• Abandono de la terapia nutricional y pérdida de peso en pacientes bariátricos: Cohorte retrospectiva en Lima, Perú

      Giacchetti-Vega, Monica; Baquerizo-vonBerswordts, Pamela; Carbone-Moane, Camila; Bernabe-Ortiz, Antonio; m.giacchetti4@gmail.com (Fundación Española de Dietistas-Nutricionistas (FEDN), 2017-04-04)
      Introduction: The aims of this study were to determine the proportion of patients who meet international recommendations for bariatric surgery and to assess the association between weight loss and dropout rate during diet therapy. Material and Methods: Retrospective cohort study performed using data from clinical records of patients who underwent sleeve gastrectomy in a private clinic of Lima, Peru. Two outcomes were evaluated, eligibility for bariatric surgery according to international recommendations (BMI≥40kg/m2 or ≥35kg/m2 with comorbidities) and abandonment before and after starting nutritional management (no nutritional assessment after 60 days from the previous visit without achieving ideal BMI). The exposure was the percentage of weight lost in the first five weeks after surgery split into <10% and ≥10%. Poisson regression was used and relative risks and 95% confidence intervals (95%CI) were calculated. Results: Data from 423 medical records of bariatric patients, mean age 39.2 years (±12.3), 294 (69.5%) women, were analyzed. Only 117 (27.7%) patients met international recommendations for bariatric surgery. Before starting nutritional management, 48/117 (41%) abandoned treatment, whereas an additional 29/69 (42.0%) abandoned before six months of nutritional management. Patient losing ≥10% of weight in the first month had 90% lower risk (RR=0.10; 95%CI:0.01-0.68) of nutritional therapy dropout compared to those who lost <10% of weight, controlling for sex and age. Conclusions: A great proportion of patients undergoing bariatric surgery did not meet the international criteria. A greater loss of weight during the first month was associated a lower dropout rate during nutritional therapy.
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    • An Evaluation of the COVID-19 Pandemic and Perceived Social Distancing Policies in Relation to Planning, Selecting, and Preparing Healthy Meals: An Observational Study in 38 Countries Worldwide

      Backer, Charlotte De; Teunissen, Lauranna; Cuykx, Isabelle; Decorte, Paulien; Pabian, Sara; Gerritsen, Sarah; Matthys, Christophe; Sabbah, Haleama Al; Royen, Kathleen Van; Bergheim, Ina; Staltner, Raphaela; Devine, Amanda; Sambell, Ros; Wallace, Ruth; Allehdan, Sabika Salem; Alalwan, Tariq Abdulkarim; Al-Mannai, Mariam Ahamad; Ismail, Leila Cheikh; Backer, Charlotte De; Ouvrein, Gaelle; Poels, Karolien; Vandebosch, Heidi; Maldoy, Katrien; Matthys, Christophe; Smits, Tim; Vrinten, Jules; Desmet, Ann; Teughels, Nelleke; Geuens, Maggie; Vermeir, Iris; Proesmans, Viktor; Hudders, Liselot; De Barcellos, Marcia Dutra; Ostermann, Cristina; Brock, Ana Luiza; Favieiro, Cynthia; Trizotto, Rafaela; Stangherlin, Isadora; Mafra, Anthonieta Looman; Varella, Marco Antonio Correa; Valentova, Jaroslava Varella; Fisher, Maryanne L.; Maceacheron, Melanie; White, Katherine; Habib, Rishad; Dobson, David S.; Schnettler, Berta; Orellana, Ligia; Miranda-Zapata, Edgardo; Chang, Angela Wen Yu; Jiao, Wen; Tingchi, Matthew; Liu; Grunert, Klaus G.; Christensen, Rikke Nyland; Reisch, Lucia; Janssen, Meike; Abril-Ulloa, Victoria; Encalada, Lorena; Kamel, Iman; Vainio, Annukka; Niva, Mari; Salmivaara, Laura; Makela, Johanna; Torkkeli, Kaisa; Mai, Robert; Kerschke-Risch, Pamela; Altsitsiadis, Efthymios; Stamos, Angelos; Antronikidis, Andreas; Tsafarakis, Stelios; Delias, Pavlos; Rasekhi, Hamid; Vafa, Mohammad Reza; Majid, Karandish; Eftekhari, Hassan; Henchion, Maeve; McCarthy, Sinead; McCarthy, Mary; Micalizzi, Alessandra; Schulz, Peter J.; Farinosi, Manuela; Komatsu, Hidenori; Tanaka, Nobuyuki; Kubota, Hiromi; Tayyem, Reema; Al-Awwad, Narmeen J.; Al-Bayyari, Nahla; Ibrahim, Mohammed O.; Hammouh, Fadwa; Dashti, Somaia; Dashti, Basma; Alkharaif, Dhuha; Alshatti, Amani; Mazedi, Maryam Al (Frontiers Media S.A., 2021-02-04)
      Objectives: To examine changes in planning, selecting, and preparing healthy foods in relation to personal factors (time, money, stress) and social distancing policies during the COVID-19 crisis. Methods: Using cross-sectional online surveys collected in 38 countries worldwide in April-June 2020 (N = 37,207, Mage 36.7 SD 14.8, 77% women), we compared changes in food literacy behaviors to changes in personal factors and social distancing policies, using hierarchical multiple regression analyses controlling for sociodemographic variables. Results: Increases in planning (4.7 SD 1.3, 4.9 SD 1.3), selecting (3.6 SD 1.7, 3.7 SD 1.7), and preparing (4.6 SD 1.2, 4.7 SD 1.3) healthy foods were found for women and men, and positively related to perceived time availability and stay-at-home policies. Psychological distress was a barrier for women, and an enabler for men. Financial stress was a barrier and enabler depending on various sociodemographic variables (all p < 0.01). Conclusion: Stay-at-home policies and feelings of having more time during COVID-19 seem to have improved food literacy. Stress and other social distancing policies relate to food literacy in more complex ways, highlighting the necessity of a health equity lens.
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    • An update on the status of front-of-package labelling regulations in Latin America

      Robles-Valcarcel, Pamela; roblesvpamela@gmail.com (Cambridge University Press, 2016-12-20)
      Carta al Editor
    • Are we adequately measuring food consumption and diet satisfaction in older adults?

      Jara, Alessandra Carolina Arroyo; García, Valeria Melanie Heredia; Quispe, Jorge Luis Maguiña (ARAN Ediciones S.A., 2020-01-01)
      Carta al editor
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    • Asociación entre la carga glicémica de la ingesta alimentaria y el síndrome metabólico en niños y adolescentes obesos

      Cornejo Monthedoro, Angela Patricia; Negreiros Sánchez, Isel Luisa Valeria; Del Águila Villar,Carlos; Ysla Marquillo, Marlit; Mayta-Tristan, Percy; angela_022007@hotmail.com (Sociedad Argentina de Pediatria, 2017-08-01)
      Objective. To study the association between the metabolic syndrome (MS) and the glycemic load (GL) of food intake among obese children and adolescents seen in consultation by the endocrinology team in a pediatric referral hospital in Lima, Peru. Population and Method. Cross-sectional study among obese children and adolescents (body mass index ≥ 95 percentile), 10-15 years old. The MS was classified according to criteria of the International Diabetes Federation. A 24 hour reminder was used, and the overall and per meal GL was calculated. The association between the GL tertiles (comparison with the lower tertile) and the MS was assessed using prevalence ratios adjusted by demographic outcome measures, family history, physical activity and total carbohydrate consumption in Poisson regression models with a robust variance. Results. Out of 273 obese children and adolescents, 52.4% were male and 94.9% did not engage in any physical activity. Glycemic load median value was 213 (164.8-287.4) and the daily calorie intake value was 2275 (1851-3024) kcal, consisting mainly of carbohydrates (62%). MS prevalence was 22.3%; the most prevalent components were abdominal obesity (81.7%) and low values of high density lipoprotein (HDL) (63.7%). Lastly, an association was observed between a high consumption of GL and the risk of developing MS (aRP 4.5; 95% CI: 1.3-15.3). Conclusions. There is an association between a high consumption of GL and the presence of MS among obese children and adolescents.
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    • Asociación entre obesidad y consumo de frutas y verduras: un estudio de base poblacional en Perú

      Arribas Harten, Cristina; Battistini Urteaga, Tania; Rodriguez Teves, María Gracia; Bernabe-Ortiz, Antonio (Sociedad Chilena de Nutrición, Bromatología y Toxicología, 2015-11-24)
      Objective: To evaluate if fruits and vegetables consumption is associated with overweight and obesity in Peruvian adults and as to describe the sociodemographic profi le of the people with overweight and obesity. Subjects and methods: Populationbased study that used data from the National Demographic and Health Survey (DHSENDES) performed in the 25 regions of Perú. The outcomes were overweight and obesity assessed using the Body Mass Index, whereas the exposure variable was the fruit and vegetable consumption evaluated by self-report during the last seven days. Poisson regression models adjusted by potential confounders were used to evaluate associated factors with overweight and obesity, as well as the association of interest, reporting prevalence ratios (PR) and 95% confi dence intervals (95%CI). Results: Data from 4,641 participants, mean age 37.1 years (SD: 11.8) and 53.6% women, were analyzed. Only 220 (4.8%; 95%CI 4.1%-5.4%) individuals reported a fruit and vegetable consumption of ≥5 portions per day, whereas 1,818 (39.2%; 95% CI 37.8%-40.6%) had overweight and 865 (18.6%; IC95% 17.5%-19.8%) presented obesity. Factors associated with overweight and obesity included gender, age, education level, socioeconomic level, marital status, and hypertension diagnosis. No association was found between a greater fruit and vegetable consumption and overweight (p=0.98) or obesity (p=0.99). Conclusions: No evidence of association between overweight and obesity with fruit and vegetable consumption was found. Only 1 out of 20 individuals reported consuming the recommended amount of fruit and vegetables per day, whereas 60% had overweight and obesity.
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    • Association between household socioeconomic level and consumption of fast food and soft drinks: A cross-sectional assessment of the Young Lives cohort in Peru

      Najar, Carol Argelia; Vila-Quispe, Jessi Nataly; Astete-Robilliard, Laura; Bernabe-Ortiz, Antonio (Asociacion Espanola de Dietistas-Nutricionistas, 2020-01-01)
      Introduction: The consumption of fast food and soft drinks is a risk factor for developing overweight and obesity. This study aimed at assessing if there is association between household socioeconomic level and the consumption of fast food and soft drinks among children. Material and Methods: A cross-sectional assessment of the data from the third round (2009-2010) of the youngest cohort of the Young Lives study in Peru was conducted. Sampling was conducted in three stages: In the first one, the country was divided into equal geographical regions, excluding the 5% of the richest district; in the second stage, 20 sentinel sites were chosen and an area within each sentinel site was selected. Finally, in the third stage, eligible children were selected. Outcomes were the self-reported consumption of fast food and soft drinks (never, sometimes, and always), whereas the exposure was household socioeconomic status (in quintiles). Crude and adjusted models were created between variables of interest using Poisson regression models, with robust variance, to report prevalence ratios (PR) and 95% confidence intervals (95% CI). Results: Data of 1901 children, of which 942 (49.6%) were girls, with a mean age of 7.5 (SD: 0.5) was analyzed. A total of 24.1% (95%CI: 22.2%-26.1%) reported always consuming fast food, whilst this number was 22.4% (20.5%-24.3%) for soft drinks. Compared to the lowest socioeconomic quintile, those who were in higher socioeconomic status had more probability of consuming fast food and soft drinks (Chi-squared for trends <0.001). The highest socioeconomic quintile had a greater probability to always consume fast food (PR=1.42; 95%CI: 1.08-1.88) and soft drinks (PR=1.71; 95%CI: 1.24-2.37). Conclusions: This study shows that there is a significant association between the household socioeconomic level and the consumption of soft drinks and fast food.
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    • Association between sitting time and obesity: A population-based study in Peru

      Paz-Krumdiek, M. (Blackwell Publishing Ltd, 2020-04-01)
      Aim: To assess if there is an association between sitting time and obesity among adult Peruvian population, using three different anthropometric measurements. Methods: A secondary analysis using data from a population-based study, the National Household Survey (ENAHO, in Spanish), was conducted enrolling adults aged ≥18 years from the 25 regions of Peru using a multistage random sampling technique. The outcome of interest was obesity, determined by body mass index (BMI > 30 kg/m2), waist circumference (WC > 80 and >90 cm in women and men, respectively) and waist to height ratio (WHR > 0.5); while the exposure was sitting time, measured using the last domain of the International Physical Activity Questionnaire and then categorised in <4 hours/day, 4 to <8 hours/day and 8+ hours/day. Associations were estimated using Poisson regression models, reporting prevalence ratios (PRs) and their respective 95% CI. Results: Data from 8587 subjects were analysed; mean age was 38.4 (SD: 13.5) and 53.6% were females. The prevalence of obesity was 16.3% (95% CI: 15.2–17.5%) by BMI, 58.5% (95% CI: 56.9–60.0%) by WC, and 78.0% (95% CI: 76.5–79.3%) by WHR. In the multivariable model, subjects reporting a sitting time of 8+ hours/day were more likely to be obese than those reporting <4 hours/day according to BMI (PR: 1.38; 95% CI: 1.15–1.65), WC (PR: 1.20; 95% CI: 1.12–1.28) and WHR (PR: 1.05; 95% CI: 1.01–1.10). Conclusions: Subjects with greater sitting time were more likely to be obese, and this association was evident with three different anthropometric indicators. Findings suggest the need of generating public health actions to reduce sedentary behaviour.
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    • Características de la lonchera del preescolar y conocimiento nutricional del cuidador: un estudio piloto en Lima, Perú, 2016

      Arévalo-Rivasplata, Lupe; Castro-Reto, Susan; García-Alva, Geraldine; Segura, Eddy R.; gerig1296@gmail.com (Sociedad Chilena de Pediatría, 2017-04)
      Cartas al Editor
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    • Characterization of the gut microbiota in diabetes mellitus II patients with adequate and inadequate metabolic control

      Hamasaki-Matos, Angie Joyce; Cóndor-Marín, Katherine Marlene; Aquino-Ortega, Ronald; Carrillo-Ng, Hugo; Ugarte-Gil, Cesar; Silva-Caso, Wilmer; Aguilar-Luis, Miguel Angel; del Valle-Mendoza, Juana (BioMed Central Ltd, 2021-12-01)
      Objective: The objective of this study was to characterize the composition of the gut microbiota in type 2 Diabetes Mellitus (T2DM) patients with adequate and inadequate metabolic control, and its relationship with fiber consumption. Results: A total of 26 patients with type 2 diabetes mellitus (T2DM) were enrolled, of which 7 (26.9%) cases had adequate metabolic control (HbA1c < 7%) and 19 (73.1%) inadequate metabolic control (HbA1c ≥ 7%). It was observed that among patients with controlled T2DM, 2 (28.6%) cases presented good intake of fiber and 5 (71.4%) cases a regular intake. In contrast, in patients with uncontrolled T2DM, 13 (68.4%) patients reported a regular intake and 6 (31.6%) a poor intake. In relation to the identification of the gut microbiota, both groups presented a similar characterization. There were differences in the population of bacteria identified in both groups, however, the results were not statistically significant. The most frequently identified bacteria in controlled and uncontrolled T2DM patients were Prevotella (71.4% vs 52.6%), followed by Firmicutes (71.4% vs 42.1%), Proteobacteria (71.4% vs 36.8%) and Bacteroidetes (57.1% vs 37.8%). On the other hand, Fusobacterium, Actinobacteria were not identified in either of the two groups of study.
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    • Comentario de Terrones Arias AE en: Incidencia del periodo vacacional de Navidad en el estado ponderal de escolares de Primaria

      Terrones Arias, Angel Eduardo; Carbajal Huamani, Oliverio (Asociacion Espanola de Dietistas-Nutricionistas, 2018-03-16)
      Carta al editor
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    • Comment about the article: «Understanding of different front-of-package labels by the Spanish population: Results of a comparative study»

      Grados-Jares, Manuel D.; Munoz-Denegri, Viviana M.; Medina-Pizzali, Maria L. (Elsevier Doyma, 2020-08-01)
      Carta al editor.
      Acceso restringido temporalmente
    • Comments on: "Family life stories in teenage mothers: Qualitative study conducted at the Engativá ESE Hospital in Bogotá, Colombia"

      Rodríguez-Soto, Karen; Reyes-Aranibar, Sara; Uribe-Chincha, Tula; Torres-Slimming, Paola (NLM (Medline), 2020-06-01)
      Carta al editor.
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    • Comments to the article "Overweight and clinical course in children younger than two years old hospitalized for lower respiratory tract infection"

      Bejarano-Talavera, Grecia Odalis; Acosta, Carla Andrea Estrada; Quispe, Jorge Luis Maguiña; Cruz-Retamozo, Ximena (ARAN Ediciones S.A., 2020-01-01)
      Carta al editor.
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    • Contenido de sodio en la dieta diaria de niños de un albergue peruano

      Trujillo Espino, Stefany; Paredes Aramburú, Jacqueline; Miranda Rodríguez, Camila; Bernabe-Ortiz, Antonio (Sociedad Argentina de Pediatría (SAP), 2015-01-26)
      Cartas al editor
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    • Discordancia lipídica y placa carotídea en pacientes obesos en prevención primaria

      Masson, Walter; Siniawski, Daniel; Lobo, Martín; Molinero, Graciela; walter.masson@hospitalitaliano.org.ar (Elsevier España S.L., 2017-11)
      Introduction Obese patients with lipid discordance (non-HDL cholesterol levels 30mg/dL above the LDL-c value) may have a greater prevalence of carotid atherosclerotic plaque (CAP). Our study objectives were: 1) To assess the prevalence of lipid discordance in a primary prevention population of obese patients; 2) To investigate the association between lipid discordance and presence of CAP. Methods Obese subjects aged >18 years (BMI ≥30kg/m2) with no cardiovascular disease, diabetes, or lipid-lowering treatment from six cardiology centers were included. Lipid discordance was defined when, regardless of the LDL-c level, the non-HDL cholesterol value exceeded the LDL-c value by 30mg/dL. Presence of CAP was identified by ultrasonography. Univariate and multivariate analyses were performed to explore the association between lipid discordance and presence of CAP. Results The study simple consisted of 325 obese patients (57.2% men; mean age, 52.3 years). Prevalence of lipid discordance was 57.9%. CAP was found in 38.6% of patients, but the proportion was higher in subjects with lipid discordance as compared to those without this lipid pattern (44.4% vs. 30.7%, P=.01). In both the univariate (OR: 1.80; 95% CI: 1.14-2.87; P=.01) and the multivariate analysis (OR: 2.07; 95% CI: 1.22-3.54; P=.007), presence of lipid discordance was associated to an increased probability of CAP. Conclusion In these obese patients, lipid discordance was associated to greater prevalence of CAP. Evaluation of obese patients with this strategy could help identify subjects with higher residual cardiovascular risk.
    • Efecto de la anemia en el desarrollo infantil: Consecuencias a largo plazo

      Zavaleta, Nelly; Astete-Robilliard, Laura (Instituto Nacional de Salud (INS), 2017-12)
      La anemia en niños menores de tres años es un problema de salud pública en el Perú y el mundo. Se estima que la causa principal de la anemia, aunque no la única, es la deficiencia de hierro. Existen muchos estudios y revisiones sobre cómo esta carencia en los infantes impacta negativamente en el desarrollo psicomotor y, a pesar de corregirse la anemia, los niños con este antecedente presentan, a largo plazo, un menor desempeño en las áreas cognitiva, social y emocional. Estos hallazgos se describen en estudios observacionales, de seguimiento, así como en experimentales con grupo control. La anemia puede disminuir el desempeño escolar, y la productividad en la vida adulta, afectando la calidad de vida, y en general la economía de las personas afectadas. Se describen algunos posibles mecanismos de cómo la deficiencia de hierro, con o sin anemia, podría afectar el desarrollo en la infancia; por ello, causa preocupación la alta prevalencia de anemia que se observa en este grupo de edad. La prevención de la anemia en el primer año de vida debe ser la meta para evitar consecuencias en el desarrollo de la persona a largo plazo.
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    • Effect of vegetarian diets on the presentation of metabolic syndrome or its components: a systematic review and meta-analysis

      Picasso, Maria C.; Lo-Tayraco, Jessica A.; Ramos-Villanueva, Juselly M.; Pasupuleti, Vinay; Hernandez, Adrian V.; mariaclaudiapicasso@gmail.com; jlotayraco@gmail.com; jurv1114@gmail.com; lepiscean@gmail.com; adrianhernandezdiaz@gmail.com (Churchill Livingstone, 2018)
      Background & aims: Several studies have examined the effect of vegetarian diets (VD) on metabolic syndrome (MetS) or its components, but findings have been inconsistent. The aim of this study was to perform a systematic review and meta-analysis of randomized controlled trials (RCTs) and observational studies to assess the association between VD and MetS or its components (systolic blood pressure [SBP], diastolic blood pressure [DBP], fasting glucose triglycerides, waist circumference [WC], HDL-cholesterol (HDL-C)) in adults. Methods: The Cochrane Library, EMBASE, PubMed, Web of Science, and Scopus were searched. RCTs, cohort studies and cross-sectional studies evaluating the effects of VD on MetS or its components in adults, with omnivore diet as control group, were included. Random effects meta-analyses stratified by study design were employed to calculate pooled estimates. Results: A total of 71 studies (n = 103 008) met the inclusion criteria (6 RCTs, 2 cohorts, 63 cross-sectional). VD were not associated with MetS in comparison to omnivorous diet (OR 0.96, 95% CI 0.50–1.85, p = 0.9) according to meta-analysis of five cross-sectional studies. Likewise, meta-analysis of RCTs and cohort studies indicated that consumption of VD were not associated with MetS components. Meta-analysis of cross-sectional studies demonstrated that VD were significantly associated with lower levels of SBP (mean difference [MD] −4.18 mmHg, 95%CI −5.57 to −2.80, p < 0.00001), DBP (MD −3.03 mmHg, 95% CI −4.93 to −1.13, p = 0.002), fasting glucose (MD −0.26 mmol/L, 95% CI −0.35to −0.17, p < 0.00001), WC (MD −1.63 cm, 95% CI −3.13 to −0.13, p = 0.03), and HDL-C (MD −0.05 mmol/L, 95% CI −0.07 to −0.03, p < 0.0001) in comparison to omnivorous diet. Heterogeneity of effects among cross-sectional studies was high. About, one-half of the included studies had high risk of bias. Conclusions: VD in comparison with omnivorous diet is not associated with a lower risk of MetS based on results of meta-analysis of cross-sectional studies. The association between VD and lower levels of SBP, DBP, HDL-C, and fasting glucose is uncertain due to high heterogeneity across the cross-sectional studies. Larger and controlled studies are needed to evaluate the association between VD and MetS and its components.