moreno, Luis A. and Michels, Nathalie}},
  issn         = {{1436-6207}},
  journal      = {{EUROPEAN JOURNAL OF NUTRITION}},
  keywords     = {{Nutrition and Dietetics,Medicine (miscellaneous),Risk factor,polyphenol,Flavonoid,Youth,Obesity,Cholesterol,TYPE-2 DIABETES-MELLITUS,BODY-MASS INDEX,CARDIOVASCULAR RISK,DIETARY POLYPHENOLS,COFFEE CONSUMPTION,ASSOCIATION,OBESITY,CHILDREN,WEIGHT,PLASMA}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{801--812}},
  title        = {{Polyphenol intake and metabolic syndrome risk in European adolescents : the HELENA study}},
  url          = {{http://doi.org/10.1007/s00394-019-01946-1}},
  volume       = {{59}},
  year         = {{2020}},
}
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