Mauro Fisberg

Instituto Pensi- Pensi Institute · Centro de Nutrologia e Dificuldades Alimentares- Nutrition and Feeding Difficulties Center

Objective To describe the prevalence of inadequate mineral intake and associated factors with calcium, iron, zinc, magnesium, phosphorus, and sodium intakes in individuals aged 15-24.9 years. Methods We analyzed 476 individuals from the Brazilian Study of Nutrition and Health, stratified into two age groups (adolescents aged 15-18.9 years and youn...

Recent studies have shown various relationships between physical activity and the incidence of obesity, but this study critically explored the association of sedentary time (ST) and moderate-to-vigorous physical activity (MVPA) with obesity risk in adults from eight Latin American countries. ST and MVPA were assessed with accelerometers and stratif...

Dietary protein intake is vital to life. Here we sought to characterize dietary sources of protein in eight Latin American countries. Survey data were collected for Estudio Latinoamericano de Nutrición y Salud (ELANS); participants were from Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela (n = 9218, 15-65 years old). Th...

Objetivos: Mapear e caracterizar os tipos de alimentos aceitos por crianças com dificuldades alimentares (DA), a partir do registro dos alimentos no inventário alimentar (IA). Métodos: Estudo observacional retrospectivo realizado a partir da análise do IA de 67 pacientes com DA atendidos no Centro de Dificuldades Alimentares localizado em São Paulo...

Abstract Background Excess weight is increasing worldwide, and in Latin America more than half of the population is excess weight. One of the reasons for this increase has been excessive sitting time. Still, it remains to be seen whether there is an excessive amount of that time in Latin American adults. This study aimed to associate different sitt...

The aim of this Research Topic is to address the most recent innovations in body composition assessment for its application in epidemiological studies, as well as in clinical practice, providing health professionals with concepts and evidence of its usefulness, while assisting them with the most appropriate selection of techniques according to the...

OBJECTIVE: Young adults have gained recognition as a period marked by changes in dietary and other lifestyle behaviors. The aim was to characterized young adults as meat and non-meat consumers and examine non-meat consumers associations between lifestyle behaviors, reasons, and motivations for adhering to vegetarian styles. METHODS: cross-sectional...

Objetivo: Avaliar o consumo, perfil nutricional e fontes de alimentos consumidos no café da manhã por crianças com dificuldades alimentares. Métodos: Estudo transversal com 137, lactentes, pré-escolares, e crianças em idade escolar de um centro de referência em nutrição e dificuldades alimentares em São Paulo, Brasil. Características sociodemográfi...

Protein is a key dietary macronutrient involved in almost all physiological functions. Results of this ELANS analysis provided a detailed description of dietary protein intake by Latin American country, by relevant food sources, and by sociodemographic groups. Protein data were available for N=9,218 individuals between the ages of 15 and 65 years....

This study aimed to examine the association between the neighborhood environment and domain-specific physical activity and sitting time in Brazilian adults. This cross-sectional study included 1803 adults (53.7% women) from Brazil’s five regions (North, Northeast, Midwest, Southeast and South). The perception of the environment was evaluated via a...

This study examines the associations between perceived urban environment attributes and obesity indices by country using data from an eight-nation study from Latin America. The data were collected from 8185 adults. The Neighbourhood Environment Walkability-abbreviated scale was used to assess perceived urban environment attributes. Obesity indices...

This study aims to establish cut-off points for the number of minutes of physical activity intensity and the number of daily steps that identify overweight/obesity in adolescents, adults, and older adults. This study examined data from 2737 participants. Physical activity intensity and the number of daily steps were assessed using GT3X+ ActiGraph m...

Objective: to present characteristics related to feeding difficulties (FD) in Brazilian children. Methodology: cross-sectional, observational, descriptive study with a quantitative approach that used a structured electronic questionnaire on FD, management and reaction of caregivers to these difficulties, family repercussions, source of knowledge on...

Neighborhood built environment is associated with domain-specific physical activity. However, few studies with representative samples have examined the association between perceived neighborhood safety indicators and domain-specific active transportation in Latin America. This study aimed to examine the associations of perceived neighborhood safety...

Excessive sodium intake has been related to high blood pressure, a central risk factor for cardiovascular disease. In the present work, updated estimates of sodium intake, the main food sources, and the prevalence of excessive intakes in a nationwide multi-ethnic sample of Brazilian adults (2017–2018 Brazilian National Dietary Survey) were presente...

Background: Evidence has shown that active transportation decreases obesity rates, but considering walking or cycling as separate modes could provide additional information on the health benefits in adolescents. This study aimed to examine the associations between walking and cycling as form active transportation and obesity indicators in Latin Ame...

Introdução: A partir do início do século XXI, um novo conceito começou a emergir nos meios científicos e sociais: os primeiros 1.000 dias de vida. Nessa mesma linha um movimento internacional iniciado no mesmo período começou a discutir sobre a “origem desenvolvimentista da saúde e da doença”. Inúmeros problemas que acometem o ser humano em todo se...

This study aimed to compare compliance with 24-h movement guidelines across countries and examine the associations with markers of adiposity in adults from eight Latin American countries. The sample consisted of 2338 adults aged 18-65 years. Moderate-to-vigorous physical activity (MVPA) and sedentary behavior (SB) data were objectively measured usi...

Background: Anthropometric indicators have been used to predict health problems. The objective was to determine which indicators present better correlation with dyslipidemia, hyperglycemia and peripheral insulin resistance, as well as the cutoff points capable of predicting lipid and glycemic alterations in Brazilian children and adolescents. Met...

Dietary patterns derived by data-driven techniques are still scarce in the food security context and may be a useful tool to inform policymakers to promote adequate and healthy diets for vulnerable populations. We investigated the association between food security status and dietary patterns among 28,127 Brazilian adults using data from the 2017–20...

Background Socio-demographic correlates and human development index (HDI) are associated with self-reported physical activity, but only a few studies have focused on device-measured physical activity and sedentary time in Latin America. We examined the relationship between socio-demographic correlates and HDI with physical activity and sedentary ti...

Background: The family environment influences food consumption and behaviours, which impact adolescent's eating habits, diet and health. Young individuals who frequently eat family meals are less likely to develop risk- and behaviour-related outcomes as obesity. Aim: To assess the relationship between the family meal environment and food and mac...

Little is known about how behaviors to control weight are associated with diet quality among youth from low- and middle-income countries. The aim of this study was to examine associations between efforts to control weight (ECW) and diet quality among Brazilian adolescents and young adults. Methods: Data from 731 participants (17.89±4.92 years, 51.1...

Introdução: Doenças orgânicas (DO) e alterações de motricidade orofaciais podem ser causas associadas à problemas alimentares na infância.Objetivo: Descrever as prevalências de alterações de motricidade orofaciais, de fala e linguagem em crianças com dificuldades alimentares (DA) de acordo com a presença ou ausência de DO associadas.Metodologia: Es...

Background 24-hour movement behaviors, including moderate-to-vigorous physical activity (MVPA), sedentary time (ST), and sleep duration, have important implications for health across the lifespan. However, no studies exist that have examined the integration of these 24-hour movement behaviors in Latin America. The purpose of this study was to exami...

PurposeUnderstanding 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...

Overweight and obesity are often explained by an imbalance between energy intake and ex- penditure. This, in addition to metabolic effects, makes it difficult to assess the real state of individual energy balance. This study aims to analyze the energy gaps between intake and expenditure in the adult population of Latin America, as well as its relat...

Objetivo: Comparar o número de alimentos aceitos por crianças de 0 a 5 anos com seletividade alimentar que frequentam ou não a escola. Métodos: Estudo observacional retrospectivo, com dados de 94 crianças de 0 a 5 anos diagnosticadas com seletividade alimentar atendidas em um centro de referência. O diagnóstico do paciente é baseado na classificaçã...

Alcohol consumption is a modifiable risk factor for non-communicable diseases. This study aimed to characterize alcohol consumers at the nutritional, anthropometric, and sociodemographic levels. Data from 9218 participants from Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela participating in “Latin American Health and N...

Diversos estudios epidemiológicos y de intervención apuntan a una asociación fuerte y consistente entre la ingesta excesiva de azúcares y el riesgo de desarrollar caries dentales y enfermedades crónicas no transmisibles. El objetivo fue describir los 10 principales alimentos que contribuyen a la ingesta de azúcares añadidos en muestras representati...

Despite the lack of a “gold-standard” definition and identification of influential factors for identifying feeding difficulties in children, many international studies have been published in recent years on the subject. Thus, the aim was to examine studies on children with feeding difficulties and their associated factors that impact on their diffi...

Introduction: Attributes of the neighborhood-built environment are associated with self-reported physical activity, but only a few studies have concentrated on device-measured physical activity in Latin America. This study examines the associations of perceived neighborhood-built environment attributes, device-measured sedentary time, and light-int...

Background Little is known about breakfast habits of the Latin American (LA) population to support nutritional recommendations for a balanced breakfast in this region. Objective To evaluate the nutritional composition of breakfast in LA and to propose recommendations for a balanced breakfast. Design This multicenter cross-sectional study evaluate...

Neck circumference (NC) is being used to identify the risk of chronic diseases. There is a high prevalence of overweight and obesity in Latin America, and neck circumference is a simple and practical measurement to assess this, especially in primary health centers. We analyzed the correlation between the NC anthropometric indicator and other anthro...

Introduction: Attributes of the neighborhood built environment are associated with self-reported physical activity but only a few studies have concentrated on device-measured physical activity in Latin America. The aim of this study was to examine the associations of perceived neighborhood built environment attributes and device-measured sedentary...

This study aimed to examine the associations between active transportation and public transport and the objectively measured meeting of moderate-to-vigorous physical activity (MVPA) and steps per day guidelines in adults by sex from eight Latin American countries. As part of the Latin American Study of Nutrition and Health (ELANS), data were collec...

Objective To assess the association between the physical activity level and the built environment by accessibility, microinfrastructure and security in Latin America (LA). Design We conducted a multicentre cross-sectional study to collect physical activity and built environment data. The levels of physical activity were calculated through the Inte...

Background Active transportation is a crucial sort of physical activity for developing sustainable environments and provides essential health benefits. This is particularly important in Latin American countries because they present the highest burden of non-communicable diseases relative to other worldwide regions. This study aimed to examine the p...

Este libro expone las evidencias científicas actuales sobre el papel de la actividad física, el ejercicio y el deporte en la promoción y mantención de la salud, así como el tratamiento, control y rehabilitación de algunas enfermedades crónicas en la infancia y la adolescencia. El texto está organizado en 27 capítulos que abordan los siguientes tema...

In January 2019, Health Canada released a revised Canada’s Food Guide (CFG). This study aimed to understand the perceptions of the 2019 CFG among Canadian parents with children aged 2–12 years. From October 2019–January 2020, 8 focus groups with parents from Southwestern Ontario were conducted using a semi-structured interview script focused on und...

Child healthcare has been a priority subject in several programs and public policies developed over the decades. However, initiatives implemented seem insufficient to overcome the challenges regarding the integral development and improvement of the nutritional status of children in Brazil. The initial developmental stages of a child include pregnan...

Introduction Feeding skills (FS) are important to child development, as the delay in their presence could suggest feeding difficulties (FD) symptoms. The aim of the present study was to compare the development of three types of FS (autonomy to eat, posture at meals, and adequate use of cutleries) among children with FD and without FD. Methods This...

Poor health and diet quality are associated with living within a low socioeconomic status (SES). This study aimed to investigate the impact of SES on diet quality and body mass index in Latin America. Data from the “Latin American Health and Nutrition Study (ELANS)”, a multi-country, population-based study of 9218 participants, were used. Dietary i...

Background Lifestyle acquired in youth can determine the individual’s health. Constant vigilances in all aspects related to the health of the young population is essential, and evaluate their health parameters is important. The objective of this study was to describe and to compare food intake, physical activity (PA) practice, nutritional status an...

Vitamin E was identified as a lipophilic compound essential to maintain rat pregnancy. Low vitamin E intake during early pregnancy associates with congenital malformations and embryonic loss in animals and with miscarriage and intrauterine growth restriction in humans. Vitamin E protects cell membranes from lipoperoxidation and exerts non-antioxida...

Background: In Brazil, iron deficiency anemia is considered a public health problem, which has a direct impact on the process of child growth and development. To assess the impact of a powdered supplement added to food preparations, on hemoglobin (Hb) levels and other hematimetric parameters in children. Method: This study is a double-blind, commun...

The purpose of this study was to examine the associations between self-reported and device-based measures of sedentary behavior (SB) with obesity markers in adults from Latin American countries. Sitting time and total time spent in different SBs were self-reported using two different questionnaires. Accelerometers were used to assess total sedentar...

Poor diet, sedentary behaviors, sugar-sweetened beverages (SSB) and alcohol intake seem to co-exist in complex ways that are not well understood. The aim of this study was to provide an understanding of the extent to which unhealthy behaviors cluster in eight Latin America countries. A secondary aim was to identify socio-demographic characteristics...

Increased consumption of energy-dense, nutrient-poor foods can lead to inadequate intakes of shortfall nutrients, including vitamin A, D, C, and E, dietary folate, calcium, iron, magnesium, potassium, and fiber. The objective was to examine the prevalence of inadequate intake of shortfall nutrients and identify food sources of shortfall nutrients i...

The purpose of this study was to examine the associations between self-reported and device-based measures of sedentary behavior with obesity markers in adults from Latin American countries. Sitting time and total time spent in different sedentary behaviors were self-reported using two different questionnaires. Accelerometers were used to assess tot...

The aim of the present study was to examine the sex-related associations between accelerometer-measured daily step counts and adiposity indicators in adults from eight Latin American countries. We analyzed data from 2524 adults (aged 18–65 years) from the Latin American Study of Nutrition and Health. Device-measured daily step counts were measured...

Objective: To quantify the energy, nutrients-to-limit and total gram amount consumed, and identify their top food sources consumed by Latin Americans. Design: Data from The Latin American Study of Nutrition and Health (ELANS). Setting: ELANS is a cross-sectional study representative of eight Latin American countries: Argentina, Brazil, Chile, Colom...

Research comparing the adherence to food-based dietary guidelines (FBDGs) across countries with different socio-economic status is lacking, which may be a concern for developing nutrition policies. The aim was to report on the adherence to FBDGs in high-income (HIC) and low-and-middle-income countries (LMIC). A systematic review with searches in si...

The purpose of this study was to analyze the agreement between self-reported and device-based sedentary time among eight countries in Latin America. As part of the Latin American Study of Nutrition and Health (ELANS), data were collected from 2524 participants (18–65 years) across eight countries. Participants reported time spent sedentary in diffe...

Introduction: knowing the deficiency of micronutrients intake is essential to develop intervention strategies and to evaluate programs aimed at improving nutritional status. Objectives: to determine the consumption and inadequacy of the intake of iron, calcium, zinc, folic acid and vitamins A, B12, C, D and E, in the diet of the Argentine populatio...

Latin American (LA) women have been exposed to demographic and epidemiologic changes that have transformed their lifestyle, with increasing sedentary and unhealthy eating behaviors. We aimed to identify characteristics of LA women to inform public policies that would benefit these women and their future children. The Latin American Study of Nutriti...

Background Increased intestinal permeability may be associated with certain disorders, such as obesity and small intestine bacterial overgrowth (SIBO). Objective This study aimed to investigate intestinal permeability and SIBO in excess weight adolescents. Methods This cross‐sectional study included 67 adolescents with excess weight and 66 normal...

Lifestyle prevention program is the first-line prevention for youth obesity. Nevertheless, efficacy in prevention of adolescent obesity requires several approaches, with especial attention paid to the disordered eating behaviors, psychological support, among other environmental factors. The aim of this systematic review was to assess the impact of...