@misc{10481/77620,
year = {2022},
month = {5},
url = {https://hdl.handle.net/10481/77620},
abstract = {Background and aims: This study aims to examine the associations of food portion size
(PS) with markers of insulin resistance (IR) and clustered of metabolic risk score in European adolescents.
Methods: A total of 495 adolescents (53.5% females) from the Healthy Lifestyle in Europe by
Nutrition in Adolescence (HELENA) study were included. The association between PS from food
groups and homeostasis model assessment of insulin resistance (HOMA-IR) index, VO2 max, and
metabolic risk score was assessed by multilinear regression analysis adjusting for several confounders.
Analysis of covariance (ANCOVA) was used to determine the mean differences of food PS from food groups by HOMA-IR cutoff categories by using maternal education as a covariable.
Results: Larger PS from vegetables in both gender and milk, yoghurt, and milk beverages in males
were associated with higher VO2 max, while larger PS from margarines and vegetable oils were
associated with lower VO2 max (p < 0.05). Males who consumed larger PS from fish and fish
products; meat substitutes, nuts, and pulses; cakes, pies, and biscuits; and sugar, honey, jams,
and chocolate have a higher metabolic risk score (p < 0.05). Males with lower HOMA-IR cutoff
values consumed larger PS from vegetables, milk, yoghurt, and milk beverages (p < 0.05). Females
with lower HOMA-IR cutoff values consumed larger PS from breakfast cereals, while those
with higher HOMA-IR cutoff values consumed larger PS from butter and animal fats (p Z 0.018).
Conclusion: The results show that larger PS from dairy products, cereals, and high energy dense
foods are a significant determinant of IR and VO2 max, and larger PS from food with higher content
of sugar were associated with higher metabolic risk score.},
organization = {European Com-munity Sixth RTD Framework Program	FOODCT-2005-007034},
organization = {Spanish Government},
organization = {European Commission	FJCI-2017-34,967},
publisher = {Elsevier},
keywords = {Food portion size (PS)},
keywords = {VO2 max},
keywords = {Insulin resistance (IR)},
keywords = {Metabolic syndrome (MS)},
keywords = {Adolescents},
title = {Associations between food portion sizes, insulin resistance, VO2 max and metabolic syndrome in European adolescents: The HELENA study},
doi = {10.1016/j.numecd.2022.05.017},
author = {Flieh, S. M. and Castillo Garzón, Manuel and HELENA study group},
}