Browsing by Author "Kovalskys, Irina"

Now showing 1 - 20 of 44
  • No Thumbnail Available
    Item
    A Comparison of Associations Between Self-Reported and Device-Based Sedentary Behavior and Obesity Markers in Adults: A Multi-National Cross-Sectional Study
    (2022) Ferrari, Gerson; Herrera-Cuenca, Marianella; Zalcman Zimberg, Iona; Guajardo, Viviana; Gomez, Georgina; Quesada, Dayana; Rigotti, Attilio; Yadira Cortes, Lilia; Yepez Garcia, Martha; Pareja, Rossina G.; Peralta, Miguel; Marques, Adilson; Leme, Ana Carolina B.; Kovalskys, Irina; Rollo, Scott; Fisberg, Mauro
    The purpose of this study was to examine the associations between self-reported and device-based measures of sedentary behavior (SB) with obesity markers in adults from Latin American countries. Sitting time and total time spent in different SBs were self-reported using two different questionnaires. Accelerometers were used to assess total sedentary time. Body mass index, waist, and neck circumferences were assessed. The highest self-reported sitting time was in Argentina, the highest total time spent in different SBs was in Brazil and Costa Rica, and the highest device-based sedentary time was observed in Peru. Neither self-reported sitting time, total time spent in different SBs or device-based sedentary time were associated with body mass index. Device-based sedentary time was positively associated with waist circumference and self-reported sitting time was positively associated with neck circumference. Caution is warranted when comparing the associations of self-reported and device-based assessments of SB with anthropometric variables.
  • No Thumbnail Available
    Item
    A Landscape of Micronutrient Dietary Intake by 15-to 65-Years-Old Urban Population in 8 Latin American Countries: Results From the Latin American Study of Health and Nutrition
    (2024) Monge-Rojas, Rafael; Vargas-Quesada, Rulaman; Previdelli, Agatha Nogueira; Kovalskys, Irina; Herrera-Cuenca, Marianella; Cortes, Lilia Yadira; Garcia, Martha Cecilia Yepez; Liria-Dominguez, Reyna; Rigotti, Attilio; Fisberg, Regina Mara; Ferrari, Gerson; Fisberg, Mauro; Gomez, Georgina
    Background: Latin American countries have shifted from traditional diets rich in micronutrients to a Westernized diet rich in high energy-dense foods and low in micronutrients.
  • No Thumbnail Available
    Item
    Accelerometer-Measured Daily Step Counts and Adiposity Indicators among Latin American Adults: A Multi-Country Study
    (2021) Ferrari, Gerson; Marques, Adilson; Barreira, Tiago V.; Kovalskys, Irina; Gomez, Georgina; Rigotti, Attilio; Cortes, Lilia Yadira; Garcia, Martha Cecilia Yepez; Pareja, Rossina G.; Herrera-Cuenca, Marianella; Guajardo, Viviana; Leme, Ana Carolina B.; Guzman Habinger, Juan; Valdivia-Moral, Pedro; Suarez-Reyes, Monica; Ihle, Andreas; Gouveia, Elvio R.; Fisberg, Mauro
    The aim of the present study was to examine the sex-related associations between accelerometer-measured daily step counts and adiposity indicators in adults from eight Latin American countries. We analyzed data from 2524 adults (aged 18-65 years) from the Latin American Study of Nutrition and Health. Device-measured daily step counts were measured by accelerometers (ActiGraph GT3X). The outcomes were body mass index (BMI; (kg/m2), waist and neck circumference (in cm). Overall, the mean of daily steps counts, BMI, waist and neck circumference were 10699.8, 27.3, 89.6, and 35.8. Weak and negative associations were observed between daily steps counts and BMI (r = -0.17; p < 0.05) and waist circumference (r = -0.16; p < 0.05); however, step counts was not associated with neck circumference. Daily steps counts were negatively associated with BMI (beta: -0.054; 95%CI: -0.077; -0.012) and waist circumference (-0.098; -0.165; -0.030) independently of age and socioeconomic level. In men, there were significant negative associations between daily steps counts with BMI (-0.075; -0.119; -0.031) and waist circumference (-0.140; -0.233; -0.048), and in women, there was no significant association with either of the body composition indicators. The findings from this study need to be examined in prospective settings that use device-measured from Latin America.
  • No Thumbnail Available
    Item
    Agreement Between Self-Reported and Device-Based Sedentary Time among Eight Countries: Findings from the ELANS
    (2021) Ferrari, Gerson; Werneck, Andre O.; Silva, Danilo R.; Kovalskys, Irina; Gomez, Georgina; Rigotti, Attilio; Cortes, Lilia Yadira; Garcia, Martha Yepez; Liria, Maria; Herrera-Cuenca, Marianella; Zimberg, Iona Zalcman; Guajardo, Viviana; Pratt, Michael; Cristi-Montero, Carlos; Marques, Adilson; Peralta, Miguel; Bolados, Cristian Cofre; Leme, Ana Carolina B.; Rollo, Scott; Fisberg, Mauro
    The purpose of this study was to analyze the agreement between self-reported and device-based sedentary time among eight countries in Latin America. As part of the Latin American Study of Nutrition and Health (ELANS), data were collected from 2524 participants (18-65 years) across eight countries. Participants reported time spent sedentary in different activities (computer use at home, videogame use, reading, sitting down to chat with friends/relatives or listening to music, speaking on the phone, watching TV, and riding in a car). Overall sitting time was assessed using a single item from the International Physical Activity Questionnaire (IPAQ). Device-based sedentary time was assessed using Actigraph GT3X accelerometers. Self-reported overall sitting time (227.1 min/day) produced the lowest values of the three assessment methods, followed by self-reported sum of different types of sedentary behavior (364.1 min/day) and device-based sedentary time (568.6 min/day). Overall, correlation coefficients and ICC varied from weak to moderate (rho: 0.25-0.39; ICC: 0.21:0.39) between self-reported sum of different types of sedentary behavior, self-reported overall sitting time, and device-based sedentary time. The Bland-Altman plots indicated low to moderate agreement between self-reported overall sitting time and device-based sedentary time by sex. Self-report measures underestimate sedentary behavior and overall sitting time when compared with device-based measures. The weak and moderate level of agreement between methods indicates that caution is required when comparing associations between different self-report and device-based measures of sedentary behavior with health outcomes.
  • No Thumbnail Available
    Item
    Alcohol Contribution to Total Energy Intake and Its Association with Nutritional Status and Diet Quality in Eight Latina American Countries
    (2021) Brenes, Juan Carlos; Gomez, Georgina; Quesada, Dayana; Kovalskys, Irina; Rigotti, Attilio; Cortes, Lilia Yadira; Yepez Garcia, Martha Cecilia; Liria-Dominguez, Reyna; Herrera-Cuenca, Marianella; Guajardo, Viviana; Fisberg, Regina Mara; Leme, Ana Carolina B.; Ferrari, Gerson; Fisberg, Mauro; ELANS Study Grp
    Alcohol consumption is a modifiable risk factor for non-communicable diseases. This study aimed to characterize alcohol consumers at the nutritional, anthropometric, and sociodemographic levels. Data from 9218 participants from Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela participating in "Latin American Health and Nutrition Study (ELANS)", a multi-country, population-based study, were used. Dietary intake was collected through two, 24 h recalls. Participants were classified into consumers (n = 1073) and non-alcohol consumers (n = 8145) using a cut-off criterium of >= 15 g/day of alcohol consumption calculated from the estimation of their usual daily intake. Among alcohol consumers, the mean alcohol consumption was 69.22 +/- 2.18 grams (4.6. beverages/day), contributing to 484.62 kcal, which corresponded to 16.86% of the total energy intake. We found that the risk of alcohol consumption was higher in young and middle-aged men from low and middle socioeconomic status. Argentine, Brazil, and Chile had the highest percentage of consumers, while Ecuador showed the highest alcohol consumption. Alcohol drinkers were characterized by having higher body weight and wider neck, waist, hips circumferences. Alcohol drinkers had a higher energy intake, with macronutrients providing relatively less energy at the expense of the energy derived from alcohol. Alcohol drinkers showed lower and higher consumptions of healthy and unhealthy food groups, respectively. In addition, adequacy ratios for all micronutrients assessed were lower in alcohol consumers. All these deleterious effects of alcohol on nutritional and anthropometric parameters increased with the number of alcoholic beverages consumed daily. Altogether, these findings suggest that limiting alcohol consumption can contribute to reducing the risk of obesity, metabolic syndrome, and diet-related diseases.
  • No Thumbnail Available
    Item
    Anthropometric Profile of Latin American Population: Results From the ELANS Study
    (2021) Herrera-Cuenca, Marianella; Kovalskys, Irina; Gerardi, Alejandro; Hernandez, Pablo; Sifontes, Yaritza; Gomez, Georgina; Yepez Garcia, Martha Cecilia; Mendez-Perez, Betty; Landaeta-Jimenez, Maritza; Pareja, Rossina; Cortes, Lilia Yadira; Rigotti, Attilio; Fisberg, Mauro; Zimberg, Iona Zalcman
    Background: Latin America has experienced changes in lifestyle since 1960.Aim: The aim was to determine the prevalence of obesity and stunting among eight countries of Latin American and to identify the determinant risk factors for obesity.Subjects and Methods: Data were obtained from 9,218 participants of the Latin American Study of Nutrition and Health (ELANS), a multicenter cross-sectional study of the representative samples in eight Latin American countries. All the participants completed a standard protocol to investigate the nutrient intake and anthropometric variables (weight, height, and circumferences) analyzed by country, gender, age, and socioeconomic status.Results: The prevalence of obesity was higher in Costa Rica and Venezuela (29%) and lower in Colombia (16%), stunting was reported higher in Peru (47%) and lower in Argentina (17%), and waist and neck circumferences showed the higher values in Costa Rica (43%) and Chile (52%) and lower values in Colombia (23 and 26%).Conclusion: This study indicates an increasing trend toward overweight and obesity that are associated with lower socioeconomic status, being a woman, and concurs with inadequate intakes of calcium, which may be related to poor quality diet and in the long term could constitute risk factors for the chronic diseases and a health burden to the region.
  • Thumbnail Image
    Item
    Are the diferent cut-of points for sitting time associated with excess weight in adults?: a population based study in Latin America
    (2023) Victo, Eduardo Rossato de; Kovalskys, Irina; Fisberg, Mauro; Gómez, Georgina; Rigotti Rivera, Attilio; Cortés, Lilia Y.; Yépez García, Martha; Pareja, Rossina G.; Herrera Cuenca, Marianella; Solé, Dirceu; Drenowatz, Clemens; Marques, Adilson; Ferrari, Gerson
    Background: Excess weight is increasing worldwide, and in Latin America more than half of the population is excess weight. One of the reasons for this increase has been excessive sitting time. Still, it remains to be seen whether there is an excessive amount of that time in Latin American adults. This study aimed to associate different sitting time cut-off points with the excess weight. Methods: Data from the Latin American Study of Nutrition and Health (ELANS), a cross-sectional population-based survey conducted in eight Latin American countries, were used. The excess weight indicators used were body mass index, and waist and neck circumferences. Sitting time was obtained using questionnaires and categorized at different cut-off points. Differences between sitting time categories (< 4 or ≥ 4; < 6 or ≥ 6; and < 8 or ≥ 8 hours/day) and excess weight were obtained by Student’s t test for independent samples and the association between sitting time categories and different indicators of excess weight were obtained by logistic regression. Results: The median of the sitting time was 420 min/day (IQR: 240–600). There were no significant differences between body mass index (kg/m2) and waist circumference (cm) with categories of sitting time. The mean values of neck circumference (cm) were significantly higher in ≥4, ≥6 and ≥ 8 hours/day than < 4, < 6, and < 8 hours/day of sitting time in the pooled sample. Some distinct differences by country were observed. There were significant differences among excess weight by body mass index (63.2% versus 60.8) with < 8 vs ≥8 hours/day of sitting time. The proportion of excess weight by neck circumference was higher in participants who reported ≥4, ≥6, and ≥ 8 hours/day compared to < 4, < 6, and < 8 hours/day of sitting time. Considering ≥8 hours/day of sitting time, higher odds of excess weight were found evaluated by body mass index (OR: 1.10; 95% CI: 1.01, 1.20) and neck circumference (OR: 1.13; CI 95%: 1.03, 1.24) overall. Conclusions: Sitting time above 8 hours/day was associated with higher odds of excess weight, even though there were no differences in waist circumference between sitting time categories.
  • No Thumbnail Available
    Item
    Association between Active Transportation and Public Transport with an Objectively Measured Meeting of Moderate-to-Vigorous Physical Activity and Daily Steps Guidelines in Adults by Sex from Eight Latin American Countries
    (2021) Herreros-Irarrazabal, Diego; Guzman-Habinger, Juan; Mahecha Matsudo, Sandra; Kovalskys, Irina; Gomez, Georgina; Rigotti, Attilio; Cortes, Lilia Yadira; Garcia, Martha Cecilia Yepez; Pareja, Rossina G.; Herrera-Cuenca, Marianella; Farias-Valenzuela, Claudio; Marques, Adilson; Leme, Ana Carolina B.; Fisberg, Mauro; Drenowatz, Clemens; Ferrari, Gerson
    This study aimed to examine the associations between active transportation and public transport and the objectively measured meeting of moderate-to-vigorous physical activity (MVPA) and steps per day guidelines in adults by sex from eight Latin American countries. As part of the Latin American Study of Nutrition and Health (ELANS), data were collected from 2524 participants aged 18-65 years. MVPA and steps per day were evaluated using Actigraph GT3X accelerometers. The mode of transportation, its frequency and duration were collected using a self-reported questionnaire. The average time dedicated to active transportation was 12.8 min/day in men (IQR: 2.8-30.0) and 12.9 min/day in women (IQR: 4.3-25.7). A logistic regression analysis was conducted, showing that active transportation (>= 10 min) was associated with higher odds of meeting MVPA guidelines (men: OR: 2.01; 95%CI: 1.58-2.54; women: OR: 1.57; 95%CI: 1.25-1.96). These results show a greater association when considering active transportation plus public transport (men: OR: 2.98; 95%CI: 2.31-3.91; women: OR: 1.82; 95%CI: 1.45-2.29). Active transportation plus public transport was positively associated with meeting steps per day guidelines only in men (OR: 1.55; 95%CI: 1.15-2.10). This study supports the suggestion that active transportation plus public transport is significantly associated with meeting the MVPA and daily steps recommendations.
  • No Thumbnail Available
    Item
    Association between built environment and physical activity in Latin American countries: a multicentre cross-sectional study
    (2021) Barreno, Mishell; Sisa, Ivan; Garcia, Martha Cecilia Yepez; Shen, Hua; Villar, Monica; Kovalskys, Irina; Fisberg, Mauro; Gomez, Georgina; Rigotti, Attilio; Cortes, Lilia Yadira; Pareja, Rossina G.; Herrera-Cuenca, Marianella; Guajardo, Viviana
    Objective To assess the association between the physical activity level and the built environment by accessibility, microinfrastructure and security in Latin America (LA).
  • Thumbnail Image
    Item
    Association between Perceived Neighborhood Built Environment and Walking and Cycling for Transport among Inhabitants from Latin America : The ELANS Study
    (2020) Ferrari, Gerson; Oliveira Werneck, A.; Rodrigues da Silva, D.; Kovalskys, Irina; Gómez, Georgina; Rigotti Rivera, Attilio; Cortés Sanabria, L. Y.; Yépez García, M. C.; Pareja, Rossina G.; Herrera Cuenca, M.; Zimberg, I. Z.; Guajardo, V.; Pratt, M.; Cofre Bolados, C.; Jofré Saldia, E.; Pires, C.; Marques, A.; Peralta, M.; Victo, Eduardo Rossato de; Fisberg, Mauro
  • Thumbnail Image
    Item
    Association of moderate-to-vigorous physical activity with neck circumference in eight Latin American countries
    (2019) Luis de Moraes Ferrari, Gerson; Kovalskys, Irina; Fisberg, Mauro; Gomez, Georgina; Rigotti Rivera, Attilio; Sanabria, Lilia; García, Martha.; Torres, Rossina; Herrera-Cuenca, Marianella; Zimberg, Ioná Z.
    Abstract Background Physical activity is a cornerstone in the prevention and treatment of obesity. There are relatively few studies that explore the effect of accelerometer-determined moderate-to-vigorous physical activity (MVPA) on neck circumference (NC), most of them confined to single high-income countries. The present study investigated the association of accelerometer-determined MVPA with NC in adolescents and adults from eight Latin American countries, which are mostly upper-middle income countries. Methods The sample consisted of 2370 participants (47.8% male) from the Latin American Study of Nutrition and Health, a multicenter cross-sectional nutrition and health surveillance study of a nationally representative sample from eight Latin American countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela). Times (min/day) in MVPA (defined as time accumulated at ≥1952 activity counts/min) was assessed by ActiGraph GT3X+ accelerometer over 7 days. NC for adolescent was categorized as abnormal if circumference was > 34.5 cm for boys and > 31.25 for girls, whereas for adults the cut-off points for abnormal were > 39 cm for men and > 35 cm women. Multilevel logistic models, including country and region as random effects and adjusted for sex, age, socioeconomic level, and educational level, were used to study the association between MVPA and NC. Results The average time of MVPA was 34.88 min/day, ranging from 31.16 in Venezuela to 40.27 in Chile. Concerning NC, 37.0% of the sample was classified as having elevated NC. Chile was the country with the highest percentage of people with elevated NC (56.9%), and Colombia had the lowest percentage (24.8%). Overall, the MVPA (min/day) was associated with elevated NC (OR = 0.994, CI95% = 0.990–0.998). In Costa Rica and Peru, there were significant associations between MVPA and NC when analyzed by country. Conclusions The present study provided evidence of significant associations between MVPA and NC in adolescents and adults from Latin America, independent of sex, age, socioeconomic level, and educational level. This analysis of accelerometry data and NC represents the first examination of these associations in eight Latin America countries. Further research is required to understand the differences between countries in the observed associations. Trial registration ClinicalTrials.Gov NCT02226627 . Retrospectively registered on August 27, 2014.Abstract Background Physical activity is a cornerstone in the prevention and treatment of obesity. There are relatively few studies that explore the effect of accelerometer-determined moderate-to-vigorous physical activity (MVPA) on neck circumference (NC), most of them confined to single high-income countries. The present study investigated the association of accelerometer-determined MVPA with NC in adolescents and adults from eight Latin American countries, which are mostly upper-middle income countries. Methods The sample consisted of 2370 participants (47.8% male) from the Latin American Study of Nutrition and Health, a multicenter cross-sectional nutrition and health surveillance study of a nationally representative sample from eight Latin American countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela). Times (min/day) in MVPA (defined as time accumulated at ≥1952 activity counts/min) was assessed by ActiGraph GT3X+ accelerometer over 7 days. NC for adolescent was categorized as abnormal if circumference was > 34.5 cm for boys and > 31.25 for girls, whereas for adults the cut-off points for abnormal were > 39 cm for men and > 35 cm women. Multilevel logistic models, including country and region as random effects and adjusted for sex, age, socioeconomic level, and educational level, were used to study the association between MVPA and NC. Results The average time of MVPA was 34.88 min/day, ranging from 31.16 in Venezuela to 40.27 in Chile. Concerning NC, 37.0% of the sample was classified as having elevated NC. Chile was the country with the highest percentage of people with elevated NC (56.9%), and Colombia had the lowest percentage (24.8%). Overall, the MVPA (min/day) was associated with elevated NC (OR = 0.994, CI95% = 0.990–0.998). In Costa Rica and Peru, there were significant associations between MVPA and NC when analyzed by country. Conclusions The present study provided evidence of significant associations between MVPA and NC in adolescents and adults from Latin America, independent of sex, age, socioeconomic level, and educational level. This analysis of accelerometry data and NC represents the first examination of these associations in eight Latin America countries. Further research is required to understand the differences between countries in the observed associations. Trial registration ClinicalTrials.Gov NCT02226627 . Retrospectively registered on August 27, 2014.Abstract Background Physical activity is a cornerstone in the prevention and treatment of obesity. There are relatively few studies that explore the effect of accelerometer-determined moderate-to-vigorous physical activity (MVPA) on neck circumference (NC), most of them confined to single high-income countries. The present study investigated the association of accelerometer-determined MVPA with NC in adolescents and adults from eight Latin American countries, which are mostly upper-middle income countries. Methods The sample consisted of 2370 participants (47.8% male) from the Latin American Study of Nutrition and Health, a multicenter cross-sectional nutrition and health surveillance study of a nationally representative sample from eight Latin American countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela). Times (min/day) in MVPA (defined as time accumulated at ≥1952 activity counts/min) was assessed by ActiGraph GT3X+ accelerometer over 7 days. NC for adolescent was categorized as abnormal if circumference was > 34.5 cm for boys and > 31.25 for girls, whereas for adults the cut-off points for abnormal were > 39 cm for men and > 35 cm women. Multilevel logistic models, including country and region as random effects and adjusted for sex, age, socioeconomic level, and educational level, were used to study the association between MVPA and NC. Results The average time of MVPA was 34.88 min/day, ranging from 31.16 in Venezuela to 40.27 in Chile. Concerning NC, 37.0% of the sample was classified as having elevated NC. Chile was the country with the highest percentage of people with elevated NC (56.9%), and Colombia had the lowest percentage (24.8%). Overall, the MVPA (min/day) was associated with elevated NC (OR = 0.994, CI95% = 0.990–0.998). In Costa Rica and Peru, there were significant associations between MVPA and NC when analyzed by country. Conclusions The present study provided evidence of significant associations between MVPA and NC in adolescents and adults from Latin America, independent of sex, age, socioeconomic level, and educational level. This analysis of accelerometry data and NC represents the first examination of these associations in eight Latin America countries. Further research is required to understand the differences between countries in the observed associations. Trial registration ClinicalTrials.Gov NCT02226627 . Retrospectively registered on August 27, 2014.
  • No Thumbnail Available
    Item
    Breakfast in Latin America: Evaluation of Nutrient and Food Group Intake Toward a Nutrient-Based Recommendation
    (2022) Kovalskys, Irina; Fisberg, Mauro; Previdelli, Agatha Nogueira; Pereira, Jaqueline Lopes; Zimberg, Iona Zalcman; Guajardo, Viviana; Fisberg, Regina; Ferrari, Gerson; Gomez, Georgina; Rigotti, Attilio; Cortes Sanabria, Lilia Y.; Yepez Garcia, Martha C.; Herrera-Cuenca, Marianella; Liria Dominguez, Maria Reyna
    Background Little is known about breakfast habits of the Latin American (LA) population to support nutritional recommendations for a balanced breakfast in this region.
  • No Thumbnail Available
    Item
    Breakfast skipping, nutritional status, and physical activity in a middle-aged Latin American population: a population-based study from Ecuador
    (2019) Lara, Melissa; Sisa, Ivan; Cecilia Yepez, Martha; Fisberg, Mauro; Kovalskys, Irina; Salas, Georgina Gomez; Rigotti, Attilio; Sanabria, Lilia Yadira Cortes; Garcia, Martha Cecilia Yepez; Torres, Rossina Gabriella Pareja; Herrera-Cuenca, Marianella; Koletzko, Berthold; Moreno, Luis A.; Pratt, Michael; Tucker, Katherine L.; Guajardo, Viviana; Zalcman Zimberg, Iona; Paz Amigo, Maria; Janezic, Ximena; Cardini, Fernando; Echeverria, Guadalupe; Landaeta, Leslie; Castillo, Oscar; Cortes Sanabria, Lilia Yadira; Nayibe Vargas, Luz; Fernanda Tobar, Luisa; Milena Castillo, Yuri; Gomez, Georgina; Monge Rojas, Rafael; Chinnock, Anne; Cecilia, Martha; Garcia, Yepez; Villar Caceres, Monica; Belen Ocampo, Maria; Pareja Torres, Rossina; Reyna Liria, Maria; Meza, Krysty; Abad, Mellisa; Penny, Mary; Landaeta, Maritza; Mendez, Betty; Vasquez, Maura; Ramirez, Guillermo; Hernandez, Pablo; Chiavegatto Filho, Alexandre D. P.; Bezerra Goncalves, Priscila; Alberico, Claudia; Ferrari, Gerson Luis de Moraes; Previdelli, Agatha Nogueira; Aparecida Grande de Franca, Natasha
    Introduction: the failure to eat breakfast has been associated with weight gain, a lower level of physical activity, and poor diet quality.
  • No Thumbnail Available
    Item
    Co-Occurrence and Clustering of Sedentary Behaviors, Diet, Sugar-Sweetened Beverages, and Alcohol Intake among Adolescents and Adults: The Latin American Nutrition and Health Study (ELANS)
    (2021) B. Leme, Ana Carolina; Ferrari, Gerson; Fisberg, Regina M.; Kovalskys, Irina; Gomez, Georgina; Cortes, Lilia Yadira; Yepez Garcia, Martha Cecilia; Herrera-Cuenca, Marianella; Rigotti, Attilo; Liria-Dominguez, Maria Reyna; Fisberg, Mauro
    Poor diet, sedentary behaviors, sugar-sweetened beverages (SSB) and alcohol intake seem to co-exist in complex ways that are not well understood. The aim of this study was to provide an understanding of the extent to which unhealthy behaviors cluster in eight Latin America countries. A secondary aim was to identify socio-demographic characteristics associated with these behaviors by country. Data from adolescents and adults from the "Latin American Health and Nutrition Study" was used and the prevalence of screen-time, occupational and transportation-sedentary time, socializing with friends, poor diet, SSB and alcohol intake, alone and in combination, were identified. The eight Latin America (LA) countries added to analyses were: Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela. Logistic regression was used to estimate associations between >= 2 behaviors clustering, socio-demographics and weight status. Among 9218 individuals, the most prevalent behaviors were transportation and occupation-sedentary time, SSB and alcohol intake. Younger, female, married/living with a partner, low and middle-income and obese individuals had higher chances for these clustering behaviors. These results provide a multi-country level of understanding of the extent to which behaviors co-occur in the LA population.
  • Thumbnail Image
    Item
    Comparison of self-report versus accelerometer - measured physical activity and sedentary behaviors and their association with body composition in Latin American countries
    (2020) Ferrari, Gerson; Kovalskys, Irina; Fisberg, Mauro; Gómez, Georgina; Rigotti Rivera, Attilio; Sanabria, L. Y. C.; Yépez García, Martha; Torres, R. G. P; Herrera Cuenca, Marianella; Zimberg, I.Z.; Guajardo, V.; Pratt, M.; Pires, C. A. M.; Colley, R. C.; Solé, Dirceu
  • No Thumbnail Available
    Item
    Contribution of food groups to energy, grams and nutrients-to-limit: the Latin American Study of Nutrition and Health/Estudio Latino Americano de Nutricion y Salud (ELANS)
    (2021) Fisberg, Regina Mara; Leme, Ana Carolina Barco; Previdelli, Agatha; de Mello, Aline Veroneze; Martinez, Angela Graciela; Hermes Sales, Cristiane; Gomez, Georgina; Kovalskys, Irina; Herrera-Cuenca, Marianella; Cortes Sanabria, Lilia Yadira; Yepez Garcia, Martha Cecilia; Torres, Rossina G.; Rigotti, Attilio; Fisberg, Mauro
    Objective:
  • No Thumbnail Available
    Item
    Correlation between Neck Circumference and Other Anthropometric Measurements in Eight Latin American Countries. Results from ELANS Study
    (2021) Liria-Dominguez, Reyna; Perez-Albela, Marcela; Vasquez, Maria-Paz; Gomez, Georgina; Kovalskys, Irina; Fisberg, Mauro; Cortes, Lilia Yadira; Yepez Garcia, Martha Cecilia; Herrera-Cuenca, Marianella; Rigotti, Attilio; Ferrari, Gerson; Pareja, Rossina G.
    Neck circumference (NC) is being used to identify the risk of chronic diseases. There is a high prevalence of overweight and obesity in Latin America, and neck circumference is a simple and practical measurement to assess this, especially in primary health centers. We analyzed the correlation between the NC anthropometric indicator and other anthropometric measurements such as BMI and waist circumference (WC) in eight Latin American cities. We applied Pearson's correlation to identify the correlate NC with the other anthropometric variables stratified by sex; the sensitivity (Se) and specificity (Sp) by sex were evaluated according to the cut-off established with the Youden Index. The strongest correlations between NC and WC were found when stratified by sex (women: r = 0.71; men: r = 0.69, respectively) followed by the correlation between NC and BMI (r = 0.65, both sex). NC cut-off points of 39.0 cm in men and 32.9 cm in women identified those individuals with an increased WC and 39.8 and 33.7 cm, respectively, for a substantial increase in WC. For BMI & GE; 25.0 kg/m(2) for men, the cut-off point was 37.5 cm, and for women, it was 33.1 cm, and for BMI & GE; 30 kg/m(2), the cut-off points were 39.2 and 34.2 cm, for men and women, respectively. Conclusion: NC proved to be a useful, practical, and inexpensive tool that can be used to identify, evaluate, and monitor overweight and obese individuals.
  • No Thumbnail Available
    Item
    Developing a cooperative multicenter study in Latin America: Lessons learned from the Latin American Study of Nutrition and Health Project
    (2017) Fisberg, Mauro; Kovalskys, Irina; Gomez Salas, Georgina; Pareja Torres, Rossina Gabriella; Yepez Garcia, Martha Cecilia; Cortes Sanabria, Lille Yadira; Herrera-Cuenca, Marianella; Rigotti, Attilio; Guajardo, Viviana; Zimberg, Ione Zalcman; Previdelli, Agatha Nogueira; Moreno, Luis A.; Pratt, Michael; Koletzko, Berthold; Tucker, Katherine L.
    This report examines the challenges of conducting a multicenter, cross-sectional study of countries with diverse cultures, and shares the lessons learned. The Latin American Study of Nutrition and Health (ELANS) was used as a feasibility study involving the most populous cities of eight countries in Latin America (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela) in 2014-2015, about 40% of the population of the Americas. The target sample included 9 000 individuals, 15-65 years of age, and was stratified by geographic location (only urban areas), gender, age, and socioeconomic status.
  • Thumbnail Image
    Item
    Diet Quality and Diet Diversity in Eight Latin American Countries : Results from the Latin American Study of Nutrition and Health (ELANS)
    (2019) Gómez, Georgina; Fisberg, Regina Mara; Nogueira Previdelli, Agatha; Hermes Sales, Cristiane; Kovalskys, Irina; Fisberg, Mauro; Herrera Cuenca, Marianella; Cortés Sanabria, Lilia Yadira; Yépes García, Martha Cecilia; Rigotti Rivera, Attilio; Pareja Torres, Rossina Gabriela; Guajardo, Viviana; Zimberg, Ioná Zalcman; Chinnock, Anne; Murillo, Ana Gabriela; Brenes, Juan Carlos
  • No Thumbnail Available
    Item
    Dietary Diversity and Micronutrients Adequacy in Women of Childbearing Age: Results from ELANS Study
    (2020) Gomez, Georgina; Previdelli, Agatha Nogueira; Fisberg, Regina Mara; Kovalskys, Irina; Fisberg, Mauro; Herrera-Cuenca, Marianella; Cortes Sanabria, Lilia Yadira; Yepez Garcia, Martha Cecilia; Rigotti, Attilio; Reyna Liria-Dominguez, Maria; Guajardo, Viviana; Quesada, Dayana; Murillo, Ana Gabriela; Carlos Brenes, Juan
    Dietary diversity, an important component of diet quality, is associated with an increased probability of adequate micronutrient intake. Women of childbearing age (WCA) are particularly vulnerable to micronutrient inadequacy. The Minimum Dietary Diversity for Women (MDD-W) has been used widely as a proxy measurement of micronutrient adequacy. This study aimed to assess the association between MDD-W and nutrients adequacy among WCA of eight Latin American countries. Nutrient intakes from 3704 WCA were analyzed with two 24-hour dietary recalls. Dietary diversity was calculated based on ten food groups with a cut-off point of intake >= 5 groups. The mean dietary diversity score was 4.72 points, and 57.7% of WCA achieved MDD-W. Vitamin D and E showed a mean Nutrient Adequacy Ratio (NAR) of 0.03 and 0.38, respectively. WCA with a diverse diet (MDD-W > 5) reported a significantly higher intake of most micronutrients and healthy food groups with less consumption of red and processed meats and sugar-sweetened beverages. MDD-W was significantly associated with the mean adequacy ratio (MAR) of 18 micronutrients evaluated. Nevertheless, even those women with a diverse diet fell short of meeting the Estimated Average Requirements (EAR) for vitamins D and E. MDD-W is an appropriate tool to evaluate micronutrients adequacy in WCA from Latin America, showing that women who achieved the MDD-W reported higher adequacy ratios for most micronutrients and an overall healthier diet.