Dietary animal and plant protein intakes and their associations with obesity and cardio-metabolic indicators in European adolescents: the HELENA cross-sectional study

Nutrition Journal

Inge Huybrechts^1,19  Stefaan De Henauw^1,18  Ligia Esperanza Díaz Prieto^1,17  Sonia Gómez-Martinez^1,17  Kurt Widhalm^1,13  Anthony Kafatos⁸  Denes Molnar^1,12  Herman Van Oyen⁶  Charlene Ottevaere¹  Yannis Manios⁴  Laurent Beghin^2,20  Frederic Gottrand^2,20  Marika Ferrari⁵  Catherine Leclercq⁵  Lena Hallstrom⁹  Evangelia Grammatikaki⁴  Idoia Labayen²  Jara Valtueña^1,16  Marcela González-Gross^1,16  Luis A Moreno^1,10  Magdalena Cuenca-García^1,14  Augusto César F de Moraes^1,11  Selin Bolca^1,15  Mathilde Kersting³  Carine Vereecken⁷  Theodora Mouratidou^1,11  Yi Lin¹ 

[1] Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, UZ – 4K3, De Pintelaan 185, B-9000 Ghent, Belgium;Department of Nutrition and Food Science, University of the Basque Country, Paseo de la Universidad 7, 01006 Vitoria-Gasteiz, Spain;Forschungsinstitut für Kinderernährung, Research Institute of Child Nutrition, Dortmund, Rheinische Friedrich-Wilhelms, Universität Bonn, Heinstück 11, 44225 Dortmund, Germany;Department of Nutrition and Dietetics, Harokopio University, 70, El Venizelou Ave, 17671 Kallithea, Athens, Greece;Agricultural Research Council—Food and Nutrition Research Centre, Via Ardeatina 546, 00178 Rome, Italy;Scientific Institute of Public Health, J. Wytsmanstraat 14, 1050 Brussels, Belgium;Research Foundation – Flanders (FWO), Egmontstraat 5, 1000 Brussels, Belgium;Preventive Medicine and Nutrition Unit, University of Crete, School of Medicine, Heraklion, Crete, Greece;Division of Public Health Sciences and Division of Sociology, School of Health, Care and Social Welfare, Märlardalens University, Box 883, 72123 Västerås, Sweden;Department of Preventive Medicine, School of Medicine of the University of São Paulo, São Paulo, Brazil;Growth, Exercise, Nutrition and Development (GENUD) Research Group, Faculty of Health Sciences, University of Zaragoza, c/ Perdro Cerbuna 12, 50009 Zaragoza, Spain;Department of Pediatrics, University of Pécs, Pécs, József A. u. 7, 7623 Pécs, Hungary;Department of Pediatrics, Private Medical University, Strubergasse 21, 5020 Salzburg, Austria;Department of Medical Physiology, School of Medicine, Granada University, Avenida Madrid 12, 18012 Granada, Spain;Laboratory for Bioinformatics and Computational Genomics (Biobix), Faculty of Bioscience Engineering, Ghent University, Coupure Links 653, B-9000 Ghent, Belgium;ImFine Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences (INEF), Universidad Politécnica de Madrid, Martin Fierro 7, 28040 Madrid, Spain;Immunonutrition Research Group, Department of Metabolism and Nutrition, Institute of Food Science, Technology and Nutrition (ICTAN), Spanish National Research Council (CSIC), 10 Antonio Novais street, 28040 Madrid, Spain;Department of Nutrition and Dietetics, Faculty of Health Care Vesalius, University College Ghent, Keramiekstraat 80, B-9000 Ghent, Belgium;Dietary Exposure Assessment group, International Agency for Research on Cancer, 150 Cours Albert Thomas, 69372 Lyon, CEDEX 08, France;Centre d’Investigation Clinique, CIC-PT-1403-Inserm-CH&U, 59037 Lille, France

关键词: HELENA study;    Biomarkers;    Body composition;    Adolescence;    Protein intake;   

Others  :  1132306
DOI  :  10.1186/1475-2891-14-10

 received in 2014-07-22, accepted in 2014-12-29,  发布年份 2015

【 摘 要 】

Background

Previous studies suggest that dietary protein might play a beneficial role in combating obesity and its related chronic diseases. Total, animal and plant protein intakes and their associations with anthropometry and serum biomarkers in European adolescents using one standardised methodology across European countries are not well documented.

Objectives

To evaluate total, animal and plant protein intakes in European adolescents stratified by gender and age, and to investigate their associations with cardio-metabolic indicators (anthropometry and biomarkers).

Methods

The current analysis included 1804 randomly selected adolescents participating in the HELENA study (conducted in 2006–2007) aged 12.5-17.5 y (47% males) who completed two non-consecutive computerised 24-h dietary recalls. Associations between animal and plant protein intakes, and anthropometry and serum biomarkers were examined with General linear Model multivariate analysis.

Results

Average total protein intake exceeded the recommendations of World Health Organization and European Food Safety Authority. Mean total protein intake was 96 g/d (59% derived from animal protein). Total, animal and plant protein intakes (g/d) were significantly lower in females than in males and total and plant protein intakes were lower in younger participants (12.5-14.9 y). Protein intake was significantly lower in underweight subjects and higher in obese ones; the direction of the relationship was reversed after adjustments for body weight (g/(kg.d)). The inverse association of plant protein intakes was stronger with BMI z-score and body fat percentage (BF%) compared to animal protein intakes. Additionally, BMI and BF% were positively associated with energy percentage of animal protein.

Conclusions

This sample of European adolescents appeared to have adequate total protein intake. Our findings suggest that plant protein intakes may play a role in preventing obesity among European adolescents. Further longitudinal studies are needed to investigate the potential beneficial effects observed in this study in the prevention of obesity and related chronic diseases.

【 授权许可】

   
2015 Lin et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

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