Skip to main content
×
×
Home

Diet quality and attention capacity in European adolescents: the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study

  • Pontus Henriksson (a1), Magdalena Cuenca-García (a2) (a3), Idoia Labayen (a4), Irene Esteban-Cornejo (a1), Hanna Henriksson (a1), Mathilde Kersting (a5), Jeremy Vanhelst (a6) (a7), Kurt Widhalm (a8) (a9), Frederic Gottrand (a6) (a7), Luis A. Moreno (a10) and Francisco B. Ortega (a1) (a11)...
Abstract

Adolescence represents an important period for the development of executive functions, which are a set of important cognitive processes including attentional control. However, very little is known regarding the associations of nutrition with components of executive functions in adolescence. Thus, the aim of this study was to investigate associations of dietary patterns and macronutrient composition with attention capacity in European adolescents. This cross-sectional study included 384 (165 boys and 219 girls) adolescents, aged 12·5–17·5 years, from five European countries in the Healthy Lifestyle in Europe by Nutrition in Adolescence study. Attention capacity was examined using the d2 Test of Attention. Dietary intake was assessed through two non-consecutive 24 h recalls using a computer-based self-administered tool. Three dietary patterns (diet quality index, ideal diet score and Mediterranean diet score) and macronutrient/fibre intakes were calculated. Linear regression analysis was conducted adjusting for age, sex, BMI, maternal education, family affluence scale, study centre and energy intake (only for Mediterranean diet score). In these adjusted regression analyses, higher diet quality index for adolescents and ideal diet score were associated with a higher attention capacity (standardised β=0·16, P=0·002 and β=0·15, P=0·005, respectively). Conversely, Mediterranean diet score or macronutrient/fibre intake were not associated with attention capacity (P>0·05). Our results suggest that healthier dietary patterns, as indicated by higher diet quality index and ideal diet score, were associated with attention capacity in adolescence. Intervention studies investigating a causal relationship between diet quality and attention are warranted.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Diet quality and attention capacity in European adolescents: the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Diet quality and attention capacity in European adolescents: the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Diet quality and attention capacity in European adolescents: the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study
      Available formats
      ×
Copyright
Corresponding author
* Corresponding author: P. Henriksson, email pontus.tm.henriksson@gmail.com
Footnotes
Hide All

HELENA study group members are listed in the Supplementary material.

Footnotes
References
Hide All
1. Cukierman-Yaffe, T, Kasher-Meron, M, Fruchter, E, et al. (2015) Cognitive performance at late adolescence and the risk for impaired fasting glucose among young adults. J Clin Endocrinol Metab 100, 44094416.
2. Diamond, A (2013) Executive functions. Annu Rev Psychol 64, 135168.
3. Luna, B (2009) Developmental changes in cognitive control through adolescence. Adv Child Dev Behav 37, 233278.
4. Vanhelst, J, Beghin, L, Duhamel, A, et al. (2016) Physical activity is associated with attention capacity in adolescents. J Pediatr 168, 126131.e122.
5. Aberg, MA, Aberg, N, Brisman, J, et al. (2009) Fish intake of Swedish male adolescents is a predictor of cognitive performance. Acta Paediatr 98, 555560.
6. Kim, SY, Sim, S, Park, B, et al. (2016) Dietary habits are associated with school performance in adolescents. Medicine (Baltimore) 95, e3096.
7. Sigfusdottir, ID, Kristjansson, AL & Allegrante, JP (2007) Health behaviour and academic achievement in Icelandic school children. Health Educ Res 22, 7080.
8. Stea, TH & Torstveit, MK (2014) Association of lifestyle habits and academic achievement in Norwegian adolescents: a cross-sectional study. BMC Public Health 14, 829.
9. Hu, FB (2002) Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 13, 39.
10. Haapala, EA, Eloranta, AM, Venalainen, T, et al. (2015) Associations of diet quality with cognition in children – the Physical Activity and Nutrition in Children Study. Br J Nutr 114, 10801087.
11. Khan, NA, Raine, LB, Drollette, ES, et al. (2015) Dietary fiber is positively associated with cognitive control among prepubertal children. J Nutr 145, 143149.
12. Esteban-Cornejo, I, Izquierdo-Gomez, R, Gomez-Martinez, S, et al. (2015) Adherence to the Mediterranean diet and academic performance in youth: the UP&DOWN study. Eur J Nutr 55, 11331140.
13. Vassiloudis, I, Yiannakouris, N, Panagiotakos, DB, et al. (2014) Academic performance in relation to adherence to the Mediterranean diet and energy balance behaviors in Greek primary schoolchildren. J Nutr Educ Behav 46, 164170.
14. Zhang, J, Hebert, JR & Muldoon, MF (2005) Dietary fat intake is associated with psychosocial and cognitive functioning of school-aged children in the United States. J Nutr 135, 19671973.
15. Nyaradi, A, Foster, JK, Hickling, S, et al. (2014) Prospective associations between dietary patterns and cognitive performance during adolescence. J Child Psychol Psychiatry 55, 10171024.
16. Moreno, LA, De Henauw, S, Gonzalez-Gross, M, et al. (2008) Design and implementation of the Healthy Lifestyle in Europe by Nutrition in Adolescence Cross-Sectional Study. Int J Obes (Lond) 32, Suppl. 5, S4S11.
17. Moreno, LA, Gonzalez-Gross, M, Kersting, M, et al. (2008) Assessing, understanding and modifying nutritional status, eating habits and physical activity in European adolescents: the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study. Public Health Nutr 11, 288299.
18. Nagy, E, Vicente-Rodriguez, G, Manios, Y, et al. (2008) Harmonization process and reliability assessment of anthropometric measurements in a multicenter study in adolescents. Int J Obes (Lond) 32, Suppl. 5, S58S65.
19. Vyncke, K, Cruz Fernandez, E, Fajo-Pascual, M, et al. (2013) Validation of the Diet Quality Index for Adolescents by comparison with biomarkers, nutrient and food intakes: the HELENA study. Br J Nutr 109, 20672078.
20. Beghin, L, Huybrechts, I, Vicente-Rodriguez, G, et al. (2012) Main characteristics and participation rate of European adolescents included in the HELENA study. Arch Public Health 70, 14.
21. Beghin, L, Castera, M, Manios, Y, et al. (2008) Quality assurance of ethical issues and regulatory aspects relating to good clinical practices in the HELENA Cross-Sectional Study. Int J Obes (Lond) 32, Suppl. 5, S12S18.
22. Vereecken, CA, Covents, M, Sichert-Hellert, W, et al. (2008) Development and evaluation of a self-administered computerized 24-h dietary recall method for adolescents in Europe. Int J Obes (Lond) 32, Suppl. 5, S26S34.
23. Lloyd-Jones, DM, Hong, Y, Labarthe, D, et al. (2010) Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association’s strategic Impact Goal through 2020 and beyond. Circulation 121, 586613.
24. Hardman, RJ, Kennedy, G, Macpherson, H, et al. (2016) Adherence to a Mediterranean-style diet and effects on cognition in adults: a qualitative evaluation and systematic review of longitudinal and prospective trials. Front Nutr 3, 22.
25. Singh, B, Parsaik, AK, Mielke, MM, et al. (2014) Association of Mediterranean diet with mild cognitive impairment and Alzheimer’s disease: a systematic review and meta-analysis. J Alzheimers Dis 39, 271282.
26. Leventakou, V, Roumeliotaki, T, Sarri, K, et al. (2016) Dietary patterns in early childhood and child cognitive and psychomotor development: the Rhea mother-child cohort study in Crete. Br J Nutr 115, 14311437.
27. Ruiz, JR, Huybrechts, I, Cuenca-Garcia, M, et al. (2015) Cardiorespiratory fitness and ideal cardiovascular health in European adolescents. Heart 101, 766773.
28. Trichopoulou, A, Costacou, T, Bamia, C, et al. (2003) Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med 348, 25992608.
29. Dehne, LI, Klemm, C, Henseler, G, et al. (1999) The German Food Code and Nutrient Data Base (BLS II.2). Eur J Epidemiol 15, 355359.
30. Harttig, U, Haubrock, J, Knuppel, S, et al. (2011) The MSM program: web-based statistics package for estimating usual dietary intake using the Multiple Source Method. Eur J Clin Nutr 65, Suppl. 1, S87S91.
31. Bates, ME & Lemay, EP Jr (2004) The d2 Test of attention: construct validity and extensions in scoring techniques. J Int Neuropsychol Soc 10, 392400.
32. Brickenkamp, R & Zillmer, E (1998) The d2 Test of Attention. 1st US ed. Seattle, WA: Hogrefe & Huber Publishers.
33. Cadenas-Sanchez, C, Vanhelst, J, Ruiz, JR, et al. (2017) Fitness and fatness in relation with attention capacity in European adolescents: The HELENA study. J Sci Med Sport 20, 373379.
34. Cole, TJ & Lobstein, T (2012) Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity. Pediatr Obes 7, 284294.
35. Iglesia, I, Mouratidou, T, Gonzalez-Gross, M, et al. (2014) Socioeconomic factors are associated with folate and vitamin B12 intakes and related biomarkers concentrations in European adolescents: the Healthy Lifestyle in Europe by Nutrition in Adolescence study. Nutr Res 34, 199209.
36. Ruiz, JR, Ortega, FB, Martinez-Gomez, D, et al. (2011) Objectively measured physical activity and sedentary time in European adolescents: the HELENA study. Am J Epidemiol 174, 173184.
37. Guinhouya, BC, Hubert, H & Zitouni, D (2011) Need for unbiased computation of the moderate-intensity physical activity of youth in epidemiologic studies. Am J Prev Med 41, e1e2; author reply e2–e3.
38. Martinez-Gomez, D, Ruiz, JR, Ortega, FB, et al. (2010) Recommended levels and intensities of physical activity to avoid low-cardiorespiratory fitness in European adolescents: the HELENA study. Am J Hum Biol 22, 750756.
39. US Department of Health and Human Services & Physical Activity Guidelines Advisory Committee (2008) Physical activity guidelines for Americans. http://www.health.gov/PAguidelines (accessed October 2016).
40. Nelson, M, Black, AE, Morris, JA, et al. (1989) Between- and within-subject variation in nutrient intake from infancy to old age: estimating the number of days required to rank dietary intakes with desired precision. Am J Clin Nutr 50, 155167.
41. Nyaradi, A, Li, J, Hickling, S, et al. (2013) The role of nutrition in children’s neurocognitive development, from pregnancy through childhood. Front Hum Neurosci 7, 97.
42. Francis, H & Stevenson, R (2013) The longer-term impacts of Western diet on human cognition and the brain. Appetite 63, 119128.
43. Frisardi, V, Panza, F, Seripa, D, et al. (2010) Nutraceutical properties of Mediterranean diet and cognitive decline: possible underlying mechanisms. J Alzheimers Dis 22, 715740.
44. Beilharz, JE, Maniam, J & Morris, MJ (2015) Diet-induced cognitive deficits: the role of fat and sugar, potential mechanisms and nutritional interventions. Nutrients 7, 67196738.
45. Narain, A, Kwok, CS & Mamas, MA (2017) Soft drink intake and the risk of metabolic syndrome: a systematic review and meta-analysis. Int J Clin Pract 71, e12927.
46. Mente, A, O’Donnell, MJ, Rangarajan, S, et al. (2014) Association of urinary sodium and potassium excretion with blood pressure. N Engl J Med 371, 601611.
47. Nyaradi, A, Li, J, Hickling, S, et al. (2015) A Western dietary pattern is associated with poor academic performance in Australian adolescents. Nutrients 7, 29612982.
48. Sörensen, LB, Dyssegaard, CB, Damsgaard, CT, et al. (2015) The effects of Nordic school meals on concentration and school performance in 8- to 11-year-old children in the OPUS School Meal Study: a cluster-randomised, controlled, cross-over trial. Br J Nutr 113, 12801291.
49. Riggs, NR, Spruijt-Metz, D, Sakuma, KL, et al. (2010) Executive cognitive function and food intake in children. J Nutr Educ Behav 42, 398403.
50. Allan, JL, McMinn, D & Daly, M (2016) A bidirectional relationship between executive function and health behavior: evidence, implications, and future directions. Front Neurosci 10, 386.
51. St Clair-Thompson, HL & Gathercole, SE (2006) Executive functions and achievements in school: shifting, updating, inhibition, and working memory. Q J Exp Psychol (Hove) 59, 745759.
52. Serra-Majem, L, Ribas, L, Ngo, J, et al. (2004) Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutr 7, 931935.
53. Johnson, M, Fransson, G, Ostlund, S, et al. (2017) Omega 3/6 fatty acids for reading in children: a randomized, double-blind, placebo-controlled trial in 9-year-old mainstream schoolchildren in Sweden. J Child Psychol Psychiatry 58, 8393.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

British Journal of Nutrition
  • ISSN: 0007-1145
  • EISSN: 1475-2662
  • URL: /core/journals/british-journal-of-nutrition
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Type Description Title
WORD
Supplementary materials

Henriksson supplementary material
Henriksson supplementary material 1

 Word (58 KB)
58 KB

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed