131588 20260217205453.0 doi 10.1038/s41430-023-01379-4 sideral 136917 ART-2024-136917 eng Cacau, Leandro Teixeira Association between adherence to the EAT-Lancet sustainable reference diet and cardiovascular health among European adolescents: the HELENA study 2024 Access copy available to the general public Unrestricted Background: The EAT-Lancet Commission proposed a global reference diet to promote healthy diets within planetary boundaries. Studies evaluating the associations between the reference diet with health outcomes among adolescents are scarce. Thus, our aim was to assess the association between adherence to the EAT-Lancet diet and cardiovascular health among European adolescents. Methods: Data from the HELENA study were used. Usual dietary intake was assessed using two 24-h dietary recalls and adherence to the EAT-Lancet diet was assessed using the Planetary Health Diet Index (PHDI), a 16-component index that ranges from 0 to 150 points. Cardiovascular health was assessed through the seven-component Ideal Cardiovascular Health (ICH) score: never smoked, eutrophic body mass index, moderate-to-vigorous physical activity, healthy dietary pattern, low blood pressure, low fasting plasma glucose, and low total cholesterol. Total ICH score was categorized into ideal (5–7) and non-ideal (0–4). Results: A 10-point increment in the PHDI was associated with a lower probability of a non-ideal ICH status (OR 0.84, [95% CI: 0.75, 0.94]) among European adolescents, after adjusting for age, sex, socio-economic status, and total energy intake. Furthermore, a 10-point increment in the PHDI was associated with lower probability of high blood pressure (OR: 0.87 [0.79, 0.96]) and a lower probability of high blood cholesterol (OR: 0.88 [0.78, 0.99]). Conclusion: Our study suggests that a higher PHDI may be associated with a better cardiovascular health status among European adolescents. info:eu-repo/grantAgreement/EUR/FP6/FOODCT-2005-007034 info:eu-repo/grantAgreement/EUR/FP6/FOODCT-2007-036196-2 info:eu-repo/grantAgreement/ES/MEC/AGL2007-29784-E/ALI info:eu-repo/semantics/openAccess All rights reserved http://www.europeana.eu/rights/rr-f/ 3.3 2024 NUTRITION & DIETETICS 45 / 113 = 0.398 2024 Q2 T2 1.076 2024 Nutrition and Dietetics 2024 Q1 Medicine (miscellaneous) 2024 Q1 8.2 2024 info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion Hanley-Cook, Giles T. Vandevijvere, Stefanie Leclercq, Catherine Henauw, Stefaan de Santaliestra-Pasias, Alba Universidad de Zaragoza (orcid)0000-0002-0303-7912 Manios, Yannis Mourouti, Niki Esperanza Díaz, Ligia González-Gross, Marcela (orcid)0000-0001-7757-3235 Widhalm, Kurt Molnar, Dénes Stehle, Peter Kafatos, Anthony Gottrand, Frederic Kersting, Mathilde Castillo, Manuel Lachat, Carl Marchioni, Dirce Maria Huybrechts, Inge Moreno, Luis A. Universidad de Zaragoza (orcid)0000-0003-0454-653X 1006 255 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Enfermería 1011 615 Universidad de Zaragoza Dpto. Microb.Ped.Radio.Sal.Pú. Área Medic.Prevent.Salud Públ. 78 (2024), 202–208 Eur. j. clin. nutr. European Journal of Clinical Nutrition 0954-3007 451597 http://zaguan.unizar.es/record/131588/files/texto_completo.pdf Postprint 1858687 http://zaguan.unizar.es/record/131588/files/texto_completo.jpg?subformat=icon icon Postprint oai:zaguan.unizar.es:131588 articulos driver 2026-02-17-20:19:27 ARTICLE