Anthropometry, dietary intake, physical activity and sitting time patterns in adolescents aged 15-17 years: an international comparison in eight Latin American countries.
Anthropometry
Energy intake
Macronutrients
Obesity
Physical activity
Sedentary behaviours
Total fat
Journal
BMC pediatrics
ISSN: 1471-2431
Titre abrégé: BMC Pediatr
Pays: England
ID NLM: 100967804
Informations de publication
Date de publication:
21 01 2020
21 01 2020
Historique:
received:
13
08
2019
accepted:
08
01
2020
entrez:
23
1
2020
pubmed:
23
1
2020
medline:
15
5
2021
Statut:
epublish
Résumé
Although there is high prevalence of obesity and other cardiovascular risk factors among Latin American adolescents, there is limited evidence on dietary intake and physical activity (PA) patterns in this population. Therefore, we characterized anthropometry, dietary intake, PA and sitting time (ST) in adolescents aged 15-17 years from eight Latin American countries. Six hundred seventy-one adolescents (41.4% girls) from the Latin American Study of Nutrition and Health (ELANS) were included. Nutritional status was classified by four BMI (kg/m Differences in the prevalence of overweightness (15.1 and 21.6%) and obesity (8.5 and 6.5%) between boys and girls, respectively, were statistically insignificant (p = 0.059). Average energy intake was 2289.7 kcal/day (95% CI: 2231-2350) for boys and 1904.2 kcal/day (95% CI: 1840-1963) for girls (p < 0.001). In relation to macronutrient intake for boys and girls, respectively, the average intake (expressed as percentage of total energy) was 15.0 and 14.9% for protein; 55.4 and 54.9% for carbohydrates; 14.1 and 14.5% for added sugar; 29.5 and 30.1% for total fat; and 9.6 and 9.9% for saturated fat (p > 0.05 for all outcomes). There was no statistically significant difference in the prevalence of total energy (TE) saturated fat and added sugar (>10% of TE) between girls and boys (49.6% versus 44.8 and 81.7% versus 76.1%, respectively). Prevalence of physical inactivity was 19% in boys and 43.7% in girls (p < 0.001). Median levels of vigorous-intensity PA and total PA were significantly higher for boys than for girls (p < 0.05 for both outcomes); whereas levels of ST were similar (273.7 versus 220.0 min/day for boys and girls, respectively; p > 0.05). These findings highlight the high prevalence of poor dietary intake and physical inactivity in adolescents from Latin American countries. Therefore, effective and sustainable strategies and programmes are needed that promote healthier diets, regular PA and reduce ST among Latin American adolescents. Clinical Trials NCT02226627. Retrospectively registered on August 27, 2014.
Sections du résumé
BACKGROUND
Although there is high prevalence of obesity and other cardiovascular risk factors among Latin American adolescents, there is limited evidence on dietary intake and physical activity (PA) patterns in this population. Therefore, we characterized anthropometry, dietary intake, PA and sitting time (ST) in adolescents aged 15-17 years from eight Latin American countries.
METHODS
Six hundred seventy-one adolescents (41.4% girls) from the Latin American Study of Nutrition and Health (ELANS) were included. Nutritional status was classified by four BMI (kg/m
RESULTS
Differences in the prevalence of overweightness (15.1 and 21.6%) and obesity (8.5 and 6.5%) between boys and girls, respectively, were statistically insignificant (p = 0.059). Average energy intake was 2289.7 kcal/day (95% CI: 2231-2350) for boys and 1904.2 kcal/day (95% CI: 1840-1963) for girls (p < 0.001). In relation to macronutrient intake for boys and girls, respectively, the average intake (expressed as percentage of total energy) was 15.0 and 14.9% for protein; 55.4 and 54.9% for carbohydrates; 14.1 and 14.5% for added sugar; 29.5 and 30.1% for total fat; and 9.6 and 9.9% for saturated fat (p > 0.05 for all outcomes). There was no statistically significant difference in the prevalence of total energy (TE) saturated fat and added sugar (>10% of TE) between girls and boys (49.6% versus 44.8 and 81.7% versus 76.1%, respectively). Prevalence of physical inactivity was 19% in boys and 43.7% in girls (p < 0.001). Median levels of vigorous-intensity PA and total PA were significantly higher for boys than for girls (p < 0.05 for both outcomes); whereas levels of ST were similar (273.7 versus 220.0 min/day for boys and girls, respectively; p > 0.05).
CONCLUSIONS
These findings highlight the high prevalence of poor dietary intake and physical inactivity in adolescents from Latin American countries. Therefore, effective and sustainable strategies and programmes are needed that promote healthier diets, regular PA and reduce ST among Latin American adolescents.
TRIAL REGISTRATION
Clinical Trials NCT02226627. Retrospectively registered on August 27, 2014.
Identifiants
pubmed: 31964386
doi: 10.1186/s12887-020-1920-x
pii: 10.1186/s12887-020-1920-x
pmc: PMC6971876
doi:
Banques de données
ClinicalTrials.gov
['NCT02226627']
Types de publication
Clinical Study
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
24Subventions
Organisme : Coca-Cola Foundation
ID : 00000
Pays : International
Investigateurs
Mauro Fisberg
(M)
Georgina Gómez Salas
(GG)
Attilio Rigotti
(A)
Lilia Yadira Cortés Sanabria
(LYC)
Martha Cecilia Yépez García
(MCY)
Rossina Gabriella Pareja Torres
(RGP)
Marianella Herrera-Cuenca
(M)
Berthold Koletzko
(B)
Luis A Moreno
(LA)
Michael Pratt
(M)
Ioná Zalcman Zimberg
(IZ)
Irina Kovalskys
(I)
Viviana Guajardo
(V)
María Paz Amigo
(MP)
Ximena Janezic
(X)
Fernando Cardini
(F)
Myriam Echeverry
(M)
Martin Langsman
(M)
Natasha Aparecida Grande de França
(NAG)
Guadalupe Echeverría
(G)
Leslie Landaeta
(L)
Óscar Castillo
(Ó)
Luz Nayibe Vargas
(LN)
Luisa Fernanda Tobar
(LF)
Yuri Milena Castillo
(YM)
Georgina Gómez Salas
(GG)
Rafael Monge Rojas
(RM)
Anne Chinnock
(A)
Mónica Villar Cáceres
(MV)
María Belén Ocampo
(MB)
Rossina Pareja Torres
(RP)
María Reyna Liria
(MR)
Krysty Meza
(K)
Mellisa Abad
(M)
Mary Penny
(M)
Maritza Landaeta
(M)
Betty Méndez
(B)
Maura Vasquez
(M)
Omaira Rivas
(O)
Carmen Meza
(C)
Servando Ruiz
(S)
Guillermo Ramirez
(G)
Pablo Hernández
(P)
Alexandre D P Chiavegatto Filho
(ADP)
Priscila Bezerra Gonçalves
(PB)
Claudia Alberico
(C)
Gerson Luis de Moraes Ferrari
(GL)
Références
JAMA. 2017 Jul 11;318(2):175-193
pubmed: 28697259
Pediatr Exerc Sci. 2015 Aug;27(3):380-9
pubmed: 25902556
J Phys Act Health. 2018 Mar 1;15(3):176-182
pubmed: 29172989
Ann Intern Med. 2015 Jan 20;162(2):123-32
pubmed: 25599350
Eur J Clin Nutr. 2011 Jul;65 Suppl 1:S87-91
pubmed: 21731011
Glob Heart. 2016 Mar;11(1):81-88.e1
pubmed: 27102025
Public Health Nutr. 2014 Mar;17(3):486-97
pubmed: 23472739
Int J Epidemiol. 2014 Feb;43(1):69-77
pubmed: 24585853
Eur J Nutr. 2019 Mar;58(2):705-719
pubmed: 29789933
PLoS One. 2017 Jan 5;12(1):e0169527
pubmed: 28056080
Epidemiol Health. 2014 Jul 22;36:e2014009
pubmed: 25078382
Scand J Med Sci Sports. 2014 Jun;24(3):553-62
pubmed: 23237548
Am J Clin Nutr. 2018 Aug 1;108(2):405-413
pubmed: 29931213
Prev Med. 2014 Dec;69 Suppl 1:S120-2
pubmed: 25284262
Pediatrics. 2004 Aug;114(2):e198-205
pubmed: 15286257
J Am Diet Assoc. 2006 Oct;106(10):1640-50
pubmed: 17000197
Prev Med. 2002 Dec;35(6):563-71
pubmed: 12460524
PLoS One. 2016 Mar 18;11(3):e0151647
pubmed: 26990093
Nutrients. 2015 Sep 16;7(9):7914-24
pubmed: 26389952
Disabil Health J. 2018 Jan;11(1):20-30
pubmed: 28606706
Lancet. 2016 Oct 8;388(10053):1603-1658
pubmed: 27733283
Public Health Nutr. 2013 Mar;16(3):440-52
pubmed: 22874087
Rev Saude Publica. 2016 Feb;50 Suppl 1:5s
pubmed: 26910551
BMC Public Health. 2016 Jan 30;16:93
pubmed: 26829928
Br J Nutr. 2011 Feb;105(3):447-58
pubmed: 20875188
Int J Behav Nutr Phys Act. 2007 Dec 03;4:62
pubmed: 18053188
Med Sci Sports Exerc. 2003 Aug;35(8):1381-95
pubmed: 12900694
Int J Environ Res Public Health. 2018 Sep 03;15(9):
pubmed: 30177645
Int J Epidemiol. 2018 Jun 1;47(3):976-986
pubmed: 29554308
Med Sci Sports Exerc. 2007 May;39(5):830-5
pubmed: 17468582
Am J Clin Nutr. 2008 Aug;88(2):324-32
pubmed: 18689367
BMC Public Health. 2015 Apr 28;15:433
pubmed: 25928561
Curr Obes Rep. 2014 Jun;3(2):150-5
pubmed: 26626601
J Sports Sci. 2011 Feb;29(4):329-36
pubmed: 21184343
Bull World Health Organ. 2007 Sep;85(9):660-7
pubmed: 18026621
Am J Prev Med. 2011 Aug;41(2):228-35
pubmed: 21767731
Obes Rev. 2017 Jul;18 Suppl 2:7-18
pubmed: 28741907
Prev Med. 2018 Jun;111:6-13
pubmed: 29447926
Appl Physiol Nutr Metab. 2019 Sep;44(9):1005-1011
pubmed: 30730761
Ann Epidemiol. 2001 Aug;11(6):417-27
pubmed: 11454501
Eur J Pediatr. 2017 Jan;176(1):57-65
pubmed: 27858223
Public Health Nutr. 2018 Oct;21(14):2535-2547
pubmed: 29848396
PLoS One. 2018 Feb 23;13(2):e0193378
pubmed: 29474454
Lancet. 2017 Dec 16;390(10113):2627-2642
pubmed: 29029897
Eur J Sport Sci. 2016 Nov;16(8):1159-66
pubmed: 27232730
J Am Diet Assoc. 2011 May;111(5):762-70
pubmed: 21515126
Eur J Sport Sci. 2015;15(7):655-62
pubmed: 25252088