RT info:eu-repo/semantics/article T1 Associations between food portion sizes, insulin resistance, VO2 max and metabolic syndrome in European adolescents: The HELENA study A1 Flieh, S.M. A1 Miguel Berges, M.L. A1 Huybrechts, I. A1 Castillo, M.J. A1 Gonzalez Gross, M. A1 Marcos, A. A1 Gottrand, F. A1 Le Donne, C. A1 Widhalm, K. A1 Molnár, Denes A1 Stehle, P. A1 Kafatos, A. A1 Dallongeville, J. A1 Gesteiro, E. A1 Abbeddou, S. A1 Moreno, L.A. A1 González-Gil, E.M. A1 Coordinator, null A1 Core Group members, null A1 De Henauw, S. A1 González-Gross, M. A1 Gilbert, C. A1 Steering Committee, null A1 Libersa, C. A1 Castelló, S. A1 Kersting, M. A1 Sjöstrom, M. A1 Hall, G. A1 Maes, L. A1 Scalfi, L. A1 Project Manager, null A1 Meléndez, P. A1 Casajús, J.A. A1 Fleta, J. A1 Rodríguez, G. A1 Tomás, C. A1 Mesana, M.I. A1 Vicente-Rodríguez, G. A1 Villarroya, A. A1 Gil, C.M. A1 Ara, I. A1 Alvira, J.F. A1 Bueno, G. A1 Bueno, O. A1 León, J.F. A1 Garagorri, J.Ma A1 Labayen, I. A1 Iglesia, I. A1 Bel, S. A1 Gracia Marco, L.A. A1 Mouratidou, T. A1 Santaliestra-Pasías, A. A1 González-Gil, E. A1 De Miguel-Etayo, P. A1 Miguel-Berges, M. A1 Iguacel, I. A1 Rupérez, A. A1 Wärnberg, J. A1 Nova, E. A1 Gómez, S. A1 Díaz, L.E. A1 Romeo, J. A1 Veses, A. A1 Zapatera, B. A1 Pozo, T. A1 Martínez, D. A1 Beghin, L. A1 Iliescu, C. A1 Von Berlepsch, J. A1 Sichert-Hellert, W. A1 Koeppen, E. A1 Molnar, D. A1 Erhardt, E. A1 Csernus, K. A1 Török, K. A1 Bokor, S. A1 Angster, M. A1 Nagy, E.ö A1 Kovács, O. A1 Répasi, J. A1 Codrington, C. A1 Plada, M. A1 Papadaki, A. A1 Sarri, K. A1 Viskadourou, A. A1 Hatzis, C. A1 Kiriakakis, M. A1 Tsibinos, G. A1 Vardavas, C. A1 Sbokos, M. A1 Protoyeraki, E. A1 Fasoulaki, M. A1 Pietrzik, K. A1 Breidenassel, C. A1 Spinneker, A. A1 Al-Tahan, J. A1 Segoviano, M. A1 Berchtold, A. A1 Bierschbach, C. A1 Blatzheim, E. A1 Schuch, A. A1 Pickert, P. A1 Gutiérrez, Á. A1 Ortega, F.B. A1 Ruiz, J.R. A1 Artero, E.G. A1 España, V. A1 Jiménez-Pavón, D. A1 Chillón, P. A1 Sánchez-Muñoz, C. A1 Cuenca, M. A1 former INRAN, null A1 Arcella, D. A1 Azzini, E. A1 Barrison, E. A1 Bevilacqua, N. A1 Buonocore, P. A1 Catasta, G. A1 Censi, L. A1 Ciarapica, D. A1 D'Acapito, P. A1 Ferrari, M. A1 Galfo, M. A1 Leclercq, C. A1 Maiani, G. A1 Mauro, B. A1 Mistura, L. A1 Pasquali, A. A1 Piccinelli, R. A1 Polito, A. A1 Roccaldo, R. A1 Spada, R. A1 Sette, S. A1 Zaccaria, M. A1 Vitaglione, P. A1 Montagnese, C. A1 De Bourdeaudhuij, I. A1 De Vriendt, T. A1 Matthys, C. A1 Vereecken, C. A1 de Maeyer, M. A1 Ottevaere, C. A1 Phillipp, K. A1 Dietrich, S. A1 Kubelka, B. A1 Boriss-Riedl, M. A1 Manios, Y. A1 Grammatikaki, E. A1 Bouloubasi, Z. A1 Cook, T.L. A1 Eleutheriou, S. A1 Consta, O. A1 Moschonis, G. A1 Katsaroli, I. A1 Kraniou, G. A1 Papoutsou, S. A1 Keke, D. A1 Petraki, I. A1 Bellou, E. A1 Tanagra, S. A1 Kallianoti, K. A1 Argyropoulou, D. A1 Tsikrika, S. A1 Karaiskos, C. A1 Meirhaeghe, A. A1 Hagströmer, M. A1 Wennlöf, A.H. A1 Hallström, L. A1 Patterson, E. A1 Kwak, L. A1 Rizzo, N. A1 Sánchez-Molero, J. A1 Picó, E. A1 Navarro, M. A1 Viadel, B. A1 Carreres, J.E. A1 Merino, G. A1 Sanjuán, R. A1 Lorente, M. A1 Sánchez, M.J. A1 Thoma-IRs, S. A1 Allchurch, E. A1 Burgess, P. A1 Astrom, A. A1 Sverkén, A. A1 Broberg, A. A1 Masson, A. A1 Lehoux, C. A1 Brabant, P. A1 Pate, P. A1 Fontaine, L. A1 Sebok, A. A1 Kuti, T. A1 Hegyi, A. A1 Maldonado, C. A1 Llorente, A. A1 García, E. A1 von Fircks, H. A1 Hallberg, M.L. A1 Messerer, M. A1 Larsson, M. A1 Fredriksson, H. A1 Adamsson, V. A1 Börjesson, I. A1 Fernández, L. A1 Smillie, L. A1 Wills, J. A1 Pedrero-Chamizo, R. A1 Meléndez, A. A1 Valtueña, J. A1 Albers, U. A1 Benito, P.J. A1 Gómez Lorente, J.J. A1 Cañada, D. A1 Urzanqui, A. A1 Torres, R.M. A1 Navarro, P. K1 Food portion size (PS) K1 VO2 max K1 Insulin resistance (IR) K1 Metabolic syndrome (MS) K1 Adolescents K1 Adolescentes K1 Teenagers AB Background and aimsThis 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.MethodsA 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.ResultsLarger 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 = 0.018).ConclusionThe 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. PB Elsevier SN 0939-4753 YR 2022 FD 2022-05 LK https://hdl.handle.net/10259/12086 UL https://hdl.handle.net/10259/12086 LA eng DS Repositorio Institucional de la Universidad de Burgos RD 16-sep-2026