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Relative validity of the Planetary Health Diet Index by comparison with usual nutrient intakes, plasma food consumption biomarkers, and adherence to the Mediterranean diet among European adolescents: the HELENA study.
Cacau, Leandro Teixeira; Hanley-Cook, Giles T; Huybrechts, Inge; De Henauw, Stefaan; Kersting, Mathilde; Gonzalez-Gross, Marcela; Gottrand, Frederic; Ferrari, Marika; Nova, Esther; Castillo, Manuel J; Molnár, Dénes; Widhalm, Kurt; Androutsos, Odysseas; Manios, Yannis; Stehle, Peter; Lachat, Carl; Marchioni, Dirce Maria; Moreno, Luis A.
Afiliación
  • Cacau LT; Growth, Exercise, Nutrition and Development (GENUD) Research Group, Facultad de Ciencias de La Salud, Universidad de Zaragoza, Zaragoza, Spain. lcacau@usp.br.
  • Hanley-Cook GT; Department of Nutrition, School of Public Health, University of São Paulo, Av. Dr. Arnaldo, 715, Cerqueira César, São Paulo, SP, 01246-904, Brazil. lcacau@usp.br.
  • Huybrechts I; Department of Public Health and Primary Care, Ghent University, Ghent, Belgium. lcacau@usp.br.
  • De Henauw S; Department of Food Technology, Safety and Health, Faculty of Bioscience Engineering, Ghent University, Ghent, Belgium.
  • Kersting M; Nutritional Epidemiology Group, Nutrition and Metabolism Section, International Agency for Research on Cancer, World Health Organization (IARC/WHO), Lyon, France.
  • Gonzalez-Gross M; Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
  • Gottrand F; Research Department of Child Nutrition, University Hospital of Pediatrics and Adolescent Medicine, Ruhr-University Bochum, Bochum, Germany.
  • Ferrari M; Centro de Investigación Biomédica en Red de Fisiopatología de La Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain.
  • Nova E; ImFINE Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, Spain.
  • Castillo MJ; Institute for Translational Research in Inflammation (INFINITE), University Lille, Lille, France.
  • Molnár D; Council for Agricultural Research and Economics, Research Center for Food and Nutrition, Rome, Italy.
  • Widhalm K; Department of Metabolism and Nutrition, Institute of Food Science and Technology and Nutrition (ICTAN), Spanish National Research Council (CSIC), Madrid, Spain.
  • Androutsos O; Department of Physiology, Faculty of Medicine, University of Granada, Granada, Spain.
  • Manios Y; Department of Pediatrics, Medical School, University of Pécs, Pécs, Hungary.
  • Stehle P; Department of Gastroenterology and Hepatology, Medical University of Vienna, Vienna, Austria.
  • Lachat C; Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece.
  • Marchioni DM; Department of Nutrition and Dietetics, University of Thessaly, Trikala, Greece.
  • Moreno LA; Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece.
Eur J Nutr ; 62(6): 2527-2539, 2023 Sep.
Article en En | MEDLINE | ID: mdl-37171585
PURPOSE: The EAT-Lancet Commission proposed an evidence-based global reference diet to improve human health within planetary boundaries. Recently, the Planetary Health Diet Index (PHDI) was developed based on the EAT-Lancet recommendations and validated among Brazilian adults. However, the relative validity of the PHDI in adolescents has yet to be assessed. Thus, we aimed to evaluate the relative validity of the PHDI in European adolescents. METHODS: We used cross-sectional data from 1804 adolescents (12.5-17.5 years) enrolled in the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study. The PHDI (0-150 points) was calculated based on dietary intake data from two non-consecutive 24-h dietary recalls. Associations between the PHDI and usual nutrient intakes, plasma food consumption biomarkers, and adherence to the Mediterranean diet were evaluated using multivariable-adjusted mixed-effects linear regression models. RESULTS: Higher PHDI score was associated with greater intakes of nutrients predominantly from plant-source foods, such as vegetable protein, vitamin E, and folate and with lower intake of nutrients predominately from animal-source foods, such as total and saturated fat, cholesterol, and animal protein. Furthermore, a higher PHDI score was also positively associated with plasma ß-carotene, vitamin C, vitamin D, folate, and ferritin concentrations, while negatively associated with trans-fatty acids concentration. Moreover, higher PHDI was related to a greater adherence to the Mediterranean dietary pattern. CONCLUSIONS: The PHDI showed good relative validity among adolescents in the HELENA study. Hence, future research should assess adherence to the PHDI and long-term health outcomes.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Dieta Mediterránea Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Animals / Humans Idioma: En Revista: Eur J Nutr Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2023 Tipo del documento: Article País de afiliación: España

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Dieta Mediterránea Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Animals / Humans Idioma: En Revista: Eur J Nutr Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2023 Tipo del documento: Article País de afiliación: España