• 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; [email protected] (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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    • Alcohol contribution to total energy intake and its association with nutritional status and diet quality in eight latina american countries

      Brenes, Juan Carlos; Gómez, Georgina; Quesada, Dayana; Kovalskys, Irina; Rigotti, Attilio; Cortés, Lilia Yadira; García, Martha Cecilia Yépez; Liria-Domínguez, Reyna; Herrera-Cuenca, Marianella; Guajardo, Viviana; Fisberg, Regina Mara; Leme, Ana Carolina B.; Ferrari, Gerson; Fisberg, Mauro (MDPI, 2021-12-01)
      Alcohol consumption is a modifiable risk factor for non-communicable diseases. This study aimed to characterize alcohol consumers at the nutritional, anthropometric, and sociodemographic levels. Data from 9218 participants from Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela participating in “Latin American Health and Nutrition Study (ELANS)”, a multi-country, population-based study, were used. Dietary intake was collected through two, 24 h recalls. Participants were classified into consumers (n = 1073) and non-alcohol consumers (n = 8145) using a cut-off criterium of ≥15 g/day of alcohol consumption calculated from the estimation of their usual daily intake. Among alcohol consumers, the mean alcohol consumption was 69.22 ± 2.18 grams (4.6. beverages/day), contributing to 484.62 kcal, which corresponded to 16.86% of the total energy intake. We found that the risk of alcohol consumption was higher in young and middle-aged men from low and middle socioeconomic status. Argentine, Brazil, and Chile had the highest percentage of consumers, while Ecuador showed the highest alcohol consumption. Alcohol drinkers were characterized by having higher body weight and wider neck, waist, hips circumferences. Alcohol drinkers had a higher energy intake, with macronutrients providing relatively less energy at the expense of the energy derived from alcohol. Alcohol drinkers showed lower and higher consumptions of healthy and unhealthy food groups, respectively. In addition, adequacy ratios for all micronutrients assessed were lower in alcohol consumers. All these deleterious effects of alcohol on nutritional and anthropometric parameters increased with the number of alcoholic beverages consumed daily. Altogether, these findings suggest that limiting alcohol consumption can contribute to reducing the risk of obesity, metabolic syndrome, and diet-related diseases.
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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; [email protected] (Cambridge University Press, 2016-12-20)
      Carta al Editor
    • Analysis of the distribution of macronutrients of food baskets delivered by municipalities during the Covid-19 pandemic in Peru

      Morales-Cahuancama, Bladimir; Dolores-Maldonado, Gandy; Hinojosa-Mamani, Paul; Bautista-Olortegui, William; Quispe-Gala, Cinthia; Huamán-Espino, Lucio; Aparco, Juan Pablo (Instituto Nacional de Salud, 2022-01-01)
      Objectives. Evaluate and compare the macronutrient distribution of the food baskets delivered by Peruvian municipalities during the COVID-19 pandemic according to the geographic domain and assigned budget level. Materials and methods. Secondary analysis of the database “Consultation of Acquisition and distribution of basic necessities of the basic family basket” of the General Comptroller of the Republic. Stratified probability sampling was carried out. The distribution of caloric intake was calculated according to macronutrients and compared with the Acceptable Intervals of Macronutrient Distribution (IADM) of the Institute of Nutrition of Central America and Panama (INCAP) and the National Institute of Civil Defense (INDECI). Results. At the national level, the median caloric intake of proteins was 7.7%; carbohydrates 62.5%; and fats 28.1%. The proportion of municipalities with a protein deficit was 84%; Municipalities with excess carbohydrates ranged from 16.5% (according to INCAP) to 35.9% (according to INDECI), and with excess fat, it was 61.6% (according to INCAP) and 20.2% (according to INDECI). According to INDECI, nationally only 9.2% of municipalities delivered baskets with an adequate distribution of macronutrients; Metropolitan Lima stands out with the highest proportions of adequate baskets, while in the Jungle this percentage was less than 5%. Conclusions. Most of the baskets delivered did not have adequate macronutrient distribution. Especially the baskets of municipalities outside of Metropolitan Lima or that had a smaller budget. Carbohydrates and fats were the nutrients that were included in excess, while proteins were deficient.
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    • 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; [email protected] (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 perception of practical advice, educational messages of the Dietary Guidelines and the media in Peruvian university students

      Mamani-Urrutia, Víctor; Dominguez-Curi, César Hugo; la Puente, Stephanie Inés Pineda; López-Guerrero, Pamela Alejandra; Bustamante-López, Alicia (Archivos Latinoamericanos Nutricion, 2021-03-01)
      Objective: To determine the association between the perception of practical advice and the educational messages of the food guides in students of a private university in Peru. Methodology: Cross-sectional study. The population corresponded to undergrads who are from the first to tenth semester of their degrees in a private university of Lima-Peru. The sample was 480 university students who voluntarily agreed to participate in the study. The data were collected in the period from october to november of the year 2019. A questionnaire was applied to collect the perception of university students about the messages of the dietary guidelines and the media where they would like to know information about educational messages. Results: 46.5% correspond to undergrads of the Faculty of Health Sciences. Messages 1, 3, 4, 6, 9 and 11 of the Peruvian GABAS showed an evident statistical association (p <0.05). The media with the highest proportion by which they would like to know educational messages about healthy eating were Television (28.5%), Instagram (27.7%) and Facebook (19.0%). Conclusion: Differentiated advertising should be designed and implemented on television, Instagram and Facebook on healthy eating to contribute to the improvement of the health and nutrition status of Peruvian university students. Arch Latinoam Nutr 2021; 71(1): 36-44.
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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.; [email protected] (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)
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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.
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    • 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)
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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)
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