Title
Energy intake and food sources of eight Latin American countries: Results from the Latin American Study of Nutrition and Health (ELANS)
Date Issued
01 October 2018
Access level
open access
Resource Type
journal article
Author(s)
Kovalskys I.
Fisberg M.
Gómez G.
Yépez García M.C.
Cortés Sanabria L.Y.
Herrera-Cuenca M.
Rigotti A.
Guajardo V.
Zalcman Zimberg I.
Nogueira Previdelli A.
Moreno L.A.
Koletzko B.
Publisher(s)
Cambridge University Press
Abstract
Objective: Few previous studies in Latin America (LA) have provided data on dietary intake composition with a standardized methodology. The present study aimed to characterize energy intake (EI) and to describe the main food sources of energy in representative samples of the urban population from eight LA countries from the Latin American Study in Nutrition and Health (ELANS). Design: Cross-sectional study. Usual dietary intake was assessed with two non-consecutive 24 h dietary recalls. Setting: Urban areas from eight countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, Venezuela), September 2014 to July 2015. Subjects: Adolescents and adults aged 15-65 years. Final sample comprised 9218 individuals, of whom 6648 (72·1 %) were considered plausible reporters. Results: Overall, mean EI was 8196 kJ/d (1959 kcal/d), with a balanced distribution of macronutrients (54 % carbohydrate, 30 % fat, 16 % protein). Main food sources of energy were grains, pasta and bread (28 %), followed by meat and eggs (19 %), oils and fats (10 %), non-alcoholic homemade beverages (6 %) and ready-to-drink beverages (6 %). More than 25 % of EI was provided from food sources rich in sugar and fat, like sugary drinks, pastries, chips and candies. Meanwhile, only 18 % of EI was from food sources rich in fibre and micronutrients, such as whole grains, roots, fruits, vegetables, beans, fish and nuts. No critical differences were observed by gender or age. Conclusions: Public health efforts oriented to diminish consumption of refined carbohydrates, meats, oils and sugar and to increase nutrient dense-foods are a priority in the region to drive to a healthier diet.
Start page
2535
End page
2547
Volume
21
Issue
14
Language
English
OCDE Knowledge area
Nutrición, Dietética
Salud pública, Salud ambiental
Subjects
Scopus EID
2-s2.0-85047882101
PubMed ID
Source
Public Health Nutrition
ISSN of the container
13689800
Source funding
International Life Sciences Institute
Sponsor(s)
The authors would like to thank the staff and participants from each of the participating sites who made substantial contributions to ELANS. ELANSArgentina is thankful to ISALUD University for giving technical support to the fieldwork and to the Energy Balance Work Group from the International Life Sciences Institute (ILSI Argentina). Financial support: The ELANS is supported by a scientific grant from the Coca-Cola Company (Atlanta, GA, USA) and by grants and/or support from ILSI Argentina, Instituto Pensi/Hospital Infantil Sabara, Universidad de Costa Rica, Pontificia Universidad Católica de Chile, Pontificia Universidad Javeriana, Universidad Central de Venezuela/Fundación Bengoa, Universidad San Francisco de Quito and Instituto de Investigación Nutricional de Perú. The funders had no role in study design, data collection, analysis, the decision to publish or the preparation of this manuscript. Conflict of interest: M.F. is a member of the Board of Directors of Danone Institute International (Paris, France). The work of B.K. is financially supported in part by the Commission of the European Communities, Projects DYNAHEALTH (grant number H2020-633595) and LIFECYCLE (grant number H2020-SC1-2016-RTD), and the European Research Council Advanced Grant METAGROWTH (grant number ERC-2012-AdG 322605). The work of L.A.M. is supported in part by Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBERObn) and Project Feel4Diabetes (grant number H2020-HCO-05-2014, contract 643708). I.K., G.G., A.R., L.Y.C.S., M.H.-C., M.C.Y.G., R.G.P., V.G., I.Z.Z. and A.N.P. declare that they have no potential conflicts of interest. Authorship: All authors were involved in the conception and design of the overall research plan. I.K. wrote the manuscript and had primary responsibility for the final content of the manuscript; I.Z.Z. assisted with the writing of the manuscript; A.N.P. conducted all statistical analyses; M.F., G.G., A.R., L.Y.C.S., M.H.-C., M.C.Y.G., R.G.P., V.G., B.K. and L.A.M. assisted with the interpretation of the results and provided critical review of the manuscript. Ethics of human subject participation: The ELANS was conducted according to the guidelines laid down in the Declaration of Helsinki and all procedures involving human subjects were approved by the Western Institutional Review Board (#20140605). The ELANS was also approved by a local ethics committee in each country. All participants gave their informed consent/assent before participation in the survey. The trial was registered at clinicaltrials.gov as NCT02226627.
Sources of information:
Directorio de Producción Científica
Scopus