Mediterranean Diet, Screen-Time-Based Sedentary Behavior and Their Interaction Effect on Adiposity in European Adolescents: The HELENA Study

Childhood obesity is a worldwide epidemic. Mediterranean diet (MD) is inversely associated with childhood obesity, but the interaction with other environmental factors, such screen time, might influence the health benefits of a high MD adherence in adolescents. The aim of the present study was to as...

Full description

Bibliographic Details
Main Authors: Miguel Seral-Cortes, Sergio Sabroso-Lasa, Alexandro Bailo-Aysa, Marcela Gonzalez-Gross, Dénes Molnár, Laura Censi, Cristina Molina-Hidalgo, Frederic Gottrand, Stefaan De Henauw, Yannis Manios, Christina Mavrogianni, Kurt Widhalm, Anthony Kafatos, Jean Dallongeville, Luis A. Moreno, Luis Mariano Esteban, Idoia Labayen, Pilar De Miguel-Etayo, on behalf of the HELENA Study Group
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/2/474
_version_ 1797417614005239808
author Miguel Seral-Cortes
Sergio Sabroso-Lasa
Alexandro Bailo-Aysa
Marcela Gonzalez-Gross
Dénes Molnár
Laura Censi
Cristina Molina-Hidalgo
Frederic Gottrand
Stefaan De Henauw
Yannis Manios
Christina Mavrogianni
Kurt Widhalm
Anthony Kafatos
Jean Dallongeville
Luis A. Moreno
Luis Mariano Esteban
Idoia Labayen
Pilar De Miguel-Etayo
on behalf of the HELENA Study Group
author_facet Miguel Seral-Cortes
Sergio Sabroso-Lasa
Alexandro Bailo-Aysa
Marcela Gonzalez-Gross
Dénes Molnár
Laura Censi
Cristina Molina-Hidalgo
Frederic Gottrand
Stefaan De Henauw
Yannis Manios
Christina Mavrogianni
Kurt Widhalm
Anthony Kafatos
Jean Dallongeville
Luis A. Moreno
Luis Mariano Esteban
Idoia Labayen
Pilar De Miguel-Etayo
on behalf of the HELENA Study Group
author_sort Miguel Seral-Cortes
collection DOAJ
description Childhood obesity is a worldwide epidemic. Mediterranean diet (MD) is inversely associated with childhood obesity, but the interaction with other environmental factors, such screen time, might influence the health benefits of a high MD adherence in adolescents. The aim of the present study was to assess whether an association between MD and screen time exists in European adolescents. Moreover, we also explored whether sedentary time has a modulatory effect on the association between MD and adiposity. Adherence to the MD (24 h recalls), screen time (questionnaire), pubertal development, body mass index (BMI), fat mass index (FMI) and waist circumference (WC) were evaluated in 2053 adolescents (54.7% females), aged 12.5–17.5 years. In females, MD adherence was associated with lower BMI and FMI only when they were exposed to less than 338 min/day of screen time (81.8% of females); MD adherence was also associated with lower WC only when females were exposed to less than 143 min/day of screen time (31.5% of females). No significant MD-screen time interaction was observed in males. In conclusion, screen-time-based sedentary behaviours had a modulatory effect in the association between MD adherence and adiposity in European female adolescents.
first_indexed 2024-03-09T06:21:22Z
format Article
id doaj.art-f1c262ae4ace4f349281651266201a13
institution Directory Open Access Journal
issn 2072-6643
language English
last_indexed 2024-03-09T06:21:22Z
publishDate 2021-01-01
publisher MDPI AG
record_format Article
series Nutrients
spelling doaj.art-f1c262ae4ace4f349281651266201a132023-12-03T11:47:35ZengMDPI AGNutrients2072-66432021-01-0113247410.3390/nu13020474Mediterranean Diet, Screen-Time-Based Sedentary Behavior and Their Interaction Effect on Adiposity in European Adolescents: The HELENA StudyMiguel Seral-Cortes0Sergio Sabroso-Lasa1Alexandro Bailo-Aysa2Marcela Gonzalez-Gross3Dénes Molnár4Laura Censi5Cristina Molina-Hidalgo6Frederic Gottrand7Stefaan De Henauw8Yannis Manios9Christina Mavrogianni10Kurt Widhalm11Anthony Kafatos12Jean Dallongeville13Luis A. Moreno14Luis Mariano Esteban15Idoia Labayen16Pilar De Miguel-Etayo17on behalf of the HELENA Study GroupGrowth, Exercise, NUtrition and Development (GENUD) Research Group, Faculty of Health Sciences, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón),Universidad de Zaragoza, 50009 Zaragoza, SpainGenetic and Molecular Epidemiology Group (GMEG), Spanish National Cancer Research Centre (CNIO), 28029 Madrid, SpainDepartment of Physiatry and Nursing, Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Madrid, SpainDepartment of Pediatrics, Medical School, University of Pécs, 7623 Pécs, HungaryDepartment of Applied Science of Nutrition, Council for Agricultural Research and Economics, Research Center for Food and Nutrition, 00198 Rome, ItalyEFFECTS 262 Department of Medical Physiology, School of Medicine, University of Granada, 18071 Granada, SpainCHU Lille, Inserm U1286 INFINITE, University of Lille, F-59000 Lille, FranceDepartment of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, BelgiumDepartment of Nutrition and Dietetics, School of Health Science & Education, Harokopio University, 176 71 Athens, GreeceDepartment of Nutrition and Dietetics, School of Health Science & Education, Harokopio University, 176 71 Athens, GreeceDivision of Clinical Nutrition and Prevention, Department of Paediatrics, Medical University of Vienna, Austria and Austrian Academic Institute for Clinical Nutrition, 1090 Vienna, AustriaFaculty of Medicine, University of Crete, 715 00 Crete, GreeceDepartment of Epidemiology Public Health, Institut Pasteur de Lille, 59800 Lille, FranceGrowth, Exercise, NUtrition and Development (GENUD) Research Group, Faculty of Health Sciences, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón),Universidad de Zaragoza, 50009 Zaragoza, SpainEscuela Politécnica de La Almunia, Universidad de Zaragoza, 50100 Zaragoza, SpainDepartment of Health Sciences, Public University of Navarra, 31006 Pamplona, SpainGrowth, Exercise, NUtrition and Development (GENUD) Research Group, Faculty of Health Sciences, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón),Universidad de Zaragoza, 50009 Zaragoza, SpainChildhood obesity is a worldwide epidemic. Mediterranean diet (MD) is inversely associated with childhood obesity, but the interaction with other environmental factors, such screen time, might influence the health benefits of a high MD adherence in adolescents. The aim of the present study was to assess whether an association between MD and screen time exists in European adolescents. Moreover, we also explored whether sedentary time has a modulatory effect on the association between MD and adiposity. Adherence to the MD (24 h recalls), screen time (questionnaire), pubertal development, body mass index (BMI), fat mass index (FMI) and waist circumference (WC) were evaluated in 2053 adolescents (54.7% females), aged 12.5–17.5 years. In females, MD adherence was associated with lower BMI and FMI only when they were exposed to less than 338 min/day of screen time (81.8% of females); MD adherence was also associated with lower WC only when females were exposed to less than 143 min/day of screen time (31.5% of females). No significant MD-screen time interaction was observed in males. In conclusion, screen-time-based sedentary behaviours had a modulatory effect in the association between MD adherence and adiposity in European female adolescents.https://www.mdpi.com/2072-6643/13/2/474Mediterranean dietsedentary timeadiposityadolescentsgender and HELENA
spellingShingle Miguel Seral-Cortes
Sergio Sabroso-Lasa
Alexandro Bailo-Aysa
Marcela Gonzalez-Gross
Dénes Molnár
Laura Censi
Cristina Molina-Hidalgo
Frederic Gottrand
Stefaan De Henauw
Yannis Manios
Christina Mavrogianni
Kurt Widhalm
Anthony Kafatos
Jean Dallongeville
Luis A. Moreno
Luis Mariano Esteban
Idoia Labayen
Pilar De Miguel-Etayo
on behalf of the HELENA Study Group
Mediterranean Diet, Screen-Time-Based Sedentary Behavior and Their Interaction Effect on Adiposity in European Adolescents: The HELENA Study
Nutrients
Mediterranean diet
sedentary time
adiposity
adolescents
gender and HELENA
title Mediterranean Diet, Screen-Time-Based Sedentary Behavior and Their Interaction Effect on Adiposity in European Adolescents: The HELENA Study
title_full Mediterranean Diet, Screen-Time-Based Sedentary Behavior and Their Interaction Effect on Adiposity in European Adolescents: The HELENA Study
title_fullStr Mediterranean Diet, Screen-Time-Based Sedentary Behavior and Their Interaction Effect on Adiposity in European Adolescents: The HELENA Study
title_full_unstemmed Mediterranean Diet, Screen-Time-Based Sedentary Behavior and Their Interaction Effect on Adiposity in European Adolescents: The HELENA Study
title_short Mediterranean Diet, Screen-Time-Based Sedentary Behavior and Their Interaction Effect on Adiposity in European Adolescents: The HELENA Study
title_sort mediterranean diet screen time based sedentary behavior and their interaction effect on adiposity in european adolescents the helena study
topic Mediterranean diet
sedentary time
adiposity
adolescents
gender and HELENA
url https://www.mdpi.com/2072-6643/13/2/474
work_keys_str_mv AT miguelseralcortes mediterraneandietscreentimebasedsedentarybehaviorandtheirinteractioneffectonadiposityineuropeanadolescentsthehelenastudy
AT sergiosabrosolasa mediterraneandietscreentimebasedsedentarybehaviorandtheirinteractioneffectonadiposityineuropeanadolescentsthehelenastudy
AT alexandrobailoaysa mediterraneandietscreentimebasedsedentarybehaviorandtheirinteractioneffectonadiposityineuropeanadolescentsthehelenastudy
AT marcelagonzalezgross mediterraneandietscreentimebasedsedentarybehaviorandtheirinteractioneffectonadiposityineuropeanadolescentsthehelenastudy
AT denesmolnar mediterraneandietscreentimebasedsedentarybehaviorandtheirinteractioneffectonadiposityineuropeanadolescentsthehelenastudy
AT lauracensi mediterraneandietscreentimebasedsedentarybehaviorandtheirinteractioneffectonadiposityineuropeanadolescentsthehelenastudy
AT cristinamolinahidalgo mediterraneandietscreentimebasedsedentarybehaviorandtheirinteractioneffectonadiposityineuropeanadolescentsthehelenastudy
AT fredericgottrand mediterraneandietscreentimebasedsedentarybehaviorandtheirinteractioneffectonadiposityineuropeanadolescentsthehelenastudy
AT stefaandehenauw mediterraneandietscreentimebasedsedentarybehaviorandtheirinteractioneffectonadiposityineuropeanadolescentsthehelenastudy
AT yannismanios mediterraneandietscreentimebasedsedentarybehaviorandtheirinteractioneffectonadiposityineuropeanadolescentsthehelenastudy
AT christinamavrogianni mediterraneandietscreentimebasedsedentarybehaviorandtheirinteractioneffectonadiposityineuropeanadolescentsthehelenastudy
AT kurtwidhalm mediterraneandietscreentimebasedsedentarybehaviorandtheirinteractioneffectonadiposityineuropeanadolescentsthehelenastudy
AT anthonykafatos mediterraneandietscreentimebasedsedentarybehaviorandtheirinteractioneffectonadiposityineuropeanadolescentsthehelenastudy
AT jeandallongeville mediterraneandietscreentimebasedsedentarybehaviorandtheirinteractioneffectonadiposityineuropeanadolescentsthehelenastudy
AT luisamoreno mediterraneandietscreentimebasedsedentarybehaviorandtheirinteractioneffectonadiposityineuropeanadolescentsthehelenastudy
AT luismarianoesteban mediterraneandietscreentimebasedsedentarybehaviorandtheirinteractioneffectonadiposityineuropeanadolescentsthehelenastudy
AT idoialabayen mediterraneandietscreentimebasedsedentarybehaviorandtheirinteractioneffectonadiposityineuropeanadolescentsthehelenastudy
AT pilardemigueletayo mediterraneandietscreentimebasedsedentarybehaviorandtheirinteractioneffectonadiposityineuropeanadolescentsthehelenastudy
AT onbehalfofthehelenastudygroup mediterraneandietscreentimebasedsedentarybehaviorandtheirinteractioneffectonadiposityineuropeanadolescentsthehelenastudy