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Novoa-Sanzana S, Moya-Osorio J, Morejón Terán Y, Ríos-Castillo I, Becerra Granados LM, Prada Gómez G, Ramos de Ixtacuy M, Fernández Condori RC, Nessier MC, Guerrero Gómez A, González-Céspedes L, Nava-González EJ, Pérez Ocampo L, Castillo-Albarracín AN, Durán-Agüero S. Food insecurity and sociodemographic factors in Latin America during the COVID-19 pandemic. Rev Panam Salud Publica 2024; 48:e21. [PMID: 38576847 PMCID: PMC10993803 DOI: 10.26633/rpsp.2024.21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 12/18/2023] [Indexed: 04/06/2024] Open
Abstract
Objective To understand the association of food insecurity with sociodemographic factors in a sample population in Latin America during the COVID-19 pandemic. Methods This was a multicenter cross-sectional study conducted in 10 countries in Latin America using an online survey through various digital platforms from October 14, 2020 to February 15, 2021. Statistical analysis of data was performed by applying descriptive statistics, chi-square test, and logistic regression analysis. Results Of a total of 6 357 surveys, 58.2% of respondents experienced food security, 29.3% were slightly food insecure, 9.2% were moderately food insecure, and 3.3% were severely food insecure. Concerning the association food insecurity and sociodemographic variables, there is a significant association in the variables studied, including area of residence, education level, occupation, number of persons in the household, household with children younger than 10 years of age, and socioeconomic level. Conclusions These findings indicate that sociodemographic factors associated with food insecurity during the COVID-19 pandemic in Latin America were rural residence; complete and incomplete basic and secondary schooling; occupation (homemaker, unemployed, and self-employed); low, medium-low, and medium socioeconomic level; household with more than four persons; and household with children younger than 10 years of age.
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Affiliation(s)
- Stephanie Novoa-Sanzana
- Facultad de Ciencias Para el Cuidado de la SaludUniversidad San SebastiánSede Los LeonesProvidenciaChileFacultad de Ciencias Para el Cuidado de la Salud, Universidad San Sebastián, Sede Los Leones, Providencia, Chile.
| | - José Moya-Osorio
- Carrera de Nutrición y DietéticaDepartamento de Ciencias de la SaludFacultad de MedicinaPontificia Universidad Católica de ChileSantiagoChileCarrera de Nutrición y Dietética, Departamento de Ciencias de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
| | - Yadira Morejón Terán
- Centro de Investigación de Salud Pública y Epidemiología ClínicaFacultad de Ciencias de la Salud Eugenio EspejoUniversidad UTEQuitoEcuadorCentro de Investigación de Salud Pública y Epidemiología Clínica, Facultad de Ciencias de la Salud Eugenio Espejo, Universidad UTE, Quito, Ecuador.
| | - Israel Ríos-Castillo
- Food Security and NutritionUnited Nations Food and Agriculture OrganizationPanama CityPanamaFood Security and Nutrition, United Nations Food and Agriculture Organization, Panama City, Panama.
| | - Luis Miguel Becerra Granados
- Departamento de Alimentación y NutriciónPontificia Universidad Javeriana de CaliCaliColombiaDepartamento de Alimentación y Nutrición, Pontificia Universidad Javeriana de Cali, Cali, Colombia.
| | - Gloria Prada Gómez
- Retired consultantformerly of Universidad Industrial de SantanderBucaramangaColombiaRetired consultant, formerly of Universidad Industrial de Santander, Bucaramanga, Colombia.
| | - Mónica Ramos de Ixtacuy
- Unidad de NutriciónMinisterio de Salud Publica y Asistencia SocialTotonicapánGuatemalaUnidad de Nutrición, Ministerio de Salud Publica y Asistencia Social, Totonicapán, Guatemala.
| | - Roxana Carla Fernández Condori
- Nutrición y AlimentaciónUniversidad Del Sagrado CorazónLa MolinaPeruNutrición y Alimentación, Universidad Del Sagrado Corazón, La Molina, Peru.
| | - María Celeste Nessier
- Instituto de Investigaciones de la Facultad de Ciencias de la SaludUniversidad Católica de Santa FeSanta FeArgentinaInstituto de Investigaciones de la Facultad de Ciencias de la Salud, Universidad Católica de Santa Fe, Santa Fe, Argentina.
| | - Ana Guerrero Gómez
- ConsultantUniversidad Tecnológica de El SalvadorSan SalvadorEl SalvadorConsultant, Universidad Tecnológica de El Salvador, San Salvador, El Salvador.
| | - Laura González-Céspedes
- Universidad Nacional de AsunciónFacultad de Ciencias Químicas, Dirección de InvestigaciónDepartamento de NutriciónSan LorenzoParaguayUniversidad Nacional de Asunción, Facultad de Ciencias Químicas, Dirección de Investigación, Departamento de Nutrición, San Lorenzo, Paraguay.
| | - Edna J. Nava-González
- Facultad de Salud Pública y NutriciónUniversidad Autónoma de Nuevo LeónSan Nicolas de los GarzaMéxicoFacultad de Salud Pública y Nutrición, Universidad Autónoma de Nuevo León, San Nicolas de los Garza, México.
| | - Luisa Pérez Ocampo
- Carrera de Nutrición y DietéticaUniversidad Del DesarrolloSantiagoChileCarrera de Nutrición y Dietética, Universidad Del Desarrollo, Santiago, Chile.
| | | | - Samuel Durán-Agüero
- Facultad de Ciencias Para el Cuidado de la SaludUniversidad San SebastiánSede Los LeonesProvidenciaChileFacultad de Ciencias Para el Cuidado de la Salud, Universidad San Sebastián, Sede Los Leones, Providencia, Chile.
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Saavedra Clarke S, Parra-Soto S, Murillo G, Carpio-Arias V, Landaeta-Díaz L, Nava-González EJ, Ríos-Castillo I, Nuñez-Martínez BE, Gómez G, Araneda-Flores J, Cavagnari BM, Morales G, Meza Miranda ER, Bejarano-Roncancio JJ, Mauricio-Alza S, Cordón-Arrivillaga K, Durán-Agüero S. Self-Reported Nutritional Status and Breakfast Characterization in Latin American University Students. J Am Nutr Assoc 2024; 43:252-260. [PMID: 37800672 DOI: 10.1080/27697061.2023.2263526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Accepted: 09/21/2023] [Indexed: 10/07/2023]
Abstract
OBJECTIVE To associate breakfast consumption frequency with self-reported nutritional status and dietary patterns of Latin American university students by human development. MATERIAL AND METHODS This was a cross-sectional, multicenter observational study. University students from 11 Latin American countries (Argentina, Chile, Colombia, Costa Rica, Ecuador, Guatemala, Mexico, Peru, Paraguay, Panama and Uruguay) were invited to participate by answering an online self-administered questionnaire on food consumption and sociodemographic indicators, associations were investigated using logistic regression. RESULTS The logistic regression analysis showed significant associations between breakfast consumption and the crude model, models 2 and 3 in countries with very high and upper-middle/high human development. However, after adjustment in the most comprehensive model, the association is no longer statistically significant. In the fully adjusted model of the variables, a significant relationship was observed between breakfast consumption and both healthy and unhealthy dietary patterns. Specifically, students who typically consume breakfast exhibit greater consumption of oatmeal and fruits, as well as healthier dinner choices. Conversely, they exhibit lower consumption of fast food, sugary drinks, and juices. In particular, in highly developed countries, along with the mentioned foods, consumption of dairy was linked to breakfast consumption in a positive way, while alcohol consumption was negatively associated. CONCLUSION University students who eat breakfast on a regular basis maintain a healthier diet in comparison to those who do not, irrespective of their country's level of human development.
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Affiliation(s)
- Silvana Saavedra Clarke
- Carrera de Nutrición y Dietética, Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Providencia, Chile
| | - Solange Parra-Soto
- Departamento de Nutrición y Salud Pública, Facultad de Ciencias de la Salud y de los Alimentos, Universidad del Bío-Bío, Chillán, Chile
- School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK
| | - Gabriela Murillo
- Department of Biochemistry, School of Medicine, University of Costa Rica, San Pedro, Costa Rica
| | - Valeria Carpio-Arias
- Grupo de Investigación en Alimentación y Nutrición Humana (GIANH), Facultad de Salud Pública, Escuela Superior Politécnica de Chimborazo, Riobamba, Ecuador
| | - Leslie Landaeta-Díaz
- Escuela de Nutrición y Dietética, Facultad de Salud y Ciencias Sociales, Universidad de Las Américas, Santiago, Chile
- Núcleo en Ciencias Ambientales y Alimentarias (NCAA), Universidad de las Américas, Santiago, Chile
| | - Edna J Nava-González
- Facultad de Salud Pública y Nutrición, Universidad Autónoma de Nuevo León, Monterrey, México
| | - Israel Ríos-Castillo
- Organización de las Naciones Unidas para la Alimentación y la Agricultura (FAO), Oficina Subregional de la FAO para Mesoamérica, Ciudad de Panama, Panama
- Escuela de Nutrición, Facultad de Medicina, Universidad de Panamá, Ciudad de Panama, Panama
| | | | - Georgina Gómez
- Department of Biochemistry, School of Medicine, University of Costa Rica, San Pedro, Costa Rica
| | - Jacqueline Araneda-Flores
- Departamento de Nutrición y Salud Pública, Facultad de Ciencias de la Salud y de los Alimentos, Universidad del Bío-Bío, Chillán, Chile
| | - Brian M Cavagnari
- Escuela de Nutrición, Facultad de Ciencias Médicas, Pontificia Universidad Católica Argentina, Buenos Aires, Argentina
| | - Gladys Morales
- Departamento de Salud Pública, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile
| | - Eliana Romina Meza Miranda
- Universidad Nacional de Asunción - Centro Multidisciplinario de Investigaciones Tecnológicas, San Lorenzo, Paraguay
| | | | | | - Karla Cordón-Arrivillaga
- Unidad de Investigación en Seguridad Alimentaria y Nutricional (UNISAN), Escuela de Nutrición, Facultad de Ciencias Químicas y Farmacia, Universidad de San Carlos de Guatemala, Ciudad de Guatemala, Guatemala
| | - Samuel Durán-Agüero
- Escuela de Nutrición y Dietética, Facultad de Ciencias para el Cuidado de la Salud, Universidad San Sebastian, Chile
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Nava-González EJ, Camacho-López S, Zamora-Ozoria AA, Parra-Soto S, Ríos-Castillo I, Cordón-Arrivillaga K, Ortiz A, Contreras-Silva MY, Contreras-Silva MY, de León-Gutiérrez H, Elizondo-Omaña GG, Carpio-Arias V, Bejarano-Roncancio JJ, Landaeta-Díaz L. [Diet and body weight at the beginning of the COVID-19 pandemic in Mexico]. Rev Med Inst Mex Seguro Soc 2023; 61:433-439. [PMID: 37535983 PMCID: PMC10484542 DOI: 10.5281/zenodo.8200175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Accepted: 01/26/2023] [Indexed: 08/05/2023]
Abstract
Background Weight changes in adults have strong repercussions on people's health status. During the COVID-19 pandemic, these changes could be more evident due to the mandatory confinement, as well as eating habits and lifestyle. In this study, changes in diet and body weight in Mexican population at the beginning of COVID-19 lockdown period (weeks 4-7) were evaluated using an online survey. Objective To identify the characteristics of the diet and the perceived change in body weight at the beginning of the COVID-19 pandemic in Mexico. Material and methods Descriptive, cross-sectional study of 1281 people over 18 years of age, electronic survey in weeks 4-7 of confinement with sociodemographic data, food consumption and perception of body weight. Results The change in food consumption was 53.9%, finding differences according to gender in beverages (carbonated, juices, alcoholic), coffee/tea, fruits, legumes (p < 0.05). The perception of body weight increases by 3.4 (increased) and 2.1 (lowered) times more than the risk of change in diet. Conclusions The dietary differences refer to a tendency to the type of food consumed, mainly sugary drinks, with the perception of changes in positive body weight in women.
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Affiliation(s)
- Edna J. Nava-González
- Universidad Autónoma de Nuevo León, Facultad de Salud Pública y Nutrición, Licenciatura en Nutrición. Monterrey, Nuevo León, MéxicoUniversidad Autónoma de Nuevo LeónMéxico
| | - Saby Camacho-López
- Academia AMIR México. Ciudad de México, MéxicoAcademia AMIR MéxicoMéxico
| | - Anyelin Arale Zamora-Ozoria
- Universidad Autónoma de Nuevo León, Facultad de Salud Pública y Nutrición, Licenciatura en Nutrición. Monterrey, Nuevo León, MéxicoUniversidad Autónoma de Nuevo LeónMéxico
| | - Solange Parra-Soto
- Universidad del Bío-Bío, Facultad de Ciencias de la Salud y de los Alimentos, Departamento de Nutrición y Salud Pública. Chillán, ChileUniversidad del Bío-BíoChile
| | - Israel Ríos-Castillo
- Organización de las Naciones Unidas para la Alimentación y la Agricultura, Oficina Subregional de la FAO para Mesoamérica. Ciudad de Panamá, PanamáOrganización de las Naciones Unidas para la Alimentación y la AgriculturaPanamá
| | - Karla Cordón-Arrivillaga
- Universidad de San Carlos de Guatemala, Facultad de Ciencias Químicas y Farmacia, Escuela de Nutrición, Unidad de Investigación en Seguridad Alimentaria y Nutricional. San Carlos de Guatemala, GuatemalaUniversidad de San Carlos de GuatemalaGuatemala
| | - Alfonsina Ortiz
- Universidad Católica del Uruguay, Facultad de Ciencias de la Salud, Departamento de Nutrición. Montevideo, UruguayUniversidad Católica del UruguayUruguay
| | - María Yvette Contreras-Silva
- Universidad Autónoma de Nuevo León, Facultad de Salud Pública y Nutrición, Licenciatura en Nutrición. Monterrey, Nuevo León, MéxicoUniversidad Autónoma de Nuevo LeónMéxico
| | - María Yvette Contreras-Silva
- Universidad Autónoma de Nuevo León, Facultad de Salud Pública y Nutrición, Licenciatura en Nutrición. Monterrey, Nuevo León, MéxicoUniversidad Autónoma de Nuevo LeónMéxico
| | - Humberto de León-Gutiérrez
- Organización de las Naciones Unidas para la Alimentación y la Agricultura, Oficina Subregional de la FAO para Mesoamérica. Ciudad de Panamá, PanamáOrganización de las Naciones Unidas para la Alimentación y la AgriculturaPanamá
| | - Gabriela Guadalupe Elizondo-Omaña
- Universidad Autónoma de Nuevo León, Facultad de Salud Pública y Nutrición, Licenciatura en Nutrición. Monterrey, Nuevo León, MéxicoUniversidad Autónoma de Nuevo LeónMéxico
| | - Valeria Carpio-Arias
- Escuela Superior Politécnica de Chimborazo, Facultad de Salud Pública, Grupo de Investigación en Alimentación y Nutrición Humana. Riobamba, EcuadorUniversidad de MonterreyEcuador
| | - Jhon Jairo Bejarano-Roncancio
- Universidad Nacional de Colombia, Facultad de Medicina, Departamento de Nutrición Humana. Bogotá, ColombiaUniversidad Nacional de ColombiaColombia
| | - Leslie Landaeta-Díaz
- Universidad de Las Américas, Facultad de Salud y Ciencias Sociales, Escuela de Nutrición y Dietética. Santiago, ChileUniversidad de Las AméricasArgentina
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Pita-Rodríguez GM, Basabe-Tuero B, Díaz-Sánchez ME, Alfonso-Sagué K, Álvarez AMG, Montero-Díaz M, Valdés-Perdomo S, Chávez-Chong C, Rodríguez-Martinez E, Díaz-Fuentes Y, Llera-Abreu E, Calzadilla-Cámbara A, Ríos-Castillo I. Prevalence of Anemia and Iron Deficiency in Women of Reproductive Age in Cuba and Associated Factors. Int J Environ Res Public Health 2023; 20:5110. [PMID: 36982031 PMCID: PMC10049065 DOI: 10.3390/ijerph20065110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 02/23/2023] [Accepted: 03/02/2023] [Indexed: 06/18/2023]
Abstract
This study aims to evaluate the prevalence of anemia and iron deficiency in women of reproductive age and the association with inflammation, global overweight, adiposity, and menorrhagia. A sample design of women of reproductive age from the Eastern, Central, and Havana Regions was carried out. Biochemical determinations of hemoglobin, serum ferritin, soluble transferrin receptors, leukocytes, C-reactive protein, alpha-1 acid glycoprotein, and homocysteine were performed. Serum ferritin was also adjusted by inflammation. Nutritional status was assessed, and menstrual characteristics were collected by survey. A total of 742 women were studied. The prevalence of anemia was 21.4%, iron storage deficiency at 16.0%, and erythropoietic dysfunction at 5.4%, with inflammation at 47.0% and elevated homocysteine at 18.6%. Global overweight was 46.2% and increased adiposity at 58.4%. Anemia is associated with iron deposition deficiency (OR = 3.023 (1.816-5.033)) and with erythropoietic deficiency (OR = 5.62 (3.03-10.39)), but not with inflammation, global overweight, and adiposity. Global overweight was found to be associated with inflammation (OR = 2.23 (1.41-3.53)). Anemia was associated with heavy menstrual bleeding (OR = 1.92 (1.34-2.76)). Homocysteine was associated with inflammation (OR = 2.05 (1.08-3.90)), but not with anemia. In conclusion, anemia in Cuba is classified as a moderate public health problem, but not iron deficiency. A high prevalence of overweight and obesity was found, associated with inflammation, but not with anemia or iron deficiency. Heavy menstrual bleeding is a factor associated with anemia.
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Affiliation(s)
| | - Beatriz Basabe-Tuero
- National Institute of Hygiene, Epidemiology and Microbiology (INHEM), Havana 10300, Cuba
| | | | - Karen Alfonso-Sagué
- National Institute of Hygiene, Epidemiology and Microbiology (INHEM), Havana 10300, Cuba
| | | | | | - Sonia Valdés-Perdomo
- National Institute of Hygiene, Epidemiology and Microbiology (INHEM), Havana 10300, Cuba
| | | | | | - Yoandry Díaz-Fuentes
- National Institute of Hygiene, Epidemiology and Microbiology (INHEM), Havana 10300, Cuba
| | - Elisa Llera-Abreu
- National Institute of Hygiene, Epidemiology and Microbiology (INHEM), Havana 10300, Cuba
| | | | - Israel Ríos-Castillo
- Food and Agricultural Organization (FAO), Sub Regional Office in Mesoamerica, Panama City 0843-00006, Panama
- Nutrition and Dietetic School, University of Panama, Panama City 3366, Panama
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Durán-Agüero S, Ortiz A, Pérez-Armijo P, Vinueza-Veloz MF, Ríos-Castillo I, Camacho-Lopez S, Cavagnari BM, Nava-González EJ, Carpio-Arias V, Cordón-Arrivillaga K, Mauricio-Alza S, Roncancio JJB, Nuñez-Martínez B, González-Medina G, Ivancovich S, Meza-Miranda ER, Landaeta-Díaz L. Quality of the diet during the COVID-19 pandemic in 11 Latin-American countries. J Health Popul Nutr 2022; 41:33. [PMID: 35927689 PMCID: PMC9351126 DOI: 10.1186/s41043-022-00316-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Accepted: 07/16/2022] [Indexed: 01/22/2023] Open
Abstract
Abstract
Background and objectives
The confinement by COVID-19 has affected the food chain and environments, which added to factors such as anxiety, frustration, fear and stress have modified the quality of the diet in the population around the world. The purpose of this study was to explore diet quality during the COVID-19 pandemic in 11 Latin American countries.
Methodology
Multicentric, cross-sectional study. An online survey was applied to residents of 11 Latin-American countries, during April and May 2020, when confinement was mandatory. Diet quality was evaluated using a validated questionnaire.
Result
10,573 people participated in the study. The quality of the food by country shows that Colombia presented the best quality, while Chile and Paraguay presented the lowest. When comparing the overall results of diet quality by gender, schooling and age, women, people with more schooling and people under 30 years of age, presented better diet quality. The regression model showed that the variables associated with diet quality were: age (df = 3, F = 4. 57, p < 0.001), sex (df = 1, F = 131.01, p < 0.001), level of education (df = 1, F = 38.29, p < 0.001), perception of weight change (df = 2, F = 135.31, p < 0.001), basis services (df = 1, F = 8.63, p = 0.003), and quarantine (df = 1, F = 12.14, p = 0.001).
Conclusion
It is necessary for governments to intervene to reverse these indicators, considering that inadequate feeding favors the appearance of no communicable diseases, which favor a higher risk of infection and worse prognosis with COVID-19.
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Valdés-Badilla P, Parra-Soto SL, Murillo AG, Gomez G, Araneda J, Durán-Agüero S, Morales G, Ríos-Castillo I, Carpio Arias V, Cavagnari BM, Nava-González EJ, Camacho López S, Bejarano-Roncancio JJ, Núñez-Martínez B, Cordón-Arrivillaga K, Meza-Miranda ER, Mauricio-Alza S, Landaeta-Díaz L. Healthy Lifestyle Habits in Latin American University Students during COVID-19 Pandemic: A Multi-Center Study. J Am Nutr Assoc 2022:1-7. [PMID: 36173372 DOI: 10.1080/27697061.2022.2115429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Revised: 06/30/2022] [Accepted: 08/16/2022] [Indexed: 06/16/2023]
Abstract
Background: Deterioration in the health-related quality of life (HRQoL) and healthy eating behavior due to the effect of COVID-19 lockdown has been reported. The aim of this study was to associate eating habits and HRQoL with physical activity behavior in Latin American university students during COVID-19 pandemic.Methods: Measured 4,859 university students with a mean age of 22.4 years and they were mostly female (73.7%) from 10 Latin American countries (Argentina, Chile, Colombia, Costa Rica, Ecuador, Guatemala, Mexico, Panama, Paraguay and, Peru). Eating habits were measured using a survey validated with other university students, HRQoL was assessments using the short version of the World Health Organization (WHOQOL-BREF) scale and physical activity behavior with a dicotomous question based on the international recommendations for physical activity.Results: There is a higher complaince for all the international recommendations for healthy foods intake in the physically active group of students (p < 0.01), with the exception of alcohol and salt. In addition, physically active students presented a significantly higher HRQoL (p < 0.001) in all the dimensions analyzed when compared to physically inactive students.Conclusions: Latin American university students who are physically active are more likely to have a healthier eating behavior and a lower risk of a decreased HRQoL during COVID-19 pandemic.
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Affiliation(s)
- Pablo Valdés-Badilla
- Departamento de Ciencias de la Actividad Física, Facultad de Ciencias de la Educación, Universidad Católica del Maule, Talca, Chile
| | - Solange Liliana Parra-Soto
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and medical Sciences, University of Glasgow, Glasgow, United Kingdom
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom
| | - Ana Gabriela Murillo
- Department of Biochemistry, School of Medicine, University of Costa Rica, San Jose, Costa Rica
| | - Georgina Gomez
- Department of Biochemistry, School of Medicine, University of Costa Rica, San Jose, Costa Rica
| | - Jacqueline Araneda
- Departamento de Nutrición y Salud Pública, Facultad de Ciencias de la Salud y de los Alimentos, Universidad del Bío-Bío, Chillán, Chile
| | - Samuel Durán-Agüero
- Escuela de Nutrición y Dietética, Facultad de Ciencias para el Cuidado de la Salud, Universidad San Sebastián, Los Leones, Chile
| | - Gladys Morales
- Departamento de Salud Pública, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile
- Centro de Investigación en Epidemiología Cardiovascular y Nutricional (EPICYN), Universidad de La Frontera, Temuco, Chile
| | - Israel Ríos-Castillo
- Organización de las Naciones Unidas para la Alimentación y la Agricultura (FAO), Oficina Subregional de la FAO para Mesoamérica, Ciudad de Panamá, Panamá
| | - Valeria Carpio Arias
- Grupo de Investigación en Alimentación y Nutrición Humana (GIANH), Facultad de Salud Pública, Escuela Superior Politécnica de Chimborazo, Riobamba, Ecuador
| | - Brian M Cavagnari
- Escuela de Nutrición, Facultad de Ciencias Médicas, Pontificia Universidad Católica Argentina, Buenos Aires, Argentina
| | - Edna J Nava-González
- Facultad de Salud Pública y Nutrición, Universidad Autónoma de Nuevo León, Monterrey, México
| | | | | | - Beatriz Núñez-Martínez
- Departamento de Nutrición, Facultad de la Salud, Universidad Autónoma de Asunción, Asunción, Paraguay
| | - Karla Cordón-Arrivillaga
- Unidad de Investigación en Seguridad Alimentaria y Nutricional (UNISAN), Escuela de Nutrición, Facultad de Ciencias Químicas y Farmacia, Universidad de San Carlos de Guatemala, Guatemala
| | | | | | - Leslie Landaeta-Díaz
- Escuela de Nutrición y Dietética, Facultad de Salud y Ciencias sociales, Universidad de Las Américas, Santiago, Chile
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7
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Murillo AG, Gómez G, Durán-Agüero S, Parra-Soto SL, Araneda J, Morales G, Ríos-Castillo I, Carpio-Arias V, Cavagnari BM, Nava-González EJ, Bejarano-Roncancio JJ, Núñez-Martínez B, Cordón-Arrivillaga K, Meza-Miranda ER, Mauricio-Alza S, Landaeta-Díaz L. Dietary Patterns and Dietary Recommendations Achievement From Latin American College Students During the COVID-19 Pandemic Lockdown. Front Sustain Food Syst 2022. [DOI: 10.3389/fsufs.2022.836299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
This study aimed to compare the diet quality of different dietary patterns among college students from Latin American countries, including vegetarians, vegans, and omnivores during the COVID-19 pandemic. A cross-sectional, observational, multicenter study was conducted including a non- probabilistic sample of university students from 10 countries. University students were invited to participate in the study through social network platforms. Participants were self-reported to have followed a specific dietary pattern; either the Prudent diet, Western diet, Ovo-dairy-vegetarian diet, Fish-vegetarian diet, Strict vegetarian diet (vegan) or other. The last three patterns (vegetarians and vegans) were grouped as following a plant-based diet. A self-assessment survey was used to evaluate healthy eating habits using a questionnaire with values between 1 (do not consume) and 5 (consume) for a total of 9–45 points (higher values represent better eating habits). Unhealthy habits were assessed with nine questions. A total of 4,809 students filled out the questionnaire, and the majority of them were females (73.7%). A high percentage have been in lockdown for more than 5 months and were in lockdown when the survey was released. 74.3% were self-reported to follow a prudent diet, while 11.4% reported following a western dietary pattern and 8.8% a plant-based diet. When compliance with healthy and unhealthy dietary habits was analyzed, although all groups had low compliance, the plant-based diet group (56.09 ± 6.11) performed better than the Western diet group (48.03 ± 5.99). The total diet quality score was significantly higher for plant-based diet followers, who also tended to better achieve the recommendations than omnivorous students, especially the ones following a western diet. These results present evidence that young adults such as college-aged students have unhealthy dietary habits. However, the ones who follow a plant-based diet such as vegetarians and vegans exhibit better scores and healthier dietary conducts.
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Meza-Miranda ER, Parra-Soto SL, Durán-Agüero S, Gomez G, Carpio-Arias V, Ríos-Castillo I, Murillo AG, Araneda J, Morales G, Cavagnari BM, Nava-González EJ, Bejarano-Roncancio JJ, Núñez B, Cordón-Arrivillaga K, Mauricio-Alza S, Landaeta-Díaz L. Body weight in relation to hours of sleep, and physical activity in Latin American university students during the Covid-19 pandemic. J Am Coll Health 2022:1-6. [PMID: 35816742 DOI: 10.1080/07448481.2022.2089848] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Revised: 05/23/2022] [Accepted: 06/09/2022] [Indexed: 06/15/2023]
Abstract
Introduction: Short sleep, physical inactivity, and being locked up are risk factors for weight gain. Objective: We evaluated weight gain according to sex, age, hours of sleep and physical activity in university students from 10 Latin American countries during the COVID-19 pandemic. Methods: Cross-sectional and multicenter study (n = 4880). Results: The average age was 22.5 ± 4.4 years. 60.2% were currently locked up. 73.6% were women, 48.2% increased their body weight, 66% reported insufficient sleep hours, and 65.9% were inactive. Women gained more weight than men (73.2%) and younger students gained more weight (85.1%). Those who had insufficient sleep hours gained most weight (67.6%). Inactive participants gained most weight (74.7%). Students who have insufficient sleep are 21% more likely to have changes in body weight compared to students who have optimal sleep. Conclusion: The increase in body weight and its risk factors during confinement should be considered as emerging from public health.
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Affiliation(s)
- Eliana Romina Meza-Miranda
- Universidad Nacional de Asunción - Centro Multidisciplinario de Investigaciones Tecnológicas, Asunción, Paraguay
| | - Solange Liliana Parra-Soto
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
| | - Samuel Durán-Agüero
- Escuela de Nutrición y Dietética, Facultad de Ciencias para el Cuidado de la Salud, Universidad San Sebastián, Los Leones, Chile
| | - Georgina Gomez
- Department of Biochemistry, School of Medicine, University of Costa Rica, Ciudad de San José, Costa Rica
| | - Valeria Carpio-Arias
- Grupo de Investigación en Alimentación y Nutrición Humana (GIANH), Facultad de Salud Pública, Escuela Superior Politécnica de Chimborazo, Riobamba, Ecuador
| | - Israel Ríos-Castillo
- Organización de las Naciones Unidas para la Alimentación y la Agricultura (FAO), Oficina Subregional de la FAO para Mesoamérica, Ciudad de Panamá, Panamá
| | - Ana Gabriela Murillo
- Department of Biochemistry, School of Medicine, University of Costa Rica, Ciudad de San José, Costa Rica
| | - Jacqueline Araneda
- Departamento de Nutrición y Salud Pública, Facultad de Ciencias de la Salud y de los Alimentos, Universidad del Bío-Bío, Chillán, Chile
| | - Gladys Morales
- Departamento de Salud Pública, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile
- Centro de Investigación en Epidemiología Cardiovascular y Nutricional (EPICYN), Universidad de La Frontera, Temuco, Chile
| | - Brian M Cavagnari
- Escuela de Nutrición, Facultad de Ciencias Médicas, Pontificia Universidad Católica Argentina, Caba, Argentina
| | - Edna J Nava-González
- Facultad de Salud Pública y Nutrición, Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Jhon J Bejarano-Roncancio
- Departamento de Nutrición Humana, Facultad de Medicina, Universidad Nacional de Colombia, Sede Bogotá, Colombia
| | | | - Karla Cordón-Arrivillaga
- Unidad de Investigación en Seguridad Alimentaria y Nutricional (UNISAN), Escuela de Nutrición, Facultad de Ciencias Químicas y Farmacia, Universidad de San Carlos de Guatemala, Guatemala
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Durán-Agüero S, Vinueza-Veloz MF, González-Medina G, Carpio-Arias V, Ríos-Castillo I, Cavagnari BM, Nava-González EJ, Camacho-López S, Cordón-Arrivillaga K, Núñez-Martínez B, Meza-Miranda ER, Ortíz A, Pérez-Armijo P, Bejarano-Roncancio JJ, Ivankovich-Guillén S, Mauricio-Alza S, Landaeta-Díaz L. Psychological factors of diet quality among rural populations of Latin America during the COVID-19 pandemic: a cross-sectional study. Rural Remote Health 2022; 22:6909. [PMID: 35263545 DOI: 10.22605/rrh6909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
INTRODUCTION This study aimed to determine the relationship between symptoms of anxiety and/or anhedonia (inability to feel pleasure) and diet quality during confinement due to COVID-19 in rural populations in Latin America. METHODS This was a multicentric, cross-sectional study. An online survey was applied, which included the Beck Anxiety Inventory, Snaith-Hamilton Pleasure Scale for assessing the presence of anhedonia, the Food Intake Questionnaire and sociodemographic questions. RESULTS The study included 10 552 people from 11 countries; 708 participants were living in rural areas. More than half of the participants were quarantined at the time of the survey. Diet quality was inversely associated with anhedonia (p<0.001) and anxiety (p=0.003). In addition, a healthier diet was associated with being female (p=0.030), having a higher level of education (p=0.008) and country of residence (p=0.001). CONCLUSION Among the rural population during the COVID pandemic, this study found a worse diet quality was associated with symptoms of anhedonia and anxiety, as well as lower level of education and being male. Proposals to improve the quality of the diet could include interventions aimed at people's mental health.
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Affiliation(s)
- Samuel Durán-Agüero
- Escuela de Nutrición y Dietética, Facultad de Ciencias para el Cuidado de la Salud, Universidad San Sebastián, Los Leones, Chile
| | - María Fernanda Vinueza-Veloz
- Escuela de Medicina, Facultad de Salud Pública, Escuela Superior Politécnica de Chimborazo, Riobamba, Ecuador; and Department of Neuroscience, Erasmus University Rotterdam, Rotterdam, The Netherlands
| | - Gabriel González-Medina
- Escuela de Medicina, Departamento de Salud Pública, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Valeria Carpio-Arias
- Grupo de Investigación en Alimentación y Nutrición Humana (GIANH), Facultad de Salud Pública, Escuela Superior Politécnica de Chimborazo, Riobamba, Ecuador
| | - Israel Ríos-Castillo
- Organización de las Naciones Unidas para la Alimentación y la Agricultura (FAO), Oficina Subregional de la FAO para Mesoamérica, Ciudad de Panamá, Panamá
| | - Brian M Cavagnari
- Escuela de Nutrición, Facultad de Ciencias Médicas, Pontificia Universidad Católica Argentina, Av. Alicia Moreau de Justo 1300, C1107AFB CABA, Argentina
| | - Edna J Nava-González
- Facultad de Salud Pública y Nutrición, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México
| | | | - Karla Cordón-Arrivillaga
- Unidad de Investigación en Seguridad Alimentaria y Nutricional (UNISAN), Escuela de Nutrición, Facultad de Ciencias Químicas y Farmacia, Universidad de San Carlos de Guatemala, Guatemala
| | | | - Eliana Romina Meza-Miranda
- Centro Multidisciplinario de Investigaciones Tecnológicas, Departamento de Biotecnología, Universidad Nacional de Asunción, Paraguay
| | - Alfonsina Ortíz
- Departamento de Nutrición, Facultad de Ciencias de la Salud, Universidad Católica del Uruguay, Uruguay
| | - Patricio Pérez-Armijo
- Departamento de Medicina Preventiva y Salud Pública, Facultad de Farmacia, Universidad del País Vasco UPV/EHU, 01006 Vitoria-Gasteiz, Álava, España
| | | | | | | | - Leslie Landaeta-Díaz
- Facultad de Salud y Ciencias Sociales, Escuela de Nutrición y Dietética, Universidad de Las Américas, Chile
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Bersamin A, Hernández-Garbanzo Y, Atoloye AT, Gonzalez JU, Ríos-Castillo I, Oo TTM, Banna J, Shikieri AE, Bonsi E. Growing Our Commitment to Promoting Fruits and Vegetables: Looking Beyond the International Year of Fruits and Vegetables 2021. J Nutr Educ Behav 2021; 53:909-910. [PMID: 34763819 DOI: 10.1016/j.jneb.2021.09.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Affiliation(s)
- Andrea Bersamin
- Center for Alaska Native Health Research, University of Alaska Fairbanks
| | | | - Abiodun T Atoloye
- Uconn Rudd Center for Food Policy and Obesity, University of Connecticut
| | | | | | | | - Jinan Banna
- Department of Human Nutrition, Food and Animal Sciences, University of Hawaii Manoa
| | - Ahlam El Shikieri
- College of Applied Medical Sciences, Department of Clinical Nutrition, Taibah University
| | - Eunice Bonsi
- Department of Food and Nutritional Sciences, CAENS, Tuskegee University
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Landaeta-Díaz L, Agüero SD, Vinueza-Veloz MF, Arias VC, Cavagnari BM, Ríos-Castillo I, Nava-González EJ, López SC, Ivankovich-Guillén S, Pérez-Armijo P, Bejarano-Roncancio JJ, Núñez-Martínez B, Cordón-Arrivillaga K, Meza-Miranda ER, Ortíz A, Mauricio-Alza S, González-Medina G. Anxiety, Anhedonia, and related food consumption at the beginning of the COVID-19 quarantine in populations of Spanish-speaking Ibero-American countries: An online cross-sectional survey study. SSM Popul Health 2021; 16:100933. [PMID: 34608442 PMCID: PMC8479969 DOI: 10.1016/j.ssmph.2021.100933] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 09/21/2021] [Accepted: 09/27/2021] [Indexed: 12/29/2022] Open
Abstract
In Ibero-American, the anxiety and anhedonia are related to the consumption of food. The anxiety is related to the consumption of palatable foods during confinement. The different type of foods had a different probability of increasing serving size. An increase in average body weight was observed during confinement for COVID-19.
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Affiliation(s)
- Leslie Landaeta-Díaz
- Facultad de Salud y Ciencias sociales, Universidad de Las Américas, Chile
- Corresponding author. Facultad de Salud y Ciencias Sociales, Universidad de Las Américas, Chile. Av. Walker Martínez, 1360, piso 3 Edificio A, La Florida, Santiago, Chile.
| | - Samuel Durán Agüero
- Escuela de Nutrición y Dietética, Facultad de Ciencias para el Cuidado de la Salud. Universidad San Sebastián, Chile
| | - María Fernanda Vinueza-Veloz
- Grupo de investigación PSICOMED, Escuela de Medicina, Facultad de Salud Pública, Escuela Superior Politécnica de Chimborazo, Riobamba, Ecuador
- Departamento de Neurociencia, Erasmus University Rotterdam, Róterdam, the Netherlands
| | - Valeria Carpio Arias
- Grupo de Investigación en Alimentación y Nutrición Humana (GIANH), Facultad de Salud Pública, Escuela Superior Politécnica de Chimborazo. Riobamba, Ecuador
| | - Brian M. Cavagnari
- Escuela de Nutrición, Facultad de Ciencias Médicas, Pontificia Universidad Católica Argentina, Argentina
| | - Israel Ríos-Castillo
- Organización de las Naciones Unidas para la Alimentación y la Agricultura (FAO). Oficina Subregional de la FAO para Mesoamérica. Ciudad de Panamá, Panama
| | - Edna J. Nava-González
- Facultad de Salud Pública y Nutrición, Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | | | | | - Patricio Pérez-Armijo
- Departamento de Medicina Preventiva y Salud Pública, Facultad de Farmacia, Universidad del País Vasco UPV/EHU, 01006, Vitoria-Gasteiz, Álava, Spain
| | | | | | - Karla Cordón-Arrivillaga
- Unidad de Investigación en Seguridad Alimentaria y Nutricional (UNISAN), Escuela de Nutrición, Facultad de Ciencias Químicas y Farmacia, Universidad de San Carlos de Guatemala, Guatemala
| | | | - Alfonsina Ortíz
- Departamento de Nutrición, Facultad de Ciencias de la Salud, Universidad Católica del Uruguay, Uruguay
| | | | - Gabriel González-Medina
- Pontificia Universidad Católica de Chile. Facultad de Medicina. Departamento de Salud Pública. Santiago de Chile, Chile
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Rojas-Bonilla M, Luciani K, Jara D, Ríos-Castillo I. [Impact of an antimicrobial stewardship program in a pediatric third level hospital in Panama]. Rev Chilena Infectol 2020; 37:9-18. [PMID: 32730394 DOI: 10.4067/s0716-10182020000100009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Accepted: 11/22/2019] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Antimicrobial Stewardship Programs (ASP) focus in the appropriate use of antimicrobials to improve clinical results and minimize risk of adverse events. AIMS To compare consumption and costs of antimicrobials before and after the establishment of an antimicrobial stewardship program and to describe the resistance proportion of priority bacteria. METHODS Quasi-experimental, retrospective and prospective, descriptive and analytical study, to compare consumption and costs of antimicrobials in a pre- intervention period (2007-2010) and a post- intervention period (2011-2017). Additionally, a descriptive analysis of bacterial resistance from 2010 was performed. RESULTS Gentamicin, vancomycin, meropenem, cefotaxime, ceftazidime and imipenem consumption decreased significantly in the post-intervention period compared to the pre-intervention period (p < 0.05) while consumption of amikacin, piperacillin/tazobactam, cefepime and levofloxacin increased significantly in the post-intervention period. The reduction in costs was not significant for gentamicin, vancomycin, meropenem, cefotaxime, ceftazidime and imipenem, meanwhile, costs increased for amikacin, piperacillin/tazobactam, cefepime and levofloxacin, but this was not significant. The isolation of Acinetobacter baumannii, Klebsiella pneumoniae, Staphylococcus aureus and Enterococcus faecalis decreased during the post-intervention period. CONCLUSION The ASP showed a decrease in consumption and costs of some antimicrobials.
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Affiliation(s)
- Magda Rojas-Bonilla
- Departamento de Infectología Pediátrica, Hospital de Especialidades Pediátricas Omar Torrijos Herrera, Ciudad de Panamá, Panamá
| | - Kathia Luciani
- Departamento de Infectología Pediátrica, Hospital de Especialidades Pediátricas Omar Torrijos Herrera, Ciudad de Panamá, Panamá
| | - Denis Jara
- Unidad de Farmacia, Hospital de Especialidades Pediátricas Omar Torrijos Herrera, Ciudad de Panamá, Panamá
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Candia V, Ríos-Castillo I, Carrera-Gil F, Vizcarra B, Olivares M, Chaniotakis S, Pizarro F. Effect of various calcium salts on non-heme iron bioavailability in fasted women of childbearing age. J Trace Elem Med Biol 2018; 49:8-12. [PMID: 29895376 DOI: 10.1016/j.jtemb.2018.04.029] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2018] [Revised: 04/19/2018] [Accepted: 04/22/2018] [Indexed: 10/17/2022]
Abstract
INTRODUCTION Micronutrient deficiencies are one of the most important public health issues worldwide and iron (Fe) deficiency anemia is the most prevalent micronutrient deficiency. Iron deficiency often coexists with calcium deficiency and iron and calcium supplementation often overlap. This has led to investigations into the interaction between these two minerals, and whether calcium may inhibit iron absorption in the gut. OBJECTIVE To determine the effect of various calcium salts on non-heme iron bioavailability in fasted women of childbearing age. METHODS A randomized and single blinded trial was conducted on 27 women of childbearing age (35-45 years old) divided into 2 groups (n1 = 13 and n2 = 14, respectively). On four different days, after an overnight fast, they received 5 mg of Fe as FeSO4 (labeled with 55Fe or 59Fe) with 800 mg of elemental calcium in the form of either calcium chloride, calcium gluconate, calcium citrate, calcium carbonate, calcium lactate, calcium sulfate or calcium phosphate. Calcium chloride was used as the control salt in both groups. Iron was labeled with the radioisotopes 59Fe or 55Fe, and the absorption of iron was measured by erythrocyte incorporation of radioactive Fe RESULTS: 800 mg of elemental calcium as calcium citrate produced a significant decrease in non-heme iron bioavailability (repeated measures ANOVA, F = 3.79, p = 0.018). CONCLUSION Of the various calcium salts tested, calcium citrate was the only salt that decreased non-heme iron bioavailability relative to the calcium chloride control when taken on an empty stomach. These results suggest that inhibition of non-heme iron absorption in fasted individuals is dependent upon the calcium salt in question and not solely dependent on the presence of calcium.
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Affiliation(s)
- Valeria Candia
- Laboratory of Micronutrients, Institute of Nutrition and Food Technologies, University of Chile, Santiago, Chile
| | - Israel Ríos-Castillo
- Laboratory of Micronutrients, Institute of Nutrition and Food Technologies, University of Chile, Santiago, Chile; Food and Agriculture Organization of the United Nations, Sub Regional Office for Mesoamerica. Panama City, Panama
| | - Frank Carrera-Gil
- Nutrition and Dietetic Department, Fundación Valle del Lili Academic Hospital, Cali, Colombia
| | - Berta Vizcarra
- Laboratory of Micronutrients, Institute of Nutrition and Food Technologies, University of Chile, Santiago, Chile
| | - Manuel Olivares
- Laboratory of Micronutrients, Institute of Nutrition and Food Technologies, University of Chile, Santiago, Chile
| | - Sotiris Chaniotakis
- Department of Graduate Medical Sciences, Boston University School of Medicine, Boston, United States
| | - Fernando Pizarro
- Laboratory of Micronutrients, Institute of Nutrition and Food Technologies, University of Chile, Santiago, Chile.
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Derose KP, Ríos-Castillo I, Fulcar MA, Payán DD, Palar K, Escala L, Farías H, Martínez H. Severe food insecurity is associated with overweight and increased body fat among people living with HIV in the Dominican Republic. AIDS Care 2018; 30:182-190. [PMID: 28681631 PMCID: PMC5725241 DOI: 10.1080/09540121.2017.1348597] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Food insecurity is an important risk factor for overweight and obesity among low-income populations in high income countries, but has not been well-studied among people living with HIV (PLHIV), particularly in resource-poor settings. To explore the association between food insecurity and overweight and obesity among PLHIV in the Dominican Republic, we conducted a cross-sectional study of 160 HIV-infected adults between March-December 2012 in four geographically-dispersed health centers (Santo Domingo, Puerto Plata, San Juan, and Higuey). We collected information on household food insecurity, anthropometric measurements, and socio-demographic data and ran descriptive and multivariate analyses, controlling for fixed effects of clinics and using robust standard errors. Mean age ± SD of participants was 39.9 ± 10.5 years; 68% were women, and 78% were on antiretroviral therapy (ART). A total of 58% reported severe household food insecurity. After controlling for age, gender, income, having children at home, education, and ART status, severe food insecurity was associated with increased body mass index (BMI) (β = 1.891, p = 0.023) and body fat (β = 4.004, p = 0.007). Age and female gender were also associated with increased body fat (β = 0.259, p < 0.001 and β = 8.568, p < 0.001, respectively) and age and ART status were associated with increased waist circumference (β = 0.279, p = 0.011 and β = 5.768, p = 0.046, respectively). When overweight was examined as a dichotomous variable (BMI ≥ 25.0), severe food insecurity was associated with an increased odds of 3.060 (p = 0.013); no other covariates were independently associated with overweight. The association of severe food insecurity with increased BMI, body fat, and overweight among PLHIV has important implications for clinical care as well as food security and nutrition interventions in resource-poor settings. Integrated programs that combine nutrition education or counseling with sustainable approaches to addressing food insecurity among PLHIV are needed to improve long-term health outcomes of this vulnerable population.
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Affiliation(s)
| | - Israel Ríos-Castillo
- Food and Agriculture Organization (FAO) of the United Nations, Sub-Regional Office for Mesoamerica, Panama City, Panama
| | - María Altagracia Fulcar
- United Nations World Food Programme, Dominican Republic Country Office, Santo Domingo, Dominican Republic
| | - Denise D. Payán
- RAND Corporation, Santa Monica, CA, USA
- UCLA Fielding School of Public Health, Los Angeles, CA USA
| | - Kartika Palar
- Division of HIV/AIDS, University of California, San Francisco, CA, USA
| | - Lisbeth Escala
- United Nations World Food Programme, Regional Bureau for Latin America and the Caribbean, Panama City, Panama
| | - Hugo Farías
- United Nations World Food Programme, Regional Bureau for Latin America and the Caribbean, Panama City, Panama
| | - Homero Martínez
- RAND Corporation, Santa Monica, CA, USA
- Hospital Infantil de Mexico “Dr. Federico Gomez”, Mexico City, Mexico
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Mujica-Coopman MF, Brito A, López de Romaña D, Ríos-Castillo I, Cori H, Olivares M. Prevalence of Anemia in Latin America and the Caribbean. Food Nutr Bull 2015; 36:S119-28. [DOI: 10.1177/0379572115585775] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
Background: In Latin America and the Caribbean, anemia has been a public health problem that affects mainly women of childbearing age and children under 6 years of age. However, the current prevalence of anemia in this region is unknown. Objective: To examine the latest available prevalence data on anemia in Latin America and the Caribbean. Methods: A systematic review was conducted in 2011 and updated in 2014. Studies determining the prevalence of anemia conducted in apparently healthy populations with national or regional representativeness were included in the review. Results: The lowest prevalence rates of anemia among children under 6 years of age were found in Chile (4.0%), Costa Rica (4.0%), Argentina (7.6%), and Mexico (19.9%). In Nicaragua, Brazil, Ecuador, El Panama, and Honduras, anemia was a moderate public health problem, with prevalence ranging Salvador, Cuba, Colombia, the Dominican Republic, Peru, from 20.1% to 37.3%. Anemia was a severe public health problem in Guatemala, Haiti, and Bolivia. The prevalence of anemia among women of childbearing age was lowest in Chile (5.1%). In Colombia, El Salvador, Costa Rica, Nicaragua, Ecuador, Mexico, Peru, Honduras, and Argentina, anemia was a mild public health problem, with prevalence ranging from 7.6% to 18.7%. In Guatemala, Brazil, the Dominican Republic, and Bolivia, anemia was a moderate public health problem, with prevalence ranging from 21.4% to 38.3%. Panama and Haiti had the highest reported prevalence rates (40.0% and 45.5%, respectively), and anemia was considered a severe public health problem in those countries. Conclusions: Anemia remains a public health problem in children under 6 years of age and women of childbearing age in most Latin America and Caribbean countries for which data are available.
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Affiliation(s)
- María F. Mujica-Coopman
- Micronutrient Laboratory, Institute of Nutrition and Food Technology (INTA), Santiago, Chile
| | - Alex Brito
- US Department of Agriculture Agricultural Research Service, Western Human Nutrition Research Center, Davis, California, USA
| | | | - Israel Ríos-Castillo
- Nutritional Research and Comprehensive Development Foundation, Panama City, Panama
| | | | - Manuel Olivares
- Micronutrient Laboratory, Institute of Nutrition and Food Technology (INTA), Santiago, Chile
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Brito A, Cabrera A, da Silva Gomes F, Crispim SP, Jáuregui A, Kanter R, Chamorro R, Schlüssel MM, Chávez R, Ríos-Castillo I, Kroker MF, Defagó MD, Chacón AV, Gatica G, Natero MV, Arango C, Mejicano AG, Masi CA, Roldán EI, Hernández ME, López JR, Carrasco M, Peña LA, Viera C. VI Latin American Workshop on Leadership in Nutrition, Cuba 2012: The first harvest. Nutrition 2014; 30:369-70. [DOI: 10.1016/j.nut.2013.08.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2013] [Revised: 08/14/2013] [Accepted: 08/18/2013] [Indexed: 10/25/2022]
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Ríos-Castillo I, Brito A, Olivares M, López-de Romaña D, Pizarro F. Low prevalence of iron deficiency anemia between 1981 and 2010 in Chilean women of childbearing age. ACTA ACUST UNITED AC 2013; 55:478-83. [DOI: 10.21149/spm.v55i5.7247] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Objective. To determine the prevalence of anemia and iron status among Chilean women of childbearing age between 1981 and 2010. Materials and methods. Calculation of the prevalence of anemia and iron status was based on multiple cross-sectional iron absorption studies performed in 888 women during this period of time. All studies included measurements of hemoglobin, mean corpuscular volume, zinc protoporphyrin, percentage of transferrin saturation and serum ferritin. Data were grouped by decade (1981-1990, 1991-2000, and 2001-2010). Results. Prevalence of anemia for these decades was 9, 6 and 10%, respectively (p=NS). Iron deficiency anemia was the main cause of anemia in all periods (55, 85 and 75%, respectively; p=NS). A high prevalence of women with normal iron status was observed for all periods (64, 69, and 67, respectively; p=NS). Prevalence of iron deficiency without anemia in 1981-1990, 1991-2000 and 2001-2010 was 7, 20 and 12%, respectively (p<0.05). Finally, prevalence of iron depleted stores was 20, 6 and 10%, respectively (p<0.05). Conclusions. Prevalence of iron deficiency anemia in Chilean women of childbearing age was mild between 1981 and 2010. More than 60% of childbearing age women presented normal iron status in all periods. However, prevalence of iron depleted stores was moderate during 1981-1990, and was mild during 1991-2000 and 2001-2010.
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