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Published in: European Journal of Nutrition 6/2019

01-09-2019 | Original Contribution

Estimated dietary intake of polyphenols in European adolescents: the HELENA study

Authors: Ratih Wirapuspita Wisnuwardani, Stefaan De Henauw, Odysseas Androutsos, Maria Forsner, Frédéric Gottrand, Inge Huybrechts, Viktoria Knaze, Mathilde Kersting, Cinzia Le Donne, Ascensión Marcos, Dénes Molnár, Joseph A. Rothwell, Augustin Scalbert, Michael Sjöström, Kurt Widhalm, Luis A. Moreno, Nathalie Michels

Published in: European Journal of Nutrition | Issue 6/2019

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Abstract

Purpose

Knowledge about polyphenols intakes and their determinants among adolescents might be helpful for planning targeted prevention strategies at an early age.

Methods

In the European multicenter cross-sectional HELENA study of 2006–2007, 2428 subjects (47% boys) had data on dietary intake of polyphenols from 2 non-consecutive 24 h recalls via linking with the Phenol-Explorer database. Differences by sex, age, country, BMI, maternal education, paternal education, family affluence, smoking status, alcohol use, and physical activity were explored by linear regression.

Results

Median, lower and upper quartiles of polyphenol intakes were 326, 167 and 564 mg/day, respectively. Polyphenol intake was significantly higher in the oldest (16–17.49 years), girls, non-Mediterranean countries, lowest BMI, highest paternal education, and alcohol consumers. Main food contributors were fruit (23%, mainly apple and pear, i.e., 16.3%); chocolate products (19.2%); and fruit and vegetable juices (15.6%). Main polyphenol classes were flavonoids (75–76% of total) and phenolic acids (17–19% of total). The three most consumed polyphenols were proanthocyanidin polymers (> 10 mers), hesperidin, and proanthocyanidin 4–6 oligomers.

Conclusion

The current study provided for the first time numbers on the total polyphenol intake and their main food sources in a heterogeneous group of European adolescents. Major differences with adult populations are the lower polyphenol consumption and the major food sources, such as chocolate and biscuits. The discussed determinants and polyphenol types already point to some important population groups that need to be targeted in future public health initiatives.
Appendix
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Literature
2.
go back to reference Manach C, Scalbert A, Morand C, Remesy C, Jimenez L (2004) Polyphenols: food sources and bioavailability. Am J Clin Nutr 79(5):727–747CrossRefPubMed Manach C, Scalbert A, Morand C, Remesy C, Jimenez L (2004) Polyphenols: food sources and bioavailability. Am J Clin Nutr 79(5):727–747CrossRefPubMed
3.
go back to reference Williamson G, Manach C (2005) Bioavailability and bioefficacy of polyphenols in humans. II. Review of 93 intervention studies. Am J Clin Nutr 81(1 Suppl):243S–255SCrossRefPubMed Williamson G, Manach C (2005) Bioavailability and bioefficacy of polyphenols in humans. II. Review of 93 intervention studies. Am J Clin Nutr 81(1 Suppl):243S–255SCrossRefPubMed
6.
go back to reference Rizzi F, Conti C, Dogliotti E, Terranegra A, Salvi E, Braga D, Ricca F, Lupoli S, Mingione A, Pivari F, Brasacchio C, Barcella M, Chittani M, D’Avila F, Turiel M, Lazzaroni M, Soldati L, Cusi D, Barlassina C (2016) Interaction between polyphenols intake and PON1 gene variants on markers of cardiovascular disease: a nutrigenetic observational study. J Transl Med 14(1):186. https://doi.org/10.1186/s12967-016-0941-6 CrossRefPubMedPubMedCentral Rizzi F, Conti C, Dogliotti E, Terranegra A, Salvi E, Braga D, Ricca F, Lupoli S, Mingione A, Pivari F, Brasacchio C, Barcella M, Chittani M, D’Avila F, Turiel M, Lazzaroni M, Soldati L, Cusi D, Barlassina C (2016) Interaction between polyphenols intake and PON1 gene variants on markers of cardiovascular disease: a nutrigenetic observational study. J Transl Med 14(1):186. https://​doi.​org/​10.​1186/​s12967-016-0941-6 CrossRefPubMedPubMedCentral
7.
go back to reference Tresserra-Rimbau A, Guasch-Ferre M, Salas-Salvado J, Toledo E, Corella D, Castaner O, Guo X, Gomez-Gracia E, Lapetra J, Aros F, Fiol M, Ros E, Serra-Majem L, Pinto X, Fito M, Babio N, Martinez-Gonzalez MA, Sorli JV, Lopez-Sabater MC, Estruch R, Lamuela-Raventos RM, Investigators Ps (2016) Intake of total polyphenols and some classes of polyphenols is inversely associated with diabetes in elderly people at high cardiovascular disease risk. J Nutr. https://doi.org/10.3945/jn.115.223610 CrossRef Tresserra-Rimbau A, Guasch-Ferre M, Salas-Salvado J, Toledo E, Corella D, Castaner O, Guo X, Gomez-Gracia E, Lapetra J, Aros F, Fiol M, Ros E, Serra-Majem L, Pinto X, Fito M, Babio N, Martinez-Gonzalez MA, Sorli JV, Lopez-Sabater MC, Estruch R, Lamuela-Raventos RM, Investigators Ps (2016) Intake of total polyphenols and some classes of polyphenols is inversely associated with diabetes in elderly people at high cardiovascular disease risk. J Nutr. https://​doi.​org/​10.​3945/​jn.​115.​223610 CrossRef
11.
go back to reference Vitale M, Masulli M, Rivellese AA, Bonora E, Cappellini F, Nicolucci A, Squatrito S, Antenucci D, Barrea A, Bianchi C, Bianchini F, Fontana L, Fornengo P, Giorgino F, Gnasso A, Mannucci E, Mazzotti A, Nappo R, Palena AP, Pata P, Perriello G, Potenziani S, Radin R, Ricci L, Romeo F, Santini C, Scarponi M, Serra R, Timi A, Turco AA, Vedovato M, Zavaroni D, Grioni S, Riccardi G, Vaccaro O, Group TIS (2016) Dietary intake and major food sources of polyphenols in people with type 2 diabetes: the TOSCA.IT study. Eur J Nutr. https://doi.org/10.1007/s00394-016-1355-1 CrossRefPubMed Vitale M, Masulli M, Rivellese AA, Bonora E, Cappellini F, Nicolucci A, Squatrito S, Antenucci D, Barrea A, Bianchi C, Bianchini F, Fontana L, Fornengo P, Giorgino F, Gnasso A, Mannucci E, Mazzotti A, Nappo R, Palena AP, Pata P, Perriello G, Potenziani S, Radin R, Ricci L, Romeo F, Santini C, Scarponi M, Serra R, Timi A, Turco AA, Vedovato M, Zavaroni D, Grioni S, Riccardi G, Vaccaro O, Group TIS (2016) Dietary intake and major food sources of polyphenols in people with type 2 diabetes: the TOSCA.IT study. Eur J Nutr. https://​doi.​org/​10.​1007/​s00394-016-1355-1 CrossRefPubMed
12.
go back to reference Zamora-Ros R, Knaze V, Rothwell JA, Hemon B, Moskal A, Overvad K, Tjonneland A, Kyro C, Fagherazzi G, Boutron-Ruault MC, Touillaud M, Katzke V, Kuhn T, Boeing H, Forster J, Trichopoulou A, Valanou E, Peppa E, Palli D, Agnoli C, Ricceri F, Tumino R, de Magistris MS, Peeters PH, Bueno-de-Mesquita HB, Engeset D, Skeie G, Hjartaker A, Menendez V, Agudo A, Molina-Montes E, Huerta JM, Barricarte A, Amiano P, Sonestedt E, Nilsson LM, Landberg R, Key TJ, Khaw KT, Wareham NJ, Lu Y, Slimani N, Romieu I, Riboli E, Scalbert A (2016) Dietary polyphenol intake in Europe: the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Eur J Nutr 55(4):1359–1375. https://doi.org/10.1007/s00394-015-0950-x CrossRefPubMed Zamora-Ros R, Knaze V, Rothwell JA, Hemon B, Moskal A, Overvad K, Tjonneland A, Kyro C, Fagherazzi G, Boutron-Ruault MC, Touillaud M, Katzke V, Kuhn T, Boeing H, Forster J, Trichopoulou A, Valanou E, Peppa E, Palli D, Agnoli C, Ricceri F, Tumino R, de Magistris MS, Peeters PH, Bueno-de-Mesquita HB, Engeset D, Skeie G, Hjartaker A, Menendez V, Agudo A, Molina-Montes E, Huerta JM, Barricarte A, Amiano P, Sonestedt E, Nilsson LM, Landberg R, Key TJ, Khaw KT, Wareham NJ, Lu Y, Slimani N, Romieu I, Riboli E, Scalbert A (2016) Dietary polyphenol intake in Europe: the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Eur J Nutr 55(4):1359–1375. https://​doi.​org/​10.​1007/​s00394-015-0950-x CrossRefPubMed
14.
go back to reference Johannot L, Somerset SM (2006) Age-related variations in flavonoid intake and sources in the Australian population. Public Health Nutr 9(8):1045–1054CrossRefPubMed Johannot L, Somerset SM (2006) Age-related variations in flavonoid intake and sources in the Australian population. Public Health Nutr 9(8):1045–1054CrossRefPubMed
18.
go back to reference Moreno LA, De Henauw S, Gonzalez-Gross M, Kersting M, Molnar D, Gottrand F, Barrios L, Sjostrom M, Manios Y, Gilbert CC, Leclercq C, Widhalm K, Kafatos A, Marcos A, Group HS (2008) Design and implementation of the healthy lifestyle in Europe by nutrition in adolescence cross-sectional study. Int J Obes (Lond) 32(Suppl 5):S4–S11. https://doi.org/10.1038/ijo.2008.177 CrossRef Moreno LA, De Henauw S, Gonzalez-Gross M, Kersting M, Molnar D, Gottrand F, Barrios L, Sjostrom M, Manios Y, Gilbert CC, Leclercq C, Widhalm K, Kafatos A, Marcos A, Group HS (2008) Design and implementation of the healthy lifestyle in Europe by nutrition in adolescence cross-sectional study. Int J Obes (Lond) 32(Suppl 5):S4–S11. https://​doi.​org/​10.​1038/​ijo.​2008.​177 CrossRef
19.
go back to reference Moreno LA, Gonzalez-Gross M, Kersting M, Molnar D, de Henauw S, Beghin L, Sjostrom M, Hagstromer M, Manios Y, Gilbert CC, Ortega FB, Dallongeville J, Arcella D, Warnberg J, Hallberg M, Fredriksson H, Maes L, Widhalm K, Kafatos AG, Marcos A, Group HS (2008) Assessing, understanding and modifying nutritional status, eating habits and physical activity in European adolescents: the HELENA (healthy lifestyle in Europe by nutrition in adolescence) study. Public Health Nutr 11(3):288–299. https://doi.org/10.1017/S1368980007000535 CrossRefPubMed Moreno LA, Gonzalez-Gross M, Kersting M, Molnar D, de Henauw S, Beghin L, Sjostrom M, Hagstromer M, Manios Y, Gilbert CC, Ortega FB, Dallongeville J, Arcella D, Warnberg J, Hallberg M, Fredriksson H, Maes L, Widhalm K, Kafatos AG, Marcos A, Group HS (2008) Assessing, understanding and modifying nutritional status, eating habits and physical activity in European adolescents: the HELENA (healthy lifestyle in Europe by nutrition in adolescence) study. Public Health Nutr 11(3):288–299. https://​doi.​org/​10.​1017/​S136898000700053​5 CrossRefPubMed
20.
go back to reference Beghin L, Castera M, Manios Y, Gilbert CC, Kersting M, De Henauw S, Kafatos A, Gottrand F, Molnar D, Sjostrom M, Leclercq C, Widhalm K, Mesana MI, Moreno LA, Libersa C, Group HS (2008) Quality assurance of ethical issues and regulatory aspects relating to good clinical practices in the HELENA cross-sectional study. Int J Obes (Lond) 32(Suppl 5):S12–S18. https://doi.org/10.1038/ijo.2008.179 CrossRef Beghin L, Castera M, Manios Y, Gilbert CC, Kersting M, De Henauw S, Kafatos A, Gottrand F, Molnar D, Sjostrom M, Leclercq C, Widhalm K, Mesana MI, Moreno LA, Libersa C, Group HS (2008) Quality assurance of ethical issues and regulatory aspects relating to good clinical practices in the HELENA cross-sectional study. Int J Obes (Lond) 32(Suppl 5):S12–S18. https://​doi.​org/​10.​1038/​ijo.​2008.​179 CrossRef
22.
go back to reference Vereecken CA, Covents M, Sichert-Hellert W, Alvira JM, Le Donne C, De Henauw S, De Vriendt T, Phillipp MK, Beghin L, Manios Y, Hallstrom L, Poortvliet E, Matthys C, Plada M, Nagy E, Moreno LA, Group HS (2008) Development and evaluation of a self-administered computerized 24-h dietary recall method for adolescents in Europe. Int J Obes (Lond) 32(Suppl 5):S26–S34. https://doi.org/10.1038/ijo.2008.180 CrossRef Vereecken CA, Covents M, Sichert-Hellert W, Alvira JM, Le Donne C, De Henauw S, De Vriendt T, Phillipp MK, Beghin L, Manios Y, Hallstrom L, Poortvliet E, Matthys C, Plada M, Nagy E, Moreno LA, Group HS (2008) Development and evaluation of a self-administered computerized 24-h dietary recall method for adolescents in Europe. Int J Obes (Lond) 32(Suppl 5):S26–S34. https://​doi.​org/​10.​1038/​ijo.​2008.​180 CrossRef
23.
go back to reference Dehne L, Klemm C, Henseler G, Hermann-Kunz E (1999) The German food code and nutrient data base (BLS II.2). Eur J Epidemiol 15:1107–1117CrossRef Dehne L, Klemm C, Henseler G, Hermann-Kunz E (1999) The German food code and nutrient data base (BLS II.2). Eur J Epidemiol 15:1107–1117CrossRef
25.
go back to reference Cole TJ, Bellizzi MC, Flegal KM, Dietz WH (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320(7244):1240–1243CrossRefPubMedPubMedCentral Cole TJ, Bellizzi MC, Flegal KM, Dietz WH (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320(7244):1240–1243CrossRefPubMedPubMedCentral
29.
go back to reference Ovaskainen ML, Torronen R, Koponen JM, Sinkko H, Hellstrom J, Reinivuo H, Mattila P (2008) Dietary intake and major food sources of polyphenols in Finnish adults. J Nutr 138(3):562–566CrossRefPubMed Ovaskainen ML, Torronen R, Koponen JM, Sinkko H, Hellstrom J, Reinivuo H, Mattila P (2008) Dietary intake and major food sources of polyphenols in Finnish adults. J Nutr 138(3):562–566CrossRefPubMed
30.
go back to reference Tresserra-Rimbau A, Medina-Remon A, Perez-Jimenez J, Martinez-Gonzalez MA, Covas MI, Corella D, Salas-Salvado J, Gomez-Gracia E, Lapetra J, Aros F, Fiol M, Ros E, Serra-Majem L, Pinto X, Munoz MA, Saez GT, Ruiz-Gutierrez V, Warnberg J, Estruch R, Lamuela-Raventos RM (2013) Dietary intake and major food sources of polyphenols in a Spanish population at high cardiovascular risk: the PREDIMED study. Nutr Metab Cardiovasc Dis 23(10):953–959. https://doi.org/10.1016/j.numecd.2012.10.008 CrossRefPubMed Tresserra-Rimbau A, Medina-Remon A, Perez-Jimenez J, Martinez-Gonzalez MA, Covas MI, Corella D, Salas-Salvado J, Gomez-Gracia E, Lapetra J, Aros F, Fiol M, Ros E, Serra-Majem L, Pinto X, Munoz MA, Saez GT, Ruiz-Gutierrez V, Warnberg J, Estruch R, Lamuela-Raventos RM (2013) Dietary intake and major food sources of polyphenols in a Spanish population at high cardiovascular risk: the PREDIMED study. Nutr Metab Cardiovasc Dis 23(10):953–959. https://​doi.​org/​10.​1016/​j.​numecd.​2012.​10.​008 CrossRefPubMed
35.
go back to reference Moreno LA, Gottrand F, Huybrechts I, Ruiz JR, Gonzalez-Gross M, DeHenauw S, Group HS (2014) Nutrition and lifestyle in european adolescents: the HELENA (healthy lifestyle in Europe by nutrition in adolescence) study. Adv Nutr 5(5):615S–623SCrossRefPubMedPubMedCentral Moreno LA, Gottrand F, Huybrechts I, Ruiz JR, Gonzalez-Gross M, DeHenauw S, Group HS (2014) Nutrition and lifestyle in european adolescents: the HELENA (healthy lifestyle in Europe by nutrition in adolescence) study. Adv Nutr 5(5):615S–623SCrossRefPubMedPubMedCentral
36.
go back to reference Diethelm K, Jankovic N, Moreno LA, Huybrechts I, De Henauw S, De Vriendt T, Gonzalez-Gross M, Leclercq C, Gottrand F, Gilbert CC, Dallongeville J, Cuenca-Garcia M, Manios Y, Kafatos A, Plada M, Kersting M, Group HS (2012) Food intake of European adolescents in the light of different food-based dietary guidelines: results of the HELENA (healthy lifestyle in Europe by nutrition in adolescence) study. Public Health Nutr 15(3):386–398. https://doi.org/10.1017/S1368980011001935 CrossRefPubMed Diethelm K, Jankovic N, Moreno LA, Huybrechts I, De Henauw S, De Vriendt T, Gonzalez-Gross M, Leclercq C, Gottrand F, Gilbert CC, Dallongeville J, Cuenca-Garcia M, Manios Y, Kafatos A, Plada M, Kersting M, Group HS (2012) Food intake of European adolescents in the light of different food-based dietary guidelines: results of the HELENA (healthy lifestyle in Europe by nutrition in adolescence) study. Public Health Nutr 15(3):386–398. https://​doi.​org/​10.​1017/​S136898001100193​5 CrossRefPubMed
39.
go back to reference Duffey KJ, Huybrechts I, Mouratidou T, Libuda L, Kersting M, De Vriendt T, Gottrand F, Widhalm K, Dallongeville J, Hallstrom L, Gonzalez-Gross M, De Henauw S, Moreno LA, Popkin BM, Group HS (2012) Beverage consumption among European adolescents in the HELENA study. Eur J Clin Nutr 66(2):244–252. https://doi.org/10.1038/ejcn.2011.166 CrossRefPubMed Duffey KJ, Huybrechts I, Mouratidou T, Libuda L, Kersting M, De Vriendt T, Gottrand F, Widhalm K, Dallongeville J, Hallstrom L, Gonzalez-Gross M, De Henauw S, Moreno LA, Popkin BM, Group HS (2012) Beverage consumption among European adolescents in the HELENA study. Eur J Clin Nutr 66(2):244–252. https://​doi.​org/​10.​1038/​ejcn.​2011.​166 CrossRefPubMed
40.
go back to reference Zamora-Ros R, Andres-Lacueva C, Lamuela-Raventos RM, Berenguer T, Jakszyn P, Barricarte A, Ardanaz E, Amiano P, Dorronsoro M, Larranaga N, Martinez C, Sanchez MJ, Navarro C, Chirlaque MD, Tormo MJ, Quiros JR, Gonzalez CA (2010) Estimation of dietary sources and flavonoid intake in a Spanish adult population (EPIC-Spain). J Am Diet Assoc 110(3):390–398. https://doi.org/10.1016/j.jada.2009.11.024 CrossRefPubMed Zamora-Ros R, Andres-Lacueva C, Lamuela-Raventos RM, Berenguer T, Jakszyn P, Barricarte A, Ardanaz E, Amiano P, Dorronsoro M, Larranaga N, Martinez C, Sanchez MJ, Navarro C, Chirlaque MD, Tormo MJ, Quiros JR, Gonzalez CA (2010) Estimation of dietary sources and flavonoid intake in a Spanish adult population (EPIC-Spain). J Am Diet Assoc 110(3):390–398. https://​doi.​org/​10.​1016/​j.​jada.​2009.​11.​024 CrossRefPubMed
41.
go back to reference Zamora-Ros R, Knaze V, Lujan-Barroso L, Romieu I, Scalbert A, Slimani N, Hjartaker A, Engeset D, Skeie G, Overvad K, Bredsdorff L, Tjonneland A, Halkjaer J, Key TJ, Khaw KT, Mulligan AA, Winkvist A, Johansson I, Bueno-de-Mesquita HB, Peeters PH, Wallstrom P, Ericson U, Pala V, de Magistris MS, Polidoro S, Tumino R, Trichopoulou A, Dilis V, Katsoulis M, Huerta JM, Martinez V, Sanchez MJ, Ardanaz E, Amiano P, Teucher B, Grote V, Bendinelli B, Boeing H, Forster J, Touillaud M, Perquier F, Fagherazzi G, Gallo V, Riboli E, Gonzalez CA (2013) Differences in dietary intakes, food sources and determinants of total flavonoids between Mediterranean and non-Mediterranean countries participating in the European prospective investigation into cancer and nutrition (EPIC) study. Br J Nutr 109(8):1498–1507. https://doi.org/10.1017/S0007114512003273 CrossRefPubMed Zamora-Ros R, Knaze V, Lujan-Barroso L, Romieu I, Scalbert A, Slimani N, Hjartaker A, Engeset D, Skeie G, Overvad K, Bredsdorff L, Tjonneland A, Halkjaer J, Key TJ, Khaw KT, Mulligan AA, Winkvist A, Johansson I, Bueno-de-Mesquita HB, Peeters PH, Wallstrom P, Ericson U, Pala V, de Magistris MS, Polidoro S, Tumino R, Trichopoulou A, Dilis V, Katsoulis M, Huerta JM, Martinez V, Sanchez MJ, Ardanaz E, Amiano P, Teucher B, Grote V, Bendinelli B, Boeing H, Forster J, Touillaud M, Perquier F, Fagherazzi G, Gallo V, Riboli E, Gonzalez CA (2013) Differences in dietary intakes, food sources and determinants of total flavonoids between Mediterranean and non-Mediterranean countries participating in the European prospective investigation into cancer and nutrition (EPIC) study. Br J Nutr 109(8):1498–1507. https://​doi.​org/​10.​1017/​S000711451200327​3 CrossRefPubMed
42.
go back to reference Zamora-Ros R, Rothwell JA, Scalbert A, Knaze V, Romieu I, Slimani N, Fagherazzi G, Perquier F, Touillaud M, Molina-Montes E, Huerta JM, Barricarte A, Amiano P, Menendez V, Tumino R, de Magistris MS, Palli D, Ricceri F, Sieri S, Crowe FL, Khaw KT, Wareham NJ, Grote V, Li KR, Boeing H, Forster J, Trichopoulou A, Benetou V, Tsiotas K, Bueno-de-Mesquita HB, Ros M, Peeters PHM, Tjonneland A, Halkjaer J, Overvad K, Ericson U, Wallstrom P, Johansson I, Landberg R, Weiderpass E, Engeset D, Skeie G, Wark P, Riboli E, Gonzalez CA (2013) Dietary intakes and food sources of phenolic acids in the European prospective investigation into cancer and nutrition (EPIC) study. Brit J Nutr 110(8):1500–1511. https://doi.org/10.1017/S0007114513000688 CrossRefPubMed Zamora-Ros R, Rothwell JA, Scalbert A, Knaze V, Romieu I, Slimani N, Fagherazzi G, Perquier F, Touillaud M, Molina-Montes E, Huerta JM, Barricarte A, Amiano P, Menendez V, Tumino R, de Magistris MS, Palli D, Ricceri F, Sieri S, Crowe FL, Khaw KT, Wareham NJ, Grote V, Li KR, Boeing H, Forster J, Trichopoulou A, Benetou V, Tsiotas K, Bueno-de-Mesquita HB, Ros M, Peeters PHM, Tjonneland A, Halkjaer J, Overvad K, Ericson U, Wallstrom P, Johansson I, Landberg R, Weiderpass E, Engeset D, Skeie G, Wark P, Riboli E, Gonzalez CA (2013) Dietary intakes and food sources of phenolic acids in the European prospective investigation into cancer and nutrition (EPIC) study. Brit J Nutr 110(8):1500–1511. https://​doi.​org/​10.​1017/​S000711451300068​8 CrossRefPubMed
43.
go back to reference Chun OK, Chung SJ, Song WO (2007) Estimated dietary flavonoid intake and major food sources of U.S. adults. J Nutr 137(5):1244–1252CrossRefPubMed Chun OK, Chung SJ, Song WO (2007) Estimated dietary flavonoid intake and major food sources of U.S. adults. J Nutr 137(5):1244–1252CrossRefPubMed
44.
go back to reference Michels N, Vynckier L, Moreno LA, Beghin L, de la OA, Forsner M, Gonzalez-Gross M, Huybrechts I, Iguacel I, Kafatos A, Kersting M, Leclercq C, Manios Y, Marcos A, Molnar D, Sjostrom M, Widhalm L, De Henauw S (2017) Mediation of psychosocial determinants in the relation between socio-economic status and adolescents’ diet quality. Eur J Nutr. https://doi.org/10.1007/s00394-017-1380-8 CrossRefPubMed Michels N, Vynckier L, Moreno LA, Beghin L, de la OA, Forsner M, Gonzalez-Gross M, Huybrechts I, Iguacel I, Kafatos A, Kersting M, Leclercq C, Manios Y, Marcos A, Molnar D, Sjostrom M, Widhalm L, De Henauw S (2017) Mediation of psychosocial determinants in the relation between socio-economic status and adolescents’ diet quality. Eur J Nutr. https://​doi.​org/​10.​1007/​s00394-017-1380-8 CrossRefPubMed
45.
go back to reference Hallstrom L, Vereecken CA, Ruiz JR, Patterson E, Gilbert CC, Catasta G, Diaz LE, Gomez-Martinez S, Gonzalez Gross M, Gottrand F, Hegyi A, Lehoux C, Mouratidou T, Widham K, Astrom A, Moreno LA, Sjostrom M (2011) Breakfast habits and factors influencing food choices at breakfast in relation to socio-demographic and family factors among European adolescents. The HELENA study. Appetite 56(3):649–657. https://doi.org/10.1016/j.appet.2011.02.019 CrossRefPubMed Hallstrom L, Vereecken CA, Ruiz JR, Patterson E, Gilbert CC, Catasta G, Diaz LE, Gomez-Martinez S, Gonzalez Gross M, Gottrand F, Hegyi A, Lehoux C, Mouratidou T, Widham K, Astrom A, Moreno LA, Sjostrom M (2011) Breakfast habits and factors influencing food choices at breakfast in relation to socio-demographic and family factors among European adolescents. The HELENA study. Appetite 56(3):649–657. https://​doi.​org/​10.​1016/​j.​appet.​2011.​02.​019 CrossRefPubMed
46.
go back to reference Hallstrom L, Vereecken CA, Labayen I, Ruiz JR, Le Donne C, Garcia MC, Gilbert CC, Martinez SG, Grammatikaki E, Huybrechts I, Kafatos A, Kersting M, Manios Y, Molnar D, Patterson E, Widhalm K, De Vriendt T, Moreno LA, Sjostrom M (2012) Breakfast habits among European adolescents and their association with sociodemographic factors: the HELENA (healthy lifestyle in Europe by nutrition in adolescence) study. Public Health Nutr 15(10):1879–1889. https://doi.org/10.1017/S1368980012000341 CrossRefPubMed Hallstrom L, Vereecken CA, Labayen I, Ruiz JR, Le Donne C, Garcia MC, Gilbert CC, Martinez SG, Grammatikaki E, Huybrechts I, Kafatos A, Kersting M, Manios Y, Molnar D, Patterson E, Widhalm K, De Vriendt T, Moreno LA, Sjostrom M (2012) Breakfast habits among European adolescents and their association with sociodemographic factors: the HELENA (healthy lifestyle in Europe by nutrition in adolescence) study. Public Health Nutr 15(10):1879–1889. https://​doi.​org/​10.​1017/​S136898001200034​1 CrossRefPubMed
47.
go back to reference Ottevaere C, Huybrechts I, Benser J, De Bourdeaudhuij I, Cuenca-Garcia M, Dallongeville J, Zaccaria M, Gottrand F, Kersting M, Rey-Lopez JP, Manios Y, Molnar D, Moreno LA, Smpokos E, Widhalm K, De Henauw S, Group HS (2011) Clustering patterns of physical activity, sedentary and dietary behavior among European adolescents: the HELENA study. BMC Public Health 11:328. https://doi.org/10.1186/1471-2458-11-328 CrossRefPubMedPubMedCentral Ottevaere C, Huybrechts I, Benser J, De Bourdeaudhuij I, Cuenca-Garcia M, Dallongeville J, Zaccaria M, Gottrand F, Kersting M, Rey-Lopez JP, Manios Y, Molnar D, Moreno LA, Smpokos E, Widhalm K, De Henauw S, Group HS (2011) Clustering patterns of physical activity, sedentary and dietary behavior among European adolescents: the HELENA study. BMC Public Health 11:328. https://​doi.​org/​10.​1186/​1471-2458-11-328 CrossRefPubMedPubMedCentral
49.
go back to reference Zamora-Ros R, Knaze V, Romieu I, Scalbert A, Slimani N, Clavel-Chapelon F, Touillaud M, Perquier F, Skeie G, Engeset D, Weiderpass E, Johansson I, Landberg R, Bueno-de-Mesquita HB, Sieri S, Masala G, Peeters PHM, Grote V, Huerta JM, Barricarte A, Amiano P, Crowe FL, Molina-Montes E, Khaw KT, Arguelles MV, Tjonneland A, Halkjaer J, de Magistris MS, Ricceri F, Tumino R, Wirfalt E, Ericson U, Overvad K, Trichopoulou A, Dilis V, Vidalis P, Boeing H, Forster J, Riboli E, Gonzalez CA (2013) Impact of thearubigins on the estimation of total dietary flavonoids in the European prospective investigation into cancer and nutrition (EPIC) study. Eur J Clin Nutr 67(7):779–782. https://doi.org/10.1038/ejcn.2013.89 CrossRefPubMed Zamora-Ros R, Knaze V, Romieu I, Scalbert A, Slimani N, Clavel-Chapelon F, Touillaud M, Perquier F, Skeie G, Engeset D, Weiderpass E, Johansson I, Landberg R, Bueno-de-Mesquita HB, Sieri S, Masala G, Peeters PHM, Grote V, Huerta JM, Barricarte A, Amiano P, Crowe FL, Molina-Montes E, Khaw KT, Arguelles MV, Tjonneland A, Halkjaer J, de Magistris MS, Ricceri F, Tumino R, Wirfalt E, Ericson U, Overvad K, Trichopoulou A, Dilis V, Vidalis P, Boeing H, Forster J, Riboli E, Gonzalez CA (2013) Impact of thearubigins on the estimation of total dietary flavonoids in the European prospective investigation into cancer and nutrition (EPIC) study. Eur J Clin Nutr 67(7):779–782. https://​doi.​org/​10.​1038/​ejcn.​2013.​89 CrossRefPubMed
Metadata
Title
Estimated dietary intake of polyphenols in European adolescents: the HELENA study
Authors
Ratih Wirapuspita Wisnuwardani
Stefaan De Henauw
Odysseas Androutsos
Maria Forsner
Frédéric Gottrand
Inge Huybrechts
Viktoria Knaze
Mathilde Kersting
Cinzia Le Donne
Ascensión Marcos
Dénes Molnár
Joseph A. Rothwell
Augustin Scalbert
Michael Sjöström
Kurt Widhalm
Luis A. Moreno
Nathalie Michels
Publication date
01-09-2019
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Nutrition / Issue 6/2019
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-018-1787-x

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