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More Physically Active and Leaner Adolescents Have Higher Energy Intake - 18/12/13

Doi : 10.1016/j.jpeds.2013.08.034 
Magdalena Cuenca-García, PhD 1, , Francisco B. Ortega, PhD 2, 3, Jonatan R. Ruiz, PhD 2, 3, Idoia Labayen, PhD 4, Luis A. Moreno, MD, PhD 5, Emma Patterson, PhD 3, 6, Germán Vicente-Rodríguez, PhD 5, Marcela González-Gross, PhD 7, Ascensión Marcos, PhD 8, Angela Polito, PhD 9, Yannis Manios, PhD 10, Laurent Beghin, PhD 11, 12, Inge Huybrechts, PhD 13, 14, Acki Wästlund, PhD 3, Anita Hurtig-Wennlöf, PhD 3, 15, Maria Hagströmer, PhD 3, Dénes Molnár, PhD 16, Kurt Widhalm, MD 17, Anthony Kafatos, MD, PhD 18, Stefaan De Henauw, MD, PhD 14, 19, Manuel J. Castillo, MD, PhD 1, Bernard Gutin, PhD 20, Michael Sjöström, MD, PhD 3
on behalf of the

HELENA Study Group

  A list of HELENA Study Group members is available at www.jpeds.com/ (Appendix).

1 Department of Medical Physiology, School of Medicine, Granada University, Granada, Spain 
2 Promoting Fitness and Health Through Physical Activity Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, Granada University, Granada, Spain 
3 Unit for Preventive Nutrition, Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden 
4 Department of Nutrition and Food Sciences, Basque Country University, Vitoria, Spain 
5 Growth, Exercise, Nutrition, and Development Research Group, Escuela Universitaria de Ciencias de la Salud, Zaragoza University, Zaragoza, Spain 
6 Division of Social Medicine, Department of Public Health Sciences, Karolinska Institutet, Norrbacka, Sweden 
7 Nutrition, Exercise, and Healthy Lifestyle Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences–National Institute of Physical Activity, Madrid Technical University, Madrid, Spain 
8 Immunonutrition Research Group, Department of Metabolism and Nutrition, Institute of Food Science, Technology and Nutrition, Spanish National Research Council, Madrid, Spain 
9 National Research Institute for Food and Nutrition, Rome, Italy 
10 Department of Nutrition and Dietetics, Harokopio University, Athens, Greece 
11 Centre d'Investigation Clinique, CIC-PT-9301-Health and Medical Research National Institute-University Hospital, Lille, France 
12 Unité INSERM U995 and Université Lille Nord de France, Lille, France 
13 Dietary Exposure Assessment Group, International Agency for Research on Cancer, Lyon, France 
14 Department of Public Health, School of Medicine and Health Sciences, Ghent University, Ghent, Belgium 
15 School of Health and Medical Sciences/Clinical Medicine, Örebro University, Örebro, Sweden 
16 Department of Pediatrics, Pécs University, Pécs, Hungary 
17 Department of Pediatrics, Private Medical University, Salzburg, Austria 
18 Department of Social Medicine, Preventive Medicine and Nutrition Clinic, School of Medicine, Crete University, Crete, Greece 
19 Department of Public Health, Faculty of Medicine and Health Science, Ghent University, Ghent, Belgium 
20 Department of Pediatrics, Georgia Regents University, Augusta, GA 

Reprint requests: Magdalena Cuenca-García, PhD, Department of Medical Physiology, School of Medicine, Granada University, Ave Madrid 12, 18012 Granada, Spain.

Abstract

Objective

To test whether youths who engage in vigorous physical activity are more likely to have lean bodies while ingesting relatively large amounts of energy. For this purpose, we studied the associations of both physical activity and adiposity with energy intake in adolescents.

Study design

The study subjects were adolescents who participated in 1 of 2 cross-sectional studies, the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study (n = 1450; mean age, 14.6 years) or the European Youth Heart Study (EYHS; n = 321; mean age, 15.6 years). Physical activity was measured by accelerometry, and energy intake was measured by 24-hour recall. In the HELENA study, body composition was assessed by 2 or more of the following methods: skinfold thickness, bioelectrical impedance analysis, plus dual-energy X-ray absorptiometry or air-displacement plethysmography in a subsample. In the EYHS, body composition was assessed by skinfold thickness.

Results

Fat mass was inversely associated with energy intake in both studies and using 4 different measurement methods (P ≤ .006). Overall, fat-free mass was positively associated with energy intake in both studies, yet the results were not consistent across measurement methods in the HELENA study. Vigorous physical activity in the HELENA study (P < .05) and moderate physical activity in the EYHS (P < .01) were positively associated with energy intake. Overall, results remained unchanged after adjustment for potential confounding factors, after mutual adjustment among the main exposures (physical activity and fat mass), and after the elimination of obese subjects, who might tend to underreport energy intake, from the analyses.

Conclusion

Our data are consistent with the hypothesis that more physically active and leaner adolescents have higher energy intake than less active adolescents with larger amounts of fat mass.

Le texte complet de cet article est disponible en PDF.

Keyword : BIA, BMI, BMR, DXA, EYHS, HELENA, DIAT, METs, MSM, TEE


Plan


 The HELENA Study Group was supported by the European Community Sixth RTD Framework Programme (Contract FOOD-CT: 2005-007034). The EYHS was supported by grants from the Stockholm County Council. This study also was supported by grants from the Spanish Ministry of Science and Innovation (AP 2008-03806; RYC-2010-05957; RYC-2011-0901). The content of this article reflects only the authors' views, and the European Community is not liable for any use that may be made of the information contained therein. The authors declare no conflicts of interest.


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Vol 164 - N° 1

P. 159 - janvier 2014 Retour au numéro
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