Abstract
Background/objectives:
The objective of this study was to examine the relationship between amino acid (AA) intake and serum lipid profile in European adolescents from eight European cities participating in the cross-sectional (2006–2007) HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study, and to assess whether this association was independent of total fat intake.
Subjects/methods:
Diet, skinfold thickness, triglycerides (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-c), TC/HDL-c ratio, low-density lipoprotein cholesterol (LDL-c), apolipoprotein B (Apo B), apolipoprotein A1 (Apo A1) and Apo B/Apo A1 ratio were measured in 454 12.5- to 17.5-year-old adolescents (44% boys). Intake was assessed via two non-consecutive 24-h dietary recalls. Data on maternal education and sedentary behaviors were obtained via questionnaires. Physical activity was objectively measured by accelerometry.
Results:
Alanine, arginine, asparaginic acid, glycine, histidine, lysine and serine intakes were inversely associated with serum TG concentrations in both boys and girls. Intake of other AA like alanine and/or arginine was also inversely associated with serum TC, LDL-c and Apo B/Apo A1 ratio only in girls. An inverse association was observed between intakes of alanine, isoleucine, leucine, methionine, serine, tryptophan, tyrosine and valine and TC/HDL-c ratio among female adolescents. Similar results were found in males for serine and tryptophan intakes. It is noteworthy, however, that associations were no longer significant in both genders when total fat intake was considered as a confounding factor.
Conclusions:
In this sample of adolescents, the association between AA intakes and serum lipid profile did not persist when dietary fat was considered. Therefore, dietary interventions and health promotion activities should focus on fat intake to improve lipid profile and potentially prevent cardiovascular disease.
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Acknowledgements
All authors read and approved the final manuscript. We gratefully acknowledge all participating children and adolescents, and their parents and teachers for their collaboration. The writing group takes sole responsibility for the content of this article. The content of this article reflects the views of the authors only, and the European Community is not liable for any use that may be made of the information contained therein. The HELENA study was carried out with financial support of the European Community Sixth RTD Framework Programme (Contract FOOD-CT-2005-007034). This analysis was also supported by the Aragón’s Regional Government (SBS), by a grant from the Spanish Ministry of Science and Innovation (JCI 2010-07055, AP 2008-03806) and by the European Regional Development Fund (MICINN-FEDER). We thank Petra Pickert and Anke Carstensen for their contribution to laboratory work.
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Appendix
Appendix
*HELENA Study Group
Coordinator: LA Moreno.
Core Group members: LA Moreno, F Gottrand, S De Henauw, M González-Gross, C Gilbert.
Steering Committee: A Kafatos (President), LA Moreno, C Libersa, S De Henauw, J Sánchez, F Gottrand, M Kersting, M Sjöstrom, D Molnár, M González-Gross, J Dallongeville, C Gilbert, G Hall, L Maes, L Scalfi.
Project Manager: P Meléndez.
1. Universidad de Zaragoza (Spain)
LA Moreno, J Fleta, JA Casajús, G Rodríguez, C Tomás, MI Mesana, G Vicente-Rodríguez, A Villarroya, CM Gil, I Ara, J Revenga, C Lachen, J Fernández-Alvira, G Bueno, A Lázaro, O Bueno, JF León, JMa Garagorri, M Bueno, JP Rey López, I Iglesia, P Velasco, S Bel-Serrat, L Gracia-Marco, T Mouratidou.
2. Consejo Superior de Investigaciones Científicas (Spain)
A Marcos, J Wärnberg, E Nova, S Gómez-Martínez, E Ligia Díaz, J Romeo, A Veses, M Angeles Puertollano, B Zapatera, T Pozo.
3. Université de Lille 2 (France)
L Beghin, C Libersa, F Gottrand, C Iliescu, J Von Berlepsch.
4. Research Institute of Child Nutrition Dortmund, Rheinische Friedrich-Wilhelms-Universität Bonn (Germany)
M Kersting, W Sichert-Hellert, E Koeppen.
5. Pécsi Tudományegyetem (University of Pécs) (Hungary)
D Molnar, E Erhardt, K Csernus, K Török, S Bokor, Mrs. Angster, E Nagy, O Kovács, J Répasi.
6. University of Crete School of Medicine (Greece)
A Kafatos, C Codrington, M Plada, A Papadaki, K Sarri, A Viskadourou, C Hatzis, M Kiriakakis, G Tsibinos, C Vardavas, M Sbokos, E Protoyeraki, M Fasoulaki.
7. Institut für Ernährungs- und Lebensmittelwissenschaften – Ernährungphysiologie. Rheinische Friedrich Wilhelms Universität (Germany)
P Stehle, K Pietrzik, M González-Gross, C Breidenassel, A Spinneker, J Al-Tahan, M Segoviano, A Berchtold, C Bierschbach, E Blatzheim, A Schuch, P Pickert.
8. University of Granada (Spain)
MJ Castillo, A Gutiérrez, FB Ortega, JR Ruiz, EG Artero, V España, D Jiménez-Pavón, P Chillón, C Sánchez-Muñoz, M Cuenca-García.
9. Istituto Nazionale di Ricerca per gli Alimenti e la Nutrizione (Italy)
D Arcella, E Azzini, E Barrison, N Bevilacqua, P Buonocore, G Catasta, L Censi, D Ciarapica, P D’Acapito, M Ferrari, M Galfo, C Le Donne, C Leclercq, G Maiani, B Mauro, L Mistura, A Pasquali, R Piccinelli, A Polito, R Spada, S Sette, M Zaccaria.
10. University of Napoli ‘Federico II’ Dept of Food Science (Italy)
L Scalfi, P Vitaglione, C Montagnese.
11. Ghent University (Belgium)
I De Bourdeaudhuij, S De Henauw, T De Vriendt, L Maes, C Matthys, C Vereecken, M de Maeyer, C Ottevaere, I Huybrechts.
12. Medical University of Vienna (Austria)
K Widhalm, K Phillipp, S Dietrich, B Kubelka, M Boriss-Riedl.
13. Harokopio University (Greece)
Y Manios, E Grammatikaki, Z Bouloubasi, T Louisa Cook, S Eleutheriou, O Consta, G Moschonis, I Katsaroli, G Kraniou, S Papoutsou, D Keke, I Petraki, E Bellou, S Tanagra, K Kallianoti, D Argyropoulou, K Kondaki, S Tsikrika, C Karaiskos.
14. Institut Pasteur de Lille (France)
J Dallongeville, A Meirhaeghe.
15. Karolinska Institutet (Sweden)
M Sjöström, J Ruiz, FB Ortega, M Hagströmer, L Hallström, E Patterson, L Kwak, J Wärnberg, N Rizzo, A Hurtig Wennlöf.
16. Asociación de Investigación de la Industria Agroalimentaria (Spain)
J Sánchez-Molero, E Picó, M Navarro, B Viadel, JE Carreres, G Merino, R Sanjuán, M Lorente, MJ Sánchez, S Castelló.
17. Campden BRI (United Kingdom)
C Gilbert, S Thomas, E Allchurch, P Burguess.
18. SIK—Institutet foer Livsmedel och Bioteknik (Sweden)
G Hall, A Astrom, A Sverkén, A Broberg.
19. Meurice Recherche and Development asbl (Belgium)
A Masson, C Lehoux, P Brabant, P Pate, L Fontaine.
20. Campden and Chorleywood Food Development Institute (Hungary)
A Sebok, T Kuti, A Hegyi.
21. Productos Aditivos SA (Spain)
C Maldonado, A Llorente.
22. Cárnicas Serrano SL (Spain)
E García.
23. Cederroth International AB (Sweden)
H von Fircks, M Lilja Hallberg, M Messerer
24. Lantmännen Food R&D (Sweden)
M Larsson, H Fredriksson, V Adamsson, I Börjesson.
25. European Food Information Council (Belgium)
L Fernández, L Smillie, J Wills.
26. Universidad Politécnica de Madrid (Spain)
M González-Gross, J Valtueña, U Albers, R Pedrero-Chamizo, A Meléndez, PJ Benito, D Cañada, D Jiménez-Pavón, A Urzanqui, G Palacios, JC Ortiz, F Fuentes, JJ Gómez Lorente, R Mardía Torres, P Navarro.
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Bel-Serrat, S., Mouratidou, T., Huybrechts, I. et al. The role of dietary fat on the association between dietary amino acids and serum lipid profile in European adolescents participating in the HELENA Study. Eur J Clin Nutr 68, 464–473 (2014). https://doi.org/10.1038/ejcn.2013.284
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DOI: https://doi.org/10.1038/ejcn.2013.284