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Published in: BMC Public Health 1/2016

Open Access 01-12-2015 | Study protocol

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

Authors: M. Fisberg, I. Kovalskys, G. Gómez, A. Rigotti, L. Y. Cortés, M. Herrera-Cuenca, M. C. Yépez, R. G. Pareja, V. Guajardo, I. Z. Zimberg, A. D. P. Chiavegatto Filho, M. Pratt, B. Koletzko, K. L. Tucker, the ELANS Study Group

Published in: BMC Public Health | Issue 1/2016

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Abstract

Background

Obesity is growing at an alarming rate in Latin America. Lifestyle behaviours such as physical activity and dietary intake have been largely associated with obesity in many countries; however studies that combine nutrition and physical activity assessment in representative samples of Latin American countries are lacking. The aim of this study is to present the design rationale of the Latin American Study of Nutrition and Health/Estudio Latinoamericano de Nutrición y Salud (ELANS) with a particular focus on its quality control procedures and recruitment processes.

Methods/Design

The ELANS is a multicenter cross-sectional nutrition and health surveillance study of a nationally representative sample of urban populations from eight Latin American countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Perú and Venezuela). A standard study protocol was designed to evaluate the nutritional intakes, physical activity levels, and anthropometric measurements of 9000 enrolled participants. The study was based on a complex, multistage sample design and the sample was stratified by gender, age (15 to 65 years old) and socioeconomic level. A small-scale pilot study was performed in each country to test the procedures and tools.

Discussion

This study will provide valuable information and a unique dataset regarding Latin America that will enable cross-country comparisons of nutritional statuses that focus on energy and macro- and micronutrient intakes, food patterns, and energy expenditure.

Trial Registration

Clinical Trials NCT02226627
Literature
2.
go back to reference World Health Organization (WHO). Global status report on noncommunicable diseases 2014. Geneva: World Health Organization (WHO); 2014. World Health Organization (WHO). Global status report on noncommunicable diseases 2014. Geneva: World Health Organization (WHO); 2014.
5.
go back to reference Barria RM, Amigo H. Nutrition transition: a review of Latin American profile. Arch Latinoam Nutr. 2006;56:3–11.PubMed Barria RM, Amigo H. Nutrition transition: a review of Latin American profile. Arch Latinoam Nutr. 2006;56:3–11.PubMed
6.
go back to reference Rivera JA, Barquera S, Gonzalez-Cossio T, Olaiz G, Sepulveda J. Nutrition transition in Mexico and in other Latin American countries. Nutr Rev. 2004;62:S149–57.CrossRefPubMed Rivera JA, Barquera S, Gonzalez-Cossio T, Olaiz G, Sepulveda J. Nutrition transition in Mexico and in other Latin American countries. Nutr Rev. 2004;62:S149–57.CrossRefPubMed
11.
go back to reference Joint WHO/FAO Expert Consultation. Diet, nutrition and the prevention of chronic diseases, WHO technical report series, No. 916. vol. 916. Geneva: Joint WHO/FAO Expert Consultation; 2003. Joint WHO/FAO Expert Consultation. Diet, nutrition and the prevention of chronic diseases, WHO technical report series, No. 916. vol. 916. Geneva: Joint WHO/FAO Expert Consultation; 2003.
13.
go back to reference Lv J, Liu Q, Ren Y, Gong T, Wang S, Li L. Socio-demographic association of multiple modifiable lifestyle risk factors and their clustering in a representative urban population of adults: a cross-sectional study in Hangzhou. China Int J Behav Nutr Phys Act. 2011;8:40. doi:10.1186/1479-5868-8-40.CrossRefPubMed Lv J, Liu Q, Ren Y, Gong T, Wang S, Li L. Socio-demographic association of multiple modifiable lifestyle risk factors and their clustering in a representative urban population of adults: a cross-sectional study in Hangzhou. China Int J Behav Nutr Phys Act. 2011;8:40. doi:10.​1186/​1479-5868-8-40.CrossRefPubMed
14.
go back to reference de Salud de Chile M. Encuesta Nacional de Consumo Alimentario. 2014. Santiago. de Salud de Chile M. Encuesta Nacional de Consumo Alimentario. 2014. Santiago.
15.
go back to reference Instituto Brasileiro de Geografia e Estatística. Pesquisa de Orçamentos Familiares: 2008–2009. Rio de Janeiro: Análise do Consumo Alimentar Pessoal no Brasil; 2011. Instituto Brasileiro de Geografia e Estatística. Pesquisa de Orçamentos Familiares: 2008–2009. Rio de Janeiro: Análise do Consumo Alimentar Pessoal no Brasil; 2011.
16.
go back to reference Ministerio de Salud de Argentina. Alimentos Consumidos en Argentina. Resultados de la Encuesta Nacional de Nutrición y Salud -ENNyS 2004/5. Buenos Aires: Ministerio de Salud de Argentina; 2012. Ministerio de Salud de Argentina. Alimentos Consumidos en Argentina. Resultados de la Encuesta Nacional de Nutrición y Salud -ENNyS 2004/5. Buenos Aires: Ministerio de Salud de Argentina; 2012.
17.
go back to reference Ministerio del la Salud Publica de Ecuador. Encuesta nacional de salud y nutricion, ENSANUT 2011–2013. Quito: Ministerio del la Salud Publica de Ecuador; 2013. Ministerio del la Salud Publica de Ecuador. Encuesta nacional de salud y nutricion, ENSANUT 2011–2013. Quito: Ministerio del la Salud Publica de Ecuador; 2013.
18.
go back to reference Fonseca Z, Heredia A, Ocampo R, Forero Y, Sarmiento O, Álvarez M, et al. Encuesta Nacional De La Situación Nutricional En Colombia 2010 - ENSIN. Instituto Colombiano de Bienestar Familiar: Bogotá; 2011. Fonseca Z, Heredia A, Ocampo R, Forero Y, Sarmiento O, Álvarez M, et al. Encuesta Nacional De La Situación Nutricional En Colombia 2010 - ENSIN. Instituto Colombiano de Bienestar Familiar: Bogotá; 2011.
19.
go back to reference Costa Rica. Ministerio de Salud. Encuesta nacional de nutrición 2008–2009. San José: Costa Rica. Ministerio de Salud; 2012. Costa Rica. Ministerio de Salud. Encuesta nacional de nutrición 2008–2009. San José: Costa Rica. Ministerio de Salud; 2012.
20.
go back to reference Peru. Ministerio de Salud. Encuesta nacional de indicadores nutricionales, bioquímicos, socioeconómicos y culturales relacionados con las enfermedades crónicas degenerativas. Lima: Peru. Ministerio de Salud; 2006. Peru. Ministerio de Salud. Encuesta nacional de indicadores nutricionales, bioquímicos, socioeconómicos y culturales relacionados con las enfermedades crónicas degenerativas. Lima: Peru. Ministerio de Salud; 2006.
21.
go back to reference Instituto Nacional de Estadística de Venezuela. Encuesta Nacional de Consumo de Alimentos (ENCA) 2013. Caracas: Instituto Nacional de Estadística de Venezuela; 2014. Instituto Nacional de Estadística de Venezuela. Encuesta Nacional de Consumo de Alimentos (ENCA) 2013. Caracas: Instituto Nacional de Estadística de Venezuela; 2014.
22.
go back to reference Ferro-Luzzi A. Keynote Paper: Individual food intake survey methods. Meas. Assess. Food Deprivation Undernurition. Rome: Food and Agriculture Organization of the United Nations 2003. Ferro-Luzzi A. Keynote Paper: Individual food intake survey methods. Meas. Assess. Food Deprivation Undernurition. Rome: Food and Agriculture Organization of the United Nations 2003.
23.
go back to reference Moreno LA, De Henauw S, González-Gross M, Kersting M, Molnár D, Gottrand F, et al. Design and implementation of the healthy lifestyle in Europe by nutrition in adolescence cross-sectional study. Int J Obes. 2008;32 Suppl 5:S4–11. doi:10.1038/ijo.2008.177. Moreno LA, De Henauw S, González-Gross M, Kersting M, Molnár D, Gottrand F, et al. Design and implementation of the healthy lifestyle in Europe by nutrition in adolescence cross-sectional study. Int J Obes. 2008;32 Suppl 5:S4–11. doi:10.​1038/​ijo.​2008.​177.
25.
go back to reference van Stralen MM, te Velde SJ, Singh AS, De Bourdeaudhuij I, Martens MK, van der Sluis M, et al. EuropeaN Energy balance Research to prevent excessive weight Gain among Youth (ENERGY) project: Design and methodology of the ENERGY cross-sectional survey. BMC Public Health. 2011;11:65. doi:10.1186/1471-2458-11-65.CrossRefPubMedPubMedCentral van Stralen MM, te Velde SJ, Singh AS, De Bourdeaudhuij I, Martens MK, van der Sluis M, et al. EuropeaN Energy balance Research to prevent excessive weight Gain among Youth (ENERGY) project: Design and methodology of the ENERGY cross-sectional survey. BMC Public Health. 2011;11:65. doi:10.​1186/​1471-2458-11-65.CrossRefPubMedPubMedCentral
26.
go back to reference Kerr J, Sallis JF, Owen N, De Bourdeaudhuij I, Cerin E, Sugiyama T, et al. Advancing science and policy through a coordinated international study of physical activity and built environments: IPEN adult methods. J Phys Act Health. 2013;10:581–601.CrossRefPubMed Kerr J, Sallis JF, Owen N, De Bourdeaudhuij I, Cerin E, Sugiyama T, et al. Advancing science and policy through a coordinated international study of physical activity and built environments: IPEN adult methods. J Phys Act Health. 2013;10:581–601.CrossRefPubMed
27.
go back to reference National Center for Health Statistics (NCHS). Analytic and reporting guidelines: the third national health and nutrition examination survey, NHANES III (1988–94), Prevention. 1996. p. 1–47. National Center for Health Statistics (NCHS). Analytic and reporting guidelines: the third national health and nutrition examination survey, NHANES III (1988–94), Prevention. 1996. p. 1–47.
29.
go back to reference Moshfegh AJ, Rhodes DG, Baer DJ, Murayi T, Clemens JC, Rumpler WV, et al. The US department of agriculture automated multiple-pass method reduces bias in the collection of energy intakes. Am J Clin Nutr. 2008;88:324–32.PubMed Moshfegh AJ, Rhodes DG, Baer DJ, Murayi T, Clemens JC, Rumpler WV, et al. The US department of agriculture automated multiple-pass method reduces bias in the collection of energy intakes. Am J Clin Nutr. 2008;88:324–32.PubMed
30.
31.
go back to reference Harttig U, Haubrock J, Knüppel S, Boeing H. The MSM program: web-based statistics package for estimating usual dietary intake using the multiple source method. Eur J Clin Nutr. 2011;65 Suppl 1:S87–91. doi:10.1038/ejcn.2011.92.CrossRefPubMed Harttig U, Haubrock J, Knüppel S, Boeing H. The MSM program: web-based statistics package for estimating usual dietary intake using the multiple source method. Eur J Clin Nutr. 2011;65 Suppl 1:S87–91. doi:10.​1038/​ejcn.​2011.​92.CrossRefPubMed
32.
go back to reference Hallal PC, Gomez LF, Parra DC, Lobelo F, Mosquera J, Florindo AA, et al. Lessons learned after 10 years of IPAQ use in Brazil and Colombia. J Phys Act Health. 2010;7 Suppl 2:S259–64.CrossRefPubMed Hallal PC, Gomez LF, Parra DC, Lobelo F, Mosquera J, Florindo AA, et al. Lessons learned after 10 years of IPAQ use in Brazil and Colombia. J Phys Act Health. 2010;7 Suppl 2:S259–64.CrossRefPubMed
33.
go back to reference Salvo D, Reis RS, Sarmiento OL, Pratt M. Overcoming the challenges of conducting physical activity and built environment research in Latin America: IPEN Latin America. Prev Med. 2014;69:S86–92.CrossRefPubMed Salvo D, Reis RS, Sarmiento OL, Pratt M. Overcoming the challenges of conducting physical activity and built environment research in Latin America: IPEN Latin America. Prev Med. 2014;69:S86–92.CrossRefPubMed
34.
go back to reference Lohman TG, Roche AF, Martorell R. Anthropometric standardization reference manual. vol. 24. 3rd ed. Champaign: Human Kinetics Press; 1988. Lohman TG, Roche AF, Martorell R. Anthropometric standardization reference manual. vol. 24. 3rd ed. Champaign: Human Kinetics Press; 1988.
35.
go back to reference World Health Organization (WHO). Waist Circumference and Waist-Hip Ratio: Report of a WHO Expert Consultation. Geneva: World Health Organization; 2008. World Health Organization (WHO). Waist Circumference and Waist-Hip Ratio: Report of a WHO Expert Consultation. Geneva: World Health Organization; 2008.
37.
go back to reference Associação Brasileira de Empresas de Pesquisa (ABEP). Critério padrão de classificação econômica Brasil. 2013. Associação Brasileira de Empresas de Pesquisa (ABEP). Critério padrão de classificação econômica Brasil. 2013.
38.
go back to reference Comisión de Enlace Institucional AAM-SAIMO-CEIM. Nivel Socioeconómico. Antecedentes, marco conceptual, enfoque metodológico y fortalezas. Buenos Aires: Comisión de Enlace Institucional AAM-SAIMO-CEIM; 2006. Comisión de Enlace Institucional AAM-SAIMO-CEIM. Nivel Socioeconómico. Antecedentes, marco conceptual, enfoque metodológico y fortalezas. Buenos Aires: Comisión de Enlace Institucional AAM-SAIMO-CEIM; 2006.
39.
go back to reference Departamento Administrativo Nacional de Estadisticas de Colombia. Proyecciones nacionales y departamentales de poblacion 2005–2020, Estudios Postcensales No. 7. 2009. Departamento Administrativo Nacional de Estadisticas de Colombia. Proyecciones nacionales y departamentales de poblacion 2005–2020, Estudios Postcensales No. 7. 2009.
40.
go back to reference Instituto Nacional de Estadística y Censos de Ecuador. Encuesta de Estratificación de Nivel Socioeconómico. 2011. Instituto Nacional de Estadística y Censos de Ecuador. Encuesta de Estratificación de Nivel Socioeconómico. 2011.
41.
42.
go back to reference Asociacion Investigadores de Mercado. Grupos Socioeconómicos Chile. Chile: Asociacion Investigadores de Mercado; 2012. Asociacion Investigadores de Mercado. Grupos Socioeconómicos Chile. Chile: Asociacion Investigadores de Mercado; 2012.
43.
go back to reference Instituto Nacional de Estadística. República Bolivariana de Venezuela, Síntesis Estadística de Pobreza e Indicadores de Desigualdad. 2011. Instituto Nacional de Estadística. República Bolivariana de Venezuela, Síntesis Estadística de Pobreza e Indicadores de Desigualdad. 2011.
44.
go back to reference University of Minnesota. Nutrition Coordinating Center, Nutrition data system for research (NDSR). 2008. University of Minnesota. Nutrition Coordinating Center, Nutrition data system for research (NDSR). 2008.
45.
go back to reference Núcleo de Estudos e Pesquisas em Alimentação. Tabela brasileira de composição de alimentos. 4th ed. 2011. Núcleo de Estudos e Pesquisas em Alimentação. Tabela brasileira de composição de alimentos. 4th ed. 2011.
46.
go back to reference Instituto Brasileiro de Geografia e Estatística. Pesquisa de Orçamentos Familiares: 2008–2009. Rio de Janeiro: Antropometria e Estado Nutricional; 2010. Instituto Brasileiro de Geografia e Estatística. Pesquisa de Orçamentos Familiares: 2008–2009. Rio de Janeiro: Antropometria e Estado Nutricional; 2010.
47.
go back to reference Freire W, Ramírez-Luzuriaga M, Belmont P, Mendieta M, Silva-Jaramillo M, Romero N, et al. Tomo I: Encuesta Nacional de Salud y Nutrición de la población ecuatoriana de cero a 59 años, ENSANUT-ECU 2012. Quito: ENSANUT-ECU; 2014. Freire W, Ramírez-Luzuriaga M, Belmont P, Mendieta M, Silva-Jaramillo M, Romero N, et al. Tomo I: Encuesta Nacional de Salud y Nutrición de la población ecuatoriana de cero a 59 años, ENSANUT-ECU 2012. Quito: ENSANUT-ECU; 2014.
48.
go back to reference Safdie M, Barquera S, Porcayo M, Rodríguez S, Ramírez C, Rivera J, et al. Bases de datos del valor nutritivo de los alimentos, Compilación del Instituto Nacional de Salud Pública. 2004. Safdie M, Barquera S, Porcayo M, Rodríguez S, Ramírez C, Rivera J, et al. Bases de datos del valor nutritivo de los alimentos, Compilación del Instituto Nacional de Salud Pública. 2004.
49.
go back to reference Romero-Martínez M, Shamah-Levy T, Franco-Núñez A, Villalpando S, Cuevas-Nasu L, Gutiérrez JP, et al. Encuesta Nacional de Salud y Nutrición 2012: diseño y cobertura. Salud Publica Mex. 2013;55:S332–40.CrossRefPubMed Romero-Martínez M, Shamah-Levy T, Franco-Núñez A, Villalpando S, Cuevas-Nasu L, Gutiérrez JP, et al. Encuesta Nacional de Salud y Nutrición 2012: diseño y cobertura. Salud Publica Mex. 2013;55:S332–40.CrossRefPubMed
50.
go back to reference Asociación Benéfica PRISMA. Análisis Nutricional de la Dieta según Requerimientos y Adecuación (ANDREA®). Lima: Asociación Benéfica PRISMA; 2003. Asociación Benéfica PRISMA. Análisis Nutricional de la Dieta según Requerimientos y Adecuación (ANDREA®). Lima: Asociación Benéfica PRISMA; 2003.
51.
go back to reference Venezuela. Instituto Nacional de Estadística. Encuesta de Seguimiento al Consumo de Alimentos (ESCA). Caracas: Venezuela. Instituto Nacional de Estadística; 2014. Venezuela. Instituto Nacional de Estadística. Encuesta de Seguimiento al Consumo de Alimentos (ESCA). Caracas: Venezuela. Instituto Nacional de Estadística; 2014.
Metadata
Title
Latin American Study of Nutrition and Health (ELANS): rationale and study design
Authors
M. Fisberg
I. Kovalskys
G. Gómez
A. Rigotti
L. Y. Cortés
M. Herrera-Cuenca
M. C. Yépez
R. G. Pareja
V. Guajardo
I. Z. Zimberg
A. D. P. Chiavegatto Filho
M. Pratt
B. Koletzko
K. L. Tucker
the ELANS Study Group
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-2765-y

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