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
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    Original research socio-demographic patterning of self-reported physical activity and sitting time in Latin American countries : findings from ELANS.
    (2019) Ferrari, Gerson Luis de Moraes.; Rigotti Rivera, Attilio; Kovalskys, I.; Fisberg, M.; Gómez, G.; Cortés, L. Y.; Yépez, M. C.; Pareja, R. G.; Herrera Cuenca, M.; Zimberg, Ioná Z.
    Abstract Background Low levels of physical activity (PA) and prolonged sitting time (ST) increase the risk of non-communicable diseases and mortality, and can be influenced by socio-demographic characteristics. The aim of this study was to use self-report data to characterise socio-demographic patterns of PA and ST in eight Latin American countries. Methods Data were obtained from the Latin American Study of Nutrition and Health (ELANS), a household population-based, multi-national, cross-sectional survey (n = 9218, aged 15–65 years), collected from September 2014 to February 2015. Transport and leisure PA and ST were assessed using the International Physical Activity Questionnaire–long version. Overall and country-specific mean and median levels of time spent in transport and leisure PA and ST were compared by sex, age, socioeconomic and education level. Results Mean levels of transport and leisure PA were 220.3 min/week (ranging from 177.6 min/week in Venezuela to 275.3 min/week in Costa Rica) and 316.4 min/week (ranging from 272.1 min/week in Peru to 401.4 min/week in Ecuador). Transport and leisure PA were higher (p < 0.005) in men than women with mean differences of 58.0 and 34.0 min/week. The mean and median for transport PA were similar across age groups (15–29 years: mean 215.5 and median 120 min/week; 30–59 years: mean 225.0 and median 120 min/week; ≥60 years: mean 212.0 and median 120 min/week). The median time spent in transport and leisure PA between three strata of socioeconomic and education levels were similar. The prevalence of not meeting PA recommendations were 69.9% (95% CI: 68.9–70.8) for transport and 72.8% (95% CI: 72.0–73.7) for leisure. Men, younger people (15–29 years), individuals with higher socioeconomic and education levels spent significantly (p < 0.001) more time sitting than women, older people (30–59 years and ≥ 60 years) and those in the middle and low socioeconomic and education groups, respectively. Conclusions Transport and leisure PA and ST range widely by country, sex, and age group in Latin America. Programs for promoting leisure and transport PA and reducing ST in Latin America should consider these differences by age and gender and between countries. Trial registration ClinicalTrials.Gov NCT02226627. Retrospectively registered on August 27, 2014.
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    Socio-Demographic Correlates of Total and Domain-Specific Sedentary Behavior in Latin America : A Population-Based Study
    (2020) de Moraes Ferrari, G. L.; Oliveira Werneck, A.; Rodrigues da Silva, D.; 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.; Fuentes Kloss, R.; Rollo, S.; Fisberg, M.