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Browsing by Author "Pareja, Rossina G."

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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.
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.
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.
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.
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).
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
Correction to: Total and whole grain intake in Latin America: fndings from the multicenter cross‑sectional Latin American Study of Health and Nutrition (ELANS)
(Springer, 2021) Fisberg, Regina Mara; Fontanelli, Mariane Mello; Kowalskys, Irina; Gómez, Georgina; Rigotti Rivera, Attilio; Cortés, Lilia Yadira; Yépez García, Martha; Pareja, Rossina G.; Herrera-Cuenca, Marianella; Fisberg, Mauro; ELANS Study Grp
The article Total and whole grain intake in Latin America: fndings from the multicenter cross-sectional Latin American Study of Health and Nutrition (ELANS), written by Regina Mara Fisberg, Mariane Mello Fontanelli, Irina Kowalskys, Georgina Gómez, Attilio Rigotti, Lilia Yadira Cortés, Martha Yépez García, Rossina G. Pareja, Marianella Herrera- Cuenca, Mauro Fisberg and ELANS Study Group, was originally published electronically on the publisher’s internet portal on 20 April 2020 without open access. With the author(s)’ decision to opt for Open Choice the copyright of the article changed on 12 October 2021 to © The Author(s) 2021 and this article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http:// creat iveco mmons. org/ licen ses/ by/4. 0/. The original article has been corrected.
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.
Energy imbalance gap was associated with body mass index and sex in Latin American adolescents-results from the ELANS study
(2024) Hernandez, Pablo; Herrera-Cuenca, Marianella; Ferrari, Gerson; Almeida, Rafaela Yepez; Garcia, Martha Cecilia Yepez; Caceres, Monica Villar; Sanabria, Lilia Yadira Cortes; Sifontes, Yaritza; Landaeta-Jimenez, Maritza; Gomez, Georgina; Monge-Rojas, Rafael; Pareja, Rossina G.; Rigotti, Attilio; Kovalskys, Irina; Fisberg, Mauro
Introduction Energy imbalance gap (EIG) is defined as the average daily difference between energy intake (EI) and energy expenditure (EE). This study aimed to examine the associations between EIG and sociodemographic and anthropometric variables in the adolescent population of eight Latin America countries. Methods A total of 680 adolescents aged 15 to 18 were included in this study. The estimation of EI was based on two non-consecutive 24-h dietary recalls. EE was predicted from Schofield equations using physical activity level obtained through the long version of the International Physical Activity Questionnaire. Sociodemographic data and anthropometric measurements were also obtained. A descriptive analysis and multilevel linear regression models were used to examine associations between variables. Results The mean EI, EE, and EIG were 2091.3 kcal, 2067.8 kcal, and 23.5 kcal, respectively. Argentina had the highest EI and EIG, whereas Chile had the lowest EI and EIG. Males had a higher EI (2262.4 kcal) and EE (2172.2 kcal) than females (1930.1 kcal and 2084.5 kcal), respectively (p < 0.05). Overweight subjects had a lower EIG than did underweight and normal-weight subjects (p < 0.05). Subjects with low socioeconomic status (SES) had a lower EE (2047.0 kcal) than those with a high SES (2164.2 kcal) (p < 0.05). Conclusion Sex and BMI were associated with EIG in adolescents from Latin America.
Energy intake and food sources of eight Latin American countries: results from the Latin American Study of Nutrition and Health (ELANS)
(2018) Kovalskys, Irina; Fisberg, Mauro; Gómez, Georgina; Pareja, Rossina G.; Yépez García, Martha C.; Cortes, Yadyra; Herrera, Marianela; Rigotti Rivera, Attilio
Food Sources of Shortfall Nutrients among Latin Americans: Results from the Latin American Study of Health and Nutrition (ELANS)
(2021) Barco Leme, Ana Carolina; Fisberg, Regina Mara; Veroneze de Mello, Aline; Sales, Cristiane Hermes; Ferrari, Gerson; Haines, Jess; Rigotti, Attilo; Gomez, Georgina; Kovalskys, Irina; Cortes Sanabria, Lilia Yadira; Herrera-Cuenca, Marianella; Yepez Garcia, Martha Cecilia; Pareja, Rossina G.; Fisberg, Mauro
Increased consumption of energy-dense, nutrient-poor foods can lead to inadequate intakes of shortfall nutrients, including vitamin A, D, C, and E, dietary folate, calcium, iron, magnesium, potassium, and fiber. The objective was to examine the prevalence of inadequate intake of shortfall nutrients and identify food sources of shortfall nutrients in eight Latin American countries. Data from ELANS, a multi-country, population-based study of 9218 adolescents and adults were used. Dietary intake was collected through two 24 h Recalls from participants living in urban areas of Argentina, Brazil, Chile, Colombia, Ecuador, Peru, and Venezuela. Foods and beverages were classified using the adapted version of the NHANES "What We Eat in America" system. Nutrients inadequacy was estimated using the Institute of Medicine recommendations and descriptive statistics were calculated. Prevalence of inadequacy was above 50% for most of the nutrients, which the exception of vitamin C with a prevalence of inadequacy of 39%. Milk, cheese, seafoods, breads, and fruit juices/drinks were among the top 5 sources for each of the 10 shortfall nutrients examined. Many food categories were top contributors to more than one dietary component examined. Understanding the nutrient intake and food sources can help inform dietary guidance and intervention approaches.
Intake of Vitamin E and C in Women of Reproductive Age: Results from the Latin American Study of Nutrition and Health (ELANS)
(2021) Busso, Dolores; David, Andrea; Penailillo, Reyna; Echeverria, Guadalupe; Rigotti, Attilio; Kovalskys, Irina; Gomez, Georgina; Cortes Sanabria, Lilia Yadira; Yepez Garcia, Martha Cecilia; Pareja, Rossina G.; Herrera-Cuenca, Marianella; Fisberg, Mauro
Vitamin E was identified as a lipophilic compound essential to maintain rat pregnancy. Low vitamin E intake during early pregnancy associates with congenital malformations and embryonic loss in animals and with miscarriage and intrauterine growth restriction in humans. Vitamin E protects cell membranes from lipoperoxidation and exerts non-antioxidant activities. Its function can be restored by vitamin C; thus, intake and circulating levels of both micronutrients are frequently analyzed together. Although substantial vitamin E inadequacy was reported worldwide, its consumption in Latin America (LatAm) is mostly unknown. Using data from the Latin American Study of Nutrition and Health (Estudio Latinoamericano de Nutricion y Salud, ELANS), we evaluated vitamin E and C intake in women of reproductive age (WRA) from eight LatAm countries and identified their main food sources. Two non-consecutive 24-h dietary recalls in 3704 women aged from 15 to 49 years and living in urban locations showed low average intake of vitamin E (7.9 mg/day vs. estimated average requirement (EAR) of 12 mg/day) and adequate overall vitamin C consumption (95.5 mg/day vs. EAR of 60 mg/day). The mean regional inadequacy was 89.6% for vitamin E and 36.3% for vitamin C. The primary food sources of vitamin E were fats and oils, as well as vegetables. Vitamin C intake was explained mainly by the consumption of fruit juices, fruits, and vegetables. Combined deficient intake of both vitamins was observed in 33.7% of LatAm women. Although the implications of low antioxidant vitamins' consumption in WRA are still unclear, the combined deficient intake of both vitamins observed in one-third of ELANS participants underscores the need for further research on this topic.
Latin American consumption of major food groups: Results from the ELANS study
(2019) Kovalskys, Irina; Rigotti, Attilio; Koletzko, Berthold; Fisberg, Mauro; Gomez, Georgina; Herrera-Cuenca, Marianella; Cortes Sanabria, Lilia Yadira; Yepez Garcia, Martha Cecilia; Pareja, Rossina G.; Zimberg, Iona Zalcman; Del Arco, Ana; Zonis, Luciana; Previdelli, Agatha Nogueira; Guajardo, Viviana; Moreno, Luis A.; Fisberg, Regina
Background
Perceived Neighborhood Safety and Active Transportation in Adults from Eight Latin American Countries
(2022) Castillo-Paredes, Antonio; Iglesias, Beatriz; Farias-Valenzuela, Claudio; Kovalskys, Irina; Gomez, Georgina; Rigotti, Attilio; Yadira Cortes, Lilia; Yepez Garcia, Martha Cecilia; Pareja, Rossina G.; Herrera-Cuenca, Marianella; Fisberg, Mauro; Drenowatz, Clemens; Ferrero-Hernandez, Paloma; Ferrari, Gerson
Neighborhood built environment is associated with domain-specific physical activity. However, few studies with representative samples have examined the association between perceived neighborhood safety indicators and domain-specific active transportation in Latin America. This study aimed to examine the associations of perceived neighborhood safety with domain-specific active transportation in adults from eight Latin American countries. Data were obtained from the Latin American Study of Nutrition and Health (n = 8547, aged 18-65). Active transportation (walking and cycling) was assessed using the long form of the International Physical Activity Questionnaire. Specifically, traffic density and speed as well as street lightening, visibility of residents regarding pedestrians and bicyclists, traffic lights and crosswalks, safety of public spaces during the day and at night, crime rate during the day and at night were used to evaluate perceived neighborhood safety. Slow traffic speeds, unsafe public spaces during the day, and crime during the day were associated with >= 10 min/week vs. <10 min/week of walking. Furthermore, drivers exceeding the speed limit and crime rate during the day were associated with reporting >= 10 min/week vs. <10 min/week of cycling. These results indicate a stronger association of the perceived neighborhood safety with walking compared to cycling.
Perceived urban environment attributes and obesity indices in adults: an 8-Nation study from Latin America
(2022) Ferrari, Gerson; Alberico, Claudia; Marques, Adilson; Kovalskys, Irina; Gomez, Georgina; Rigotti, Attilio; Yadira Cortes, Lilia; Yepez Garcia, Martha; Pareja, Rossina G.; Herrera-Cuenca, Marianella; Drenowatz, Clemens; Leme, Ana Carolina B.; Cristi-Montero, Carlos; Fernandes da Costa, Roberto; Farias-Valenzuela, Claudio; Fisberg, Mauro
This study examines the associations between perceived urban environment attributes and obesity indices by country using data from an eight-nation study from Latin America. The data were collected from 8185 adults. The Neighbourhood Environment Walkability-abbreviated scale was used to assess perceived urban environment attributes. Obesity indices considered were body mass index, waist circumference, neck circumference, a body shape index and waist-to-height ratio. The perception of a more and better land use mix-diversity (beta - 0.44; 95% CI - 0.59, - 0.28), traffic safety (- 0.39; - 0.66, - 0.12), and safety from crime (- 0.36; - 0.57, - 0.15) was associated with lower body mass index across the entire sample. Land use mix-diversity (- 1.21; - 1.60, - 0.82), street connectivity (- 0.26; - 0.37, - 0.15), and traffic safety (- 0.79; - 1.47, - 0.12) were negatively associated with waist circumference. Land use mix-diversity (- 0.11; - 0.20, - 0.03), land use mix-access (- 0.23; - 0.34, 0.12), walking/cycling facilities (- 0.22; - 0.37, - 0.08), and safety from crime (- 0.27; - 0.42, - 0.12) were negatively associated with neck circumference. No associations between perceived urban environment attributes and a body shape index were found. Land use mix-diversity (- 0.01; - 0.02, - 0.01), aesthetics (- 0.02; - 0.03, - 0.01), and safety from crime (- 0.02; - 0.04, - 0.01) were associated with waist-to-height ratio. Environmental interventions involving urban environment attributes are associated with obesity indices and, therefore, may help decrease the prevalence of overweight and obesity.
Physical activity and daily steps cut offs points for overweight/obesity prevention among eight Latin American countries
(2022) Ferrero-Hernandez, Paloma; Farias-Valenzuela, Claudio; Jofre-Saldia, Emilio; Marques, Adilson; Kovalskys, Irina; Gomez, Georgina; Rigotti, Attilio; Cortes, Lilia Yadira; Garcia, Martha Yepez; Pareja, Rossina G.; Herrera-Cuenca, Marianella; Fisberg, Mauro; Silva, Danilo R.; Sadarangani, Kabir P.; Ferrari, Gerson
This study aims to establish cut-off points for the number of minutes of physical activity intensity and the number of daily steps that identify overweight/obesity in adolescents, adults, and older adults. This study examined data from 2737 participants. Physical activity intensity and the number of daily steps were assessed using GT3X+ ActiGraph model accelerometers. Body mass index, waist-to-height ratio, and waist-to-hip ratio were used as indicators of overweight/obesity. The cut-off points for moderate-to-vigorous physical activity for the prevention of overweight/obesity according to body mass index in women ranged from 15.1 to 30.2 min/day; in men, the values were from 15.4 to 33.8 min/day. The lowest cut-off point for daily steps was established in the adolescent group for women and men (7304 and 5162). The highest value in women was 11,412 (51-65 years) and 13,234 in men (18-30 years). Results from measurements different from BMI, show average cut-off points for moderate-to-vigorous physical activity and daily steps of 29.1/8348 and 43.5/10,456 according to waist-to-height ratio; and results of 29.3/11,900 and 44.3/11,056 according to the waist-to-hip ratio; in women and men respectively. A more specific recommendation of physical activity and daily steps adjusted by sex and age range is suggested to prevent overweight/obesity.
Relationship between socio-demographic correlates and human development index with physical activity and sedentary time in a cross-sectional multicenter study
(2022) Ferrari, Gerson; Farías-Valenzuela, Claudio; Guzmán-Habinger, Juan; Drenowatz, Clemens; Marques, Adilson; Kovalskys, Irina; Gómez, Georgina; Rigotti Rivera, Attilio; Cortés, Lilia Y.; Yépez García, Martha C.; Pareja, Rossina G.; Herrera-Cuenca, Marianella; Marconcin, Priscila; Chávez, Javiera L.; Fisberg, Mauro
Background: Socio-demographic correlates and human development index (HDI) are associated with self-reported physical activity, but only a few studies have focused on device-measured physical activity and sedentary time in Latin America. We examined the relationship between socio-demographic correlates and HDI with physical activity and sedentary time in a cross-sectional study. Methods: We based our analyses on 2522 (53.1% women; 18–65 years [mean age 38.3 years]) adults drawn from the eight Latin America countries. Physical activity (light, moderate, vigorous, and moderate-to-vigorous intensity and steps) and sedentary time were assessed using Actigraph GT3X + accelerometers. Sex, age, and race/ethnicity were self-reported. The HDI country information was obtained from the United Nations Development Program. Results: For the age, ethnicity, vigorous physical activity and steps/day, there were significant differences between high and very high HDI countries. Women and younger age presented lower sedentary time than men and older. In moderate-to-vigorous physical activity, we found lower duration in women (-13.4 min/week), younger age (-0.1 min/week), and white/caucasian (-2.7 min/week) than men, older ages and mixed ethnicity. Women (-1266.5 steps/week) and very high HDI (-847.3 steps/week) presented lower steps than men and high HDI. Black (2853.9 steps/week), other (1785.4 steps/week), and white/caucasian ethnicity (660.6 steps/week) showed higher steps than mixed ethnicity. Conclusions: Different socio-demographic correlates are associated with physical activity intensity; however, HDI is associated with vigorous physical activity and steps in the Latin American region, which can in turn guide policies to promote physical activity in the region.
Socio-demographic patterns of public, private and active travel in Latin America : Cross-sectional findings from the ELANS study
(2020) de Moraes Ferrari, G. L.; Kovalskys, Iris; Fisberg, Mauro; Gómez, Georgina; Rigotti Rivera, Attilio; Cortés Sanabria, L. Y.; Yépez García, Martha; Echeverría Errázuriz, Guadalupe; Landaeta Díaz, Leslie Lorena; Castillo Valenzuela, Oscar; Pareja, Rossina G.; Herrera Cuenca, Marianella; Zimberg, I. Z.; Guajardo, V.; Pratt, M.; Bezerra Goncalves, P.; Rosales Salas, J.; Cristi Montero, C.; Rodríguez Rodríguez, F.; Waddell, H.; Petermann Rocha, F.; Celis Morales, C. A.; Chaput, J. P.; Scholes, S.; Solé, Dirceu
Standardization of the Food Composition Database Used in the Latin American Nutrition and Health Study (ELANS)
(2015) Kovalskys, Irina; Fisberg, Mauro; Gómez, Georgina; Rigotti Rivera, Attilio; Cortés, Lilia Yadira; Yepez, Martha Cecilia; Pareja, Rossina G.; Herrera Cuenca, Marianella; Zimberg, Ioná Z.; Tucker, Katherine L.; Koletzko, Berthold; Pratt, Michael
Total and whole grain intake in Latin America: findings from the multicenter cross-sectional Latin American Study of Health and Nutrition (ELANS)
(2022) Fisberg, Regina Mara; Fontanelli, Mariane Mello; Kowalskys, Irina; Gomez, Georgina; Rigotti, Attilio; Yadira Cortes, Lilia; Yepez Garcia, Martha; Pareja, Rossina G.; Herrera-Cuenca, Marianella; Fisberg, Mauro
Purpose Understanding whole-grain intake and its associated factors is essential to tackle the double burden of malnutrition faced by Latin American countries. This study aimed to characterize total and whole grain intake in Latin American countries and to investigate foods contributing to these intake in the region. Methods Data were obtained from the multicenter cross-sectional survey Latin American Study of Nutrition and Health (ELANS), including 9128 participants residing in urban areas of eight Latin American countries. Data collection was performed via two household visits using a standardized questionnaire and two 24 h dietary recalls. Usual dietary intake of total grain foods and foods containing whole grains was estimated. The association between the intake of grain food groups and sociodemographic variables was investigated using multiple linear regression models with random intercepts. Results Mean intake of total grain foods and foods containing whole grains was 318.6 g/d and 14.7 g/d, respectively. Total grain foods were less consumed by participants at older ages (-9.8 g/d), and females (-9.9 g/d), and more consumed by those in the lowest socioeconomic category (24.8 g/d). Foods containing whole grains were more consumed by participants at older ages (3.3 g/d), and females (4.0 g/d), while those in the lowest socioeconomic category consumed 2.9 g/d less. Major contributors to energy provided from foods containing whole grains were oatmeal, masa harina, whole-wheat bread, corn chips, and wheat crackers. Conclusion The intake of grain foods represented a substantial part of the Latin American population's diet, but the intake of foods containing whole grains was extremely low in all assessed countries.

Browsing by Author "Pareja, Rossina G."

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