Association of moderate-to-vigorous physical activity with neck circumference in eight Latin American countries

BACKGROUND: Physical activity is a cornerstone in the prevention and treatment of obesity. There are relatively few studies that explore the effect of accelerometer-determined moderate-to-vigorous physical activity (MVPA) on neck circumference (NC), most of them confined to single high-income countr...

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Autores principales: on behalf of the ELANS Study Group, Gérson Ferrari, Irina Kovalskys, Mauro Fisberg, Georgina Gómez, Attilio Rigotti, Lilia Yadira Cortés, Martha Cecilia Yépez García, Rossina G. Pareja, Marianella Herrera‐Cuenca, Ioná Zalcman Zimberg, Viviana Guajardo, Michael Pratt, Carlos Pires, Dirceu Solé
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Publicado: 2019
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author on behalf of the ELANS Study Group
Gérson Ferrari
Irina Kovalskys
Mauro Fisberg
Georgina Gómez
Attilio Rigotti
Lilia Yadira Cortés
Martha Cecilia Yépez García
Rossina G. Pareja
Marianella Herrera‐Cuenca
Ioná Zalcman Zimberg
Viviana Guajardo
Michael Pratt
Carlos Pires
Dirceu Solé
author_browse Attilio Rigotti
Carlos Pires
Dirceu Solé
Georgina Gómez
Gérson Ferrari
Ioná Zalcman Zimberg
Irina Kovalskys
Lilia Yadira Cortés
Marianella Herrera‐Cuenca
Martha Cecilia Yépez García
Mauro Fisberg
Michael Pratt
Rossina G. Pareja
Viviana Guajardo
on behalf of the ELANS Study Group
author_facet on behalf of the ELANS Study Group
Gérson Ferrari
Irina Kovalskys
Mauro Fisberg
Georgina Gómez
Attilio Rigotti
Lilia Yadira Cortés
Martha Cecilia Yépez García
Rossina G. Pareja
Marianella Herrera‐Cuenca
Ioná Zalcman Zimberg
Viviana Guajardo
Michael Pratt
Carlos Pires
Dirceu Solé
author_sort on behalf of the ELANS Study Group
collection Producción científica
description BACKGROUND: Physical activity is a cornerstone in the prevention and treatment of obesity. There are relatively few studies that explore the effect of accelerometer-determined moderate-to-vigorous physical activity (MVPA) on neck circumference (NC), most of them confined to single high-income countries. The present study investigated the association of accelerometer-determined MVPA with NC in adolescents and adults from eight Latin American countries, which are mostly upper-middle income countries. METHODS: The sample consisted of 2370 participants (47.8% male) from the Latin American Study of Nutrition and Health, a multicenter cross-sectional nutrition and health surveillance study of a nationally representative sample from eight Latin American countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela). Times (min/day) in MVPA (defined as time accumulated at ≥1952 activity counts/min) was assessed by ActiGraph GT3X+ accelerometer over 7 days. NC for adolescent was categorized as abnormal if circumference was > 34.5 cm for boys and > 31.25 for girls, whereas for adults the cut-off points for abnormal were > 39 cm for men and > 35 cm women. Multilevel logistic models, including country and region as random effects and adjusted for sex, age, socioeconomic level, and educational level, were used to study the association between MVPA and NC. RESULTS: The average time of MVPA was 34.88 min/day, ranging from 31.16 in Venezuela to 40.27 in Chile. Concerning NC, 37.0% of the sample was classified as having elevated NC. Chile was the country with the highest percentage of people with elevated NC (56.9%), and Colombia had the lowest percentage (24.8%). Overall, the MVPA (min/day) was associated with elevated NC (OR = 0.994, CI95% = 0.990-0.998). In Costa Rica and Peru, there were significant associations between MVPA and NC when analyzed by country. CONCLUSIONS: The present study provided evidence of significant associations between MVPA and NC in adolescents and adults from Latin America, independent of sex, age, socioeconomic level, and educational level. This analysis of accelerometry data and NC represents the first examination of these associations in eight Latin America countries. Further research is required to understand the differences between countries in the observed associations. TRIAL REGISTRATION: ClinicalTrials.Gov NCT02226627 . Retrospectively registered on August 27, 2014.
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spelling oai:cris.upeu.edu.pe:20.500.15037/7782026-10-30T16:14:51ZAssociation of moderate-to-vigorous physical activity with neck circumference in eight Latin American countrieson behalf of the ELANS Study GroupGérson FerrariIrina KovalskysMauro FisbergGeorgina GómezAttilio RigottiLilia Yadira CortésMartha Cecilia Yépez GarcíaRossina G. ParejaMarianella Herrera‐CuencaIoná Zalcman ZimbergViviana GuajardoMichael PrattCarlos PiresDirceu SoléBiostatisticsMedicineLatin AmericansDemographyPublic healthObesitySocioeconomic statusPhysical activityCircumferenceWaistGerontologyEnvironmental healthPhysical therapyPopulationInternal medicineNursingLinguisticsPhilosophyMathematicsSociologyGeometryBiostatisticsMedicineLatin AmericansDemographyPublic healthObesitySocioeconomic statusPhysical activityCircumferenceWaistGerontologyEnvironmental healthPhysical therapyPopulationInternal medicineAdolescentAdolescentAdolescentAdolescentAdultAdultAdultAdultArgentina epidemiologyArgentina epidemiologyArgentina epidemiologyArgentina epidemiologyBrazil epidemiologyBrazil epidemiologyBrazil epidemiologyBrazil epidemiologyChile epidemiologyChile epidemiologyChile epidemiologyChile epidemiologyColombia epidemiologyColombia epidemiologyColombia epidemiologyColombia epidemiologyCosta Rica epidemiologyCosta Rica epidemiologyCosta Rica epidemiologyCosta Rica epidemiologyCross-Sectional StudiesCross-Sectional StudiesCross-Sectional StudiesCross-Sectional StudiesEcuador epidemiologyEcuador epidemiologyEcuador epidemiologyEcuador epidemiologyFemaleFemaleFemaleFemaleHumansHumansHumansHumansLatin AmericaLatin AmericaLatin AmericaLatin AmericaMaleMaleMaleMaleMiddle AgedMiddle AgedMiddle AgedMiddle AgedNeck physiopathologyNeck physiopathologyNeck physiopathologyNeck physiopathologyNutritional StatusNutritional StatusNutritional StatusNutritional StatusObesity epidemiologyObesity epidemiologyObesity epidemiologyObesity epidemiologyPeru epidemiologyPeru epidemiologyPeru epidemiologyPeru epidemiologyPopulation SurveillancePopulation SurveillancePopulation SurveillancePopulation SurveillanceVenezuela epidemiologyVenezuela epidemiologyVenezuela epidemiologyVenezuela epidemiologyExerciseExerciseExerciseExerciseBody SizeBody SizeBody SizeBody SizeYoung AdultYoung AdultYoung AdultYoung AdultAccelerometry statistics & numerical dataAccelerometry statistics & numerical dataAccelerometry statistics & numerical dataAccelerometry statistics & numerical dataHealth Sciences Medicine Physiology Physical Activity and HealthHealth Sciences Medicine Public Health, Environmental and Occupational Health Nutritional Studies and DietHealth Sciences Medicine Physiology Nutrition and Health in AgingBACKGROUND: Physical activity is a cornerstone in the prevention and treatment of obesity. There are relatively few studies that explore the effect of accelerometer-determined moderate-to-vigorous physical activity (MVPA) on neck circumference (NC), most of them confined to single high-income countries. The present study investigated the association of accelerometer-determined MVPA with NC in adolescents and adults from eight Latin American countries, which are mostly upper-middle income countries. METHODS: The sample consisted of 2370 participants (47.8% male) from the Latin American Study of Nutrition and Health, a multicenter cross-sectional nutrition and health surveillance study of a nationally representative sample from eight Latin American countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela). Times (min/day) in MVPA (defined as time accumulated at ≥1952 activity counts/min) was assessed by ActiGraph GT3X+ accelerometer over 7 days. NC for adolescent was categorized as abnormal if circumference was > 34.5 cm for boys and > 31.25 for girls, whereas for adults the cut-off points for abnormal were > 39 cm for men and > 35 cm women. Multilevel logistic models, including country and region as random effects and adjusted for sex, age, socioeconomic level, and educational level, were used to study the association between MVPA and NC. RESULTS: The average time of MVPA was 34.88 min/day, ranging from 31.16 in Venezuela to 40.27 in Chile. Concerning NC, 37.0% of the sample was classified as having elevated NC. Chile was the country with the highest percentage of people with elevated NC (56.9%), and Colombia had the lowest percentage (24.8%). Overall, the MVPA (min/day) was associated with elevated NC (OR = 0.994, CI95% = 0.990-0.998). In Costa Rica and Peru, there were significant associations between MVPA and NC when analyzed by country. CONCLUSIONS: The present study provided evidence of significant associations between MVPA and NC in adolescents and adults from Latin America, independent of sex, age, socioeconomic level, and educational level. This analysis of accelerometry data and NC represents the first examination of these associations in eight Latin America countries. Further research is required to understand the differences between countries in the observed associations. TRIAL REGISTRATION: ClinicalTrials.Gov NCT02226627 . Retrospectively registered on August 27, 2014.Articlehttps://pubmed.ncbi.nlm.nih.gov/31234866https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/s12889-019-7153-yhttps://doi.org/10.1186/s12889-019-7153-y10.1186/s12889-019-7153-yhttps://hdl.handle.net/20.500.15037/778W2809846235enBMC Public Health1471-24582019-06-242026-06-13T09:34:56Z2026-06-13T09:34:56Z
spellingShingle Biostatistics
Medicine
Latin Americans
Demography
Public health
Obesity
Socioeconomic status
Physical activity
Circumference
Waist
Gerontology
Environmental health
Physical therapy
Population
Internal medicine
Nursing
Linguistics
Philosophy
Mathematics
Sociology
Geometry
Biostatistics
Medicine
Latin Americans
Demography
Public health
Obesity
Socioeconomic status
Physical activity
Circumference
Waist
Gerontology
Environmental health
Physical therapy
Population
Internal medicine
Adolescent
Adolescent
Adolescent
Adolescent
Adult
Adult
Adult
Adult
Argentina epidemiology
Argentina epidemiology
Argentina epidemiology
Argentina epidemiology
Brazil epidemiology
Brazil epidemiology
Brazil epidemiology
Brazil epidemiology
Chile epidemiology
Chile epidemiology
Chile epidemiology
Chile epidemiology
Colombia epidemiology
Colombia epidemiology
Colombia epidemiology
Colombia epidemiology
Costa Rica epidemiology
Costa Rica epidemiology
Costa Rica epidemiology
Costa Rica epidemiology
Cross-Sectional Studies
Cross-Sectional Studies
Cross-Sectional Studies
Cross-Sectional Studies
Ecuador epidemiology
Ecuador epidemiology
Ecuador epidemiology
Ecuador epidemiology
Female
Female
Female
Female
Humans
Humans
Humans
Humans
Latin America
Latin America
Latin America
Latin America
Male
Male
Male
Male
Middle Aged
Middle Aged
Middle Aged
Middle Aged
Neck physiopathology
Neck physiopathology
Neck physiopathology
Neck physiopathology
Nutritional Status
Nutritional Status
Nutritional Status
Nutritional Status
Obesity epidemiology
Obesity epidemiology
Obesity epidemiology
Obesity epidemiology
Peru epidemiology
Peru epidemiology
Peru epidemiology
Peru epidemiology
Population Surveillance
Population Surveillance
Population Surveillance
Population Surveillance
Venezuela epidemiology
Venezuela epidemiology
Venezuela epidemiology
Venezuela epidemiology
Exercise
Exercise
Exercise
Exercise
Body Size
Body Size
Body Size
Body Size
Young Adult
Young Adult
Young Adult
Young Adult
Accelerometry statistics & numerical data
Accelerometry statistics & numerical data
Accelerometry statistics & numerical data
Accelerometry statistics & numerical data
Health Sciences Medicine Physiology Physical Activity and Health
Health Sciences Medicine Public Health, Environmental and Occupational Health Nutritional Studies and Diet
Health Sciences Medicine Physiology Nutrition and Health in Aging
on behalf of the ELANS Study Group
Gérson Ferrari
Irina Kovalskys
Mauro Fisberg
Georgina Gómez
Attilio Rigotti
Lilia Yadira Cortés
Martha Cecilia Yépez García
Rossina G. Pareja
Marianella Herrera‐Cuenca
Ioná Zalcman Zimberg
Viviana Guajardo
Michael Pratt
Carlos Pires
Dirceu Solé
Association of moderate-to-vigorous physical activity with neck circumference in eight Latin American countries
title Association of moderate-to-vigorous physical activity with neck circumference in eight Latin American countries
title_full Association of moderate-to-vigorous physical activity with neck circumference in eight Latin American countries
title_fullStr Association of moderate-to-vigorous physical activity with neck circumference in eight Latin American countries
title_full_unstemmed Association of moderate-to-vigorous physical activity with neck circumference in eight Latin American countries
title_short Association of moderate-to-vigorous physical activity with neck circumference in eight Latin American countries
title_sort association of moderate to vigorous physical activity with neck circumference in eight latin american countries
topic Biostatistics
Medicine
Latin Americans
Demography
Public health
Obesity
Socioeconomic status
Physical activity
Circumference
Waist
Gerontology
Environmental health
Physical therapy
Population
Internal medicine
Nursing
Linguistics
Philosophy
Mathematics
Sociology
Geometry
Biostatistics
Medicine
Latin Americans
Demography
Public health
Obesity
Socioeconomic status
Physical activity
Circumference
Waist
Gerontology
Environmental health
Physical therapy
Population
Internal medicine
Adolescent
Adolescent
Adolescent
Adolescent
Adult
Adult
Adult
Adult
Argentina epidemiology
Argentina epidemiology
Argentina epidemiology
Argentina epidemiology
Brazil epidemiology
Brazil epidemiology
Brazil epidemiology
Brazil epidemiology
Chile epidemiology
Chile epidemiology
Chile epidemiology
Chile epidemiology
Colombia epidemiology
Colombia epidemiology
Colombia epidemiology
Colombia epidemiology
Costa Rica epidemiology
Costa Rica epidemiology
Costa Rica epidemiology
Costa Rica epidemiology
Cross-Sectional Studies
Cross-Sectional Studies
Cross-Sectional Studies
Cross-Sectional Studies
Ecuador epidemiology
Ecuador epidemiology
Ecuador epidemiology
Ecuador epidemiology
Female
Female
Female
Female
Humans
Humans
Humans
Humans
Latin America
Latin America
Latin America
Latin America
Male
Male
Male
Male
Middle Aged
Middle Aged
Middle Aged
Middle Aged
Neck physiopathology
Neck physiopathology
Neck physiopathology
Neck physiopathology
Nutritional Status
Nutritional Status
Nutritional Status
Nutritional Status
Obesity epidemiology
Obesity epidemiology
Obesity epidemiology
Obesity epidemiology
Peru epidemiology
Peru epidemiology
Peru epidemiology
Peru epidemiology
Population Surveillance
Population Surveillance
Population Surveillance
Population Surveillance
Venezuela epidemiology
Venezuela epidemiology
Venezuela epidemiology
Venezuela epidemiology
Exercise
Exercise
Exercise
Exercise
Body Size
Body Size
Body Size
Body Size
Young Adult
Young Adult
Young Adult
Young Adult
Accelerometry statistics & numerical data
Accelerometry statistics & numerical data
Accelerometry statistics & numerical data
Accelerometry statistics & numerical data
Health Sciences Medicine Physiology Physical Activity and Health
Health Sciences Medicine Public Health, Environmental and Occupational Health Nutritional Studies and Diet
Health Sciences Medicine Physiology Nutrition and Health in Aging
topic_facet Biostatistics
Medicine
Latin Americans
Demography
Public health
Obesity
Socioeconomic status
Physical activity
Circumference
Waist
Gerontology
Environmental health
Physical therapy
Population
Internal medicine
Nursing
Linguistics
Philosophy
Mathematics
Sociology
Geometry
Biostatistics
Medicine
Latin Americans
Demography
Public health
Obesity
Socioeconomic status
Physical activity
Circumference
Waist
Gerontology
Environmental health
Physical therapy
Population
Internal medicine
Adolescent
Adolescent
Adolescent
Adolescent
Adult
Adult
Adult
Adult
Argentina epidemiology
Argentina epidemiology
Argentina epidemiology
Argentina epidemiology
Brazil epidemiology
Brazil epidemiology
Brazil epidemiology
Brazil epidemiology
Chile epidemiology
Chile epidemiology
Chile epidemiology
Chile epidemiology
Colombia epidemiology
Colombia epidemiology
Colombia epidemiology
Colombia epidemiology
Costa Rica epidemiology
Costa Rica epidemiology
Costa Rica epidemiology
Costa Rica epidemiology
Cross-Sectional Studies
Cross-Sectional Studies
Cross-Sectional Studies
Cross-Sectional Studies
Ecuador epidemiology
Ecuador epidemiology
Ecuador epidemiology
Ecuador epidemiology
Female
Female
Female
Female
Humans
Humans
Humans
Humans
Latin America
Latin America
Latin America
Latin America
Male
Male
Male
Male
Middle Aged
Middle Aged
Middle Aged
Middle Aged
Neck physiopathology
Neck physiopathology
Neck physiopathology
Neck physiopathology
Nutritional Status
Nutritional Status
Nutritional Status
Nutritional Status
Obesity epidemiology
Obesity epidemiology
Obesity epidemiology
Obesity epidemiology
Peru epidemiology
Peru epidemiology
Peru epidemiology
Peru epidemiology
Population Surveillance
Population Surveillance
Population Surveillance
Population Surveillance
Venezuela epidemiology
Venezuela epidemiology
Venezuela epidemiology
Venezuela epidemiology
Exercise
Exercise
Exercise
Exercise
Body Size
Body Size
Body Size
Body Size
Young Adult
Young Adult
Young Adult
Young Adult
Accelerometry statistics & numerical data
Accelerometry statistics & numerical data
Accelerometry statistics & numerical data
Accelerometry statistics & numerical data
Health Sciences Medicine Physiology Physical Activity and Health
Health Sciences Medicine Public Health, Environmental and Occupational Health Nutritional Studies and Diet
Health Sciences Medicine Physiology Nutrition and Health in Aging
url https://pubmed.ncbi.nlm.nih.gov/31234866
https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/s12889-019-7153-y
https://doi.org/10.1186/s12889-019-7153-y
https://hdl.handle.net/20.500.15037/778
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