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dc.creatorArenaza, Lidees_ES
dc.creatorHuybrechts, Ingees_ES
dc.creatorOrtega, Francisco B.es_ES
dc.creatorRuiz, Jonatan R.es_ES
dc.creatorHenauw, Stefaan dees_ES
dc.creatorManios, Yannises_ES
dc.creatorMarcos, Ascensiónes_ES
dc.creatorJulián, Cristinaes_ES
dc.creatorWidhalm, Kurtes_ES
dc.creatorLabayen Goñi, Idoiaes_ES
dc.date.accessioned2020-05-20T08:33:20Z
dc.date.available2020-05-20T08:33:20Z
dc.date.issued2019
dc.identifier.issn1436-6207
dc.identifier.urihttps://hdl.handle.net/2454/36928
dc.description.abstractPurpose To examine the adherence to the Mediterranean dietary pattern (MDP) in metabolically healthy overweight or obese (MHO) and metabolically unhealthy obese (MUO) European adolescents. Methods In this cross-sectional study, 137 overweight/obese adolescents aged 12-17 years old from the HELENA study were included. Height, weight, waist circumference and skinfold thickness were measured and body mass index and body fat percent were calculated. Systolic and diastolic blood pressure, glucose, HDL cholesterol, triglycerides and cardiorespiratory fitness (20 m shuttle run test) were measured. MHO and MUO phenotypes were categorized following the Jolliffe and Janssen criteria. Two non-consecutive 24 h recalls were used for dietary intake assessment and the adherence to the MDP was calculated using the Mediterranean dietary pattern score (MDP score) (range 0-9). Results A total of 45 (22 girls) adolescents (32.8%) were categorized as MHO. The adherence to the MDP was significantly higher in MHO than in MUO adolescents regardless of age, sex, body fat percentage, energy intake and center (MDP score: 4.6 +/- 1.6 vs. 3.9 +/- 1.5, p = 0.036), but this difference became non-significant after further adjustment for cardiorespiratory fitness. Participants who had a low adherence to the MDP (MDP score <= 4) had a higher likelihood of having MUO phenotype regardless of sex, age, energy intake, center and body fat percentage (OR 2.2; 95% CI 1.01-4.81, p = 0.048). Conclusions Adherence to the MDP might be beneficial to maintain metabolic health in overweight/obese adolescents, yet cardiorespiratory fitness seems to play a key role on the metabolic phenotype.en
dc.description.sponsorshipThe HELENA project was supported by the European Community Sixth RTD Framework Programme (contract FOODCT-2005-007034), by the Education Department of the Government of the Basque Country (PRE_2016_1_0057, PRE_ 2017_2_0224), by the Spanish Ministry of Science and Innovation (RYC-2011-09011), by the University of the Basque Country (GIU14/21), and by the University of Granada, Plan Propio de Investigacion 2016, Excellence actions: Units of Excellence; Unit of Excellence on Exercise and Health (UCEES). Furthermore, the current study was supported by the Spanish Ministry of Health (CIBERobn CB12/03/30038).en
dc.format.extent32 p.
dc.format.mimetypeapplication/pdfen
dc.language.isoengen
dc.publisherSpringeren
dc.relation.ispartofEuropean Journal of Nutrition, 2019, 58 (7), 2615-2623en
dc.rights© 2018, Springer Natureen
dc.subjectMetabolic healthen
dc.subjectObesityen
dc.subjectMediterranean dieten
dc.subjectAdolescentsen
dc.subjectCardiorespiratory fitnessen
dc.titleAdherence to the Mediterranean diet in metabolically healthy and unhealthy overweight and obese European adolescents: the HELENA studyen
dc.typeinfo:eu-repo/semantics/articleen
dc.typeArtículo / Artikuluaes
dc.contributor.departmentInstitute on Innovation and Sustainable Development in Food Chain - ISFOODes_ES
dc.rights.accessRightsinfo:eu-repo/semantics/openAccessen
dc.rights.accessRightsAcceso abierto / Sarbide irekiaes
dc.identifier.doi10.1007/s00394-018-1809-8
dc.relation.publisherversionhttps://doi.org/10.1007/s00394-018-1809-8
dc.type.versioninfo:eu-repo/semantics/acceptedVersionen
dc.type.versionVersión aceptada / Onetsi den bertsioaes


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