<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Leandro Teixeira Cacau</style></author><author><style face="normal" font="default" size="100%">Giles T Hanley-Cook</style></author><author><style face="normal" font="default" size="100%">Stefanie Vandevijvere</style></author><author><style face="normal" font="default" size="100%">Catherine Leclercq</style></author><author><style face="normal" font="default" size="100%">De Henauw, Stefaan</style></author><author><style face="normal" font="default" size="100%">Alba Santaliestra-Pasias</style></author><author><style face="normal" font="default" size="100%">Yannis Manios</style></author><author><style face="normal" font="default" size="100%">Niki Mourouti</style></author><author><style face="normal" font="default" size="100%">Ligia Esperanza Díaz</style></author><author><style face="normal" font="default" size="100%">Marcela Gonzalez-Gross</style></author><author><style face="normal" font="default" size="100%">Kurt Widhalm</style></author><author><style face="normal" font="default" size="100%">Dénes Molnar</style></author><author><style face="normal" font="default" size="100%">Peter Stehle</style></author><author><style face="normal" font="default" size="100%">Anthony Kafatos</style></author><author><style face="normal" font="default" size="100%">Frederic Gottrand</style></author><author><style face="normal" font="default" size="100%">Mathilde Kersting</style></author><author><style face="normal" font="default" size="100%">Manuel Castillo</style></author><author><style face="normal" font="default" size="100%">Lachat, Carl</style></author><author><style face="normal" font="default" size="100%">Dirce Maria Marchioni</style></author><author><style face="normal" font="default" size="100%">Huybrechts, Inge</style></author><author><style face="normal" font="default" size="100%">Luis A Moreno</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Association between adherence to the EAT-Lancet sustainable reference diet and cardiovascular health among European adolescents: the HELENA study.</style></title><secondary-title><style face="normal" font="default" size="100%">Eur J Clin Nutr</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2023</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2023 Dec 13</style></date></pub-dates></dates><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;b&gt;BACKGROUND: &lt;/b&gt;The EAT-Lancet Commission proposed a global reference diet to promote healthy diets within planetary boundaries. Studies evaluating the associations between the reference diet with health outcomes among adolescents are scarce. Thus, our aim was to assess the association between adherence to the EAT-Lancet diet and cardiovascular health among European adolescents.&lt;/p&gt;

&lt;p&gt;&lt;b&gt;METHODS: &lt;/b&gt;Data from the HELENA study were used. Usual dietary intake was assessed using two 24-h dietary recalls and adherence to the EAT-Lancet diet was assessed using the Planetary Health Diet Index (PHDI), a 16-component index that ranges from 0 to 150 points. Cardiovascular health was assessed through the seven-component Ideal Cardiovascular Health (ICH) score: never smoked, eutrophic body mass index, moderate-to-vigorous physical activity, healthy dietary pattern, low blood pressure, low fasting plasma glucose, and low total cholesterol. Total ICH score was categorized into ideal (5-7) and non-ideal (0-4).&lt;/p&gt;

&lt;p&gt;&lt;b&gt;RESULTS: &lt;/b&gt;A 10-point increment in the PHDI was associated with a lower probability of a non-ideal ICH status (OR 0.84, [95% CI: 0.75, 0.94]) among European adolescents, after adjusting for age, sex, socio-economic status, and total energy intake. Furthermore, a 10-point increment in the PHDI was associated with lower probability of high blood pressure (OR: 0.87 [0.79, 0.96]) and a lower probability of high blood cholesterol (OR: 0.88 [0.78, 0.99]).&lt;/p&gt;

&lt;p&gt;&lt;b&gt;CONCLUSION: &lt;/b&gt;Our study suggests that a higher PHDI may be associated with a better cardiovascular health status among European adolescents.&lt;/p&gt;
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