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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 Hugh | |
dc.contributor.author | Bernabé 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.ispartofseries | International Journal of Behavioural Nutrition and Physical Activity | |
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 | |
dc.subject.ocde | https://purl.org/pe-repo/ocde/ford#3.03.04 | |
dc.subject.ocde | https://purl.org/pe-repo/ocde/ford#3.03.11 | |
dc.relation.issn | 1479-5868 |
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