Browsing by Author "Fisberg, Mauro"

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    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.
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    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
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    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.
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    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
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    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
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    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
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    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.
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    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
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    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
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    Total and Added Sugar Intake: Assessment in Eight Latin American Countries
    (2018) Fisberg, Mauro; Kovalskys, Irina; Gomez, Georgina; Rigotti Rivera, Attilio; Cortes Sanabria, Lilia Yadira; Yepez Garcia, Martha Cecilia; Pareja Torres, Rossina Gabriella; Herrera-Cuenca, Marianella; Zimberg, Iona Zalcman; Koletzko, Berthold; Pratt, Mic
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    Walking and cycling, as active transportation, and obesity factors in adolescents from eight countries
    (2022) Ferrari, Gerson; Drenowatz, Clemens; Kovalskys, Irina; Gómez, Georgina; Rigotti Rivera, Attilio; Cortés, Lilia Y.; García, Martha Y.; Pareja, Rossina G.; Herrera-Cuenca, Marianella; Del’Arco, Ana P.; Peralta, Miguel; Marques, Adilson; Leme, Ana C. B.; Sadarangani, Kabir P.; Guzmán-Habinger, Juan; Chaves, Javiera L.; Fisberg, Mauro
    Background: Evidence has shown that active transportation decreases obesity rates, but considering walking or cycling as separate modes could provide additional information on the health benefits in adolescents. This study aimed to examine the associations between walking and cycling as form active transportation and obesity indicators in Latin American adolescents. Methods: Population-based study with 671 adolescents (mean age: 15.9 [standard deviation: 0.8] years) from eight countries participating in the Latin American Study of Nutrition and Health/Estudio Latino Americano Nutrition y Salud (ELANS). Walking and cycling for active transportation were measured using the International Physical Activity Questionnaire long version. Body mass index, waist circumference, neck circumference, and relative fat mass were used as obesity indicators. Associations were estimated using logistic regression models for the pooled data adjusted for country, sex, age, socio-economic levels, race/ethnicity, leisure-time physical activity and energy intake. Results: Mean time spent walking and cycling was 22.6 (SD: 33.1) and 5.1 (SD: 24.1) min/day, respectively. The median values were 12.8 (IQR: 4.2; 25.7) and 0 (IQR: 0; 6.2) for walking and cycling. Participants reporting ≥ 10 min/week of walking or cycling for active transportation were 84.2% and 15.5%, respectively. Costa Rica (94.3% and 28.6%) showed the highest prevalence for walking and cycling, respectively, while Venezuela (68.3% and 2.4%) showed the lowest prevalence. There was no significant association between walking for active transportation and any obesity indicator. In the overall sample, cycling for ≥ 10 min/week was significantly associated with a lower likelihood of overweight/obesity based on BMI (OR: 0.86; 95%CI: 0.88; 0.94) and waist circumference (OR: 0.90; 95%CI: 0.83; 0.97) adjusted for country, sex, age, socio-economic level, race/ethnicity, leisure-time physical activity and energy intake compared to cycling for < 10 min/week. There were no significant associations between cycling for active transportation and neck circumference as well as relative fat mass. Conclusions: Cycling for active transportation was negatively associated with obesity indicators, especially body mass index and waist circumference. Programs for promoting cycling for active transportation could be a feasible strategy to tackle the high obesity rates in adolescents in Latin America.