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Article

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

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Growth, 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, Spain
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Genetic and Molecular Epidemiology Group (GMEG), Spanish National Cancer Research Centre (CNIO), 28029 Madrid, Spain
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Department of Physiatry and Nursing, Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, Spain
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CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Madrid, Spain
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ImFine Research Group, Department of Health and Human Performance, Facultad de Ciencias de la Actividad Física y del Deporte-INEF, Universidad Politécnica de Madrid, 28040 Madrid, Spain
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Institute of Nutritional and Food Sciences, Nutritional Physiology, University of Bonn, 53113 Bonn, Germany
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Department of Pediatrics, Medical School, University of Pécs, 7623 Pécs, Hungary
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Department of Applied Science of Nutrition, Council for Agricultural Research and Economics, Research Center for Food and Nutrition, 00198 Rome, Italy
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EFFECTS 262 Department of Medical Physiology, School of Medicine, University of Granada, 18071 Granada, Spain
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CHU Lille, Inserm U1286 INFINITE, University of Lille, F-59000 Lille, France
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Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium
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Department of Nutrition and Dietetics, School of Health Science & Education, Harokopio University, 176 71 Athens, Greece
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Division of Clinical Nutrition and Prevention, Department of Paediatrics, Medical University of Vienna, Austria and Austrian Academic Institute for Clinical Nutrition, 1090 Vienna, Austria
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Faculty of Medicine, University of Crete, 715 00 Crete, Greece
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Department of Epidemiology Public Health, Institut Pasteur de Lille, 59800 Lille, France
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Escuela Politécnica de La Almunia, Universidad de Zaragoza, 50100 Zaragoza, Spain
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Department of Health Sciences, Public University of Navarra, 31006 Pamplona, Spain
*
Author to whom correspondence should be addressed.
Membership of HELENA study group is provided in Appendix A.
Academic Editor: Maria Annunziata Carluccio
Nutrients 2021, 13(2), 474; https://doi.org/10.3390/nu13020474
Received: 31 December 2020 / Revised: 23 January 2021 / Accepted: 27 January 2021 / Published: 30 January 2021
(This article belongs to the Special Issue Diet Quality, Physical Activity, and Fitness in Young Populations)
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. View Full-Text
Keywords: Mediterranean diet; sedentary time; adiposity; adolescents; gender and HELENA Mediterranean diet; sedentary time; adiposity; adolescents; gender and HELENA
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MDPI and ACS Style

Seral-Cortes, M.; Sabroso-Lasa, S.; Bailo-Aysa, A.; Gonzalez-Gross, M.; Molnár, D.; Censi, L.; Molina-Hidalgo, C.; Gottrand, F.; Henauw, S.D.; Manios, Y.; Mavrogianni, C.; Widhalm, K.; Kafatos, A.; Dallongeville, J.; Moreno, L.A.; Esteban, L.M.; Labayen, I.; De Miguel-Etayo, P.; 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 2021, 13, 474. https://doi.org/10.3390/nu13020474

AMA Style

Seral-Cortes M, Sabroso-Lasa S, Bailo-Aysa A, Gonzalez-Gross M, Molnár D, Censi L, Molina-Hidalgo C, Gottrand F, Henauw SD, Manios Y, Mavrogianni C, Widhalm K, Kafatos A, Dallongeville J, Moreno LA, Esteban LM, Labayen I, De Miguel-Etayo P, 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. 2021; 13(2):474. https://doi.org/10.3390/nu13020474

Chicago/Turabian Style

Seral-Cortes, Miguel, Sergio Sabroso-Lasa, Alexandro Bailo-Aysa, Marcela Gonzalez-Gross, Dénes Molnár, Laura Censi, Cristina Molina-Hidalgo, Frederic Gottrand, Stefaan D. Henauw, Yannis Manios, Christina Mavrogianni, Kurt Widhalm, Anthony Kafatos, Jean Dallongeville, Luis A. Moreno, Luis M. Esteban, Idoia Labayen, Pilar De Miguel-Etayo, and on behalf of the HELENA Study Group. 2021. "Mediterranean Diet, Screen-Time-Based Sedentary Behavior and Their Interaction Effect on Adiposity in European Adolescents: The HELENA Study" Nutrients 13, no. 2: 474. https://doi.org/10.3390/nu13020474

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