ArticleNutrients2021
The Association between Portion Sizes from High-Energy-Dense Foods and Body Composition in European Adolescents: The HELENA Study.
Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Comprehensive review of carbonated soft drink consumption rates and their public health importance.BMC public health · 2026Pooled it
- A systematic review of the relationship between portion size and indexes of adiposity in children.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Pooled it
- Lifestyle Behaviors and Their Socio-Demographic Correlates Among University-Going Adolescents in Rawalpindi, Pakistan: A Cross-Sectional Study.Health science reports · 2026Article
- How eating behaviours associate to body composition in European adolescents: a cross-sectional analysis from the HELENA study.European journal of clinical nutrition · 2026Article
- Nutritional Status and Mediterranean Diet Adherence in Urban Albanian School-Aged Children and Adolescents: A Cross-Sectional Study.Children (Basel, Switzerland) · 2026Article
- The Genetic Blueprint of Obesity: From Pathogenesis to Novel Therapies.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Review
- 'You just eyeball it': Parent and nursery staff perceptions and influences on child portion size: A reflexive thematic analysis.Nutrition and health · 2025Article
- Impact of household food insecurity and nutrition on depression and anxiety symptoms among adolescents living in rural Pakistan.Global mental health (Cambridge, England) · 2025Article
- Article
- Review
- Differences in Portion Sizes in Brazil, France, and the USA.Foods (Basel, Switzerland) · 2024Article
- Role of Portion Size in the Context of a Healthy, Balanced Diet: A Case Study of European Countries.International journal of environmental research and public health · 2023Article
- Article
- Flavonoid Intake From Cocoa-Based Products and Adiposity Parameters in Adolescents in Spain.Frontiers in nutrition · 2022Article
Corrections and comments
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Authors and funding
17 authors at 13 institutions in 8 countries.
Funding
Abstract
Obesity prevalence has been simultaneously increasing with high consumption of large food portion sizes (PS). However, there is scarce information on PS of energy-dense (ED) foods as a potential risk factor of obesity in adolescents. In the present study, we investigate the association between the PS of the most ED foods and body composition. A sample of 1889 adolescents (54.4% females) from the Healthy Lifestyle in Europe by Nutrition in Adolescence cross-sectional multicenter study (HELENA-CSS) study were included. Most ED foods (e.g., cheese) were selected according to higher fat and/or sugar content and low fiber and water. Linear and ordinal logistic regression models were adjusted for age, physical activity, total energy intake (TEI), and socioeconomic status (SES). Analysis was performed both in those adolescents reporting plausible energy intake according to the approach of Goldberg et al. and in the whole sample. In male plausible reporters, PS from "breakfast cereals" showed a significant and positive association with BMI (β = 0.012; 0.048). PS from "carbonated soft drinks" in males (OR = 1.001; 95% CI 1.000; 1.002) and "bread and rolls" in females (OR = 1.002; 95% CI 1.000; 1.004) were associated with higher probability of having obesity, while "sweet bakery products" were associated with lower probability of having obesity (OR = 0.996; 95% CI 0.991; 0.999) in females. The present study suggests association between PS of ED foods and obesity in European adolescents. Prospective studies are needed to examine the effect of prolonged exposure to large PS and obesity development.
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