Clinical and physical characteristics of thinness in adolescents: the HELENA study.

Autor: Vanhelst J; Inserm, CHU Lille, U1286-INFINITE-Institute for Translational Research in Inflammation, Univ. Lille, 59000, Lille, France. jeremy.vanhelst@eren.smbh.univ-paris13.fr.; Université Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Center of Research in Epidemiology and StatisticS (CRESS), Nutritional Epidemiology Research Team (EREN), F-93017, Bobigny, France. jeremy.vanhelst@eren.smbh.univ-paris13.fr., Béghin L; Inserm, CHU Lille, U1286-INFINITE-Institute for Translational Research in Inflammation, Univ. Lille, 59000, Lille, France.; Univ. Lille, Inserm, CHU Lille, CIC 1403-Clinical Investigation Center, 59000, Lille, France., Drumez E; ULR 2694-METRICS: Evaluation des technologies de santé et des pratiques médicales, Univ. Lille, CHU Lille, 59000, Lille, France.; Department of Biostatistics, CHU Lille, 59000, Lille, France., Castillo MJ; Department of Medical Physiology, School of Medicine, University of Granada, Granada, Spain., Kafatos A; Faculty of Medicine, University of Crete, Crete, 71500, Heraklion, Greece., Molnar D; Department of Pediatrics, Medical School, University of Pécs, Pécs, 7624, Hungary., Wildhalm K; Department of Gastroenterology and Hepatology, Medical University of Vienna, 1090, Vienna, Austria., Kersting M; Research Department of Child Nutrition, University Hospital of Pediatrics and Adolescent Medicine, Ruhr-University Bochum, 44791, Bochum, Germany., Gonzales-Gross M; ImFine Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, Spain., Breidenassel C; Department of Nutrition and Food Sciences, University of Bonn, 53115, Bonn, Germany., Censi L; Council for Agricultural Research and Economics, Research Centre for Food and Nutrition, Via Ardeatina 546, Rome, Italy., De Henauw S; Department of Public Health and Primary Care, Ghent University, P/A UZ 4K3, Corneel Heymanslaan 10, B-9000, Ghent, Belgium., Moreno LA; Growth, Exercise, Nutrition and Development (GENUD) Research Group, Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain.; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain., Gottrand F; Inserm, CHU Lille, U1286-INFINITE-Institute for Translational Research in Inflammation, Univ. Lille, 59000, Lille, France.
Jazyk: angličtina
Zdroj: European journal of nutrition [Eur J Nutr] 2023 Jun; Vol. 62 (4), pp. 1731-1742. Date of Electronic Publication: 2023 Feb 19.
DOI: 10.1007/s00394-023-03104-0
Abstrakt: Purpose: Thinness in adolescence has not been studied as extensively as overweight or obesity. The aim of this study was to assess the prevalence, characteristics, and health impacts of thinness in a European adolescent population.
Methods: This study included 2711 adolescents (1479 girls, 1232 boys). Blood pressure, physical fitness, sedentary behaviors, physical activity (PA), and dietary intake were assessed. A medical questionnaire was used to report any associated diseases. A blood sample was collected in a subgroup of the population. Thinness and normal weight were identified using the IOTF scale. Thin adolescents were compared with adolescents of normal weight.
Results: Two hundred and fourteen adolescents (7.9%) were classified as being thin; the prevalence rates were 8.6% in girls and 7.1% in boys. Systolic blood pressure was significantly lower in adolescents with thinness. The age at the first menstrual cycle was significantly later in thin female adolescents than in those with normal weight. Upper-body muscular strength measured in performance tests and time spent in light PA were significantly lower in thin adolescents. The Diet Quality Index was not significantly lower in thin adolescents, but the percentage of adolescents who skipped breakfast was higher in adolescents with a normal weight (27.7% vs 17.1%). Serum creatinine level and HOMA-insulin resistance were lower and vitamin B12 level was higher in thin adolescents.
Conclusions: Thinness affects a notable proportion of European adolescents with no physical adverse health consequences.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.)
Databáze: MEDLINE
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