71
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Latin American Study of Nutrition and Health (ELANS): rationale and study design

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          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

          Related collections

          Most cited references33

          • Record: found
          • Abstract: found
          • Article: not found

          Diet, nutrition and the prevention of chronic diseases.

          Shifting dietary patterns, a decline in energy expenditure associated with a sedentary lifestyle, an ageing population--together with tobacco use and alcohol consumption--are major risk factors for noncommunicable diseases and pose an increasing challenge to public health. This report of a Joint WHO/FAO Expert Consultation reviews the evidence on the effects of diet and nutrition on chronic diseases and makes recommendations for public health policies and strategies that encompass societal, behavioural and ecological dimensions. Although the primary aim of the Consultation was to set targets related to diet and nutrition, the importance of physical activity was also emphasized. The Consultation considered diet in the context of the macro-economic implications of public health recommendations on agriculture and the global supply and demand for fresh and processed foodstuffs. In setting out ways to decrease the burden of chronic diseases such as obesity, type 2 diabetes, cardiovascular diseases (including hypertension and stroke), cancer, dental diseases and osteoporosis, this report proposes that nutrition should be placed at the forefront of public health policies and programmes. This report will be of interest to policy-makers and public health professionals alike, in a wide range of disciplines including nutrition, general medicine and gerontology. It shows how, at the population level, diet and exercise throughout the life course can reduce the threat of a global epidemic of chronic diseases.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Nutrition transition in Mexico and in other Latin American countries.

            Mexico and other Latin American countries are currently undergoing important demographic, epidemiologic and nutrition transitions. Noncommunicable chronic diseases such as obesity, type 2 diabetes mellitus, and high blood pressure are becoming public health problems as the population experiences an important reduction in physical activity and an increase in energy-dense diets. In contrast, the prevalence of undernutrition is declining in most countries, although several decades will be needed before the prevalence drops to acceptable values. The objective of this article is to discuss the characteristics of the nutrition transition with emphasis in data from Mexico, Brazil, and Chile.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              INTERMAP: the dietary data--process and quality control.

              The aim of this report is to describe INTERMAP standardized procedures for assessing dietary intake of 4680 individuals from 17 population samples in China, Japan, UK and USA: Based on a common Protocol and Manuals of Operations, standardized collection by centrally trained certified staff of four 24 h dietary recalls, two timed 24-h urines, two 7-day histories of daily alcohol intake per participant; tape recording of all dietary interviews, and use of multiple methods for ongoing quality control of dietary data collection and processing (local, national, and international); one central laboratory for urine analyses; review, update, expansion of available databases for four countries to produce comparable data on 76 nutrients for all reported foods; use of these databases at international coordinating centres to compute nutrient composition. Chinese participants reported 2257 foods; Japanese, 2931; and UK, 3963. In US, use was made of 17,000 food items in the online automated Nutrition Data System. Average time/recall ranged from 22 min for China to 31 min for UK. Among indicators of dietary data quality, coding error rates (from recoding 10% random samples of recalls) were 2.3% for China, 1.4% for Japan, and UK; an analogous US procedure (re-entry of recalls into computer from tape recordings) also yielded low discrepancy rates. Average scores on assessment of taped dietary interviews were high, 40.4 (Japan) to 45.3 (China) (highest possible score: 48); correlations between urinary and dietary nutrient values--similar for men and women--were, for all 4680 participants, 0.51 for total protein, range across countries 0.40-0.52; 0.55 for potassium, range 0.30-0.58; 0.42 for sodium, range 0.33-0.46. The updated dietary databases are valuable international resources. Dietary quality control procedures yielded data generally indicative of high quality performance in the four countries. These procedures were time consuming. Ongoing recoding of random samples of recalls is deemed essential. Use of tape recorded dietary interviews contributed to quality control, despite feasibility problems, deemed remediable by protocol modification. For quality assessment, use of correlation data on dietary and urinary nutrient values yielded meaningful findings, including evidence of special difficulties in assessing sodium intake by dietary methods.
                Bookmark

                Author and article information

                Contributors
                +55 11 5575-3875 , mauro.fisberg@gmail.com
                ikovalskys@gmail.com
                georgina.gomez@ucr.ac.cr
                arigotti@med.puc.cl
                ycortes@javeriana.edu.co
                marianella.herrera@ucv.ve
                myepez@usfq.edu.ec
                rpareja@iin.sld.pe
                alexdiasporto@usp.br
                michael.pratt@emory.edu
                berthold.koletzko@med.uni-muenchen.de
                Katherine_Tucker@uml.edu
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                30 January 2016
                30 January 2016
                2015
                : 16
                : 93
                Affiliations
                [ ]Instituto Pensi, Fundação Jose Luiz Egydio Setubal, Hospital Infantil Sabara, São Paulo, 01239-040 Brazil
                [ ]Universidade Federal de São Paulo, São Paulo, 04023-062 Brazil
                [ ]Commitee of Nutrition and Wellbeing, International Life Science Institute (ILSI-Argentina), Buenos Aires, C1059ABF Argentina
                [ ]Departamento Nutricion, Facultad de Ciencias Medicas, Universidad Favaloro, Buenos Aires, C1078AAI Argentina
                [ ]Departamento de Bioquímica, Escuela de Medicina, Universidad de Costa Rica, San José, 11501 Costa Rica
                [ ]Departamento de Nutrición, Diabetes y Metabolismo, Centro de Nutrición Molecular y Enfermedades Crónicas, Escuela de Medicina, Pontificia Universidad Católica, Santiago, 833-0024 Chile
                [ ]Departamento de Nutrición y Bioquímica, Pontificia Universidad Javeriana, Bogotá, Colombia
                [ ]Centro de Estudios del Desarrollo, Universidad Central de Venezuela (CENDES-UCV)/Fundación Bengoa, Caracas, 1010 Venezuela
                [ ]Colegio de Ciencias de la Salud, Universidad San Francisco de Quito, Quito, 17-1200-841 Ecuador
                [ ]Instituto de Investigación Nutricional, Lima, 15026 Peru
                [ ]Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, 01255-000 Brazil
                [ ]Nutrition and Health Sciences Program, Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, 30322 USA
                [ ]Division of Metabolic and Nutritional Medicine, Dr. von Hauner Children’s Hospital, University of Munich Medical Center, D-80337 Munich, Germany
                [ ]Department of Clinical Laboratory and Nutritional Sciences, University of Massachusetts Lowell, Lowell, 01854 USA
                [ ]Rua Borges Lagoa, 1080, Vila Clementino, São Paulo CEP 04038-002 Brazil
                Article
                2765
                10.1186/s12889-016-2765-y
                4736497
                26829928
                c214a0e0-726c-4929-acaf-9640e3b2c825
                © Fisberg et al. 2016

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 9 July 2015
                : 21 January 2016
                Categories
                Study Protocol
                Custom metadata
                © The Author(s) 2016

                Public health
                nutrition,physical activity,latin america,cross-sectional study
                Public health
                nutrition, physical activity, latin america, cross-sectional study

                Comments

                Comment on this article