000126828 001__ 126828 000126828 005__ 20241125101147.0 000126828 0247_ $$2doi$$a10.1007/s00394-023-03171-3 000126828 0248_ $$2sideral$$a133855 000126828 037__ $$aART-2023-133855 000126828 041__ $$aeng 000126828 100__ $$aTeixeira Cacau, Leandro 000126828 245__ $$aRelative 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 000126828 260__ $$c2023 000126828 5060_ $$aAccess copy available to the general public$$fUnrestricted 000126828 5203_ $$aPurpose 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 β-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. 000126828 536__ $$9info:eu-repo/grantAgreement/EUR/FP6/FOODCT-2005-007034$$9info:eu-repo/grantAgreement/EUR/FP6/FOODCT-2007-036196-2$$9info:eu-repo/grantAgreement/ES/MEC/AGL2007-29784-E/ALI 000126828 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/ 000126828 592__ $$a1.167$$b2023 000126828 593__ $$aNutrition and Dietetics$$c2023$$dQ1 000126828 593__ $$aMedicine (miscellaneous)$$c2023$$dQ1 000126828 590__ $$a4.1$$b2023 000126828 591__ $$aNUTRITION & DIETETICS$$b29 / 114 = 0.254$$c2023$$dQ2$$eT1 000126828 594__ $$a10.2$$b2023 000126828 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000126828 700__ $$aHanley-Cook, Giles T. 000126828 700__ $$aHuybrechts, Inge 000126828 700__ $$aDe Henauw, Stefaan 000126828 700__ $$aKersting, Mathilde 000126828 700__ $$aGonzalez-Gross, Marcela 000126828 700__ $$aGottrand, Frederic 000126828 700__ $$aFerrari, Marika 000126828 700__ $$aNova, Esther 000126828 700__ $$aCastillo, Manuel J. 000126828 700__ $$aMolnár, Dénes 000126828 700__ $$aWidhalm, Kurt 000126828 700__ $$aAndroutsos, Odysseas 000126828 700__ $$aManios, Yannis 000126828 700__ $$aStehle, Peter 000126828 700__ $$aLachat, Carl 000126828 700__ $$aMarchioni, Dirce Maria 000126828 700__ $$0(orcid)0000-0003-0454-653X$$aMoreno, Luis A.$$uUniversidad de Zaragoza 000126828 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería 000126828 773__ $$g62 (2023), 2527–2539$$pEur. j. nutr.$$tEUROPEAN JOURNAL OF NUTRITION$$x1436-6207 000126828 8564_ $$s775209$$uhttps://zaguan.unizar.es/record/126828/files/texto_completo.pdf$$yVersión publicada 000126828 8564_ $$s2311229$$uhttps://zaguan.unizar.es/record/126828/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000126828 909CO $$ooai:zaguan.unizar.es:126828$$particulos$$pdriver 000126828 951__ $$a2024-11-22-12:04:53 000126828 980__ $$aARTICLE