Flavonoid Intake From Cocoa-Based Products and Adiposity Parameters in Adolescents in Spain

BackgroundCocoa-based products are a good source of flavonoids, which may have beneficial effects on metabolic health.ObjectiveThe aim of this study is to assess the relationship between flavonoids from cocoa-based products and adiposity parameters in adolescents.MethodsA cross-sectional study was conducted involving 944 adolescents aged 11–14 years enrolled in the SI! Program for Secondary Schools trial in Spain with available baseline data from food frequency questionnaires and anthropometric measurements [weight, height, waist circumference (WC), and fat mass percentage (% FM) by bioimpedance analysis]. Fat mass index (FMI) and waist-to-height ratio (WHtR) were obtained by dividing fat mass by height and WC by height, respectively. Body mass index (BMI), WC, and FMI for age and gender z-score were calculated. Overweight/obesity was defined as BMI ≥ 85th percentile and excess adiposity as %FM or FMI ≥ 75th percentile. WC ≥ 90th percentile and WHtR with a 0.5 threshold were considered as criteria of abdominal obesity. Multilevel mixed-effect regressions were used to evaluate the association between flavonoids from cocoa-based products and adiposity parameters. Municipalities and schools were considered random effects.ResultsParticipants with a higher flavonoid intake from cocoa-based products had lower WC z-score [B = −0.04, 95% CI (−0.07; −0.01), P-for trend = 0.045] and WHtR [B = −0.01, 95% CI (−0.02; −0.01), P- for trend < 0.001]. They also had lower probability of having abdominal obesity [OR 0.66, 95% CI (0.52; 0.85), P- for trend = 0.001]. Inverse associations were observed between flavonoids from cocoa powder and BMI z-score [B = −0.08, 95% CI (−0.12; −0.05), P < 0.001], WC z-score [B = −0.06, 95% CI (−0.11; −0.02), P = 0.003], WHtR [B = −0.01, 95% CI (−0.01; −0.00), P < 0.001], %FM [B = −1.11, 95% CI (−1.48; −0.75), P < 0.001], and FMI z-score [B = −0.18, 95% CI (−0.20; −0.17), P < 0.001]. Regarding dark chocolate, an inverse association only with WC z-score [B = −0.06, 95% CI (−0.08; −0.05), P < 0.001] was found. However, no association was observed between flavonoids from milk chocolate intake and anthropometric parameters.ConclusionsA higher intake of flavonoids from cocoa-based products was associated with lower adiposity parameters and a lower probability of presenting abdominal obesity. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Emily P. Laveriano-Santos [verfasserIn] Camila Arancibia-Riveros [verfasserIn] Anna Tresserra-Rimbau [verfasserIn] Sara Castro-Barquero [verfasserIn] Ana María Ruiz-León [verfasserIn] Ramón Estruch [verfasserIn] Rosa Casas [verfasserIn] Patricia Bodega [verfasserIn] Mercedes de Miguel [verfasserIn] Amaya de Cos-Gandoy [verfasserIn] Jesús Martínez-Gómez [verfasserIn] Carla Rodríguez [verfasserIn] Gloria Santos-Beneit [verfasserIn] Juan M. Fernández-Alvira [verfasserIn] Rodrigo Fernández-Jiménez [verfasserIn] Rosa M. Lamuela-Raventós [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	(poly)phenols catechin epicatechin proanthocyanidins cardiometabolic obesity

Übergeordnetes Werk:	In: Frontiers in Nutrition - Frontiers Media S.A., 2014, 9(2022)
Übergeordnetes Werk:	volume:9 ; year:2022

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3389/fnut.2022.931171

Katalog-ID:	DOAJ039800660

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520			\|a BackgroundCocoa-based products are a good source of flavonoids, which may have beneficial effects on metabolic health.ObjectiveThe aim of this study is to assess the relationship between flavonoids from cocoa-based products and adiposity parameters in adolescents.MethodsA cross-sectional study was conducted involving 944 adolescents aged 11–14 years enrolled in the SI! Program for Secondary Schools trial in Spain with available baseline data from food frequency questionnaires and anthropometric measurements [weight, height, waist circumference (WC), and fat mass percentage (% FM) by bioimpedance analysis]. Fat mass index (FMI) and waist-to-height ratio (WHtR) were obtained by dividing fat mass by height and WC by height, respectively. Body mass index (BMI), WC, and FMI for age and gender z-score were calculated. Overweight/obesity was defined as BMI ≥ 85th percentile and excess adiposity as %FM or FMI ≥ 75th percentile. WC ≥ 90th percentile and WHtR with a 0.5 threshold were considered as criteria of abdominal obesity. Multilevel mixed-effect regressions were used to evaluate the association between flavonoids from cocoa-based products and adiposity parameters. Municipalities and schools were considered random effects.ResultsParticipants with a higher flavonoid intake from cocoa-based products had lower WC z-score [B = −0.04, 95% CI (−0.07; −0.01), P-for trend = 0.045] and WHtR [B = −0.01, 95% CI (−0.02; −0.01), P- for trend < 0.001]. They also had lower probability of having abdominal obesity [OR 0.66, 95% CI (0.52; 0.85), P- for trend = 0.001]. Inverse associations were observed between flavonoids from cocoa powder and BMI z-score [B = −0.08, 95% CI (−0.12; −0.05), P < 0.001], WC z-score [B = −0.06, 95% CI (−0.11; −0.02), P = 0.003], WHtR [B = −0.01, 95% CI (−0.01; −0.00), P < 0.001], %FM [B = −1.11, 95% CI (−1.48; −0.75), P < 0.001], and FMI z-score [B = −0.18, 95% CI (−0.20; −0.17), P < 0.001]. Regarding dark chocolate, an inverse association only with WC z-score [B = −0.06, 95% CI (−0.08; −0.05), P < 0.001] was found. However, no association was observed between flavonoids from milk chocolate intake and anthropometric parameters.ConclusionsA higher intake of flavonoids from cocoa-based products was associated with lower adiposity parameters and a lower probability of presenting abdominal obesity.
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700	0		\|a Sara Castro-Barquero \|e verfasserin \|4 aut
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700	0		\|a Patricia Bodega \|e verfasserin \|4 aut
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700	0		\|a Amaya de Cos-Gandoy \|e verfasserin \|4 aut
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700	0		\|a Jesús Martínez-Gómez \|e verfasserin \|4 aut
700	0		\|a Carla Rodríguez \|e verfasserin \|4 aut
700	0		\|a Gloria Santos-Beneit \|e verfasserin \|4 aut
700	0		\|a Gloria Santos-Beneit \|e verfasserin \|4 aut
700	0		\|a Juan M. Fernández-Alvira \|e verfasserin \|4 aut
700	0		\|a Rodrigo Fernández-Jiménez \|e verfasserin \|4 aut
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allfields	10.3389/fnut.2022.931171 doi (DE-627)DOAJ039800660 (DE-599)DOAJ72100b108af84b5184a6d2cd9f2cddaa DE-627 ger DE-627 rakwb eng TX341-641 Emily P. Laveriano-Santos verfasserin aut Flavonoid Intake From Cocoa-Based Products and Adiposity Parameters in Adolescents in Spain 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundCocoa-based products are a good source of flavonoids, which may have beneficial effects on metabolic health.ObjectiveThe aim of this study is to assess the relationship between flavonoids from cocoa-based products and adiposity parameters in adolescents.MethodsA cross-sectional study was conducted involving 944 adolescents aged 11–14 years enrolled in the SI! Program for Secondary Schools trial in Spain with available baseline data from food frequency questionnaires and anthropometric measurements [weight, height, waist circumference (WC), and fat mass percentage (% FM) by bioimpedance analysis]. Fat mass index (FMI) and waist-to-height ratio (WHtR) were obtained by dividing fat mass by height and WC by height, respectively. Body mass index (BMI), WC, and FMI for age and gender z-score were calculated. Overweight/obesity was defined as BMI ≥ 85th percentile and excess adiposity as %FM or FMI ≥ 75th percentile. WC ≥ 90th percentile and WHtR with a 0.5 threshold were considered as criteria of abdominal obesity. Multilevel mixed-effect regressions were used to evaluate the association between flavonoids from cocoa-based products and adiposity parameters. Municipalities and schools were considered random effects.ResultsParticipants with a higher flavonoid intake from cocoa-based products had lower WC z-score [B = −0.04, 95% CI (−0.07; −0.01), P-for trend = 0.045] and WHtR [B = −0.01, 95% CI (−0.02; −0.01), P- for trend < 0.001]. They also had lower probability of having abdominal obesity [OR 0.66, 95% CI (0.52; 0.85), P- for trend = 0.001]. Inverse associations were observed between flavonoids from cocoa powder and BMI z-score [B = −0.08, 95% CI (−0.12; −0.05), P < 0.001], WC z-score [B = −0.06, 95% CI (−0.11; −0.02), P = 0.003], WHtR [B = −0.01, 95% CI (−0.01; −0.00), P < 0.001], %FM [B = −1.11, 95% CI (−1.48; −0.75), P < 0.001], and FMI z-score [B = −0.18, 95% CI (−0.20; −0.17), P < 0.001]. Regarding dark chocolate, an inverse association only with WC z-score [B = −0.06, 95% CI (−0.08; −0.05), P < 0.001] was found. However, no association was observed between flavonoids from milk chocolate intake and anthropometric parameters.ConclusionsA higher intake of flavonoids from cocoa-based products was associated with lower adiposity parameters and a lower probability of presenting abdominal obesity. (poly)phenols catechin epicatechin proanthocyanidins cardiometabolic obesity Nutrition. Foods and food supply Camila Arancibia-Riveros verfasserin aut Anna Tresserra-Rimbau verfasserin aut Anna Tresserra-Rimbau verfasserin aut Sara Castro-Barquero verfasserin aut Sara Castro-Barquero verfasserin aut Ana María Ruiz-León verfasserin aut Ana María Ruiz-León verfasserin aut Ana María Ruiz-León verfasserin aut Ramón Estruch verfasserin aut Ramón Estruch verfasserin aut Rosa Casas verfasserin aut Rosa Casas verfasserin aut Patricia Bodega verfasserin aut Patricia Bodega verfasserin aut Mercedes de Miguel verfasserin aut Mercedes de Miguel verfasserin aut Amaya de Cos-Gandoy verfasserin aut Amaya de Cos-Gandoy verfasserin aut Jesús Martínez-Gómez verfasserin aut Carla Rodríguez verfasserin aut Gloria Santos-Beneit verfasserin aut Gloria Santos-Beneit verfasserin aut Juan M. Fernández-Alvira verfasserin aut Rodrigo Fernández-Jiménez verfasserin aut Rodrigo Fernández-Jiménez verfasserin aut Rodrigo Fernández-Jiménez verfasserin aut Rosa M. Lamuela-Raventós verfasserin aut Rosa M. Lamuela-Raventós verfasserin aut In Frontiers in Nutrition Frontiers Media S.A., 2014 9(2022) (DE-627)790231158 (DE-600)2776676-7 2296861X nnns volume:9 year:2022 https://doi.org/10.3389/fnut.2022.931171 kostenfrei https://doaj.org/article/72100b108af84b5184a6d2cd9f2cddaa kostenfrei https://www.frontiersin.org/articles/10.3389/fnut.2022.931171/full kostenfrei https://doaj.org/toc/2296-861X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022
spelling	10.3389/fnut.2022.931171 doi (DE-627)DOAJ039800660 (DE-599)DOAJ72100b108af84b5184a6d2cd9f2cddaa DE-627 ger DE-627 rakwb eng TX341-641 Emily P. Laveriano-Santos verfasserin aut Flavonoid Intake From Cocoa-Based Products and Adiposity Parameters in Adolescents in Spain 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundCocoa-based products are a good source of flavonoids, which may have beneficial effects on metabolic health.ObjectiveThe aim of this study is to assess the relationship between flavonoids from cocoa-based products and adiposity parameters in adolescents.MethodsA cross-sectional study was conducted involving 944 adolescents aged 11–14 years enrolled in the SI! Program for Secondary Schools trial in Spain with available baseline data from food frequency questionnaires and anthropometric measurements [weight, height, waist circumference (WC), and fat mass percentage (% FM) by bioimpedance analysis]. Fat mass index (FMI) and waist-to-height ratio (WHtR) were obtained by dividing fat mass by height and WC by height, respectively. Body mass index (BMI), WC, and FMI for age and gender z-score were calculated. Overweight/obesity was defined as BMI ≥ 85th percentile and excess adiposity as %FM or FMI ≥ 75th percentile. WC ≥ 90th percentile and WHtR with a 0.5 threshold were considered as criteria of abdominal obesity. Multilevel mixed-effect regressions were used to evaluate the association between flavonoids from cocoa-based products and adiposity parameters. Municipalities and schools were considered random effects.ResultsParticipants with a higher flavonoid intake from cocoa-based products had lower WC z-score [B = −0.04, 95% CI (−0.07; −0.01), P-for trend = 0.045] and WHtR [B = −0.01, 95% CI (−0.02; −0.01), P- for trend < 0.001]. They also had lower probability of having abdominal obesity [OR 0.66, 95% CI (0.52; 0.85), P- for trend = 0.001]. Inverse associations were observed between flavonoids from cocoa powder and BMI z-score [B = −0.08, 95% CI (−0.12; −0.05), P < 0.001], WC z-score [B = −0.06, 95% CI (−0.11; −0.02), P = 0.003], WHtR [B = −0.01, 95% CI (−0.01; −0.00), P < 0.001], %FM [B = −1.11, 95% CI (−1.48; −0.75), P < 0.001], and FMI z-score [B = −0.18, 95% CI (−0.20; −0.17), P < 0.001]. Regarding dark chocolate, an inverse association only with WC z-score [B = −0.06, 95% CI (−0.08; −0.05), P < 0.001] was found. However, no association was observed between flavonoids from milk chocolate intake and anthropometric parameters.ConclusionsA higher intake of flavonoids from cocoa-based products was associated with lower adiposity parameters and a lower probability of presenting abdominal obesity. (poly)phenols catechin epicatechin proanthocyanidins cardiometabolic obesity Nutrition. Foods and food supply Camila Arancibia-Riveros verfasserin aut Anna Tresserra-Rimbau verfasserin aut Anna Tresserra-Rimbau verfasserin aut Sara Castro-Barquero verfasserin aut Sara Castro-Barquero verfasserin aut Ana María Ruiz-León verfasserin aut Ana María Ruiz-León verfasserin aut Ana María Ruiz-León verfasserin aut Ramón Estruch verfasserin aut Ramón Estruch verfasserin aut Rosa Casas verfasserin aut Rosa Casas verfasserin aut Patricia Bodega verfasserin aut Patricia Bodega verfasserin aut Mercedes de Miguel verfasserin aut Mercedes de Miguel verfasserin aut Amaya de Cos-Gandoy verfasserin aut Amaya de Cos-Gandoy verfasserin aut Jesús Martínez-Gómez verfasserin aut Carla Rodríguez verfasserin aut Gloria Santos-Beneit verfasserin aut Gloria Santos-Beneit verfasserin aut Juan M. Fernández-Alvira verfasserin aut Rodrigo Fernández-Jiménez verfasserin aut Rodrigo Fernández-Jiménez verfasserin aut Rodrigo Fernández-Jiménez verfasserin aut Rosa M. Lamuela-Raventós verfasserin aut Rosa M. Lamuela-Raventós verfasserin aut In Frontiers in Nutrition Frontiers Media S.A., 2014 9(2022) (DE-627)790231158 (DE-600)2776676-7 2296861X nnns volume:9 year:2022 https://doi.org/10.3389/fnut.2022.931171 kostenfrei https://doaj.org/article/72100b108af84b5184a6d2cd9f2cddaa kostenfrei https://www.frontiersin.org/articles/10.3389/fnut.2022.931171/full kostenfrei https://doaj.org/toc/2296-861X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022
allfields_unstemmed	10.3389/fnut.2022.931171 doi (DE-627)DOAJ039800660 (DE-599)DOAJ72100b108af84b5184a6d2cd9f2cddaa DE-627 ger DE-627 rakwb eng TX341-641 Emily P. Laveriano-Santos verfasserin aut Flavonoid Intake From Cocoa-Based Products and Adiposity Parameters in Adolescents in Spain 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundCocoa-based products are a good source of flavonoids, which may have beneficial effects on metabolic health.ObjectiveThe aim of this study is to assess the relationship between flavonoids from cocoa-based products and adiposity parameters in adolescents.MethodsA cross-sectional study was conducted involving 944 adolescents aged 11–14 years enrolled in the SI! Program for Secondary Schools trial in Spain with available baseline data from food frequency questionnaires and anthropometric measurements [weight, height, waist circumference (WC), and fat mass percentage (% FM) by bioimpedance analysis]. Fat mass index (FMI) and waist-to-height ratio (WHtR) were obtained by dividing fat mass by height and WC by height, respectively. Body mass index (BMI), WC, and FMI for age and gender z-score were calculated. Overweight/obesity was defined as BMI ≥ 85th percentile and excess adiposity as %FM or FMI ≥ 75th percentile. WC ≥ 90th percentile and WHtR with a 0.5 threshold were considered as criteria of abdominal obesity. Multilevel mixed-effect regressions were used to evaluate the association between flavonoids from cocoa-based products and adiposity parameters. Municipalities and schools were considered random effects.ResultsParticipants with a higher flavonoid intake from cocoa-based products had lower WC z-score [B = −0.04, 95% CI (−0.07; −0.01), P-for trend = 0.045] and WHtR [B = −0.01, 95% CI (−0.02; −0.01), P- for trend < 0.001]. They also had lower probability of having abdominal obesity [OR 0.66, 95% CI (0.52; 0.85), P- for trend = 0.001]. Inverse associations were observed between flavonoids from cocoa powder and BMI z-score [B = −0.08, 95% CI (−0.12; −0.05), P < 0.001], WC z-score [B = −0.06, 95% CI (−0.11; −0.02), P = 0.003], WHtR [B = −0.01, 95% CI (−0.01; −0.00), P < 0.001], %FM [B = −1.11, 95% CI (−1.48; −0.75), P < 0.001], and FMI z-score [B = −0.18, 95% CI (−0.20; −0.17), P < 0.001]. Regarding dark chocolate, an inverse association only with WC z-score [B = −0.06, 95% CI (−0.08; −0.05), P < 0.001] was found. However, no association was observed between flavonoids from milk chocolate intake and anthropometric parameters.ConclusionsA higher intake of flavonoids from cocoa-based products was associated with lower adiposity parameters and a lower probability of presenting abdominal obesity. (poly)phenols catechin epicatechin proanthocyanidins cardiometabolic obesity Nutrition. Foods and food supply Camila Arancibia-Riveros verfasserin aut Anna Tresserra-Rimbau verfasserin aut Anna Tresserra-Rimbau verfasserin aut Sara Castro-Barquero verfasserin aut Sara Castro-Barquero verfasserin aut Ana María Ruiz-León verfasserin aut Ana María Ruiz-León verfasserin aut Ana María Ruiz-León verfasserin aut Ramón Estruch verfasserin aut Ramón Estruch verfasserin aut Rosa Casas verfasserin aut Rosa Casas verfasserin aut Patricia Bodega verfasserin aut Patricia Bodega verfasserin aut Mercedes de Miguel verfasserin aut Mercedes de Miguel verfasserin aut Amaya de Cos-Gandoy verfasserin aut Amaya de Cos-Gandoy verfasserin aut Jesús Martínez-Gómez verfasserin aut Carla Rodríguez verfasserin aut Gloria Santos-Beneit verfasserin aut Gloria Santos-Beneit verfasserin aut Juan M. Fernández-Alvira verfasserin aut Rodrigo Fernández-Jiménez verfasserin aut Rodrigo Fernández-Jiménez verfasserin aut Rodrigo Fernández-Jiménez verfasserin aut Rosa M. Lamuela-Raventós verfasserin aut Rosa M. Lamuela-Raventós verfasserin aut In Frontiers in Nutrition Frontiers Media S.A., 2014 9(2022) (DE-627)790231158 (DE-600)2776676-7 2296861X nnns volume:9 year:2022 https://doi.org/10.3389/fnut.2022.931171 kostenfrei https://doaj.org/article/72100b108af84b5184a6d2cd9f2cddaa kostenfrei https://www.frontiersin.org/articles/10.3389/fnut.2022.931171/full kostenfrei https://doaj.org/toc/2296-861X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022
allfieldsGer	10.3389/fnut.2022.931171 doi (DE-627)DOAJ039800660 (DE-599)DOAJ72100b108af84b5184a6d2cd9f2cddaa DE-627 ger DE-627 rakwb eng TX341-641 Emily P. Laveriano-Santos verfasserin aut Flavonoid Intake From Cocoa-Based Products and Adiposity Parameters in Adolescents in Spain 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundCocoa-based products are a good source of flavonoids, which may have beneficial effects on metabolic health.ObjectiveThe aim of this study is to assess the relationship between flavonoids from cocoa-based products and adiposity parameters in adolescents.MethodsA cross-sectional study was conducted involving 944 adolescents aged 11–14 years enrolled in the SI! Program for Secondary Schools trial in Spain with available baseline data from food frequency questionnaires and anthropometric measurements [weight, height, waist circumference (WC), and fat mass percentage (% FM) by bioimpedance analysis]. Fat mass index (FMI) and waist-to-height ratio (WHtR) were obtained by dividing fat mass by height and WC by height, respectively. Body mass index (BMI), WC, and FMI for age and gender z-score were calculated. Overweight/obesity was defined as BMI ≥ 85th percentile and excess adiposity as %FM or FMI ≥ 75th percentile. WC ≥ 90th percentile and WHtR with a 0.5 threshold were considered as criteria of abdominal obesity. Multilevel mixed-effect regressions were used to evaluate the association between flavonoids from cocoa-based products and adiposity parameters. Municipalities and schools were considered random effects.ResultsParticipants with a higher flavonoid intake from cocoa-based products had lower WC z-score [B = −0.04, 95% CI (−0.07; −0.01), P-for trend = 0.045] and WHtR [B = −0.01, 95% CI (−0.02; −0.01), P- for trend < 0.001]. They also had lower probability of having abdominal obesity [OR 0.66, 95% CI (0.52; 0.85), P- for trend = 0.001]. Inverse associations were observed between flavonoids from cocoa powder and BMI z-score [B = −0.08, 95% CI (−0.12; −0.05), P < 0.001], WC z-score [B = −0.06, 95% CI (−0.11; −0.02), P = 0.003], WHtR [B = −0.01, 95% CI (−0.01; −0.00), P < 0.001], %FM [B = −1.11, 95% CI (−1.48; −0.75), P < 0.001], and FMI z-score [B = −0.18, 95% CI (−0.20; −0.17), P < 0.001]. Regarding dark chocolate, an inverse association only with WC z-score [B = −0.06, 95% CI (−0.08; −0.05), P < 0.001] was found. However, no association was observed between flavonoids from milk chocolate intake and anthropometric parameters.ConclusionsA higher intake of flavonoids from cocoa-based products was associated with lower adiposity parameters and a lower probability of presenting abdominal obesity. (poly)phenols catechin epicatechin proanthocyanidins cardiometabolic obesity Nutrition. Foods and food supply Camila Arancibia-Riveros verfasserin aut Anna Tresserra-Rimbau verfasserin aut Anna Tresserra-Rimbau verfasserin aut Sara Castro-Barquero verfasserin aut Sara Castro-Barquero verfasserin aut Ana María Ruiz-León verfasserin aut Ana María Ruiz-León verfasserin aut Ana María Ruiz-León verfasserin aut Ramón Estruch verfasserin aut Ramón Estruch verfasserin aut Rosa Casas verfasserin aut Rosa Casas verfasserin aut Patricia Bodega verfasserin aut Patricia Bodega verfasserin aut Mercedes de Miguel verfasserin aut Mercedes de Miguel verfasserin aut Amaya de Cos-Gandoy verfasserin aut Amaya de Cos-Gandoy verfasserin aut Jesús Martínez-Gómez verfasserin aut Carla Rodríguez verfasserin aut Gloria Santos-Beneit verfasserin aut Gloria Santos-Beneit verfasserin aut Juan M. Fernández-Alvira verfasserin aut Rodrigo Fernández-Jiménez verfasserin aut Rodrigo Fernández-Jiménez verfasserin aut Rodrigo Fernández-Jiménez verfasserin aut Rosa M. Lamuela-Raventós verfasserin aut Rosa M. Lamuela-Raventós verfasserin aut In Frontiers in Nutrition Frontiers Media S.A., 2014 9(2022) (DE-627)790231158 (DE-600)2776676-7 2296861X nnns volume:9 year:2022 https://doi.org/10.3389/fnut.2022.931171 kostenfrei https://doaj.org/article/72100b108af84b5184a6d2cd9f2cddaa kostenfrei https://www.frontiersin.org/articles/10.3389/fnut.2022.931171/full kostenfrei https://doaj.org/toc/2296-861X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022
allfieldsSound	10.3389/fnut.2022.931171 doi (DE-627)DOAJ039800660 (DE-599)DOAJ72100b108af84b5184a6d2cd9f2cddaa DE-627 ger DE-627 rakwb eng TX341-641 Emily P. Laveriano-Santos verfasserin aut Flavonoid Intake From Cocoa-Based Products and Adiposity Parameters in Adolescents in Spain 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundCocoa-based products are a good source of flavonoids, which may have beneficial effects on metabolic health.ObjectiveThe aim of this study is to assess the relationship between flavonoids from cocoa-based products and adiposity parameters in adolescents.MethodsA cross-sectional study was conducted involving 944 adolescents aged 11–14 years enrolled in the SI! Program for Secondary Schools trial in Spain with available baseline data from food frequency questionnaires and anthropometric measurements [weight, height, waist circumference (WC), and fat mass percentage (% FM) by bioimpedance analysis]. Fat mass index (FMI) and waist-to-height ratio (WHtR) were obtained by dividing fat mass by height and WC by height, respectively. Body mass index (BMI), WC, and FMI for age and gender z-score were calculated. Overweight/obesity was defined as BMI ≥ 85th percentile and excess adiposity as %FM or FMI ≥ 75th percentile. WC ≥ 90th percentile and WHtR with a 0.5 threshold were considered as criteria of abdominal obesity. Multilevel mixed-effect regressions were used to evaluate the association between flavonoids from cocoa-based products and adiposity parameters. Municipalities and schools were considered random effects.ResultsParticipants with a higher flavonoid intake from cocoa-based products had lower WC z-score [B = −0.04, 95% CI (−0.07; −0.01), P-for trend = 0.045] and WHtR [B = −0.01, 95% CI (−0.02; −0.01), P- for trend < 0.001]. They also had lower probability of having abdominal obesity [OR 0.66, 95% CI (0.52; 0.85), P- for trend = 0.001]. Inverse associations were observed between flavonoids from cocoa powder and BMI z-score [B = −0.08, 95% CI (−0.12; −0.05), P < 0.001], WC z-score [B = −0.06, 95% CI (−0.11; −0.02), P = 0.003], WHtR [B = −0.01, 95% CI (−0.01; −0.00), P < 0.001], %FM [B = −1.11, 95% CI (−1.48; −0.75), P < 0.001], and FMI z-score [B = −0.18, 95% CI (−0.20; −0.17), P < 0.001]. Regarding dark chocolate, an inverse association only with WC z-score [B = −0.06, 95% CI (−0.08; −0.05), P < 0.001] was found. However, no association was observed between flavonoids from milk chocolate intake and anthropometric parameters.ConclusionsA higher intake of flavonoids from cocoa-based products was associated with lower adiposity parameters and a lower probability of presenting abdominal obesity. (poly)phenols catechin epicatechin proanthocyanidins cardiometabolic obesity Nutrition. Foods and food supply Camila Arancibia-Riveros verfasserin aut Anna Tresserra-Rimbau verfasserin aut Anna Tresserra-Rimbau verfasserin aut Sara Castro-Barquero verfasserin aut Sara Castro-Barquero verfasserin aut Ana María Ruiz-León verfasserin aut Ana María Ruiz-León verfasserin aut Ana María Ruiz-León verfasserin aut Ramón Estruch verfasserin aut Ramón Estruch verfasserin aut Rosa Casas verfasserin aut Rosa Casas verfasserin aut Patricia Bodega verfasserin aut Patricia Bodega verfasserin aut Mercedes de Miguel verfasserin aut Mercedes de Miguel verfasserin aut Amaya de Cos-Gandoy verfasserin aut Amaya de Cos-Gandoy verfasserin aut Jesús Martínez-Gómez verfasserin aut Carla Rodríguez verfasserin aut Gloria Santos-Beneit verfasserin aut Gloria Santos-Beneit verfasserin aut Juan M. Fernández-Alvira verfasserin aut Rodrigo Fernández-Jiménez verfasserin aut Rodrigo Fernández-Jiménez verfasserin aut Rodrigo Fernández-Jiménez verfasserin aut Rosa M. Lamuela-Raventós verfasserin aut Rosa M. Lamuela-Raventós verfasserin aut In Frontiers in Nutrition Frontiers Media S.A., 2014 9(2022) (DE-627)790231158 (DE-600)2776676-7 2296861X nnns volume:9 year:2022 https://doi.org/10.3389/fnut.2022.931171 kostenfrei https://doaj.org/article/72100b108af84b5184a6d2cd9f2cddaa kostenfrei https://www.frontiersin.org/articles/10.3389/fnut.2022.931171/full kostenfrei https://doaj.org/toc/2296-861X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022
language	English
source	In Frontiers in Nutrition 9(2022) volume:9 year:2022
sourceStr	In Frontiers in Nutrition 9(2022) volume:9 year:2022
format_phy_str_mv	Article
institution	findex.gbv.de
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container_title	Frontiers in Nutrition
authorswithroles_txt_mv	Emily P. Laveriano-Santos @@aut@@ Camila Arancibia-Riveros @@aut@@ Anna Tresserra-Rimbau @@aut@@ Sara Castro-Barquero @@aut@@ Ana María Ruiz-León @@aut@@ Ramón Estruch @@aut@@ Rosa Casas @@aut@@ Patricia Bodega @@aut@@ Mercedes de Miguel @@aut@@ Amaya de Cos-Gandoy @@aut@@ Jesús Martínez-Gómez @@aut@@ Carla Rodríguez @@aut@@ Gloria Santos-Beneit @@aut@@ Juan M. Fernández-Alvira @@aut@@ Rodrigo Fernández-Jiménez @@aut@@ Rosa M. Lamuela-Raventós @@aut@@
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Laveriano-Santos</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Flavonoid Intake From Cocoa-Based Products and Adiposity Parameters in Adolescents in Spain</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2022</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">BackgroundCocoa-based products are a good source of flavonoids, which may have beneficial effects on metabolic health.ObjectiveThe aim of this study is to assess the relationship between flavonoids from cocoa-based products and adiposity parameters in adolescents.MethodsA cross-sectional study was conducted involving 944 adolescents aged 11–14 years enrolled in the SI! Program for Secondary Schools trial in Spain with available baseline data from food frequency questionnaires and anthropometric measurements [weight, height, waist circumference (WC), and fat mass percentage (% FM) by bioimpedance analysis]. Fat mass index (FMI) and waist-to-height ratio (WHtR) were obtained by dividing fat mass by height and WC by height, respectively. Body mass index (BMI), WC, and FMI for age and gender z-score were calculated. Overweight/obesity was defined as BMI ≥ 85th percentile and excess adiposity as %FM or FMI ≥ 75th percentile. WC ≥ 90th percentile and WHtR with a 0.5 threshold were considered as criteria of abdominal obesity. Multilevel mixed-effect regressions were used to evaluate the association between flavonoids from cocoa-based products and adiposity parameters. Municipalities and schools were considered random effects.ResultsParticipants with a higher flavonoid intake from cocoa-based products had lower WC z-score [B = −0.04, 95% CI (−0.07; −0.01), P-for trend = 0.045] and WHtR [B = −0.01, 95% CI (−0.02; −0.01), P- for trend &lt; 0.001]. They also had lower probability of having abdominal obesity [OR 0.66, 95% CI (0.52; 0.85), P- for trend = 0.001]. Inverse associations were observed between flavonoids from cocoa powder and BMI z-score [B = −0.08, 95% CI (−0.12; −0.05), P &lt; 0.001], WC z-score [B = −0.06, 95% CI (−0.11; −0.02), P = 0.003], WHtR [B = −0.01, 95% CI (−0.01; −0.00), P &lt; 0.001], %FM [B = −1.11, 95% CI (−1.48; −0.75), P &lt; 0.001], and FMI z-score [B = −0.18, 95% CI (−0.20; −0.17), P &lt; 0.001]. Regarding dark chocolate, an inverse association only with WC z-score [B = −0.06, 95% CI (−0.08; −0.05), P &lt; 0.001] was found. However, no association was observed between flavonoids from milk chocolate intake and anthropometric parameters.ConclusionsA higher intake of flavonoids from cocoa-based products was associated with lower adiposity parameters and a lower probability of presenting abdominal obesity.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">(poly)phenols</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">catechin</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">epicatechin</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">proanthocyanidins</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">cardiometabolic</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">obesity</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Nutrition. 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callnumber-first	T - Technology
author	Emily P. Laveriano-Santos
spellingShingle	Emily P. Laveriano-Santos misc TX341-641 misc (poly)phenols misc catechin misc epicatechin misc proanthocyanidins misc cardiometabolic misc obesity misc Nutrition. Foods and food supply Flavonoid Intake From Cocoa-Based Products and Adiposity Parameters in Adolescents in Spain
authorStr	Emily P. Laveriano-Santos
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topic_title	TX341-641 Flavonoid Intake From Cocoa-Based Products and Adiposity Parameters in Adolescents in Spain (poly)phenols catechin epicatechin proanthocyanidins cardiometabolic obesity
topic	misc TX341-641 misc (poly)phenols misc catechin misc epicatechin misc proanthocyanidins misc cardiometabolic misc obesity misc Nutrition. Foods and food supply
topic_unstemmed	misc TX341-641 misc (poly)phenols misc catechin misc epicatechin misc proanthocyanidins misc cardiometabolic misc obesity misc Nutrition. Foods and food supply
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title	Flavonoid Intake From Cocoa-Based Products and Adiposity Parameters in Adolescents in Spain
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title_full	Flavonoid Intake From Cocoa-Based Products and Adiposity Parameters in Adolescents in Spain
author_sort	Emily P. Laveriano-Santos
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author_browse	Emily P. Laveriano-Santos Camila Arancibia-Riveros Anna Tresserra-Rimbau Sara Castro-Barquero Ana María Ruiz-León Ramón Estruch Rosa Casas Patricia Bodega Mercedes de Miguel Amaya de Cos-Gandoy Jesús Martínez-Gómez Carla Rodríguez Gloria Santos-Beneit Juan M. Fernández-Alvira Rodrigo Fernández-Jiménez Rosa M. Lamuela-Raventós
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author-letter	Emily P. Laveriano-Santos
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title_sort	flavonoid intake from cocoa-based products and adiposity parameters in adolescents in spain
callnumber	TX341-641
title_auth	Flavonoid Intake From Cocoa-Based Products and Adiposity Parameters in Adolescents in Spain
abstract	BackgroundCocoa-based products are a good source of flavonoids, which may have beneficial effects on metabolic health.ObjectiveThe aim of this study is to assess the relationship between flavonoids from cocoa-based products and adiposity parameters in adolescents.MethodsA cross-sectional study was conducted involving 944 adolescents aged 11–14 years enrolled in the SI! Program for Secondary Schools trial in Spain with available baseline data from food frequency questionnaires and anthropometric measurements [weight, height, waist circumference (WC), and fat mass percentage (% FM) by bioimpedance analysis]. Fat mass index (FMI) and waist-to-height ratio (WHtR) were obtained by dividing fat mass by height and WC by height, respectively. Body mass index (BMI), WC, and FMI for age and gender z-score were calculated. Overweight/obesity was defined as BMI ≥ 85th percentile and excess adiposity as %FM or FMI ≥ 75th percentile. WC ≥ 90th percentile and WHtR with a 0.5 threshold were considered as criteria of abdominal obesity. Multilevel mixed-effect regressions were used to evaluate the association between flavonoids from cocoa-based products and adiposity parameters. Municipalities and schools were considered random effects.ResultsParticipants with a higher flavonoid intake from cocoa-based products had lower WC z-score [B = −0.04, 95% CI (−0.07; −0.01), P-for trend = 0.045] and WHtR [B = −0.01, 95% CI (−0.02; −0.01), P- for trend < 0.001]. They also had lower probability of having abdominal obesity [OR 0.66, 95% CI (0.52; 0.85), P- for trend = 0.001]. Inverse associations were observed between flavonoids from cocoa powder and BMI z-score [B = −0.08, 95% CI (−0.12; −0.05), P < 0.001], WC z-score [B = −0.06, 95% CI (−0.11; −0.02), P = 0.003], WHtR [B = −0.01, 95% CI (−0.01; −0.00), P < 0.001], %FM [B = −1.11, 95% CI (−1.48; −0.75), P < 0.001], and FMI z-score [B = −0.18, 95% CI (−0.20; −0.17), P < 0.001]. Regarding dark chocolate, an inverse association only with WC z-score [B = −0.06, 95% CI (−0.08; −0.05), P < 0.001] was found. However, no association was observed between flavonoids from milk chocolate intake and anthropometric parameters.ConclusionsA higher intake of flavonoids from cocoa-based products was associated with lower adiposity parameters and a lower probability of presenting abdominal obesity.
abstractGer	BackgroundCocoa-based products are a good source of flavonoids, which may have beneficial effects on metabolic health.ObjectiveThe aim of this study is to assess the relationship between flavonoids from cocoa-based products and adiposity parameters in adolescents.MethodsA cross-sectional study was conducted involving 944 adolescents aged 11–14 years enrolled in the SI! Program for Secondary Schools trial in Spain with available baseline data from food frequency questionnaires and anthropometric measurements [weight, height, waist circumference (WC), and fat mass percentage (% FM) by bioimpedance analysis]. Fat mass index (FMI) and waist-to-height ratio (WHtR) were obtained by dividing fat mass by height and WC by height, respectively. Body mass index (BMI), WC, and FMI for age and gender z-score were calculated. Overweight/obesity was defined as BMI ≥ 85th percentile and excess adiposity as %FM or FMI ≥ 75th percentile. WC ≥ 90th percentile and WHtR with a 0.5 threshold were considered as criteria of abdominal obesity. Multilevel mixed-effect regressions were used to evaluate the association between flavonoids from cocoa-based products and adiposity parameters. Municipalities and schools were considered random effects.ResultsParticipants with a higher flavonoid intake from cocoa-based products had lower WC z-score [B = −0.04, 95% CI (−0.07; −0.01), P-for trend = 0.045] and WHtR [B = −0.01, 95% CI (−0.02; −0.01), P- for trend < 0.001]. They also had lower probability of having abdominal obesity [OR 0.66, 95% CI (0.52; 0.85), P- for trend = 0.001]. Inverse associations were observed between flavonoids from cocoa powder and BMI z-score [B = −0.08, 95% CI (−0.12; −0.05), P < 0.001], WC z-score [B = −0.06, 95% CI (−0.11; −0.02), P = 0.003], WHtR [B = −0.01, 95% CI (−0.01; −0.00), P < 0.001], %FM [B = −1.11, 95% CI (−1.48; −0.75), P < 0.001], and FMI z-score [B = −0.18, 95% CI (−0.20; −0.17), P < 0.001]. Regarding dark chocolate, an inverse association only with WC z-score [B = −0.06, 95% CI (−0.08; −0.05), P < 0.001] was found. However, no association was observed between flavonoids from milk chocolate intake and anthropometric parameters.ConclusionsA higher intake of flavonoids from cocoa-based products was associated with lower adiposity parameters and a lower probability of presenting abdominal obesity.
abstract_unstemmed	BackgroundCocoa-based products are a good source of flavonoids, which may have beneficial effects on metabolic health.ObjectiveThe aim of this study is to assess the relationship between flavonoids from cocoa-based products and adiposity parameters in adolescents.MethodsA cross-sectional study was conducted involving 944 adolescents aged 11–14 years enrolled in the SI! Program for Secondary Schools trial in Spain with available baseline data from food frequency questionnaires and anthropometric measurements [weight, height, waist circumference (WC), and fat mass percentage (% FM) by bioimpedance analysis]. Fat mass index (FMI) and waist-to-height ratio (WHtR) were obtained by dividing fat mass by height and WC by height, respectively. Body mass index (BMI), WC, and FMI for age and gender z-score were calculated. Overweight/obesity was defined as BMI ≥ 85th percentile and excess adiposity as %FM or FMI ≥ 75th percentile. WC ≥ 90th percentile and WHtR with a 0.5 threshold were considered as criteria of abdominal obesity. Multilevel mixed-effect regressions were used to evaluate the association between flavonoids from cocoa-based products and adiposity parameters. Municipalities and schools were considered random effects.ResultsParticipants with a higher flavonoid intake from cocoa-based products had lower WC z-score [B = −0.04, 95% CI (−0.07; −0.01), P-for trend = 0.045] and WHtR [B = −0.01, 95% CI (−0.02; −0.01), P- for trend < 0.001]. They also had lower probability of having abdominal obesity [OR 0.66, 95% CI (0.52; 0.85), P- for trend = 0.001]. Inverse associations were observed between flavonoids from cocoa powder and BMI z-score [B = −0.08, 95% CI (−0.12; −0.05), P < 0.001], WC z-score [B = −0.06, 95% CI (−0.11; −0.02), P = 0.003], WHtR [B = −0.01, 95% CI (−0.01; −0.00), P < 0.001], %FM [B = −1.11, 95% CI (−1.48; −0.75), P < 0.001], and FMI z-score [B = −0.18, 95% CI (−0.20; −0.17), P < 0.001]. Regarding dark chocolate, an inverse association only with WC z-score [B = −0.06, 95% CI (−0.08; −0.05), P < 0.001] was found. However, no association was observed between flavonoids from milk chocolate intake and anthropometric parameters.ConclusionsA higher intake of flavonoids from cocoa-based products was associated with lower adiposity parameters and a lower probability of presenting abdominal obesity.
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title_short	Flavonoid Intake From Cocoa-Based Products and Adiposity Parameters in Adolescents in Spain
url	https://doi.org/10.3389/fnut.2022.931171 https://doaj.org/article/72100b108af84b5184a6d2cd9f2cddaa https://www.frontiersin.org/articles/10.3389/fnut.2022.931171/full https://doaj.org/toc/2296-861X
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author2	Camila Arancibia-Riveros Anna Tresserra-Rimbau Sara Castro-Barquero Ana María Ruiz-León Ramón Estruch Rosa Casas Patricia Bodega Mercedes de Miguel Amaya de Cos-Gandoy Jesús Martínez-Gómez Carla Rodríguez Gloria Santos-Beneit Juan M. Fernández-Alvira Rodrigo Fernández-Jiménez Rosa M. Lamuela-Raventós
author2Str	Camila Arancibia-Riveros Anna Tresserra-Rimbau Sara Castro-Barquero Ana María Ruiz-León Ramón Estruch Rosa Casas Patricia Bodega Mercedes de Miguel Amaya de Cos-Gandoy Jesús Martínez-Gómez Carla Rodríguez Gloria Santos-Beneit Juan M. Fernández-Alvira Rodrigo Fernández-Jiménez Rosa M. Lamuela-Raventós
ppnlink	790231158
callnumber-subject	TX - Home Economics
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isOA_txt	true
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doi_str	10.3389/fnut.2022.931171
callnumber-a	TX341-641
up_date	2024-07-04T00:47:37.928Z
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Laveriano-Santos</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Flavonoid Intake From Cocoa-Based Products and Adiposity Parameters in Adolescents in Spain</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2022</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">BackgroundCocoa-based products are a good source of flavonoids, which may have beneficial effects on metabolic health.ObjectiveThe aim of this study is to assess the relationship between flavonoids from cocoa-based products and adiposity parameters in adolescents.MethodsA cross-sectional study was conducted involving 944 adolescents aged 11–14 years enrolled in the SI! Program for Secondary Schools trial in Spain with available baseline data from food frequency questionnaires and anthropometric measurements [weight, height, waist circumference (WC), and fat mass percentage (% FM) by bioimpedance analysis]. Fat mass index (FMI) and waist-to-height ratio (WHtR) were obtained by dividing fat mass by height and WC by height, respectively. Body mass index (BMI), WC, and FMI for age and gender z-score were calculated. Overweight/obesity was defined as BMI ≥ 85th percentile and excess adiposity as %FM or FMI ≥ 75th percentile. WC ≥ 90th percentile and WHtR with a 0.5 threshold were considered as criteria of abdominal obesity. Multilevel mixed-effect regressions were used to evaluate the association between flavonoids from cocoa-based products and adiposity parameters. Municipalities and schools were considered random effects.ResultsParticipants with a higher flavonoid intake from cocoa-based products had lower WC z-score [B = −0.04, 95% CI (−0.07; −0.01), P-for trend = 0.045] and WHtR [B = −0.01, 95% CI (−0.02; −0.01), P- for trend &lt; 0.001]. They also had lower probability of having abdominal obesity [OR 0.66, 95% CI (0.52; 0.85), P- for trend = 0.001]. Inverse associations were observed between flavonoids from cocoa powder and BMI z-score [B = −0.08, 95% CI (−0.12; −0.05), P &lt; 0.001], WC z-score [B = −0.06, 95% CI (−0.11; −0.02), P = 0.003], WHtR [B = −0.01, 95% CI (−0.01; −0.00), P &lt; 0.001], %FM [B = −1.11, 95% CI (−1.48; −0.75), P &lt; 0.001], and FMI z-score [B = −0.18, 95% CI (−0.20; −0.17), P &lt; 0.001]. Regarding dark chocolate, an inverse association only with WC z-score [B = −0.06, 95% CI (−0.08; −0.05), P &lt; 0.001] was found. 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