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Dietary patterns and their relationship with the perceptions of healthy eating in European adolescents : the HELENA study

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Abstract
Objective: The aim of this study was to identify dietary patterns (DPs) in European adolescents and to examine the association between perceptions of healthy eating and the obtained DPs. Method: A multinational cross-sectional study was carried out in adolescents aged 12.5 to 17.5?years and 2,027 (44.9% males) were considered for analysis. A self-reported questionnaire with information on food choices and preferences, including perceptions of healthy eating, and two 24-hour dietary recalls were used. Principal component analysis was used to obtain sex-specific DPs, and linear analyses of covariance were used to compare DPs according to perceptions of healthy eating. Results: Three and four DPs for boys and girls were obtained. In boys and girls, there were significant associations between some perceptions about healthy food and the Breakfast-DP (p?<?0.05). In boys, Breakfast-DP and Healthy Beverage-DP were associated with the perception of the own diet as healthy (p?<?0.05). Healthy Beverage-DP was associated with those disliking fruits and vegetables (p?<?0.05). Girls considering the own diet as healthy were associated with Mediterranean-DP, Breakfast-DP, and Unhealthy Beverage and Meat-DP (p?<?0.05). The perception of snacking as a necessary part of a healthy diet was associated with Breakfast-DP in both genders (p?<?0.05). Conclusions: In European adolescents, perceptions of healthy eating were mainly associated with a DP characterized by foods consumed at breakfast. Future studies should further explore these findings in order to implement health promotion programs to improve healthy eating habits in adolescents.
Keywords
LIFE-STYLE, BREAKFAST CONSUMPTION, FOOD-HABITS, CHILDREN, OBESITY, NUTRITION, DETERMINANTS, ASSOCIATIONS, ENVIRONMENT, DEFINITION, Dietary patterns, food preferences, food choices, perceptions, adolescents

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MLA
Gimenez-Legarre, Natalia, et al. “Dietary Patterns and Their Relationship with the Perceptions of Healthy Eating in European Adolescents : The HELENA Study.” JOURNAL OF THE AMERICAN COLLEGE OF NUTRITION, vol. 38, no. 8, 2019, pp. 703–13, doi:10.1080/07315724.2019.1598900.
APA
Gimenez-Legarre, N., Santaliestra-Pasias, A. M., Beghin, L., Dallongeville, J., de la O, A., Gilbert, C., … Navarro, P. (2019). Dietary patterns and their relationship with the perceptions of healthy eating in European adolescents : the HELENA study. JOURNAL OF THE AMERICAN COLLEGE OF NUTRITION, 38(8), 703–713. https://doi.org/10.1080/07315724.2019.1598900
Chicago author-date
Gimenez-Legarre, Natalia, Alba M. Santaliestra-Pasias, Laurent Beghin, Jean Dallongeville, Alejandro de la O, Chantal Gilbert, Marcela Gonzalez-Gross, et al. 2019. “Dietary Patterns and Their Relationship with the Perceptions of Healthy Eating in European Adolescents : The HELENA Study.” JOURNAL OF THE AMERICAN COLLEGE OF NUTRITION 38 (8): 703–13. https://doi.org/10.1080/07315724.2019.1598900.
Chicago author-date (all authors)
Gimenez-Legarre, Natalia, Alba M. Santaliestra-Pasias, Laurent Beghin, Jean Dallongeville, Alejandro de la O, Chantal Gilbert, Marcela Gonzalez-Gross, Stefaan De Henauw, Anthony Kafatos, Mathilde Kersting, Catherine Leclerq, Yannis Manios, Denes Molnar, Michael Sjostrom, Kurt Widhalm, Inge Huybrechts, Luis A. Moreno, Luis A. Moreno, Frederic Gottrand, Chantal Gilbert, Anthony Kafatos, Christian Libersa, Sara Castello, Mathilde Kersting, Michael Sjostrom, Denes Molnar, Jean Dallongeville, Gunnar Hall, Lea Maes, Luca Scalfi, Pilar Melendez, Jose A. Casajus, Jesus Fleta, Gerardo Rodriguez, Concepcion Tomas, Maria I. Mesana, German Vicente-Rodriguez, Adoracion Villarroya, Carlos M. Gil, Ignacio Ara, Juan Fernandez Alvira, Gloria Bueno, Olga Bueno, Juan F. Leon, Jesus Ma Garagorri, Idoia Labayen, Iris Iglesia, Silvia Bel, Luis A. Gracia Marco, Theodora Mouratidou, Alba Santaliestra-Pasias, Iris Iglesia, Esther Gonzalez-Gil, Pilar De Miguel-Etayo, Cristina Julian, Mary Miguel-Berges, Isabel Iguacel, Azahara Ruperez, Ascension Marcos, Julia Warnberg, Esther Nova, Sonia Gomez, Ligia Esperanza Diaz, Javier Romeo, Ana Veses, Belen Zapatera, Tamara Pozo, David Martinez, Laurent Beghin, Christian Libersa, Catalina Iliescu, Juliana Von Berlepsch, Wolfgang Sichert-Hellert, Ellen Koeppen, Denes Molnar, Eva Erhardt, Katalin Csernus, Katalin Torok, Szilvia Bokor, Eniko Nagy, Orsolya Kovacs, Judit Repasi, Anthony Kafatos, Caroline Codrington, Maria Plada, Angeliki Papadaki, Katerina Sarri, Anna Viskadourou, Christos Hatzis, Michael Kiriakakis, George Tsibinos, Constantine Vardavas, Manolis Sbokos, Eva Protoyeraki, Maria Fasoulaki, Peter Stehle, Klaus Pietrzik, Marcela Gonzalez-Gross, Christina Breidenassel, Andre Spinneker, Jasmin Al-Tahan, Miriam Segoviano, Anke Berchtold, Christine Bierschbach, Erika Blatzheim, Adelheid Schuch, Petra Pickert, Manuel J. Castillo, Angel Gutierrez, Francisco B. Ortega, Jonatan R. Ruiz, Enrique G. Artero, Vanesa Espana, David Jimenez-Pavon, Palma Chillon, Cristobal Sanchez-Munoz, Magdalena Cuenca, Davide Arcella, Elena Azzini, Emma Barrison, Noemi Bevilacqua, Pasquale Buonocore, Giovina Catasta, Laura Censi, Donatella Ciarapica, Paola D’Acapito, Marika Ferrari, Myriam Galfo, Cinzia Le Donne, Catherine Leclercq, Giuseppe Maiani, Beatrice Mauro, Lorenza Mistura, Antonella Pasquali, Raffaela Piccinelli, Angela Polito, Romana Roccaldo, Raffaella Spada, Stefania Sette, Maria Zaccaria, Luca Scalfi, Paola Vitaglione, Concetta Montagnese, Ilse De Bourdeaudhuij, Tineke De Vriendt, Lea Maes, Christophe Matthys, Carine Vereecken, Mieke De Maeyer, Charlene Ottevaere, Inge Huybrechts, Kurt Widhalm, Katharina Phillipp, Sabine Dietrich, Birgit Kubelka, Marion Boriss-Riedl, Yannis Manios, Eva Grammatikaki, Zoi Bouloubasi, Tina Louisa Cook, Sofia Eleutheriou, Orsalia Consta, George Moschonis, Ioanna Katsaroli, George Kraniou, Stalo Papoutsou, Despoina Keke, Ioanna Petraki, Elena Bellou, Sofia Tanagra, Kostalenia Kallianoti, Dionysia Argyropoulou, Stamatoula Tsikrika, Christos Karaiskos, Jean Dallongeville, Aline Meirhaeghe, Michael Sjostrom, Jonatan R. Ruiz, Francisco B. Ortega, Maria Hagstromer, Anita Hurtig Wennlof, Lena Hallstrom, Emma Patterson, Lydia Kwak, Julia Warnberg, Nico Rizzo, Jackie Sanchez-Molero, Sara Castello, Elena Pico, Maite Navarro, Blanca Viadel, Jose Enrique Carreres, Gema Merino, Rosa Sanjuan, Maria Lorente, Maria Jose Sanchez, Chantal Gilbert, Sarah Thomas, Elaine Allchurch, Peter Burgess, Gunnar Hall, Annika Astrom, Anna Sverken, Agneta Broberg, Annick Masson, Claire Lehoux, Pascal Brabant, Philippe Pate, Laurence Fontaine, Andras Sebok, Tunde Kuti, Adrienn Hegyi, Cristina Maldonado, Ana Llorente, Emilio Garcia, Holger von Fircks, Marianne Lilja Hallberg, Maria Messerer, Mats Larsson, Helena Fredriksson, Viola Adamsson, Ingmar Borjesson, Laura Fernandez, Laura Smillie, Josephine Wills, Marcela Gonzalez-Gross, Raquel Pedrero-Chamizo, Agustin Melendez, Jara Valtuena, David Jimenez-Pavon, Ulrike Albers, Pedro J. Benito, Juan Jose Gomez Lorente, David Canada, Alejandro Urzanqui, Rosa Maria Torres, and Paloma Navarro. 2019. “Dietary Patterns and Their Relationship with the Perceptions of Healthy Eating in European Adolescents : The HELENA Study.” JOURNAL OF THE AMERICAN COLLEGE OF NUTRITION 38 (8): 703–713. doi:10.1080/07315724.2019.1598900.
Vancouver
1.
Gimenez-Legarre N, Santaliestra-Pasias AM, Beghin L, Dallongeville J, de la O A, Gilbert C, et al. Dietary patterns and their relationship with the perceptions of healthy eating in European adolescents : the HELENA study. JOURNAL OF THE AMERICAN COLLEGE OF NUTRITION. 2019;38(8):703–13.
IEEE
[1]
N. Gimenez-Legarre et al., “Dietary patterns and their relationship with the perceptions of healthy eating in European adolescents : the HELENA study,” JOURNAL OF THE AMERICAN COLLEGE OF NUTRITION, vol. 38, no. 8, pp. 703–713, 2019.
@article{8697852,
  abstract     = {Objective: The aim of this study was to identify dietary patterns (DPs) in European adolescents and to examine the association between perceptions of healthy eating and the obtained DPs. Method: A multinational cross-sectional study was carried out in adolescents aged 12.5 to 17.5?years and 2,027 (44.9% males) were considered for analysis. A self-reported questionnaire with information on food choices and preferences, including perceptions of healthy eating, and two 24-hour dietary recalls were used. Principal component analysis was used to obtain sex-specific DPs, and linear analyses of covariance were used to compare DPs according to perceptions of healthy eating. Results: Three and four DPs for boys and girls were obtained. In boys and girls, there were significant associations between some perceptions about healthy food and the Breakfast-DP (p?<?0.05). In boys, Breakfast-DP and Healthy Beverage-DP were associated with the perception of the own diet as healthy (p?<?0.05). Healthy Beverage-DP was associated with those disliking fruits and vegetables (p?<?0.05). Girls considering the own diet as healthy were associated with Mediterranean-DP, Breakfast-DP, and Unhealthy Beverage and Meat-DP (p?<?0.05). The perception of snacking as a necessary part of a healthy diet was associated with Breakfast-DP in both genders (p?<?0.05). Conclusions: In European adolescents, perceptions of healthy eating were mainly associated with a DP characterized by foods consumed at breakfast. Future studies should further explore these findings in order to implement health promotion programs to improve healthy eating habits in adolescents.},
  author       = {Gimenez-Legarre, Natalia and Santaliestra-Pasias, Alba M. and Beghin, Laurent and Dallongeville, Jean and de la O, Alejandro and Gilbert, Chantal and Gonzalez-Gross, Marcela and De Henauw, Stefaan and Kafatos, Anthony and Kersting, Mathilde and Leclerq, Catherine and Manios, Yannis and Molnar, Denes and Sjostrom, Michael and Widhalm, Kurt and Huybrechts, Inge and Moreno, Luis A. and Moreno, Luis A. and Gottrand, Frederic and Gilbert, Chantal and Kafatos, Anthony and Libersa, Christian and Castello, Sara and Kersting, Mathilde and Sjostrom, Michael and Molnar, Denes and Dallongeville, Jean and Hall, Gunnar and Maes, Lea and Scalfi, Luca and Melendez, Pilar and Casajus, Jose A. and Fleta, Jesus and Rodriguez, Gerardo and Tomas, Concepcion and Mesana, Maria I. and Vicente-Rodriguez, German and Villarroya, Adoracion and Gil, Carlos M. and Ara, Ignacio and Fernandez Alvira, Juan and Bueno, Gloria and Bueno, Olga and Leon, Juan F. and Ma Garagorri, Jesus and Labayen, Idoia and Iglesia, Iris and Bel, Silvia and Gracia Marco, Luis A. and Mouratidou, Theodora and Santaliestra-Pasias, Alba and Iglesia, Iris and Gonzalez-Gil, Esther and De Miguel-Etayo, Pilar and Julian, Cristina and Miguel-Berges, Mary and Iguacel, Isabel and Ruperez, Azahara and Marcos, Ascension and Warnberg, Julia and Nova, Esther and Gomez, Sonia and Esperanza Diaz, Ligia and Romeo, Javier and Veses, Ana and Zapatera, Belen and Pozo, Tamara and Martinez, David and Beghin, Laurent and Libersa, Christian and Iliescu, Catalina and Von Berlepsch, Juliana and Sichert-Hellert, Wolfgang and Koeppen, Ellen and Molnar, Denes and Erhardt, Eva and Csernus, Katalin and Torok, Katalin and Bokor, Szilvia and Nagy, Eniko and Kovacs, Orsolya and Repasi, Judit and Kafatos, Anthony and Codrington, Caroline and Plada, Maria and Papadaki, Angeliki and Sarri, Katerina and Viskadourou, Anna and Hatzis, Christos and Kiriakakis, Michael and Tsibinos, George and Vardavas, Constantine and Sbokos, Manolis and Protoyeraki, Eva and Fasoulaki, Maria and Stehle, Peter and Pietrzik, Klaus and Gonzalez-Gross, Marcela and Breidenassel, Christina and Spinneker, Andre and Al-Tahan, Jasmin and Segoviano, Miriam and Berchtold, Anke and Bierschbach, Christine and Blatzheim, Erika and Schuch, Adelheid and Pickert, Petra and Castillo, Manuel J. and Gutierrez, Angel and Ortega, Francisco B. and Ruiz, Jonatan R. and Artero, Enrique G. and Espana, Vanesa and Jimenez-Pavon, David and Chillon, Palma and Sanchez-Munoz, Cristobal and Cuenca, Magdalena and Arcella, Davide and Azzini, Elena and Barrison, Emma and Bevilacqua, Noemi and Buonocore, Pasquale and Catasta, Giovina and Censi, Laura and Ciarapica, Donatella and D'Acapito, Paola and Ferrari, Marika and Galfo, Myriam and Le Donne, Cinzia and Leclercq, Catherine and Maiani, Giuseppe and Mauro, Beatrice and Mistura, Lorenza and Pasquali, Antonella and Piccinelli, Raffaela and Polito, Angela and Roccaldo, Romana and Spada, Raffaella and Sette, Stefania and Zaccaria, Maria and Scalfi, Luca and Vitaglione, Paola and Montagnese, Concetta and De Bourdeaudhuij, Ilse and De Vriendt, Tineke and Maes, Lea and Matthys, Christophe and Vereecken, Carine and De Maeyer, Mieke and Ottevaere, Charlene and Huybrechts, Inge and Widhalm, Kurt and Phillipp, Katharina and Dietrich, Sabine and Kubelka, Birgit and Boriss-Riedl, Marion and Manios, Yannis and Grammatikaki, Eva and Bouloubasi, Zoi and Cook, Tina Louisa and Eleutheriou, Sofia and Consta, Orsalia and Moschonis, George and Katsaroli, Ioanna and Kraniou, George and Papoutsou, Stalo and Keke, Despoina and Petraki, Ioanna and Bellou, Elena and Tanagra, Sofia and Kallianoti, Kostalenia and Argyropoulou, Dionysia and Tsikrika, Stamatoula and Karaiskos, Christos and Dallongeville, Jean and Meirhaeghe, Aline and Sjostrom, Michael and Ruiz, Jonatan R. and Ortega, Francisco B. and Hagstromer, Maria and Wennlof, Anita Hurtig and Hallstrom, Lena and Patterson, Emma and Kwak, Lydia and Warnberg, Julia and Rizzo, Nico and Sanchez-Molero, Jackie and Castello, Sara and Pico, Elena and Navarro, Maite and Viadel, Blanca and Enrique Carreres, Jose and Merino, Gema and Sanjuan, Rosa and Lorente, Maria and Jose Sanchez, Maria and Gilbert, Chantal and Thomas, Sarah and Allchurch, Elaine and Burgess, Peter and Hall, Gunnar and Astrom, Annika and Sverken, Anna and Broberg, Agneta and Masson, Annick and Lehoux, Claire and Brabant, Pascal and Pate, Philippe and Fontaine, Laurence and Sebok, Andras and Kuti, Tunde and Hegyi, Adrienn and Maldonado, Cristina and Llorente, Ana and Garcia, Emilio and von Fircks, Holger and Hallberg, Marianne Lilja and Messerer, Maria and Larsson, Mats and Fredriksson, Helena and Adamsson, Viola and Borjesson, Ingmar and Fernandez, Laura and Smillie, Laura and Wills, Josephine and Gonzalez-Gross, Marcela and Pedrero-Chamizo, Raquel and Melendez, Agustin and Valtuena, Jara and Jimenez-Pavon, David and Albers, Ulrike and Benito, Pedro J. and Gomez Lorente, Juan Jose and Canada, David and Urzanqui, Alejandro and Maria Torres, Rosa and Navarro, Paloma},
  issn         = {0731-5724},
  journal      = {JOURNAL OF THE AMERICAN COLLEGE OF NUTRITION},
  keywords     = {LIFE-STYLE,BREAKFAST CONSUMPTION,FOOD-HABITS,CHILDREN,OBESITY,NUTRITION,DETERMINANTS,ASSOCIATIONS,ENVIRONMENT,DEFINITION,Dietary patterns,food preferences,food choices,perceptions,adolescents},
  language     = {eng},
  number       = {8},
  pages        = {703--713},
  title        = {Dietary patterns and their relationship with the perceptions of healthy eating in European adolescents : the HELENA study},
  url          = {http://dx.doi.org/10.1080/07315724.2019.1598900},
  volume       = {38},
  year         = {2019},
}

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