Changes in diet quality over 10 years of nutrition transition in Colombia: analysis of the 2005 and 2015 nationally representative cross-sectional surveys

Mora-García, Gustavo; Ruiz-Diaz, Maria Stephany; Villegas, Rodrigo; García-Larsen, Vanessa

doi:10.1007/s00038-020-01396-1

Cited by 10 publications

(14 citation statements)

References 25 publications

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“…We only included selection tasks for one type of product due to survey space constraints. We decided to use fruit drinks for the selection tasks because of the increasing consumption of sugar-sweetened beverages in Colombia [ 15 ].…”

Section: Methodsmentioning

confidence: 99%

“…Ultra-processed foods are generally low in beneficial nutrients like fiber, protein, micronutrients, and bioactive compounds [10][11][12] and tend to be high in nutrients related to chronic diseases such as sugar, sodium, and saturated fat ("high in" products) [13]. In Colombia, from 2000 to 2013, per capita sales of ultra-processed foods and beverages increased by 25% [14] and an analysis of responses to the ENSIN 2005 and ENSIN 2015, found that both children and adults had worsening diets with increased consumption of "high in" products including sugar-sweetened beverages and processed meats [15].…”

Section: Introductionmentioning

confidence: 99%

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Impact of nutrient warning labels on choice of ultra-processed food and drinks high in sugar, sodium, and saturated fat in Colombia: A randomized controlled trial

et al. 2022

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Objective This study assessed nutrient warnings’ impact on product selection and identification of food products high in nutrients of concern in Colombia. Methods In an online experiment (October 2020), 8,061 Colombians were randomized to a nutrient warning, guideline daily amounts (GDA), Nutri-Score, or no-label condition. They viewed two fruit drinks labeled according to their condition, one high in sugar and one not, and completed selection tasks. Next, they assessed four products high in sugar, sodium, and/or saturated fat (“high in” product). Finally, they selected which label would most discourage them from consuming a “high in” product. Results The nutrient warning performed better on most outcomes. Twenty percent of participants exposed to the nutrient warning would purchase the high-sugar fruit drink compared to GDA (24%, p<0.01), Nutri-Score (33%, p<0.001), and no label (29%, p<0.001). GDA performed slightly better than the nutrient warning in identifying the high-sugar fruit drink (91% vs 88%, p<0.001). The nutrient warning best helped participants correctly identify other “high in” products (75% vs. 23% no-label, 26% Nutri-Score, and 43% GDA, all p<0.001) and had the highest perceived message effectiveness (3.86 on 5-point scale vs. 2.97 GDA and 2.70 Nutri-Score, both p<0.001) and lowest likelihood of purchasing “high in” products (2.58 on 5-point scale vs. 3.23 GDA, 3.49 Nutri-Score, and 3.51 no label, all p<0.001). The nutrient warning most discouraged participants from wanting to consume “high in” products. Conclusions Nutrient warnings are a promising policy to help consumers identify and discourage consumption of products high in nutrients of concern. Trial registration Trial Registration: NCT04567004.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of nutrient warning labels on choice of ultra-processed food and drinks high in sugar, sodium, and saturated fat in Colombia: A randomized controlled trial

et al. 2022

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“…Masa harina, for example, can be considered a staple food in many Latin American countries and was the main contributor to WG intake in Colombia, where differences between socioeconomic levels were not found. In this same country, prior study reported that participants in the highest socioeconomic level had the worst diet quality among Colombian children and adults, and WG was the category with the lowest contribution to Alternative Health Eating Index (AHEI) score in this population (0.4 points in 2005 and 0.2 points in 2015 from 10 points total) [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…Despite the different definitions used to characterize WG in studies, low WG intake is commonly observed among Latin American populations [ 7 , 33 , 37 , 52 ], and optimal intake of WG was previously found in 2.4% of Latin American populations [ 53 ]. The intake of foods containing WG in ELANS was only 15 g/d, and slightly less for foods containing > 50% WG (12 g/d).…”

Section: Discussionmentioning

confidence: 99%

Total and whole grain intake in Latin America: findings from the multicenter cross-sectional Latin American Study of Health and Nutrition (ELANS)

et al. 2021

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Purpose Understanding whole-grain intake and its associated factors is essential to tackle the double burden of malnutrition faced by Latin American countries. This study aimed to characterize total and whole grain intake in Latin American countries and to investigate foods contributing to these intake in the region. Methods Data were obtained from the multicenter cross-sectional survey Latin American Study of Nutrition and Health (ELANS), including 9128 participants residing in urban areas of eight Latin American countries. Data collection was performed via two household visits using a standardized questionnaire and two 24 h dietary recalls. Usual dietary intake of total grain foods and foods containing whole grains was estimated. The association between the intake of grain food groups and sociodemographic variables was investigated using multiple linear regression models with random intercepts. Results Mean intake of total grain foods and foods containing whole grains was 318.6 g/d and 14.7 g/d, respectively. Total grain foods were less consumed by participants at older ages (−9.8 g/d), and females (−9.9 g/d), and more consumed by those in the lowest socioeconomic category (24.8 g/d). Foods containing whole grains were more consumed by participants at older ages (3.3 g/d), and females (4.0 g/d), while those in the lowest socioeconomic category consumed 2.9 g/d less. Major contributors to energy provided from foods containing whole grains were oatmeal, masa harina, whole-wheat bread, corn chips, and wheat crackers. Conclusion The intake of grain foods represented a substantial part of the Latin American population’s diet, but the intake of foods containing whole grains was extremely low in all assessed countries.

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“…However, socioeconomic and sex differences can cut across the rural–urban divide and may affect children's growth in more complex ways (Aris et al, 2017; Gatica‐Domínguez et al, 2020; Paciorek et al, 2013). For example, negative health outcomes tend to be exacerbated in marginalized indigenous populations experiencing urbanization and the nutrition transition (Cockx et al, 2018; Goryakin et al, 2017; Gracey & King, 2009; Harris et al, 2019; King et al, 2009; Malik et al, 2013; Mora‐García et al, 2020; Valeggia & Snodgrass, 2015; Varela‐Silva et al, 2012). In addition, early‐life factors may culminate in differential outcomes across rural and urban settings (Garraza et al, 2016; McDade et al, 2005; Mueller et al, 2015; Mushtaq et al, 2011; Opara et al, 2012; Ortiz et al, 2014; Veile, Faria, et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Differences in nutritional status between rural and urban Yucatec Maya children: The importance of early life conditions

Veile

Christopher

Azcorra

et al. 2022

American Journal of Biological Anthropology

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Early‐life conditions shape childhood growth and are affected by urbanization and the nutritional transition. To investigate how early‐life conditions (across the “first” and “second” 1000 days) are associated with rural and urban children's nutritional status, we analyzed anthropometric data from Maya children in Yucatan, Mexico. We collected weight, height and triceps skinfold measures, then computed body mass and fat mass indices (BMI/FMI), in a cross‐sectional sample of 6‐year‐olds (urban n = 72, rural n = 66). Demographic, socioeconomic and early‐life variables (birthweight/mode, rural/urban residence, household crowding) were collected by maternal interview. We statistically analyzed rural‐urban differences in demographic, socioeconomic, early‐life, and anthropometric variables, then created linear mixed models to evaluate associations between early‐life variables and child anthropometric outcomes. Two‐way interactions were tested between early‐life variables and child sex, and between early‐life variables and rural‐urban residence. Results showed that rural children were shorter‐statured, with lower overweight/obesity and cesarean delivery rates, compared to urban children. Household crowding was a negative predictor of anthropometric outcomes; the strongest effect was in boys and in urban children. Birthweight positively predicted anthropometric outcomes, especially weight/BMI. Birth mode was positively (not statistically) associated with any anthropometric outcome. Cesarean delivery was more common in boys than in girls, and predicted increased height in urban boys. In conclusion, urbanization and household crowding were the most powerful predictors of Maya 6‐year‐old anthropometry. The negative effects of crowding may disproportionately affect Maya boys versus girls and urban versus rural children. Early‐life conditions shape Maya children's nutritional status both in the “first” and “second” 1000 days.

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Changes in diet quality over 10 years of nutrition transition in Colombia: analysis of the 2005 and 2015 nationally representative cross-sectional surveys

Cited by 10 publications

References 25 publications

Impact of nutrient warning labels on choice of ultra-processed food and drinks high in sugar, sodium, and saturated fat in Colombia: A randomized controlled trial

Impact of nutrient warning labels on choice of ultra-processed food and drinks high in sugar, sodium, and saturated fat in Colombia: A randomized controlled trial

Total and whole grain intake in Latin America: findings from the multicenter cross-sectional Latin American Study of Health and Nutrition (ELANS)

Differences in nutritional status between rural and urban Yucatec Maya children: The importance of early life conditions

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