000136202 001__ 136202
000136202 005__ 20260217205546.0
000136202 0247_ $$2doi$$a10.1016/j.clnu.2024.06.022
000136202 0248_ $$2sideral$$a139085
000136202 037__ $$aART-2024-139085
000136202 041__ $$aeng
000136202 100__ $$aMorcel, Jules
000136202 245__ $$aNutritional and physical fitness parameters in adolescence impact cardiovascular health in adulthood
000136202 260__ $$c2024
000136202 5060_ $$aAccess copy available to the general public$$fUnrestricted
000136202 5203_ $$aBackground & aims: Cardiovascular diseases are the leading cause of mortality worldwide, originating in the first decades of life. A better understanding of their early determinants would allow for better prevention. This study aimed to evaluate the impact of nutritional and activity-related characteristics during adolescence on young adult cardiovascular risk factors. Methods: The Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study included adolescents (aged 12.5–17.5 years) in 10 European centres. Four centres designed a nested cohort including 236 participants who were reassessed as young adults (21–32 years). Food consumption was evaluated by dietary recalls, physical activity by accelerometers, physical fitness using physical tests and nutritional knowledge by questionnaires. Cardiovascular health was assessed by Pathobiological Determinants of Atherosclerosis in Youth (PDAY) Study risk scores and its components. Factors associated with cardiovascular risk were identified using a multivariable regression model. Results: Higher Diet Quality Index (DQI, P = 0.012) and nutritional knowledge (P = 0.015) were significantly associated with lower modified PDAY risk scores. Ultra-processed foods were associated with a lower non-high-density lipoprotein (non-HDL) cholesterol (P = 0.003), whereas DQI (P = 0.014) and Planetary Health Diet Index (P = 0.016) were associated with a higher HDL cholesterol. Higher DQI was also related to a lower body mass index (BMI, P = 0.006). In addition, cardiorespiratory fitness was related to a lower BMI (P = 0.004). Conclusions: Nutritional knowledge, diet quality and adherence to a sustainable diet in adolescence decrease cardiovascular risk in adulthood, whereas ultra-processed food consumption increases risk. These factors appear as targeted prevention tools for promoting a healthier adolescent lifestyle to decrease long-term cardiovascular risk.
000136202 536__ $$9info:eu-repo/grantAgreement/EUR/FP6/FOOD-CT-2005-6007034
000136202 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000136202 590__ $$a7.4$$b2024
000136202 592__ $$a2.212$$b2024
000136202 591__ $$aNUTRITION & DIETETICS$$b8 / 113 = 0.071$$c2024$$dQ1$$eT1
000136202 593__ $$aNutrition and Dietetics$$c2024$$dQ1
000136202 593__ $$aCritical Care and Intensive Care Medicine$$c2024$$dQ1
000136202 594__ $$a15.5$$b2024
000136202 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000136202 700__ $$aBéghin, Laurent
000136202 700__ $$aMichels, Nathalie
000136202 700__ $$aDe Ruyter, Thaïs
000136202 700__ $$aDrumez, Elodie
000136202 700__ $$aCailliau, Emeline
000136202 700__ $$aPolito, Angela
000136202 700__ $$aLe Donne, Cinzia
000136202 700__ $$aBarnaba, Lorenzo
000136202 700__ $$aAzzini, Elena
000136202 700__ $$aDe Henauw, Stefaan
000136202 700__ $$aMiguel Berges, Maria Luisa
000136202 700__ $$aCacau, Leandro Teixeira
000136202 700__ $$0(orcid)0000-0003-0454-653X$$aMoreno, Luis A.$$uUniversidad de Zaragoza
000136202 700__ $$aGottrand, Frédéric
000136202 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000136202 773__ $$g43, 8 (2024), 1857-1864$$pClin. nutr.$$tClinical Nutrition$$x0261-5614
000136202 8564_ $$s624043$$uhttps://zaguan.unizar.es/record/136202/files/texto_completo.pdf$$yVersión publicada
000136202 8564_ $$s2312025$$uhttps://zaguan.unizar.es/record/136202/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000136202 909CO $$ooai:zaguan.unizar.es:136202$$particulos$$pdriver
000136202 951__ $$a2026-02-17-20:38:10
000136202 980__ $$aARTICLE