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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

  • LA Moreno (a1), M González-Gross (a2) (a3), M Kersting (a4), D Molnár (a5), S de Henauw (a6), L Beghin (a7), M Sjöström (a8), M Hagströmer (a8), Y Manios (a9), CC Gilbert (a10), FB Ortega (a11), J Dallongeville (a12), D Arcella (a13), J Wärnberg (a8) (a14), M Hallberg (a15), H Fredriksson (a16), L Maes (a6), K Widhalm (a17), AG Kafatos (a18) and A Marcos (a14)...
Abstract
AbstractObjectives

To identify the main knowledge gaps and to propose research lines that will be developed within the European Union-funded ‘Healthy Lifestyle in Europe by Nutrition in Adolescence’ (HELENA) project, concerning the nutritional status, physical fitness and physical activity of adolescents in Europe.

Design

Review of the currently existing literature.

Results

The main gaps identified were: lack of harmonised and comparable data on food intake; lack of understanding regarding the role of eating attitudes, food choices and food preferences; lack of harmonised and comparable data on levels and patterns of physical activity and physical fitness; lack of comparable data about obesity prevalence and body composition; lack of comparable data about micronutrient and immunological status; and lack of effective intervention methodologies for healthier lifestyles.

Conclusions

The HELENA Study Group should develop, test and describe harmonised and state-of-the-art methods to assess the nutritional status and lifestyle of adolescents across Europe; develop and evaluate an intervention on eating habits and physical activity; and develop and test new healthy food products attractive for European adolescents.

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Corresponding author
Corresponding author: Email lmoreno@unizar.es
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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1 G Egger , B Swinburn . An ‘ecological’ approach to the obesity pandemic. British Medical Journal 1997; 315: 477480.

2 LA Moreno , A Sarría , J Fleta , G Rodríguez , M Bueno . Trends in body mass index and overweight prevalence among children and adolescents in the region of Aragón (Spain) from 1985 to 1995. International Journal of Obesity and Related Metabolic Disorders 2000; 24: 925931.

3 R Weiss , S Dufour , SE Taksali , WV Tamborlane , KF Petersen , RC Bonadonna , . Prediabetes in obese youth: a syndrome of impaired glucose tolerance, severe insulin resistance, and altered myocellular and abdominal fat partitioning. Lancet 2003; 362: 951957.

4 S Cook , M Weitzman , P Auinger , M Nguyen , WH Dietz . Prevalence of a metabolic syndrome phenotype in adolescents. Findings from the Third National Health and Nutrition Examination Survey, 1988–1994. Archives of Pediatrics & Adolescent Medicine 2003; 157: 821827.

5 A Marcos . Eating disorders: a situation of malnutrition with peculiar changes in the immune system. European Journal of Clinical Nutrition 2000; 54 (Suppl. 1): S61S64.

6 A Pietrobelli , KS Steinbeck . Paediatric obesity: what do we know and are we doing the right thing? International Journal of Obesity and Related Metabolic Disorders 2004; 28: 23.

7 T Forsen , C Osmond , JG Eriksson , DJ Barker . Growth of girls who later develop coronary heart disease. Heart 2004; 90: 2024.

8 G Rodríguez , LA Moreno , MG Blay , VA Blay , JM Garagorri , A Sarría , . Body composition in adolescents: measurements and metabolic aspects. International Journal of Obesity and Related Metabolic Disorders 2004; 28 (Suppl. 3): S54S58.

9 LA Moreno , C Tomás , M González-Gross , G Bueno , JM Pérez-González , M Bueno . Micro-environmental and socio-demographic determinants of childhood obesity. International Journal of Obesity and Related Metabolic Disorders 2004; 28 (Suppl. 3): S1620.

10 G Rodríguez , LA Moreno . Is dietary intake able to explain differences in body fatness in children and adolescents? Nutrition, Metabolism, and Cardiovascular Diseases 2006; 16: 294301.

11 C Matthys , S De Henauw , C Devos , G De Backer . Estimated energy intake, macronutrient intake and meal pattern of Flemish adolescents. European Journal of Clinical Nutrition 2003; 57: 366375.

14 D Hoglund , G Samuelson , A Mark . Food habits in Swedish adolescents in relation to socioeconomic conditions. European Journal of Clinical Nutrition 1998; 52: 784789.

16 HR Rockett , CS Berkey , GA Colditz . Evaluation of dietary assessment instruments in adolescents. Current Opinion in Clinical Nutrition and Metabolic Care 2003; 6: 557562.

17 LA Moreno , M Kersting , S de Henauw , M González-Gross , W Sichert-Hellert , C Matthys , . How to measure dietary intake and food habits in adolescence: the European perspective. International Journal of Obesity 2005; 29 (Suppl. 2): S6677.

18 I Bakker , JWR Twisk , W van Mechelen , GBM Mensink , HCG Kemper . Computerization of a dietary history interview in a running cohort; evaluation within the Amsterdam Growth and Health Longitudinal Study. European Journal of Clinical Nutrition 2003; 57: 394404.

19 G Biro , KFAM Hulshof , L Ovesen , JA Amorin Cruz , for the EFCOSUM Group. Selection of methodology to assess food intake. European Journal of Clinical Nutrition 2002; 56 (Suppl. 2): S2532.

20 CA Vereecken , M Covents , C Matthys , L Maes . Young adolescents’ nutrition assessment on computer (YANA-C). European Journal of Clinical Nutrition 2005; 59: 658667.

21 K Parmenter , J Wardle . Development of a general nutrition knowledge questionnaire for adults. European Journal of Clinical Nutrition 1999; 53: 298308.

22 J Wardle , K Parmenter , J Waller . Nutrition knowledge and food intake. Appetite 2000; 34: 269275.

24 T Reinehr , M Kersting , C Chahda , W Andler . Nutritional knowledge of obese compared to non obese children. Nutrition Research 2003; 23: 645649.

25 J Brug , H Hospers , G Kok . Differences in psychosocial factors and fat consumption between stages of change for fat reduction. Psychology & Health 1997; 12: 719727.

26 J Brug , P Van Assema , G Kok , T Lenderink , K Glanz . Self-rated dietary fat intake: association with objective assessment of fat, psychosocial factors and intention to change. Journal of Nutrition Education 1994; 26: 218223.

27 I De Bourdeaudhuij , J Brug . Tailoring dietary feedback to reduce fat intake: an intervention at the family level. Health Education Research 2000; 15: 449462.

28 U Ekelund , E Poortvliet , A Nilsson , A Yngve , A Holmberg , M Sjostrom . Physical activity in relation to aerobic fitness and body fat in 14- to 15-year-old boys and girls. European Journal of Applied Physiology 2001; 85: 195201.

29 GA Nielsen , LB Andersen . The association between high blood pressure, physical fitness, and body mass index in adolescents. Preventive Medicine 2003; 36: 229234.

30 N Wedderkopp , K Froberg , HS Hansen , C Riddoch , LB Andersen . Cardiovascular risk factors cluster in children and adolescents with low physical fitness: The European Youth Heart Study (EYHS). Pediatric Exercise Science 2003; 15: 419427.

32 C Boreham , J Twisk , C Neville , M Savage , L Murray , A Gallagher . Associations between physical fitness and activity patterns during adolescence and cardiovascular risk factors in young adulthood: The Northern Ireland Young Hearts Project. International Journal of Sports Medicine 2002; 23 (Suppl. 1): 2226.

33 H Hasselstrøm , SE Hansen , K Froberg , LB Andersen . Physical fitness and physical activity during adolescence as predictors of cardiovascular disease risk in young adulthood. Danish youth and sports study. An eight-year follow-up study. International Journal of Sports Medicine 2002; 23 (Suppl. 1): 2731.

34 KF Janz , JD Dawson , LT Mahoney . Increases in physical fitness during childhood improve cardiovascular health during adolescence: the Muscatine Study. International Journal of Sports Medicine 2002; 23 (Suppl. 1): 1521.

35 KF Janz , JD Dawson , LT Mahoney . Tracking physical fitness and physical activity from childhood to adolescence: The Muscatine Study. Medicine and Science in Sports and Exercise 2000; 32: 12501257.

36 MJ Castillo , FB Ortega , JR Ruiz . La mejora de la forma física como terapia anti-envejecimiento. Medicina Clínica 2005; 124: 146155.

38 DW Esliger , JL Copeland , JD Barnes , MS Tremblay . Standardizing and optimizing the use of accelerometer data for free-living physical activity monitoring. Journal of Physical Activity and Health 2005; 2: 366383.

39 SG Trost , KL McIver , RR Pate . Conducting accelerometer-based activity assessment in field-based research. Medicine and Science in Sports and Exercise 2005; 37 (Suppl. 11): S531S543.

40 CL Craig , AL Marshall , M Sjöström , AE Bauman , ML Booth , BE Ainsworth , . International physical activity questionnaire: 12-country reliability and validity. Medicine and Science in Sports and Exercise 2003; 35: 13811395.

41 JR Ruiz , FB Ortega , A Gutierrez , D Meusel , M Sjöström , MJ Castillo . Health-related fitness assessment in childhood and adolescence; a European approach based on the AVENA, EYHS and HELENA studies. Journal of Public Health 2006; 14: 269277.

42 JR Ruiz , V Espana-Romero , FB Ortega , M Sjostrom , MJ Castillo , A Gutierrez . Hand span influences optimal grip span in male and female teenagers. Journal of Hand Surgery 2006; 31: 13671372.

44 CL Ogden , KM Flegal , MD Carroll , CL Johnson . Prevalence and trends in overweight among US children and adolescents, 1999–2000. JAMA: Journal of the American Medical Association 2002; 288: 17281732.

45 LA Moreno , A Sarría , J Fleta , G Rodríguez , JM Pérez-González , M Bueno . Sociodemographic factors and trends on overweight prevalence in children and adolescents in Aragón (Spain) from 1985 to 1995. Journal of Clinical Epidemiology 2001; 54: 921927.

46 T Lobstein , ML Frelut . Prevalence of overweight among children in Europe. Obesity Reviews 2003; 4: 195200.

47 T Lobstein , L Baur , Uauy R for the IASO International Obesity Task Force. Obesity in children and young people: a crisis in public health. Obesity Reviews 2004; 5 (Suppl. 1): 485.

48 I Lissau , MD Overpeck , J Ruan , P Due , BE Holstein , Hediger ML and the Health Behaviour in School-aged Children Obesity Working Group. Body mass index and overweight in adolescents in 13 European countries, Israel, and the United States. Archives of Pediatrics & Adolescent Medicine 2004; 158: 2733.

49 LA Moreno , MI Mesana , J Fleta , JR Ruiz , MM González-Gross , A Sarría , and the AVENA Study Group. Overweight, obesity and body fat composition in Spanish adolescents. The AVENA Study. Annals of Nutrition & Metabolism 2005; 49: 7176.

50 R Jackson-Leach , T Lobstein . Estimated burden of paediatric obesity and co-morbidities in Europe. Part 1. The increase in the prevalence of child obesity in Europe is itself increasing. International Journal of Pediatric Obesity 2006; 1: 2632.

51 M Fisberg , L Baur , W Chen , A Hoppin , B Koletzko , D Lau , . Obesity in children and adolescents: Working Group Report of the Second World Congress of Pediatric Gastroenterology, Hepatology, and Nutrition. Journal of Pediatric Gastroenterology and Nutrition 2004; 39: S678S687.

52 G Csábi , K Török , S Jeges , D Molnár . Presence of metabolic cardiovascular syndrome in obese children. European Journal of Pediatrics 2000; 159: 9194.

53 LA Moreno , I Pineda , G Rodríguez , J Fleta , A Sarría , M Bueno . Waist circumference for the screening of the metabolic syndrome in children. Acta Paediatrica 2002; 91: 13071312.

54 D Molnár . Prevalence of the metabolic syndrome and type 2 diabetes mellitus in obese children and adolescents. International Journal of Obesity and Related Metabolic Disorders 2004; 28 (Suppl. 3): S70S74.

55 J Wärnberg , L Moreno , MI Mesana , Marcos A and the AVENA group. Inflammatory status in overweight and obese Spanish adolescents. The AVENA study. International Journal of Obesity and Related Metabolic Disorders 2004; 28 (Suppl. 3): S54S58.

58 L Serra-Majem , L Ribas , J Ngo , J Aranceta , M Garaulet , E Carazo , . Risk of inadequate intakes of vitamins B, B1, B6, C, E, folate, iron and calcium in the Spanish population aged 4 to 18. International Journal for Vitamin and Nutrition Research 2001; 71: 325331.

59 M González-Gross , R Prinz-Langenohl , K Pietrzik . Folate status in Germany 1997–2000. International Journal for Vitamin and Nutrition Research 2002; 72: 351359.

60 H McNulty , J Eaton-Evans , G Cran , G Woulahan , C Boreham , JM Savage , . Nutrient intakes and impact of fortified breakfast cereals in schoolchildren. Archives of Disease in Childhood 1996; 75: 474481.

61 M Lehtonen-Veromaa , T Mottonen , I Nuotio , K Irjala , J Viikari . The effect of conventional vitamin D(2) supplementation on serum 25(OH)D concentration is weak among peripubertal Finnish girls: a 3-y prospective study. European Journal of Clinical Nutrition 2002; 56: 431437.

63 G Samuelson , LE Bratteby , K Berggren , JE Elverby , B Kempe . Dietary iron intake and iron status in adolescents. Acta Paediatrica 1996; 85: 10331038.

64 E Bergstrom , O Hernell , B Lonnerdal , LA Persson . Sex differences in iron stores of adolescents: what is normal? Journal of Pediatric Gastroenterology and Nutrition 1995; 20: 215224.

68 JR Ruiz , R Sola , M González-Gross , FB Ortega , G Vicente-Rodríguez , M García-Fuentes , . Cardiovascular fitness is negatively associated with homocysteine levels in female Spanish adolescents. Archives of Pediatrics & Adolescent Medicine 2007; 161: 166171.

69 G Samuelson , B Lonnerdal , B Kempe , JE Elverby , LE Bratteby . A study of serum ferritin and transferrin receptor concentrations in Swedish adolescents at age 17 and age 15. Acta Paediatrica 2000; 89: 11621168.

70 SM Phillips , LG Bandini , H Cyr , S Colclough-Douglas , E Naumova , A Must . Dairy food consumption and body weight and fatness studied longitudinally over the adolescent period. International Journal of Obesity and Related Metabolic Disorders 2003; 27: 11061113.

71 F Ginty , C Cavadini , PA Michaud , P Burckhardt , M Baumgartner , GD Mishra , . Effects of usual nutrient intake and vitamin D status on markers of bone turnover in Swiss adolescents. European Journal of Clinical Nutrition 2004; 58: 12571265.

72 A Flynn , O Moreiras , P Stehle , RJ Fletcher , DJ Muller , V Rolland . Vitamins and minerals: a model for safe addition to foods. European Journal of Nutrition 2003; 42: 118130.

73 A Marcos , E Nova , A Montero . Changes in the immune system are conditioned by nutrition. European Journal of Clinical Nutrition 2003; 57 (Suppl. 1): S66S69.

74 E Nova , S Samartin , S Gomez , G Morande , A Marcos . The adaptive response of the immune system to the particular malnutrition of eating disorders. European Journal of Clinical Nutrition 2002; 56 (Suppl. 3): S34S37.

75 ES Ford ; National Health and Nutrition Examination Survey. C-reactive protein concentration and cardiovascular disease risk factors in children: findings from the National Health and Nutrition Examination Survey 1999–2000. Circulation 2003; 108: 10531058.

77 SD De Ferranti , K Gauvreau , DS Ludwig , JW Newburger , N Rifai . Inflammation and changes in metabolic syndrome abnormalities in US adolescents: findings from the 1988–1994 and 1999–2000 National Health and Nutrition Examination Surveys. Clinical Chemistry 2006; 52: 13251330.

79 DE King , BM Egan , ME Geesey . Relation of dietary fat and fiber to elevation of C-reactive protein. American Journal of Cardiology 2003; 92: 13351339.

81 EE Snyder , B Walts , L Perusse , YC Chagnon , SJ Weisnagel , T Rankinen , C Bouchard . The human obesity gene map: the 2003 update. Obesity Research 2004; 12: 369439.

82 W Chen , S Li , NR Cook , BA Rosner , SR Srinivasan , E Boerwinkle , . An autosomal genome scan for loci influencing longitudinal burden of body mass index from childhood to young adulthood in white sibships: The Bogalusa Heart Study. International Journal of Obesity and Related Metabolic Disorders 2004; 28: 462469.

83 JK Croll , D Neumark-Sztainer , M Story . Healthy eating: what does it mean to adolescents? Journal of Nutrition Education 2001; 33: 193198.

85 R Popper , JJ Kroll . Conducting sensory research with children. Journal of Sensory Studies 2005; 20: 7587.

87 M Story , D Neumark-Sztainer , S French . Individual and environmental influences on adolescents eating behaviors. Journal of the American Dietetic Association 2002; 102 (3 Suppl.): S4051.

88 K Brown , H McIlveen , C Strugnell . Nutritional awareness and food preferences of young consumers. Nutrition & Food Science 2000; 30: 230235.

90 ET Carbone , MK Campbell , L Honess-Morreale . Use of cognitive interview techniques in the development of nutrition surveys and interactive nutrition messages for low-income populations. Journal of the American Dietetic Association 2002; 102: 690696.

92 JC Brand-Miller . Glycemic load and chronic disease. Nutrition Reviews 2003; 61 (5Pt2): S4955.

93 CB Ebbeling , MM Leidig , KB Sinclair , JP Hangen , DS Ludwig . A reduced-glycemic load diet in the treatment of adolescent obesity. Archives of Pediatrics & Adolescent Medicine 2003; 157: 773779.

97 I De Bourdeaudhuij , J Sallis , C Vandelanotte . Tracking and explanation of physical activity from adolescence to young adulthood. A 7-year prospective study. Research Quarterly for Exercise and Sport 2002; 73: 376385.

100 M Nowak . The weight-conscious adolescent: body image, food intake, and weight-related behaviour. Journal of Adolescent Health 1998; 23: 389398.

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