Latin American Study of Nutrition and Health (ELANS): rationale and study design

Obesity is growing at an alarming rate in Latin America. Lifestyle behaviours such as physical activity and dietary intake have been largely associated with obesity in many countries; however studies that combine nutrition and physical activity assessment in representative samples of Latin American...

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Published in:	BMC public health Vol. 16; no. 94; p. 93
Main Authors:	Fisberg, M, Kovalskys, I, Gómez, G, Rigotti, A, Cortés, L Y, Herrera-Cuenca, M, Yépez, M C, Pareja, R G, Guajardo, V, Zimberg, I Z, Chiavegatto Filho, A D P, Pratt, M, Koletzko, B, Tucker, K L
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 30-01-2016 BioMed Central
Subjects:	Adult Aged Anthropometry Argentina - epidemiology Brazil - epidemiology Chile - epidemiology Clinical trials Cross-Sectional Studies Design Diet Diet - ethnology Dietary intake Eating - ethnology Ecuador - epidemiology Energy expenditure Exercise Feeding Behavior - ethnology Female Food intake Gender Health Health Status Health surveillance Households Human experimentation in medicine Humans Latin America - epidemiology Male Management Medical research Medicine, Experimental Middle Aged Nutrition Nutrition Surveys - standards Nutrition Surveys - statistics & numerical data Nutritional status Nutritional Status - ethnology Obesity Peru - epidemiology Physical activity Pilot Projects Public health Quality control Self-experimentation in medicine Socioeconomic factors Study Protocol Urban populations Venezuela - epidemiology Brazil Argentina Chile United States > US Latin America
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Abstract	Obesity is growing at an alarming rate in Latin America. Lifestyle behaviours such as physical activity and dietary intake have been largely associated with obesity in many countries; however studies that combine nutrition and physical activity assessment in representative samples of Latin American countries are lacking. The aim of this study is to present the design rationale of the Latin American Study of Nutrition and Health/Estudio Latinoamericano de Nutrición y Salud (ELANS) with a particular focus on its quality control procedures and recruitment processes. The ELANS is a multicenter cross-sectional nutrition and health surveillance study of a nationally representative sample of urban populations from eight Latin American countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Perú and Venezuela). A standard study protocol was designed to evaluate the nutritional intakes, physical activity levels, and anthropometric measurements of 9000 enrolled participants. The study was based on a complex, multistage sample design and the sample was stratified by gender, age (15 to 65 years old) and socioeconomic level. A small-scale pilot study was performed in each country to test the procedures and tools. This study will provide valuable information and a unique dataset regarding Latin America that will enable cross-country comparisons of nutritional statuses that focus on energy and macro- and micronutrient intakes, food patterns, and energy expenditure. Clinical Trials NCT02226627.
AbstractList	According to the World Health Organization, more than 1.4 billion adults were overweight and more than half a billion were obese worldwide in 2008, and the prevalence of obesity nearly doubled between 1980 and 2008 [1]. According to World Health Organization, in the Americas including the United States and non-continental countries, 61 % of adults are overweight or obese in 2014 [2]. In Latin America, nearly a quarter of the population is obese, and the prevalence has increased to a greater magnitude in Mexico, Argentina, and Chile. A recent review estimated that 20-25 % of the children and adolescents (0-18 years) of Latin American are overweight or obese [3]. Time trends suggest that these figures might rise further and by 2030 up to 81.9 % of the Latin American and the Caribbean adult population could be either overweight or obese [4]. Obesity is growing at an alarming rate in Latin America. Lifestyle behaviours such as physical activity and dietary intake have been largely associated with obesity in many countries; however studies that combine nutrition and physical activity assessment in representative samples of Latin American countries are lacking. The aim of this study is to present the design rationale of the Latin American Study of Nutrition and Health/Estudio Latinoamericano de Nutrición y Salud (ELANS) with a particular focus on its quality control procedures and recruitment processes. The ELANS is a multicenter cross-sectional nutrition and health surveillance study of a nationally representative sample of urban populations from eight Latin American countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Perú and Venezuela). A standard study protocol was designed to evaluate the nutritional intakes, physical activity levels, and anthropometric measurements of 9000 enrolled participants. The study was based on a complex, multistage sample design and the sample was stratified by gender, age (15 to 65 years old) and socioeconomic level. A small-scale pilot study was performed in each country to test the procedures and tools. This study will provide valuable information and a unique dataset regarding Latin America that will enable cross-country comparisons of nutritional statuses that focus on energy and macro- and micronutrient intakes, food patterns, and energy expenditure. Clinical Trials NCT02226627. Background Obesity is growing at an alarming rate in Latin America. Lifestyle behaviours such as physical activity and dietary intake have been largely associated with obesity in many countries; however studies that combine nutrition and physical activity assessment in representative samples of Latin American countries are lacking. The aim of this study is to present the design rationale of the Latin American Study of Nutrition and Health/Estudio Latinoamericano de Nutrición y Salud (ELANS) with a particular focus on its quality control procedures and recruitment processes. Methods/Design The ELANS is a multicenter cross-sectional nutrition and health surveillance study of a nationally representative sample of urban populations from eight Latin American countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Perú and Venezuela). A standard study protocol was designed to evaluate the nutritional intakes, physical activity levels, and anthropometric measurements of 9000 enrolled participants. The study was based on a complex, multistage sample design and the sample was stratified by gender, age (15 to 65 years old) and socioeconomic level. A small-scale pilot study was performed in each country to test the procedures and tools. Discussion This study will provide valuable information and a unique dataset regarding Latin America that will enable cross-country comparisons of nutritional statuses that focus on energy and macro- and micronutrient intakes, food patterns, and energy expenditure. Trial Registration Clinical Trials NCT02226627 BACKGROUNDObesity is growing at an alarming rate in Latin America. Lifestyle behaviours such as physical activity and dietary intake have been largely associated with obesity in many countries; however studies that combine nutrition and physical activity assessment in representative samples of Latin American countries are lacking. The aim of this study is to present the design rationale of the Latin American Study of Nutrition and Health/Estudio Latinoamericano de Nutrición y Salud (ELANS) with a particular focus on its quality control procedures and recruitment processes.METHODS/DESIGNThe ELANS is a multicenter cross-sectional nutrition and health surveillance study of a nationally representative sample of urban populations from eight Latin American countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Perú and Venezuela). A standard study protocol was designed to evaluate the nutritional intakes, physical activity levels, and anthropometric measurements of 9000 enrolled participants. The study was based on a complex, multistage sample design and the sample was stratified by gender, age (15 to 65 years old) and socioeconomic level. A small-scale pilot study was performed in each country to test the procedures and tools.DISCUSSIONThis study will provide valuable information and a unique dataset regarding Latin America that will enable cross-country comparisons of nutritional statuses that focus on energy and macro- and micronutrient intakes, food patterns, and energy expenditure.TRIAL REGISTRATIONClinical Trials NCT02226627.
ArticleNumber	93
Audience	Academic
Author	Cortés, L Y Koletzko, B Chiavegatto Filho, A D P Tucker, K L Rigotti, A Herrera-Cuenca, M Zimberg, I Z Guajardo, V Fisberg, M Yépez, M C Gómez, G Pareja, R G Pratt, M Kovalskys, I
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Copyright	COPYRIGHT 2016 BioMed Central Ltd. Copyright BioMed Central 2016 2016. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Fisberg et al. 2016
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Snippet	Obesity is growing at an alarming rate in Latin America. Lifestyle behaviours such as physical activity and dietary intake have been largely associated with... According to the World Health Organization, more than 1.4 billion adults were overweight and more than half a billion were obese worldwide in 2008, and the... Background Obesity is growing at an alarming rate in Latin America. Lifestyle behaviours such as physical activity and dietary intake have been largely... BACKGROUNDObesity is growing at an alarming rate in Latin America. Lifestyle behaviours such as physical activity and dietary intake have been largely...
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SubjectTerms	Adult Aged Anthropometry Argentina - epidemiology Brazil - epidemiology Chile - epidemiology Clinical trials Cross-Sectional Studies Design Diet Diet - ethnology Dietary intake Eating - ethnology Ecuador - epidemiology Energy expenditure Exercise Feeding Behavior - ethnology Female Food intake Gender Health Health Status Health surveillance Households Human experimentation in medicine Humans Latin America - epidemiology Male Management Medical research Medicine, Experimental Middle Aged Nutrition Nutrition Surveys - standards Nutrition Surveys - statistics & numerical data Nutritional status Nutritional Status - ethnology Obesity Peru - epidemiology Physical activity Pilot Projects Public health Quality control Self-experimentation in medicine Socioeconomic factors Study Protocol Urban populations Venezuela - epidemiology
Title	Latin American Study of Nutrition and Health (ELANS): rationale and study design
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