Browsing by Author "Pareja, R. G."

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    Active Transportation and Obesity Indicators in Adults from Latin America : ELANS Multi-Country Study
    (2020) Guzmán Habinger, J.; Lobos Chávez, J.; Mahecha Matsudo, S.; Kovalskys, I.; Gómez, G.; Rigotti Rivera, Attilio; Cortés Sanabria, L. Y.; Yépez García, M. C.; Pareja, R. G.; Herrera Cuenca, M.; Zimberg, I. Z.; Guajardo, V.; Pratt, M.; Cofre Bolados, C.; Farías Valenzuela, C.; Marques, A.; Peralta, M.; Leme, A. C. B.; Fisberg, M.; Oliveira Werneck, A.; Rodrigues da Silva, D.; Ferrari, G.
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    Is the perceived neighborhood built environment associated with domain-specific physical activity in Latin American adults? An eight-country observational study
    (2020) Ferrari, Gerson Luis de Moraes; Rigotti Rivera, Attilio; Werneck, André O.; Silva, Danilo Alvares da; Kovalskys, Irina; Gómez, Georgina; Cortés Sanabria, Lilia Yadira; Yépez Garcí­a, M. C.; Pareja, R. G.; Herrera Cuenca, M.
    Abstract Background Characteristics of the neighborhood built environment are associated with physical activity (PA). However, few studies with representative samples have examined environmental correlates of domain-specific PA in Latin America. We examined the associations of the perceived neighborhood built environment with domain-specific PA in a large sample of adults from eight Latin American countries. Methods This study examined data from 8185 adults (aged 18–65 years) from eight Latin American countries. The Neighbourhood Environment Walkability Survey - Abbreviated (NEWS-A) scale was used to assess perceptions of land use mix–diversity, land use mix-access, street connectivity, walking/cycling facilities, aesthetics, safety from traffic, and safety from crime. Perceived proximity from home to public open spaces (metropolitan parks, playgrounds, public squares) and to shopping centers was also measured. Transport-related and leisure-time PA were assessed using the long form of the International Physical Activity Questionnaire. Both logistic and linear regression models were estimated on pooled data. Results Perceptions of higher land use mix-access (OR: 1.40; 95% CI: 1.22,1.61), the existence of many alternative routes in the neighbourhood (1.12; 1.04,1.20), slow speed of traffic (1.19; 1.03,1.35) and few drivers exceeding the speed limits (1.09; 1.03,1.15) were associated with greater odds of reporting at least 10 min/week of transport-related PA. Perceptions of higher levels of land use mix-diversity, better aesthetics and greater safety from crime, the presence of crosswalks and pedestrian signals, and greater proximity of shopping centers were associated with more min/week of transport-related PA. Perceptions of higher land use mix-diversity (1.12; 1.05,1.20), higher land use mix-access (1.27; 1.13,1.43), more walking/cycling facilities (1.18; 1.09,1.28), and better aesthetics (1.10; 1.02,1.18) were associated with greater odds of engaging in at least 10 min/week of leisure-time PA versus none. Perceptions of higher land use mix-diversity were associated with more min/week of leisure PA. Conclusions Different perceived neighborhood built environment characteristics were associated with domain-specific PA among adults from Latin America countries. Interventions designed to modify perceptions of the neighbourhood built environment might influence initiation or maintenance of domain-specific PA. Trial registration ClinicalTrials. Gov NCT02226627 . Retrospectively registered on August 27, 2014.
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    Latin American Study of Nutrition and Health (ELANS): rationale and study design
    (2016) Fisberg, M.; Rigotti Rivera, Attilio; Kovalskys, I.; Gómez, G.; Cortés, L. Y.; Herrera Cuenca, M.; Yépez, M. C.; Pareja, R. G.; Guajardo, V.; Zimberg, I. Z.
    Abstract Background Obesity is growing at an alarming rate in Latin America. Lifestyle behaviours such as physical activity and dietary intake have been largely associated with obesity in many countries; however studies that combine nutrition and physical activity assessment in representative samples of Latin American countries are lacking. The aim of this study is to present the design rationale of the Latin American Study of Nutrition and Health/Estudio Latinoamericano de Nutrición y Salud (ELANS) with a particular focus on its quality control procedures and recruitment processes. Methods/Design The ELANS is a multicenter cross-sectional nutrition and health surveillance study of a nationally representative sample of urban populations from eight Latin American countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Perú and Venezuela). A standard study protocol was designed to evaluate the nutritional intakes, physical activity levels, and anthropometric measurements of 9000 enrolled participants. The study was based on a complex, multistage sample design and the sample was stratified by gender, age (15 to 65 years old) and socioeconomic level. A small-scale pilot study was performed in each country to test the procedures and tools. Discussion This study will provide valuable information and a unique dataset regarding Latin America that will enable cross-country comparisons of nutritional statuses that focus on energy and macro- and micronutrient intakes, food patterns, and energy expenditure. Trial Registration Clinical Trials NCT02226627