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Disparities in dietary intake and physical activity patterns across the urbanization divide in the Peruvian Andes

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dc.contributor.author McCloskey, Morgan L.
dc.contributor.author Tarazona-Meza, Carla E.
dc.contributor.author Jones-Smith, Jessica C.
dc.contributor.author Miele, Catherine H.
dc.contributor.author Gilman, Robert H.
dc.contributor.author Bernabe-Ortiz, Antonio
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Checkley, William
dc.date.accessioned 2019-01-25T15:18:33Z
dc.date.available 2019-01-25T15:18:33Z
dc.date.issued 2017
dc.identifier.uri https://hdl.handle.net/20.500.12866/4637
dc.description.abstract BACKGROUND: Diet and activity are thought to worsen with urbanization, thereby increasing risk of obesity and chronic diseases. A better understanding of dietary and activity patterns across the urbanization divide may help identify pathways, and therefore intervention targets, leading to the epidemic of overweight seen in low- and middle-income populations. Therefore, we sought to characterize diet and activity in a population-based study of urban and rural residents in Puno, Peru. METHODS: We compared diet and activity in 1005 (503 urban, 502 rural) participants via a lifestyle questionnaire. We then recruited an age- and sex-stratified random sample of 50 (25 urban, 25 rural) participants to further characterize diet and activity. Among these participants, diet composition and macronutrient intake was assessed by three non-consecutive 24-h dietary recalls and physical activity was assessed using Omron JH-720itc pedometers. RESULTS: Among 1005 participants, we found that urban residents consumed protein-rich foods, refined grains, sugary items, and fresh produce more frequently than rural residents. Among the 50 subsample participants, urban dwellers consumed more protein (47 vs. 39 g; p = 0.05), more carbohydrates (280 vs. 220 g; p = 0.03), more sugary foods (98 vs. 48 g, p = 0.02) and had greater dietary diversity (6.4 vs 5.8; p = 0.04). Rural subsample participants consumed more added salt (3.1 vs 1.7 g, p = 0.006) and tended to consume more vegetable oil. As estimated by pedometers, urban subsample participants burned fewer calories per day (191 vs 270 kcal, p = 0.03). CONCLUSIONS: Although urbanization is typically thought to increase consumption of fat, sugar and salt, our 24-h recall results were mixed and showed lower levels of obesity in rural Puno were not necessarily indicative of nutritionally-balanced diets. All subsample participants had relatively traditional lifestyles (low fat intake, limited consumption of processed foods and frequent walking) that may play a role in chronic disease outcomes in this region. en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartof urn:issn:1479-5868
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject 24-h recall en_US
dc.subject Chronic diseases en_US
dc.subject Diet en_US
dc.subject Exercise en_US
dc.subject Feeding Behavior en_US
dc.subject Low- and middle income countries en_US
dc.subject Nutrition transition en_US
dc.subject Obesity/etiology en_US
dc.subject Overweight en_US
dc.subject Rural Population en_US
dc.subject Urban Population en_US
dc.subject Urbanization en_US
dc.subject Aged en_US
dc.subject Chronic Disease en_US
dc.subject Energy Intake en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Life Style en_US
dc.subject Male en_US
dc.subject Middle Aged en_US
dc.subject Peru en_US
dc.subject Surveys and Questionnaires en_US
dc.title Disparities in dietary intake and physical activity patterns across the urbanization divide in the Peruvian Andes en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s12966-017-0545-4


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