Ortega Anta R.M.,Complutense University of Madrid |
Lopez-Sobaler A.M.,Complutense University of Madrid |
Perez-Farinos N.,Agencia Espanola de Seguridad Alimentaria y Nutricion AESAN
Nutricion Hospitalaria | Year: 2013
Given the dramatic increase in the prevalence of obe - sity and the serious health and economic consequences, the scientific community, health professionals and health agencies are looking for the best strategies to prevent/ fight this trend. In order to plan the most appropriate intervention mea sures the first step is to identify the associated factors of obesity. This paper presents the results of research conducted/coordinated by our research team and promo - ted by the Spanish Food Safety Agency (AESAN), in the last five years. These studies were focussed on representative samples of the Spanish population, paying attention to the condition of overweight/obesity and their associated factors. The first study, FANPE ("Fuentes alimentarias de nu - trientes de la población española") (2009), was centered in 418 adults (18-60 years) from 15 provinces (30 sam - pling points). Its aim was to analyze the dietary sources of nutrients, paying particular attention to sodium. This research showed that the risk of overweight/obesity in - crea ses with age, in people who have follow weight con - trol diets, in ex-smokers, married people and those who slept less than 8.5 hours per day, while the risk is lower in women, people who make sport and those with an University degree. It was also found that overweight people had higher sodium intake and urine excretion. Therefore, and having in mind that 88.2% of the subjects took more than 2 g/day of sodium (the maximum recommended), it is advised to lower the sodium intake not only from the health point of view but also as a probably strategy against obesity. The study ALADINO (Estudio de Alimentación, Acti - vidad física, Desarrollo Infantil y Obesidad- Study of the Diet, Physical Activity, Child Development and Obesity) (2010-2011) was focused on 7659 children (6-9 years) from 19 autonomous communities. We founded a higher percentage of overweight/obesity in boys than in girls, and a significant increase in the figures from the age of 7. Being overweight is more evident in offspring of parents with low educational level or low income, or if parents are smokers (especially when both parents smoke). The pro - blem increases in those children who skip breakfast, have in those with sports facilities far from their home, those who have a personal computer, video game or TV in their room, or those who sleep less than 8 hours per day. All these factors, either by themselves or because they influence eating habits and/or activity patterns, are associated with a higher risk of being overweight, so it must be monitored and modified in a more favourable direction, within the health policies of each country, as part of stra - tegies to halt the rise in obesity condition.
Ortega R.M.,Complutense University of Madrid |
Lopez-Sobaler A.M.,Complutense University of Madrid |
Ballesteros J.M.,Agencia Espanola de Seguridad Alimentaria y Nutricion AESAN |
Perez-Farinos N.,Agencia Espanola de Seguridad Alimentaria y Nutricion AESAN |
And 4 more authors.
British Journal of Nutrition | Year: 2011
The present study reports the Na intake of a representative sample of Spanish young and middle-aged adults aged 18-60 years (n 418, 53·1% women, selected from the capitals of fifteen provinces and the surrounding semi-urban/rural area), measured with a 24h urinary Na excretion method. To validate the paper collection of 24h urine, the correlation between fat-free mass determined by electrical bioimpedance (5·8 (sd 11·3)kg) and that determined via urinary creatinine excretion (51·5 (sd 18·8) kg) was calculated (r ·633, P<·001). Urinary Na excretion correlated with systolic and dyastolic blood pressure data (r ·243 and ·153, respectively). Assuming that all urinary Na (168·0 (sd 78·6)mmol/d) comes from the diet, Na excretion would correspond with a dietary salt intake of 9·8 (sd 4·6)g/d, and it would mean that 88·2% of the subjects had salt intakes above the recommended 5g/d. Logistic regression analysis, adjusted for sex, age and BMI, showed male sex (OR 3·678, 95% CI 2·336, 5·791) and increasing BMI (OR 1·069, 95% CI 1·009, 1·132) (P<·001) to be associated with excreting >200mmol/d urinary Na - a consequence of the higher salt intake in men and in participants with higher BMI. The present results help us to know the baseline salt intake in the Spanish young and middle-aged adult population, and can be used as the baseline to design policies to reduce salt consumption. © The Authors 2010.
Ortiz-Moncada R.,University of Alicante |
Alvarez-Dardet C.,University of Alicante |
Alvarez-Dardet C.,CIBER ISCIII |
Miralles-Bueno J.J.,University Miguel Hernández |
And 6 more authors.
Medicina Clinica | Year: 2011
Background and objective: Obesity in the Spanish adult population has almost doubled from 1987 to 2003. The aim is to update the prevalence of overweight and obesity, and reassess its main social determinants using the National Health Household Survey (ENS) from 2006. Patients and methods: Cross sectional study based on the ENS-2006. Sample of 29,478 adults who answered questions on self-reported weight and height. We calculated the body mass index (WHO classification) for the dependent variable. Sociodemographic independent variables used were age, sex, marriage status, educational level, social class (manual, non-manual), and monthly income. A descriptive study was conducted as well as different logistic regression models. Results: In 2006, the prevalence of overweight is higher in men (43.9%) than women (28.9%). Sex differences were not observed in the prevalence of obesity (15.0%). The multinomial logistic regression analysis shows significant associations between obesity and marriage status: married OR = 1.69 (1.51-1.89), widower OR = 1.77 (1.45-2.16); population without education: OR = 2.77 (2.34-3.28) and income below 600 : OR = 1.50 (1.18-1.91). There was a statistically significant interaction (p < 0.001) between sex and social class. Women from manual social class have 49% more chances to be overweight and 96% greater risk of obesity compared to non-manual social class women. In addition, men of manual social class have less risk of overweight (18%) and obesity (12%) than non-manual social class men. Conclusions: Gender and socioeconomic status are key social determinants for obesity in Spain and, consequently, this needs to be addressed when developing preventive activities. © Elsevier España, S.L. Todos los derechos reservados.
Aranceta Bartrina J.,Sociedad Espanola de Nutricion Comunitaria SENC |
Perez Rodrigo C.,Sociedad Espanola de Nutricion Comunitaria SENC |
Campos Amado J.,Agencia Espanola de Seguridad Alimentaria y Nutricion AESAN |
Calderon Pascual V.,Agencia Espanola de Seguridad Alimentaria y Nutricion AESAN
Revista Espanola de Nutricion Comunitaria | Year: 2013
Background: Prevalence of overweight has increased especially in children and adolescents. This paper describes the design and methods of the evaluation study of the PERSEO Project, a Project aimed at the promotion of healthier eating and physical activity habits in schools and community with the final aim of obesity prevention. Methods: A community intervention trial has been conducted with a quasi-experimental design, involving 67 Primary schools (1st-4th grades) from 6 Autonomous Spanish Regions, Ceuta and Melilla, assigned to an intervention (n=34 schools) and control group (n= 33 schools). The study protocol included anthropometrical measures, food and beverage consumption, usual physical activity, sedentarism, as well as selected determinants. PERSEO is a multicomponent intervention aimed at creating friendly school and family environments supportive of healthier eating and physical activity practices among Primary school children. The project was implemented during two school years. Results: Some 13.216 Primary school children (6-10 yr.) and their families participated in the study. Among the families invited, 95% consented and agreed their children to participate in the project. The average response rate for families was 78,9%. Overall the response rate for children at baseline evaluation was 88,35% and 80,37% completed both, initial and final evaluation. There were no significant differences in anthropometrical characteristics and prevalence of overweight between the intervention and control group at baseline. Conclusions: A high participation rate was achieved in PERSEO Project. The implication and support of Regional Education and Health Authorities along the Ministries at the central government was capital to reach such a level of participation, support and involvement.
Perales-Albert A.,Asociacion de Usuarios de la Comunicacion AUC |
Bernacer-Martinez R.,Unilever |
Garcia-Gomez J.,Agencia Espanola de Seguridad Alimentaria y Nutricion AESAN |
Alvarez-Dardet C.,University of Alicante |
Ortiz-Moncada R.,University of Alicante
Revista Espanola de Nutricion Humana y Dietetica | Year: 2013
There is concern about the influence of social determinants related to advertising, communication and information on the selection of food for healthy eating and safe. From this point of view, Spain created the European Regulation 1924/2006 (ER1924/2006), its aim is to ensure and promote access to safe food that benefit health and prevent information received by consumers is inaccurate, ambiguous or misleading. The aims of regulation are to prevent nutritional and attributed health claims to food without reason or if there is sufficient scientific evidence. In this sense, a group of professionals from the University of Alicante in December 2012 performed the First Day of Food and Nutrition, organized by the Center Alinua of the Faculty of Health Sciences, University of Alicante, related to updates on nutrition and health claims and its implications public health. By the interest and importance of this topic, this is a summary of the position papers from agents involved: consumers, government, food business, the gremial's dietitian, the Academy and public health.