Breakfast Dietary Pattern Is Inversely Associated with Overweight/Obesity in European Adolescents: The HELENA Study

Author(s):Show less -

Cacau, Leandro Teixeira ^{[1, 2]} ; De Miguel-Etayo, Pilar ^{[3, 2]} ; Santaliestra-Pasias, Alba M. ^{[3, 2, 4, 5]} ; Gimenez-Legarre, Natalia ^{[2, 4]} ; Marchioni, Dirce Maria ^[1] ; Molina-Hidalgo, Cristina ^[6] ; Censi, Laura ^[7] ; Gonzalez-Gross, Marcela ^{[3, 8]} ; Grammatikaki, Evangelia ^{[9, 10]} ; Breidenassel, Christina ^{[11, 8]} ; De Ruyter, Thais ^[10] ; Kersting, Mathilde ^[12] ; Gottrand, Frederic ^[13] ; Androutsos, Odysseas ^{[9, 14]} ; Gomez-Martinez, Sonia ^[15] ; Kafatos, Anthony ^[16] ; Widhalm, Kurt ^[17] ; Stehle, Peter ^[11] ; Molnar, Denes ^[18] ; Manios, Yannis ^{[9, 19]} ; De Henauw, Stefaan ^[10] ; Moreno, Luis A. ^{[3, 2, 4, 5]}

Affiliation:Show less -

^[1] Univ Sao Paulo, Sch Publ Hlth, Dept Nutr, BR-01246904 Sao Paulo - Brazil

^[2] Univ Zaragoza, Growth Exercise Nutr & Dev GENUD Res Grp, Fac Ciencias Salud, Zaragoza 50009 - Spain

^[3] Inst Salud Carlos III, Ctr Invest Biomed Red Fisiopatol Obesidad & Nutr, Madrid 28040 - Spain

^[4] Inst Agroalimentario Aragon IA2, Zaragoza 50013 - Spain

^[5] Inst Invest Sanitaria Aragon IIS Aragon, Zaragoza 50009 - Spain

^[6] Univ Pittsburgh, Dept Psychol, Pittsburgh, PA 15260 - USA

^[7] Council Agr Res & Econ CREA, Res Ctr Food & Nutr, I-00178 Rome - Italy

^[8] Univ Politecn Madrid, Dept Hlth & Human Performance, ImFINE Res Grp, Madrid 28040 - Spain

^[9] Harokopio Univ, Sch Hlth Sci & Educ, Dept Nutr & Dietet, Athens 17671 - Greece

^[10] Univ Ghent, Dept Publ Hlth & Primary Care, P-A UZ 4K3, Corneel Heymanslaan 10, B-9000 Ghent - Belgium

^[11] Univ Bonn, Dept Nutr & Food Sci, D-53115 Bonn - Germany

^[12] Ruhr Univ Bochum, Res Dept Child Nutr, Univ Hosp Pediat & Adolescent Med, D-44791 Bochum - Germany

^[13] Univ Lille, Inst Translat Res Inflammat INFIN, CHU Lille, U1286, F-59000 Lille - France

^[14] Univ Thessaly, Dept Nutr & Dietet, Trikala 42100 - Greece

^[15] CSIC, Immunonutr Grp, Dept Metab & Nutr, Inst Food Sci Technol & Nutr ICTAN, Madrid 28040 - Spain

^[16] Univ Crete, Fac Med, Iraklion 71500 - Greece

^[17] Med Univ Vienna, Dept Gastroenterol & Hepatol, A-1090 Vienna - Austria

^[18] Univ Pecs, Sch Med, Dept Pediat, H-7624 Pecs - Hungary

^[19] Hellen Mediterranean Univ Res Ctr, Inst Agri Food & Life Sci, Iraklion 71410 - Greece

• Document type: Journal article
• Source: CHILDREN-BASEL; v. 8, n. 11 NOV 2021.
• Web of Science Citations: 0

Abstract

Obesity in children and adolescents is a public health problem and diet can play a major role in this condition. We aimed to identify sex-specific dietary patterns (DP) and to evaluate the association with overweight/obesity in European adolescents. We conducted a cross-sectional analysis with 2327 adolescents aged between 12.5 to 17.5 years from a multicenter study across Europe. The body mass index was categorized in ``normal weight `` and ``overweight/obesity ``. Two non-consecutive 24-h dietary recalls were collected with a computerized self-reported software. Principal component factor analysis was used to identify DP. Mixed-effect logistic regression models were used to evaluate the association between the sex-specific DP and overweight/obesity outcome. As a result, we found three DP in boys (snacking and bread, Mediterranean diet, and breakfast) and four DP in girls (convenience, plant-based and eggs, Western, and breakfast). The association between DP and overweight/obesity highlights that those adolescents with higher adherence to the breakfast DP had lower odds for overweight/obesity, even after the inclusion of covariables in the adjustments. In European adolescents, the breakfast DP positively characterized by breakfast cereals, fruit, milk, and dairy and negatively characterized by sugar-sweetened beverages in boys and negatively characterized by cereals (pasta, rice, and others) in girls, was inversely associated with overweight/obesity. (AU)

• FAPESP's process: 20/12326-1 - Association between an index based on planetary health diet and cardiovascular risk outcomes: analysis of epidemiological studies
• Grantee: Leandro Teixeira Cacau
• Support Opportunities: Scholarships abroad - Research Internship - Doctorate (Direct)