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

Fisberg, Mauro; Kovalskys, Irina; Gómez, Georgina; Rigotti, Attilio; Sanabria, Lilia Yadira Cortés; Herrera-Cuenca, Marianella; Yepez, Martha Cecilia; Pareja, Rossina G.; Guajardo, Viviana; Zimberg, Ioná Zalcman; Filho, Alexandre Dias Porto Chiavegatto; Pratt, Michael; Koletzko, Berthold; Tucker, Katherine L.

doi:10.1186/s12889-016-2765-y

Cited by 132 publications

(230 citation statements)

References 24 publications

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“…These data are a valuable resource for adding to the available body of evidence for this region. Food consumption from the ongoing Latin American Study of Nutrition and Health/Estudio Latinoamericano de Nutrición y Salud (ELANS) will also provide a valuable resource for future assessments [110]. …”

Section: Discussionmentioning

confidence: 99%

Low-/No-Calorie Sweeteners: A Review of Global Intakes

et al. 2018

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The current review examined published data on the intake of all major low-/no-calorie sweeteners—aspartame, acesulfame-K, saccharin, sucralose, cyclamate, thaumatin and steviol glycosides—globally over the last decade. The most detailed and complex exposure assessments were conducted in Europe, following a standardized approach. Japan and Korea similarly had up-to-date and regular intake data available. The data for other Asian countries, Latin America, Australia/New Zealand and global estimates, evaluated by the Joint FAO/WHO Expert Committee on Food Additives (JECFA), while available, were shown to be more limited in terms of design. Overall, the studies conducted since 2008 raised no concerns with respect to exceedance of individual sweetener acceptable daily intake (ADIs) among the general population globally. The data identified do not suggest a shift in exposure over time, with several studies indicating a reduction in intake. However, some data suggest there may have been an increase in the numbers of consumers of low-/no-calorie-sweetened products. Future research should consider a more standardized approach to allow the monitoring of potential changes in exposure based upon events such as sugar reduction recommendations, to ensure there is no shift in intake, particularly for high-risk individuals, including diabetics and children with specific dietary requirements, and to ensure risk management decisions are based on quality intake analyses.

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Section: Discussionmentioning

confidence: 99%

Low-/No-Calorie Sweeteners: A Review of Global Intakes

et al. 2018

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“…The sample, consisting of 1266 subjects, was recruited through multi‐stage probability sampling for a result that was representative both at a country‐wide and at a region‐wide level. For more details on the study design, see Fisberg et al The final sample was weighted based on the information available from the Population Census 2010 and the Extended Permanent Household Survey. Finally, the sample was adjusted for projections of the population to the year 2015 …”

Section: Methodsmentioning

confidence: 99%

“…Finally, the sample was adjusted for projections of the population to the year 2015. [8][9][10] Two 24-hour recalls (R24) were performed with each participant on non-consecutive days. They were conducted face to face by a trained interviewer using the Multiple Pass Method, a technique that was validated to standardise food data collection.…”

Section: Methodsmentioning

confidence: 99%

Total and added sugars consumption in Argentina: Their contribution to daily energy intake. Results from Latin American Study of Nutrition and Health (ELANS)

Kovalskys

Cavagnari

Favieri³

et al. 2019

Nutrition & Dietetics

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Aim The aim of the present study is to determine the intake of total sugars (TS) and added sugars (AS) in Argentina based on the local data of the Latin American Study of Nutrition and Health (ELANS). Methods This is a cross‐sectional study of a representative sample of the urban Argentine population (n = 1266). The sample was stratified by age group (15–65 years), gender, geographic region and socioeconomic level (SEL). TS and AS intake were obtained by two 24‐hour recalls (R24) and analysed using the Nutrition Data System for Research Software 2013. Results On average, TS consumption in Argentina was 114.3 g/day, accounting for 39.8% of the total carbohydrate intake and 20.6% total energy (TE) intake. Overall, 77.2% of the TS intake consisted of AS (90.4 g/day), contributing to 30.4% of total carbohydrate intake and 15.9%TE. Men consume more TS and AS (in g/day), with no difference in the AS %TE between men and women. The consumption of sugars decreased with age, with adolescents consuming more AS and older adults more intrinsic sugars. The intake of AS was higher in low SEL. Conclusions In Argentina, the intake of AS was 50% above the recommendations. Younger and socially vulnerable people are at higher risk of excessive intake.

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“…Entre los adultos con ERC de base, la obesidad mórbida se asoció con un riesgo 3 veces más alto para desarrollar ERC severa, comparados con individuos con IMC ideal y ERC de base. Asociaciones similares se notaron entre sobrepeso y obesidad durante la adolescencia, y el riesgo de ERC severa durante la mediana edad 7 . Estudios que incluyeron adultos mayores con tiempos de seguimiento más cortos encontraron asociaciones más débiles entre obesidad y el riesgo de ERC severa [8][9][10] , sugiriendo que la asociación entre obesidad y el riesgo de ERC se limita a individuos con síndrome metabólico y/o hipertensión arterial.…”

Section: Discussionunclassified

“…Para 2030, se calcula un total de 1,12 millones de personas con obesidad 6 . En Latinoamérica se estima, según las cifras obtenidas del NHANES III (National Health and Nutrition Examination Survey III), que un 20% de los hombres y un 25% de las mujeres adultas presentaban obesidad en la década de los noventa, incrementándose su prevalencia a mayor edad (60-69 años) [7][8][9] .…”

Section: Introductionunclassified