Alejandra Jáuregui

• DS(c) Population Nutrition
• Jefa de Departamento de Actividad Física y Estilos de Vida Saludables at Instituto Nacional de Salud Pública

Blog post at Srpinger Nature. Access free in this link https://communities.springernature.com/posts/breaking-barriers-helping-mexican-kids-stay-active-beyond-school

Background The time spent physically active outside of school (e.g., extracurricular physical activity) is an important contributor to children’s total daily physical activity for health and well-being. Little is known about the opportunities available to children to engage in extracurricular physical activity from low- to middle-income countries....

Background : Environmental factors influence children’s development. However, their impact on outdoor play among children from international settings remains understudied. This study examined associations between parent perceptions of environmental factors and outdoor play among an international sample of preschool-aged children. Methods : Data wer...

Background A better understanding of correlates of sugary drink consumption is essential to inform public health interventions. This study examined differences in perceived healthiness of sugary drinks and related social norms between countries, over time, and sociodemographic groups and associations with sugary drink intake. Methods This study us...

STUDY OBJECTIVES To examine 1) multidimensional sleep profiles in pre-schoolers (3-6 years) across geocultural regions and 2) differences in sleep characteristics and family practices between Majority World regions (Pacific Islands, Sub-Saharan Africa, Eastern Europe, Northeast Asia, Southeast Asia, South Asia, the Middle East and North Africa, Lat...

Background The actions required to achieve higher-quality and harmonised global surveillance of child and adolescent movement behaviours (physical activity, sedentary behaviour including screen time, sleep) are unclear. Objective To identify how to improve surveillance of movement behaviours, from the perspective of experts. Methods This Delphi S...

Objectives Movement behaviour research among preschoolers is nascent in low- and middle-income countries, where levels of physical activity, sleep, and sedentary behaviour in children are largely unknown. This study aimed to adapt and assess the acceptability and feasibility of the International Study of Movement Behaviours in the Early Years (SUNR...

Highlights • Randomized experiment of front-of-package nutrition labeling systems effectiveness. • Latin American consumers from Argentina, Colombia, Ecuador, Mexico, and Panama. • Warning labels most effectively communicated high contents of critical ingredients. • Multiple traffic lights and warning labels had the highest acceptance. • Warning la...

Objetivo. Examinar los factores asociados con el incumplimiento de las recomendaciones de los comportamientos del movimiento (CM) y la asociación con el estado nutricional en escolares y adolescentes mexicanos. Material y métodos. Estudio transversal con datos de la Encuesta Nacional de Salud y Nutrición 2022-2023 (Ensanut 2022-2023). Se obtuvo inf...

Background Sedentary behavior is linked to excess fat mass; however, this association may be inconclusive due to potential measurement errors in self-reported sedentary behavior. Objective To assess the association between changes in sedentary behavior and fat mass in a Cohort of Health Workers (HWCS) from 2004 to 2010. Methods A total of 1,285 a...

Introduction Global surveillance of physical activity (PA) of children and adolescents with questionnaires is limited by the use of instruments developed in high-income countries (HICs) lacking sociocultural adaptation, especially in low- and middle-income countries (LMICs); under-representation of some PA domains; and omission of active play, an i...

Background Front-of-package nutritional warning labels (WLs) are designed to facilitate identification and selection of healthier food choices. We assessed self-reported changes in purchasing different types of unhealthy foods due to WLs in Mexico and the association between the self-reported reductions in purchases of sugary beverages and intake o...

https://gaceta.insp.mx/el-tummy-time-la-actividad-fisica-en-los-bebes/

Objective To examine sociodemographic differences in the awareness, understanding, use and effect of nutrition labels among Mexican and Chilean youth. Methods Online surveys among youth (10-17 years) were obtained in 2019 (n=2631). Participants reported their awareness, understanding, and use of their country-specific nutrition facts tables (NFT)...

We developed a mobile application to promote healthy lifestyles and collect non-communicable disease (NCD) data in Mexico. Its theoretical foundations are supported by a framework-guided literature review. With design sprints, Scrum, Model-View-Controller, and Representational State Transfer architecture, we operationalized evidence-based nutrition...

Background: National physical activity (PA) policy processes are only beginning to be studied in Latin America, and little attention has focused at the subnational level. This study examined national–subnational relations in the policy process (agenda setting, policy formulation, adoption, implementation, and evaluation) in selected Latin American...

Introduction The Mexican Report Card on Physical Activity for Children and Adolescents aims to assess the prevalence of movement behaviors and opportunities to perform them. Methods Data on 11 indicators were obtained from national health surveys, census data, government documents, websites, and published studies. Data were compared against establ...

Food and beverage marketing influences children's food preferences and dietary intake. Children's diets are also heavily influenced by their family environment. The aim of this study was to assess the relationship between parent's self-reported exposure to unhealthy food marketing and a range of outcomes related to children's desire for and intake...

Introduction: Globally, mental health problems have affected nearly 1 billion people and approximately 1 in 10 Mexicans. The detection and surveillance of depression, anxiety, and stress in Mexico requires more reliable and valid instruments. Objective: To determine the factor validity and internal consistency of the Depression, Anxiety, and Stres...

Background. Evidence about sedentary behaviors (SBS) and body adiposity association may be inconclusive due to potential recall bias errors in the SBS self-report questionnaires. Objective. To assess the association between SBS and body adiposity. We also compared this association using noncorrected and corrected self-reported SBS data. Methods. A...

Background: Front-of-package nutritional warning labels (WLs) are designed to facilitate identification and selection of healthier food choices. We assessed self-reported changes in purchasing different types of unhealthy foods due to WLs in Mexico and the association between the self-reported reductions in purchases of sugary beverages and intake...

Objetivo. Examinar las características sociodemográficas e indicadores de salud asociados con el cumplimiento de las recomendaciones de los comportamientos del movimiento en adultos mexicanos. Material y métodos. Estudio transversal que utilizó datos de la Encuesta Nacional de Salud y Nutrición (Ensanut) 2022. Se obtuvo información de actividad fís...

Objective: Front-of-pack warning labels introduced in Mexico in 2020 included disclaimers that caution against allowing children to consume products with non-sugary sweeteners and caffeine. We examined the awareness and use of the disclaimers among Mexican adults and youth one month after the regulation was implemented. We also investigated their...

Purpose National physical activity (PA) policy processes are only beginning to be documented, and the interaction between the actors involved in these processes remains understudied. This study was designed to gain further insights into the policy process (agenda setting, policy formulation, adoption, implementation, evaluation) and the interaction...

Background: To improve the food environment and guide consumers to select healthier foods, the implementation of a front of package warning labelling (FOPWL) started in Mexico in October 2020. We aimed to identify the self-reported support, understanding, use and perceived impact of the FOPWL 1-5 months after its implementation among parents of sch...

Poster of the study protocol to implement a surveillance system of physical activity, sleep and sedentary time in children attending primary education in Mexico

Objetivo. Describir la prevalencia de los comportamientos del movimiento (CM) en 24 horas en población mexicana.Material y métodos. Se recolectó información de acti-vidad física (AF), tiempo sedentario y sueño para individuos de 10 a 78 años por medio de la Encuesta Nacional de Salud y Nutrición 2022 (Ensanut 2022). Resultados. Más de 65% de niños...

Background: Nutrition facts tables (NFTs) on pre-packaged foods are widely used but poorly understood by consumers. Several countries have implemented front-of-package labels (FOPLs) that provide simpler, easier to use nutrition information. In October 2020, Mexico revised its FOPL regulations to replace industry-based Guideline Daily Amount (GDA)...

(1) Background: The importance of studying the health interventions used to prevent and treat overweight and obesity in school-aged children is imperative. This overview aimed to summarize systematic reviews that assess the effects of school-based, family, and mixed health interventions for preventing and treating overweight and obesity in school-a...

Objetivo: Describir el proceso de diseño de Vida Saludable, un nuevo programa de estudios para la educación básica en México. Material y métodos. Se conformó un equipo de trabajo entre especialistas en salud y la Secretaría de Educación Pública. Se establecieron las bases científicas de Vida Saludable, se seleccionaron y evaluaron materiales para...

Objetivo: Describir el proceso para diseñar una estrategia de comunicación con el fin de promover el uso del etiqueta-do frontal de advertencia (EFA) y la selección de alimentos saludables en niños, niñas y adolescentes (NNA) mexicanos. Material y métodos. Estudio de cuatro fases con esco-lares, adolescentes y cuidadores: 1) investigación formativ...

Background: Physical activity (PA) surveillance, policy, and research efforts need to be periodically appraised to gain insight into national and global capacities for PA promotion. The aim of this paper was to assess the status and trends in PA surveillance, policy, and research in 164 countries. Methods: We used data from the Global Observator...

Given its origins in high-income countries, the field of physical activity and public health research and promotion has broadly followed a choice-based model. However, a substantial amount of the physical activity occurring routinely in many settings, particularly in low- and middle-income countries (LMICs), is the result of economic necessity and...

Movement behaviors (physical activity, sedentary behavior, and sleep) have been impacted by the COVID-19 pandemic. We report changes in and factors that influenced movement behaviors during COVID-19 among Latin American/Latino children aged 1 to 5 years in Chile, Mexico, and the USA. We conducted a cross-sectional study between April and August 202...

En este documento se presentan los resultados de la quinta edición de la Boleta de Calificaciones Mexicana sobre Actividad Física en Niñas, Niños y Adolescentes. La Boleta tiene como objetivo evaluar el trabajo que México está haciendo para promover actividad física de niñas, niños y adolescentes. La información de esta Boleta puede ayudar a genera...

Objective This study aimed to identify correlates of nutrition label awareness and use, particularly subgroup differences among consumers. Two label types were assessed: 1) Nutrition Facts tables (NFt) in Australia, Canada, Mexico, United Kingdom (UK), United States (US); 2) Front-of-package (FOP) labels, including mandatory Guideline Daily Amounts...

Few studies have compared the effects of different front-of-package label (FOPL) systems in the 'real world'. This study assessed adults' awareness, use and understanding of nutrition facts labels (NFLs) and nationally implemented FOPLs such as Health Star Ratings (HSR), Traffic lights, and Guideline Daily Amounts (GDAs) in five countries, includin...

Background Diet is one of the leading risk factors for non-communicable diseases and is related to sociodemographic and lifestyle factors, including sex. These associations vary across populations. We aimed to investigate which factors are associated with dietary patterns among adults living in Mexico City by sex. Methods We used data from the Mex...

Background: Warning Labels (WL) highlight excessive amounts of critical nutrients in order to discourage consumption of unhealthful packaged food products. This study aimed to evaluate among Mexican school children, the objective understanding of traditional and numeric WL (aimed at small products) considered by the Mexican regulation, and whether...

Background: Food marketing increases product appeal, purchasing and consumption, using diverse strategies and locations to reach consumers. Objectives: The aim of this study was to examine differences in adults' self-reported exposure to various marketing strategies (brand and licensed characters, celebrities, sponsorship of sports and cultural...

Background: Food environments play a key role in dietary behavior and vary due to different contexts, regulations, and policies. Objectives: This study aimed to characterize the perceived availability of healthy and unhealthy foods in three different settings in 5 countries. Methods: We analyzed data from the 2018 International Food Policy Stu...

Background Physical activity (PA) and sedentary behavior (SB) are not stable conditions but change over time and among individuals, and both could have deleterious effects on health-related outcomes among older adults. This study aimed to identify the longitudinal trajectories of PA and SB and estimate their association with quality of life, disabi...

Background Different nutrient profiles (NPs) have been developed in Latin America to assess the nutritional quality of packaged food products. Recently, the Mexican NP was developed as part of the new warning label regulation implemented in 2020, considering 5 warning octagons (calories, sugar, sodium, saturated fats, and trans fats) and 2 warning...

Introduction: We examined the association between changes in physical activity and leisure screen time and mental health outcomes during the early stages of the recommended COVID-19 stay-at-home period in a national sample of Mexican adults aged 18 years or older. Methods: A cross-sectional online survey conducted from May 29 through July 31, 20...

Background: The COVID-19 pandemic has impacted many aspects of daily life, including dietary intake; however, few studies have reported its impacts on dietary behaviours and food security across multiple countries. Objectives: We examined self-reported impacts of COVID-19 on food behaviours, food security, and overall diet healthfulness in five...

An unhealthy diet is among the leading global causes of death and disability. Globally, a range of policies are being implemented to support healthy food choices at a population level, including novel polices in the areas of food marketing, nutrition labelling, and taxation of less healthy foods. There is a need to evaluate and inform the implement...

The prevalence of obesity and overweight in Mexican children and adolescents is high (>30%) and lifestyle behaviors are far from achieving health recommendations. Salud Escolar is a complex cross-sectoral multi-level policy-based program in Mexico aiming to support schoolchildren healthy behaviors. We describe the rationale, design and methods for...

Objective Front-of-pack (FOP) nutrition labeling is a globally-recommended strategy to encourage healthier food choices. We evaluated the effect of FOP labels on the perceived healthfulness of a sweetened fruit drink in an international sample of adult consumers. Design Six-arm randomized controlled experiment to examine the impact of FOP labels (...

Introduction 24-hour movement behaviours (physical activity, sedentary behaviour and sleep) during the early years are associated with health and developmental outcomes, prompting the WHO to develop Global guidelines for physical activity, sedentary behaviour and sleep for children under 5 years of age. Prevalence data on 24-hour movement behaviour...

Resumen Prevenir la obesidad entre los jóvenes latinos que viven en Estados Unidos y en países latinoamericanos requiere reconocer la especificidad de los contextos y las interacciones entre actividad física (AF) y entorno construido (EC). El objetivo de este artículo es avanzar en la agenda de investigación sobre el EC y la AF con el fin de preven...

La obesidad infantil es un problema grave en Latinoamérica y entre la población latina de EE. UU. Para ser eficaces, las políticas de salud pública tienen que estar guiadas por evidencias contextuales pertinentes, lo cual exige una capacidad de investigación sostenida a través del tiempo. Los objetivos de este estudio son determinar la productivida...

Little is known about physical activity, screen time and sleep among Mexican toddlers and preschoolers. The COVID-19 pandemic led to the closure of childcare education centers and restrictions to spend time outdoors. This study aimed to investigate the correlates of changes in movement behaviors from before to during the early stages of the COVID-1...

Front-of-package (FOP) nutrition labels have been proposed as a strategy to help limit sugar-sweetened beverage (SSB) consumption among youth. However, few studies have examined the efficacy of FOP labels in youth across different countries. A between-group experiment was conducted to examine the impact of FOP labels (no-label control, Health Star...

Countries worldwide have implemented mandatory or voluntary front-of-package nutrition labeling systems. We provide a narrative review of ( a) real-world evaluations of front-of-package nutrition labels that analyze objective sales data and ( b) studies that objectively assess product reformulation in response to a front-of-package nutrition label...

Background. Warning Labels (WL) are a new approach which highlight excessive amounts of critical nutrients in processed foods or beverages in order to discourage consumption of unhealthful products. This study aimed to evaluate among Mexican school children, the objective understanding of traditional and numeric WL considered by the Mexican regulat...

Background Physical inactivity and high sitting time are directly related to mortality and morbidity of non-communicable diseases (NCDs). Thus, improved understanding of the prevalence and trends of these behaviors could support the design of policies and interventions for NCDs prevention. Objective To determine the current prevalence of physical...

Screen-based activities are associated with increased risk of obesity and contribute to physical inactivity and poor dietary habits. The primary aim of this study was to examine the associations among screen-based activities, physical activity, and dietary habits in school-aged children in Guadalajara, Puerto Vallarta, and Mexico City, Mexico. The...

Objective To examine awareness and recall of healthy eating public education campaigns in five countries. Design Data were cross-sectional and collected as part of the 2018 International Food Policy Study. Respondents were asked whether they had seen government healthy eating campaigns in the past year; if yes (awareness), they were asked to descr...

To prevent obesity among Latino youth in the United States and Latin America, it is necessary to understand the specific context and interplay of physical activity (PA) and the built environment (BE). This paper aims to advance the research agenda of BE and PA for obesity prevention in Latin America and among Latino youth in the United States by (1...

Childhood obesity is a major problem in Latin America and among US Latinos. Effective public health policies require contextually relevant evidence to guide them, which demands sustained research capacity. The objectives of this study are to determine research productivity in Latin America and in the United States focused on Latino populations and...

Objetivo: Describir la evidencia disponible sobre la transmisión por Covid-19 e infecciones respiratorias agudas similares al Covid-19 en espacios públicos abiertos. Material y métodos: La búsqueda incluyó 4 926 artículos en inglés de los años 2000 a 2020. Seis investigadores revisaron el título y el resumen de los artículos de Embase y PubMed; do...

Durante muchas décadas la actividad física ha sido reducida a una forma de mantener un peso saludable. Si bien es cierto que la actividad física contribuye a la prevención y manejo del sobrepeso y la obesidad, esta no es su única virtud. En esta nota resaltamos la diversidad de beneficios que brinda la actividad física para el individuo y la comuni...

Early diagnosis and control of diabetes can reduce premature mortality and disability. We described the diabetes prevalence, awareness, treatment, and control in Mexico City. Data came from the Mexico City Representative Diabetes Survey, conducted between May to June 2015. Participants (20–69 y, n = 1307) reported their diabetes condition, treatmen...

Movement behaviors (physical activity, sedentary behavior (including screen time), and sleep) have been impacted by the COVID-19 pandemic. We aimed to report changes in and factors influencing movement behaviors during COVID-19 among Latin American/Latino children aged 1 to 5 years in Chile, Mexico, and the USA. We conducted a cross-sectional study...

Background. Diet is one of the leading risk factors for developing non-communicable diseases and is related to sociodemographic and lifestyle factors, including sex. We aimed to investigate the associated factors of dietary patterns among adults living in Mexico City by sex. Methods. We used data from a city-wide representative survey conducted bet...

Background Despite considerable public health interest in sugary drink consumption, there has been little comparison of intake across countries. Objectives This study aimed to compare the consumption frequency and amounts of commonly consumed beverages among adults in 5 upper-middle- and high-income countries, and examine differences in consumptio...

Objetivo. Evaluar el uso y la comprensión subjetiva y objetiva del etiquetado frontal Guías Diarias de Alimentación (GDA) para ayudar a la población a tomar decisiones saludables respecto a los productos que consume. Material y métodos. Se evaluó el uso de la información nutrimental disponible en el empaque (GDA, tabla de información nutrimental y...

School-based physical education (PE) is part of a whole-of-school approach to promote physical activity and its benefits for health. However, there are important gaps between the design and implementation of PE policies. This study aimed to describe the implementation fidelity and feasibility of school-based PE policies in Mexico. Data on implement...

Background: Quality physical education (QPE) is part of a whole-of-school approach for school-based physical activity promotion. The United Nations Educational, Scientific and Cultural Organization QPE Policy Project supported 4 countries to develop QPE policies. The authors summarize the process, progress, successes, setbacks, and lessons learned...

Background: Cartoon characters on processed food packaging increase the perception of product preference among children, but their effect among adults has rarely been examined. We evaluated the effect of a cartoon character on breakfast cereals on beliefs about buying them for children, as well as whether demographic characteristics modified this...

Objectives. Mexico's 2018 Report Card evaluates the opportunities available for Mexican children and youth to reach healthy levels of physical activity, sleep, and sedentary behavior. Methods. The Report Card is a surveillance system that gathers data from national surveys, censuses, government documents, websites, grey literature, and published st...

Background: Front-of-pack (FOP) nutrition labeling is a cost-effective strategy to help consumers make informed and healthier food choices. We aimed to investigate the effect of the FOP labels used in the Latin American region on consumers' shopping intentions when prompted to make their choices with specific nutrients-to-limit in mind among low-...

Objectives. Mexico’s 2018 Report Card evaluates the opportunities available for Mexican children and youth to reach healthy levels of physical activity, sleep, and sedentary behavior. Methods. The Report Card is a surveillance system that gathers data from national surveys, censuses, government documents, websites, grey literature, and published st...

Global movement behaviour guidelines recommend that preschool children (aged 3–4 years) accumulate at least 180 min physical activity, engage in no more than 1 h sedentary screen time, and have 10–13 h good-quality sleep per day. For school-age children and adolescents (5–17 years), the recommendations are to participate in at least 60 min moderate...

Latin Americans engage in physical activity (PA) in unique ways and use a wider range of places for PA than those commonly studied in high-income settings. We examined the contribution of a variety of places and domains of PA to meeting PA recommendations among a sample of adults (18–65 y) from all over Mexico. This was a cross-sectional study cond...

Background Front-of-package labelling is a cost-effective strategy to help consumers make healthier choices and informed food purchases. The effect of labels is mediated by consumer understanding and acceptability of the label. We compared the acceptability and understanding of labels used in Latin-America among low- and middle-income Mexican adult...