Evidence map›Paper›PMID 29974229›Full record

ArticleEuropean journal of nutrition2019

Diet as a moderator in the association of sedentary behaviors with inflammatory biomarkers among adolescents in the HELENA study.

Aline B Arouca, Alba M Santaliestra-Pasías, Luis A Moreno, Ascensión Marcos, Kurt Widhalm, Dénes Molnár, Yannis Manios, Frederic Gottrand, Anthony Kafatos, Mathilde Kersting and 9 more

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In one paragraph

Article in European journal of nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Use of the Dietary Inflammatory Index to Assess the Diet of Young Physically Active Men.International journal of environmental research and public health · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Homocysteine: Its Possible Emerging Role in At-Risk Population Groups.International journal of molecular sciences · 2020
    Review
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 11 institutions in 9 countries.

Aline B AroucaDepartment of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, Block K3-4th floor, 9000, Ghent, Belgium. aline.barbedoarouca@ugent.be.
Alba M Santaliestra-PasíasGENUD: "Growth, Exercise, Nutrition and Development" Research Group, Facultad de Ciencias de la Salud, University of Zaragoza, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain.
Luis A MorenoGENUD: "Growth, Exercise, Nutrition and Development" Research Group, Facultad de Ciencias de la Salud, University of Zaragoza, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain.
Ascensión MarcosDepartment of Metabolism and Nutrition, Institute of Food Science and Technology and Nutrition, Madrid, Spain.
Kurt WidhalmDepartment of Pediatrics, Div. Nutrition and Metabolism, Medical University of Vienna, Vienna, Austria.
Dénes MolnárDepartment of Pediatrics, Medical Faculty, University of Pécs, Pécs, Hungary.
Yannis ManiosDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece.
Frederic GottrandFaculty of Medicine, University Lille, Lille, France.
Anthony KafatosFaculty of Medicine, University of Crete, Crete, Greece.
Mathilde KerstingResearch Department of Child Nutrition, Pediatric University Clinic, Ruhr-University Bochum, Bochum, Germany.
Michael SjöströmDepartment of Biosciences, Unit for Preventive Nutrition, Karolinska Institutet, Huddinge, Sweden.
Ángel Gutiérrez SáinzDepartment of Physiology, School of Medicine, Granada University, Granada, Spain.
Marika FerrariCouncil for Agricultural Research and Economics, Research Center for Food and Nutrition, Rome, Italy.
Inge HuybrechtsDepartment of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, Block K3-4th floor, 9000, Ghent, Belgium.
Marcela González-GrossImFINE Research Group. Department of Health and Human Performance, Facultad de Ciencias de la Actividad Física y del Deporte-INEF, Universidad Politécnica de Madrid, Madrid, Spain.
Maria ForsnerSchool of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
Stefaan De HenauwDepartment of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, Block K3-4th floor, 9000, Ghent, Belgium.
Nathalie MichelsDepartment of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, Block K3-4th floor, 9000, Ghent, Belgium.
HELENA study group
Ghent University · BEUniversidad de Zaragoza · ESDalarna University · SEUniversidad de Granada · ESUniversity of Crete · GRCereal Research Centre · ITHarokopio University of Athens · GRInstituto de Ciencia y Tecnología de Alimentos y Nutrición · ESKarolinska Institutet · SEMedical University of Vienna · ATUniversité de Lille · FR

Funding

World Health Organization 001
6 · The paper itself

Abstract

aimTo assess if a healthy diet might attenuate the positive sedentary-inflammation relation, whereas an unhealthy diet may increase the effect of sedentary behaviors on inflammatory biomarkers.

methodsIn 618 adolescents (13-17 years) of the European HELENA study, data were available on body composition, a set of inflammation markers, and food intake assessed by a self-administered computerized 24 h dietary recall for 2 days. A 9-point Mediterranean diet score and an antioxidant-rich diet z-score were used as dietary indices and tested as moderators. A set of low-grade inflammatory characteristics was used as outcome: several cytokines in an inflammatory ratio (IL-6, IL-10, TNF-α, TGFβ-1), C-reactive protein, three cell-adhesion molecules (sVCAM-1, sICAM-1, sE-selectin), three cardiovascular risk markers (GGT, ALT, homocysteine) and three immune cell types (white blood cells, lymphocytes, CD3). Sedentary behaviors were self-reported and analyzed as total screen time. Multiple linear regression analyses tested moderation by diet in the sedentary behaviors-inflammation association adjusted for age, sex, country, adiposity (sum of six skinfolds), parental education, and socio-economic status.

resultsBoth diet scores, Mediterranean and antioxidant-rich diet, were significant protective moderators in the effect of sedentary behaviors on alanine-transaminase enzyme (P = 0.014; P = 0.027), and on the pro/anti-inflammatory cytokine ratio (P = 0.001; P = 0.004), but not on other inflammatory parameters.

conclusionA higher adherence to the Mediterranean diet or an antioxidant-rich diet may attenuate the onset of oxidative stress signs associated by sedentary behaviors, whereas a poor diet seems to increase inflammation.

Indexed as

Adolescent BehaviorSedentary BehaviorAdolescentAntioxidantsBiomarkersDietDiet, MediterraneanEuropeFemaleHumansInflammationMaleAntioxidantsBiomarkersAdolescentsHELENA studyLow-grade inflammationMediterranean dietModerationSedentary behavior

Identifiers

PMID29974229
OpenAlexW2811235587

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.