Gustavo Cediel G

• ND. MS. PhD. Food and Nutrition
• Professor (Assistant) at University of Antioquia

Abstract Introduction Ultraprocessed foods are becoming dominant in the global food supply. Prospective cohort studies have consistently found an association between high consumption of ultraprocessed foods and increased risk of several noncommunicable diseases and all-cause mortality. The study aimed to (1) estimate the risk of all-cause mortality...

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...

El objetivo de esta actualización de postura es describir los principales escenarios en los que se presentan los conflictos de intereses (CDI), así como los lineamientos para orientar la conducta de la Sociedad Latinoamericana de Nutrición (SLAN) y sus miembros, en el marco de las relaciones con actores comerciales. El contenido del presente docume...

Introduction Ultra-processed food products (UPF) have been related to chronic diseases (CD). Public health politics has been establishing strategies to decrease the consumption of these products in the country. Objectives i) To assess the trend of the consumption of UPF between 2005 and 2015. (ii) its association with sociodemographic factors and...

OBJECTIVE: To analyze the consumption of critical nutrients and other sweeteners, according to the degree of food processing in the population of Antioquia. METHODS: Cross-Sectional Study. The dietary intake of 4,382 participants of the Perfil Alimentario y Nutricional de Antioquia 2019 (Antioquia Food and Nutrition Profile 2019) was evaluated. Pro...

Objective: To assess the energy contribution of ultra-processed foods (UPF) and its association to sociodemographic and anthropometric factors in 6-35 months old children in the databases of national surveys carried out in 2008-2010, 2015-2016 and 2019. Methods: All surveys were stratified multi-stage random samples. Sub-samples had 24-hr food reca...

Los productos ultraprocesados son un reconocido factor de riesgo para el desarrollo de enfermedades crónicas; principal causa de muerte en Colombia. En el país, se han promovido una serie de medidas públicas que buscan reducir la exposición a este tipo de productos que vulneran el bien común que representa la salud de la población. Una de las medid...

Objetivo: Identificar, caracterizar y mapear las empresas productoras de comestibles ultraprocesados con mayor participación en ventas en el mercado de alimentos y bebidas deColombia en el año 2018. Metodología: Desde la teoría de los Determinantes Comerciales de la Salud y las Prácticas Comerciales, se hizo un análisis documental orientado por pri...

Introducción. La acelerada transición nutricional en Latinoamérica ha modificado los patrones alimentarios, favoreciendo dietas con mayor participación de productos industrializados y alto aporte de nutrientes relacionados con enfermedades crónicas como grasas (saturadas, trans), sodio, azúcar libre y densidad de energía. Objetivo. Describir los mo...

Purpose This cross-sectional study aimed to assess the association between ultra-processed foods consumption and dietary diversity and micronutrient intake in Australia. Methods As part of the Nutrition and Physical Activity Survey (2011–2012), 12,153 participants aged 2 years and above were recruited and interviewed. Dietary intake data were coll...

Background: Ultra-processed foods (UPFs) are becoming dominant in the global food and supply. Prospective cohort studies have found an association between UPF dietary pattern and increased risk of several non-communicable diseases and all-cause mortality. In this study, we (1) estimated the risk of all-cause mortality associated for each 10% increa...

Ultra‐processed foods (UPFs) are associated with deterioration in dietary quality and the development of chronic diseases. The NOVA score, developed in Brazil to assess UPF consumption quickly and inexpensively, is adapted and validated here using a sample of 203 young women from Medellín, Colombia. Food consumption was evaluated using 24‐hour diet...

Abstract A bibliometric analysis is conducted to examine the temporal approach to obesity as a public health problem. Then, the geopolitical conflict that arises between public health initiatives and the commercial interests of transnational corporations regarding obesity is explored. Social injustice and its relationship with obesity in Latin Amer...

The assignment of foods to one of four categories proposed by the Nova framework may be challenging in the absence of information on how these foods were prepared and their specific composition. A three-step iterative approach can make the categorization process more efficient and transparent, thereby increasing the accuracy of Nova estimates.

The concept of adequate diet is moving towards a broader vision in which its relationship with health, social justice and environmental care is considered. However, the accelerated increase of food industrialization processes poses a threat to this idea. In this context, the NOVA food classification system emerges as a proposal that allows grouping...

El concepto de alimentación adecuada está avanzando hacia una visión más amplia donde se contempla su relación con la salud, la justicia social y el cuidado medioambiental. El aumento acelerado de los procesos de industrialización de los alimentos representa una amenaza para esta visión. En este escenario surge el sistema de clasificación de alimen...

El patrón alimentario promovido y dominante en la actualidad, se caracteriza por una fuerte industrialización y presencia de productos comestibles ultraprocesados cuyo perfil nutricional afecta la salud, y además, genera implicaciones social, cultural, económica y ambientalmente negativas, asociadas a las formas de producción, procesamiento, distri...

Objective: To assess the association between the consumption of ultra-processed foods (UPFs) and diet quality among preschool children and women of reproductive age from Argentina Design: Cross-sectional and nationally representative survey. The food items were classified according to the NOVA system. Consumption of fruits, vegetables, legumes, nut...

Background: Ultraprocessed products (UPPs) have been associated with unfavorable health outcomes; however, until now, they have not been associated with the coexistence of undernutrition and overnutrition, known as the double burden of malnutrition (DBM) at the individual level. Methods: Cross-sectional analyses were performed on data collected...

Background and aims The negative effect on dietary nutrient profiles is the most obvious mechanism explaining the higher risk of cardiometabolic diseases associated with increased dietary share of UPF observed in large cohort studies. We estimate the proportion of diets with excessive energy density, excessive free sugars or saturated fat contents...

Objetivo. Estimar el efecto que representa en la calidad de la dieta de la primera infancia uruguaya —niños de 2 a 4 años— el consumo de productos que contienen cantidades excesivas de nutrientes críticos asociados a las enfermedades no transmisibles (ENT) (azúcares libres, grasas totales, grasas saturadas y sodio), según el modelo de perfil de nut...

Purpose To investigate intake levels of nutrients linked to non-communicable diseases in Australia using the novel combination of food processing and nutrient profiling metrics of the PAHO Nutrient Profile Model. Methods Dietary intakes of 12,153 participants from the Australian Health Survey (2011–12) aged 2 + years were evaluated. Food items rep...

Objective To establish the cutoff point for a Minimum Dietary Diversity (MDD) that most accurately predicts the Mean Probability Adequacy (MPA) of 11 micronutrients in the Mexican population, and estimate the population prevalence above it. Subjects and methods We analyzed a 24 h-recall collected in a sample of 10,087 participants (≥1-year-old) fr...

Background: Nowadays, 30% of the total energy intake in the Mexican diet comes from ultra-processed foods. Although its consumption is associated with high intakes of added sugar and saturated fats and low intakes of dietary fiber, there is no evidence regarding its association with dietary diversity and micronutrient intake. This study evaluated...

Background Ultra-processed foods are recognized as indicators of an unhealthy diet in epidemiological studies. In addition to ultra-processed foods, the NOVA food classification system identifies three other groups with less processing. Unprocessed foods that, together with minimally processed foods (MPF), make NOVA group 1, NOVA group 2 is process...

Purpose: To estimate the effect of the consumption of products with an excessive amount of critical nutrients associated with NCDs, according to the PAHO Nutrient Profile Model on the quality of the diet of Uruguayan school-age children (4 to 12 years). Methods: A 24 h recall of food intake was conducted in a representative sample of 332 partici...

Según la Organización Mundial de la Salud (OMS), la hipertensión arterial, la hiperglucemia en ayunas, el sobrepeso y la obesidad se encuentran entre los principales factores de riesgo de muerte de la población mundial. Estas alteraciones fueron responsables de 23% de las muertes en el mundo en el 2004 y de 31% de las registradas en las Américas en...

Unhealthy diet is an important health problem in the region of the Americas, and Uruguay does not escape this reality. Nutritional problems in Uruguayan school-age children are overweight and obesity. Caloric intake is excessive for 60% of children and 28% of calories come from ultra-processed products (UPP) [CODICEN 2021] [MIDES 2020) (Köncke, Tol...

This study assessed associations between ultraprocessed food consumption and dietary nutrient profile linked to obesity in children and adolescents in Argentina, Australia, Brazil, Chile, Colombia, Mexico, the United Kingdom, and the United States using nationally representative data collected between 2004 and 2014. Linear regression models were us...

Background Ultra-processed foods (UPF) are associated with poor diet quality and chronic diseases. UPF falls into one of the four groups classified according to the extent and purpose of processing: Group 1 includes unprocessed and minimally processed foods (MPF); group 2 refers to processed culinary ingredients (PCI); group 3, processed foods (PF)...

Entre los múltiples discursos sobre nutrición y alimentación, hay dos perspectivas opuestas que se destacan: por una parte, el “nutricionismo”, que emergió con gran protagonismo en las décadas recientes y que reduce los conceptos de alimentación a la presencia o no de nutrientes, y de salud, a la ausencia de enfermedades; discurso que ha influencia...

The current pilot study explored food insecurity, food waste, food related behaviours and cooking confidence of UK consumers following the COVID-19 lockdown. Data were collected from 473 UK based consumers (63% female) from in March 2020. A cross-sectional online survey measured variables including, food insecurity prevalence, self-reported food wa...

Introduction: In Colombia, obesity is a public health problem that must be addressed by the government through policy action initiatives (PAIs), that is, governmental actions that may or may not be implemented. Objective: To identify PAIs and policy action evaluations (PAEs) against obesity formulated in Colombia since 2005 using the NOURISHING fr...

En el capítulo noveno: Alimentación insalubre e insustentable en Colombia: los productos ultraprocesados, su autor, analiza una de las amenazas para garantizar la alimentación saludable y sustentable en la población: la industrialización del sistema alimentario a nivel global. Alerta sobre los modelos corporativos configurados por relaciones capita...

Mientras tanto, en el séptimo capítulo: Actividad política corporativa de la industria alimentaria, los autores , hacen un examen detallado sobre el accionar de los actores privados del sector alimentario para incidir de manera controlada en las políticas públicas, en los tomadores de decisiones en política pública o en los actores de estas polític...

Cross-sectional nutritional survey data collected in eight countries were used to estimate saturated fatty acid intakes. Our objective was to estimate the proportion of excessive saturated fatty acid intakes (>10 % of total energy intake) that could be avoided if ultra-processed food consumption was reduced to levels observed in the first quintile...

Introduction: In adults, intake of ultra-processed foods (UPF) has been linked with poor diets and adverse health outcomes. In young children, evidence is scarcer but suggests a higher dietary share of UPF. Objective: To quantify the intake of UPF and its association with the nutrient composition of the diet in a sample of preschoolers in Santiago,...

The dual burden of malnutrition is characterized by the coexistence of malnutrition with overweight, obesity or chronic non-communicable diseases related to diet throughout the life cycle. As a result of the economic model of development, urbanization, demographic change and increased consumption of highly processed foods, there has been a signific...

In the past, food industry actors tried to delay and weaken public health efforts to promote adequate and healthy diets in Brazil. This study aimed to identify the political strategies used by food industry actors in Brazil. We undertook a document analysis of publicly available information and interviews with eighteen key informants in public heal...

Background In the business literature, the term “corporate political activity” (CPA) refers to the political strategies undertaken by corporations to protect or expend their markets, by influencing, directly or indirectly, the policy process. There is evidence that food industry actors use such political practices, which poses a significant threat...

Background In Colombia, public health policies to improve food environments, including front-of-pack nutrition labelling and marketing restrictions for unhealthy products, are currently under development. Opposition to these policies by the food industry is currently delaying and weakening these efforts. This opposition is commonly known as ‘corpor...

Objective: To identify and monitor food industry use of political practices during the adoption of nutrition warning labels (WL) in Colombia. Design: Document analysis of publicly available information triangulated with interviews. Setting: Colombia. Participants: Eighteen key informants from the government (n 2), academia (n 1), civil society (...

Las OMS y la OPS alientan a los países a prevenir y manejar los conflictos de interés (COI) que puedan subyacer en la formulación de políticas públicas nutricionales (1,2). Lo anterior, se deriva de la necesidad de discernir cuáles son organizaciones de la sociedad civil e instituciones académicas verdaderamente independientes y distinguir, clarame...

Reporte Técnico de la Gobernación de Antioquía, Colombia

Objectives To assess the consumption of ultra-processed foods and its association with the overall dietary content of nutrients related to non-communicable diseases (NCD) in the Chilean diet and to estimate the population attributable fraction of ultra-processed food consumption on the unhealthy nutrient content. Design Cross-sectional analysis of...

Objective To examine the association of all forms of malnutrition and socioeconomic status (SES), educational level and ethnicity in children <5 years, non-pregnant adolescent women (11–19 years) and non-pregnant adult women (20–49 years) in Colombia. Design Cross-sectional analysis of data from the 2010 Colombian National Nutrition Survey. The pr...

OBJECTIVE: To analyze the consumption of ultra-processed foods in the Colombian population across sociodemographic factors. METHODS: We used data from the 2005 National Survey of the Nutritional Status in Colombia. Food consumption was assessed using a 24-hour food recall in 38,643 individuals. The food items were classified according to the degree...

Objective: To analyze the consumption of ultra-processed foods in the Colombian population across sociodemographic factors. Methods: We used data from the 2005 National Survey of the Nutritional Status in Colombia. Food consumption was assessed using a 24-hour food recall in 38,643 individuals. The food items were classified according to the deg...

https://antioquia.gov.co/index.php/pdsan

El componente de determinantes sociales y económicos de la situación alimentaria y nutricional del departamento de Antioquia presenta los resultados de las características demográficas y socioeconómicas de los hogares y de sus integrantes, así como la clasificación de la seguridad alimentaria de los hogares y aspectos que reflejan las condiciones q...

242 presentó valores que lo clasificaran dentro de la categoría de toxicidad por vitamina D. En relación con las variables sociodemográficas, se encontró mayor proporción de individuos en la categoría de insuficiente de sexo masculino, residente en área rural y habitante de un hogar con inseguridad alimentaria. 3.2.4. Subcomponente de evaluación de...

Background: Ultra-processed foods are highly palatable and can be consumed anywhere at any time, but typically have a poor nutritional profile. Therefore, their contribution to total energy intake has been proposed as an indicator for studying overall dietary quality. Objective: The aim of this study was to investigate the associations between t...

The present commentary contains a clear and simple guide designed to identify ultra-processed foods. It responds to the growing interest in ultra-processed foods among policy makers, academic researchers, health professionals, journalists and consumers concerned to devise policies, investigate dietary patterns, advise people, prepare media coverage...

Objective: To evaluate the consumption of ultra-processed food and drink products and its association with the nutrient profile of the Colombian diet in 2005. Materials and methods: Food consumption based on 24-hour dietary records from 38 643 men and women was classified into four NOVA groups according to the extent and purpose of food processi...

This commentary contains a clear and simple guide designed to identify ultra-processed foods. It responds to the growing interest in ultra-processed foods among policy makers, academic researchers, health professionals, journalists and consumers concerned to devise policies, investigate dietary patterns, advise people, prepare media coverage, and w...

Almost all foods are processed to some extent, if only by preservation, and it is therefore unhelpful to criticise foods as being ‘processed’. A number of food classifications have been devised that pay special attention to types of processing. A systematic review has shown that, of these, NOVA is the most specific, coherent, clear, comprehensive and...

While some of our countries are still facing nutrition deficiencies (stunting/short stature and micronutrient deficiencies), overweight and obesity are increasing in an alarming way. In addition, a very limited research network and lack of funding make it extremely challenging to foster collaborative efforts to address the complex nutritional probl...

Introduction: Vitamin D research suggests it has a role in disorders other than bone metabolism. Objective: To update the information on vitamin D deficiency (VDD) in pediatric clinical disorders. Methods: Search in virtual libraries, giving priority to clinical and longitudinal studies and meta-analyses on VDD in the pediatric age group publi...

La investigación sobre vitamina D sugiere roles que van más allá del metabolismo óseo. Objetivo: Actualizar la información sobre la deficiencia de vitamina D (DVD) en trastornos clínicos pediátricos. Métodos: Búsqueda en bibliotecas virtuales, en la que se priorizaron estudios clínicos, longitudinales y metaanálisis sobre DVD en edades pediátrica...

Background and Objective: A rapid simultaneous increase in sales of ultra-processed foods and prevalence of obesity and other diet-related non-communicable chronic diseases (NCDs) has been observed in Latin America over the past decades. Our study describes the consumption of ultra-processed foods and its association with the nutrient profile of di...

Objective To assess the consumption of ultra-processed foods and analyse its association with the content of added sugars in the Chilean diet. Design Cross-sectional study of national dietary data obtained through 24 h recalls and classified into food groups according to the extent and purpose of food processing (NOVA classification). Setting Chi...

OBJECTIVE: To evaluate the following from prepuberty to the puberty-onset: (1) changes in serum 25-hydroxyvitamin-D (25[OH]D), adiposity, and insulin resistance (IR); (2) the effect of prepubertal adiposity on serum 25(OH)D changes; and (3) the combined effect of prepubertal obesity and suboptimal-25(OH)D on IR at puberty-onset. METHODS: A total o...

http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0124-00642016000400013 Sucesivos reportes en la última década describen la coexistencia de la malnutrición por exceso con el déficit de micronutrientes en países desarrollados y en vía de desarrollo. Esta condición puede ser especialmente deletérea en niños y adolescentes con consecuencia...

Background: Consistent data on the relation between vitamin D, body fat and insulin resistance (IR) in children are lacking. Objectives: (1) to evaluate the association between serum 25-Hydroxyvitamin D [25(OH)D] and key indicators of: adiposity (total and central), IR, and (2) to estimate serum 25(OH)D cut-offs that best reflect IR and total and...

Las enfermedades cardiovasculares (ECV) son la principal causa de morbi-mortalidad en Latinoamérica (LA). La ingesta excesiva de sodio constituye uno de los principales factores de riesgo para estas enfermedades. Se han demostrado efectos positivos de la disminución del consumo de sodio sobre los niveles de presión arterial, aparición de ECV, riesg...

Cardiovascular diseases (CVD) are the main causes of morbidity and mortality in Latin America (LA). A high sodium intake is one of main risk factors for CVD. Strategies aiming to decrease sodium intake has been shown health benefits as reduction of blood pressure, and incidence of CVD at the population level. Data of salt/sodium intake in most LA c...

Zinc deficiency affects multiple vital functions in the life cycle, especially growth. Limited information is available on the magnitude of zinc deficiency in Latin America and the Caribbean. To examine the latest available information on both the prevalence of zinc deficiency and the risk of zinc deficiency in Latin America and the Caribbean. The...

In recent decades, the general socioeconomic situation in Latin America and the Caribbean countries has improved, and many vitamin A programs have been implemented in an attempt to reduce vitamin A deficiency in the region. To examine vitamin A status in Latin America and the Caribbean based on serum retinol concentrations and to contrast available...

Introduction The associations between micronutrients and obesity and/or chronic diseases are not consistent. Methods Cross‐sectional study of 300, 8–11 y children. The following measurements were obtained: 1) Anthropometry: weight (wt), height (ht), zBMI; 2) Body composition: % body fat; 3) Biomarkers metabolic risk: insulin, glucose, serum lipids...

The prevalence of vitamin D deficiency in Latin America and the Caribbean is unknown. To examine the prevalence data available on vitamin D deficiency in Latin America and the Caribbean. A systematic review was conducted in 2011. Studies using biochemical biomarkers and dietary intake estimation were included. Studies conducted in apparently health...

Unlabelled: In the human gastrointestinal tract, trypsin and mucin may affect the absorption of heme iron. However, these interactions have not been well-established. We determined the effect of trypsin and mucin on heme iron absorption in humans. Design: Twenty-eight apparently healthy females participated in two studies (14 per study). Study A...

Objective: To determine the association between sleep duration and obesity in school age children between 5 and 7 years old. Methods: One hundred fifty five children from schools in san Miguel town in Santiago of Chile participated in the study. Informed consent was obtained through their parents. Anthropometric variables were measured and a sleep...

Cardiovascular mortality has been associated with changes in lifestyle and food habits. The occidental diet has been characterized by high intake of animal fat and meat, and it is associated whit increased risk of type 2 diabetes and high blood pressure, an increase in levels of markers of endothelial dysfunction, and presence ofpro-thrombotic risk...

Chile is undergoing an epidemiological transition, where micronutrient deficiencies coexist with chronic diseases. The aim of this study was to determine the effect ofmild infections on the prevalence ofiron, copper and zinc deflciencies in apparently healthy adults. A venous blood sample was obtained from 377 apparently healthy adults, 20-55 years...

Cardiovascular mortality has been associated with changes in lifestyle and food habits. The occidental diet has been characterized by high intake of animal fat and meat, and it is associated whit increased risk of type 2 diabetes and high blood pressure, an increase in levels of markers of endothelial dysfunction, and presence of prothrombotic risk...