Relative validation of the adapted Mediterranean Diet Score for Adolescents by comparison with nutritional biomarkers and nutrient and food intakes: the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study.
Adolescent
Adolescent Nutritional Physiological Phenomena
/ physiology
Biomarkers
/ blood
Child
Cross-Sectional Studies
Diet Records
Diet, Mediterranean
/ statistics & numerical data
Female
Folic Acid
/ blood
Healthy Lifestyle
Humans
Male
Nutrition Assessment
Reproducibility of Results
Vitamin D
/ blood
Adolescents
Indices
Mediterranean diet
Nutrition assessment
Validation studies
Journal
Public health nutrition
ISSN: 1475-2727
Titre abrégé: Public Health Nutr
Pays: England
ID NLM: 9808463
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
pubmed:
18
6
2019
medline:
28
7
2020
entrez:
18
6
2019
Statut:
ppublish
Résumé
To investigate whether adherence to the adapted Mediterranean Diet Score for Adolescents (MDS_A) and the adapted Mediterranean Diet Quality Index for Adolescents (KIDMED_A) is associated with better food/nutrient intakes and nutritional biomarkers. The Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study is a cross-sectional study aiming to obtain comparable data on a variety of nutritional and health-related parameters in European adolescents aged 12·5-17·5 years. Nine European countries. European adolescents (n 2330) recruited to the HELENA study. Dietary intake was obtained with 24 h dietary recalls, an FFQ and a Food Choices and Preferences questionnaire. MDS_A was calculated as a categorical variable using cut-offs (MDS_A), as a continuous variable (zMDS_A) and with energy adjustments (zEnMDS_A). The KIDMED_A score was also calculated. Multilevel linear regression analysis showed positive associations for zMDS_A and KIDMED_A with serum levels of vitamin D, vitamin C, plasma folate, holo-transcobalamin, β-carotene and n-3 fatty acids, while negative associations were observed with trans-fatty acid serum levels. For categorical indices, blood biomarkers showed few significant results. zMDS_A and KIDMED_A showed positive associations with vegetables and fruits intake, and negative associations with energy-dense and low-nutritious foods. zMDS_A and KIDMED_A were positively associated with all macronutrients, vitamins and minerals (all P < 0·0001), except with monosaccharides and PUFA for KIDMED_A and cholesterol for both indices (P < 0·05). zMDS_A and KIDMED_A have shown the strongest associations with the dietary indicators and biomarkers that have been associated with the Mediterranean diet before, and are therefore considered the most appropriate and valid Mediterranean diet scores for European adolescents.
Identifiants
pubmed: 31204628
pii: S1368980019001022
doi: 10.1017/S1368980019001022
pmc: PMC10260553
doi:
Substances chimiques
Biomarkers
0
Vitamin D
1406-16-2
Folic Acid
935E97BOY8
Types de publication
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2381-2397Références
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