TY - JOUR
T1 - Cardiometabolic Risk is Positively Associated with Underreporting and Inversely Associated with Overreporting of Energy Intake Among European Adolescents
T2 - The Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) Study
AU - González-Gil, Esther
AU - Huybrechts, Inge
AU - Nutrición, CIBER Fisiopatología de la Obesidad
AU - Béghin, Laurent
AU - Breidenassel, Christina
AU - Gesteiro, Eva
AU - González-Gross, Marcela
AU - De Henauw, Stefaan
AU - Kersting, Mathilde
AU - Le Donne, Cinzia
AU - Manios, Yannis
AU - Marcos, Ascensión
AU - Meirhaeghe, Aline
AU - De Miguel-Etayo, Pilar
AU - Molina-Hidalgo, Cristina
AU - Molnár, Denés
AU - Papadaki, Angeliki
AU - Widhalm, Kurt
AU - Moreno, Luis A.
AU - Bel-Serrat, Silvia
N1 - Publisher Copyright:
© 2021 The Author(s) 2021. Published by Oxford University Press on behalf of the American Society for Nutrition.
PY - 2021/3/11
Y1 - 2021/3/11
N2 - Background: Dietary misreporting is the main limitation of dietary assessment and has been associated with body mass index in youth. However there are no prior studies assessing missreporting and cardiometabolic risk (CMR) in adolescence.
Objectives: The aim was to examine the associations between dietary misreporting and CMR factors in adolescents and to assess the potential bias on the association between CMR and energy intake (EI) driven by dietary misreporting.
Methods: Two 24-hour dietary recalls were obtained from 1,512 European adolescents (54.8% girls) aged 12.5-17.5 years. Physical activity was measured by accelerometry. Cut-offs suggested by Huang were applied to identify misreporters. Height, waist circumference (WC), sum of four skinfold thicknesses, diastolic (DBP) and systolic blood pressure (SBP), and cardiorespiratory fitness (CRF) were taken and serum triglycerides and total-/high-density lipoprotein cholesterol ratio (TC/HDL-c) were analyzed. A sex- and age-specific clustered CMR score (n=364) was computed. Associations were investigated by multilevel regression analyses adjusting for age, sex, center, socioeconomic status and physical activity.
Results: Under-reporting (24.8% adolescents) was significantly (p<0.05) associated with higher WC, waist-to-height ratio (WHeR) and sum of skinfold thickness whereas overreporting (23.4% adolescents) was significantly associated with lower WC, WHeR, sum of skinfold thickness and SBP. Associations between CMR factors and EI were significantly affected by misreporting considering various approaches. Significant positive associations became inverse after adjusting for misreporting for WC and WHeR. The opposite was true for sum of skinfold thickness, SBP and CMR score. Associations between EI and DBP and CRF did not remain significant after adjusting for misreporting.
Conclusions: CMR factors differed among misreporting groups and both abdominal and total fat mass indicators were more strongly associated with all forms of misreporting than BMI. Moreover, misreporting seems to bias EI and CMR associations in adolescents. Therefore, energy misreporting should be taken into account when examining diet-CMR associations.
AB - Background: Dietary misreporting is the main limitation of dietary assessment and has been associated with body mass index in youth. However there are no prior studies assessing missreporting and cardiometabolic risk (CMR) in adolescence.
Objectives: The aim was to examine the associations between dietary misreporting and CMR factors in adolescents and to assess the potential bias on the association between CMR and energy intake (EI) driven by dietary misreporting.
Methods: Two 24-hour dietary recalls were obtained from 1,512 European adolescents (54.8% girls) aged 12.5-17.5 years. Physical activity was measured by accelerometry. Cut-offs suggested by Huang were applied to identify misreporters. Height, waist circumference (WC), sum of four skinfold thicknesses, diastolic (DBP) and systolic blood pressure (SBP), and cardiorespiratory fitness (CRF) were taken and serum triglycerides and total-/high-density lipoprotein cholesterol ratio (TC/HDL-c) were analyzed. A sex- and age-specific clustered CMR score (n=364) was computed. Associations were investigated by multilevel regression analyses adjusting for age, sex, center, socioeconomic status and physical activity.
Results: Under-reporting (24.8% adolescents) was significantly (p<0.05) associated with higher WC, waist-to-height ratio (WHeR) and sum of skinfold thickness whereas overreporting (23.4% adolescents) was significantly associated with lower WC, WHeR, sum of skinfold thickness and SBP. Associations between CMR factors and EI were significantly affected by misreporting considering various approaches. Significant positive associations became inverse after adjusting for misreporting for WC and WHeR. The opposite was true for sum of skinfold thickness, SBP and CMR score. Associations between EI and DBP and CRF did not remain significant after adjusting for misreporting.
Conclusions: CMR factors differed among misreporting groups and both abdominal and total fat mass indicators were more strongly associated with all forms of misreporting than BMI. Moreover, misreporting seems to bias EI and CMR associations in adolescents. Therefore, energy misreporting should be taken into account when examining diet-CMR associations.
KW - Diet
KW - cardiometabolic risk
KW - energy misreporting
KW - Adolescence
KW - HELENA study
U2 - 10.1093/jn/nxaa389
DO - 10.1093/jn/nxaa389
M3 - Article (Academic Journal)
C2 - 33484148
SN - 0022-3166
VL - 151
SP - 675
EP - 684
JO - Journal of Nutrition
JF - Journal of Nutrition
IS - 3
ER -