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4. Tackling NCD in LMIC: Achievements and Lessons Learned From the NHLBI–UnitedHealth Global Health Centers of Excellence Program

Author

Rubinstein, Adolfo, He, Jiang, Alam, Dewan S., Peters, David H., Wu, Yangfeng, Yan, Lijing L., Merson, Michael, Ramirez, Manuel, Caballero, Benjamin, Xavier, Denis, Yusuf, Salim, Prabhakaran, Dorairaj, Narayan, K.M. Venkat, Kimaiyo, Sylvester, Velazquez, Eric, Denman, Catalina A., Cornejo, Elsa, de Zapien, Jill, Rosales, Cecilia, Miranda, J. Jaime, Gilman, Robert H., Levitt, Naomi, Gaziano, Thomas A., Ghannem, Hassen, Laatikainen, Tiina, Rabadan-Diehl, Cristina, Engelgau, Michael M., Belis, Deshiree, Sampson, Uchechukwu, Smith, Richard, Dianis, Nancy L., Wolbach, Tracy L., Matta, Gabriela, Gutierrez, Laura, Elorriaga, Natalia, Poggio, Rosana, Irazola, Vilma, Bazzano, Lydia, Bhuiya, Abbas, Wazed, Abdul, Khan, Alfazal, Siddiquee, Ali T., Islam, Anwar, Khan, Jahangir A.M., Uddin, Jasim, Hasan, Khaled, Khanam, Masuma A., Yunus, Mohammad, Chowdhury, Muhammad A.H., Monalisa, Nazratun N., Alam, Nurul, Streatfield, Peter K., Ahmed, Shyfuddin, Parvin, Sonia, Ali, Taslim, Niessen, Louis W., Hossain, Mohammad D., Koehlmoos, Tracey L.P., Standing, Hilary, Lucas, Henry, Bleich, Sara N., Anderson, Gerard F., Trujillo, Antonio J., Mirelman, Andrew J., Hao, Jesse, Zhang, Jing, Tian, Maoyi, Huang, Polly, Luo, Rong, Fang, Weigang, Li, Xian, Feng, Xiangxian, Li, Zhifang, Deal, Kelly, Peterson, Eric, DeLong, Elizabeth, Zhou, Bo, Shi, Jingpu, Neal, Bruce, Jan, Stephen, Li, Nicole, McMahon, Stephen, Zhang, Jianxin, Sun, Jixin, Elliot, Paul, Zhao, Yi, Zhang, Yuhong, Yao, Chen, Sun, Ningling Huang, Han, Qide, Shen, Ruqun, Niu, Wenyi, Wang, Yanfang, Ke, Yang, Huang, Yining, Leeder, Stephen, Lopez, Alan, Zhang, Ruijuan, Yu, Yan, Roman, Ana V., Mendoza, Carlos, Roche, Dina, Mejicano, Gabriela, Cordova, Maria A., Kroker, Maria F., Fort, Meredith, Letona, Paola, Kanter, Rebecca, Garcia, Regina, Murillo, Sandra, Chacon, Violeta, Montero, Rafael, Lopez, Erika J., Peña, Liz, Castro, Maricruz, Dengo, Ana L., Ulate, Emilce, Alvarado, Nadia, Sibrian, Josefina, Alegria, Astarte, Gutierrez, Ana M., Fontes, Flavia, Sigamani, Alben, Kamath, Deepak, Xavier, Freeda, Deepthi, K.B., Anupama, M., Mathu, Nandini, George, Nisha, Rahul, Pranjali, Pais, Prem, Girish, Preeti, Thomas, Seena, Usha, T., Thomas, Tinku, Joshi, Rajnish, Chidambaram, N., Gupta, Rajeev, Chow, Clara, Pogue, Janice, O'Donnell, Martin, Devereaux, P.J., Misquith, Dominic, Agrawal, Twinkle, Fathima, Farah N., Reddy, Kolli Srinath, Shivashankar, Roopa, Ajay, Vamadevan S., Khan, Hassan M., Kadir, M. Masood, Masood, Muhammad Q., Fatmi, Zafar, Krishnan, Anand, Singh, Kavita, Tandon, Nikhil, Khadgawat, Rajesh, Menon, V. Usha, Sethi, Bipin Kumar, Unnikrishnan, A.G., Hutcheson, Mark L., Ali, Mohammed K., Cunningham, Solveig A., Patel, Shivani A., Gujral, Unjali, Desai, Ankush, Mohan, Deepa, Pradeepa, R. Guha, Mohan, V., Viswanathan, Vijay, Sahay, Rakesh, Shah, Seema, Bantwal, Ganapathi, Varthakavi, Premlata K., Nair, Manisha, Akwanalo, Constantine, Lagat, David, Barasa, Felix, Koech, Myra, Sugut, Wilson, Korir, Belinda, Mosol, Priscah, Ali, Shamim, Sherman, Charles B., Carter, Jane, Bloomfield, Gerald, Binanay, Cynthia, Vedanthan, Rajesh, Bernabé-Ortiz, A., León-Velarde, F., Smith, George D., Málaga, Germán, García, Héctor H., Casas, Juan P., Sacksteder, Katherine, Smeeth, Liam, Huicho, Luis, Rivera, María, Gamboa, Raúl, Ebrahim, Shah, Montori, Víctor M., Wise, Robert A., Checkley, William, Diette, Gregory B., Nojilana, Beatrice, Majikela-Dlangamandla, Buyelwa, Sylvester, Carmelita, Malan, Johanna, Murphy, Katherine, Steyn, Krisela, van Niekerk, Lindi, Mash, Robert, Puoane, Thandi, Kim, Grace, Pandya, Ankur, Abrahams-Gessel, Shafika, Rhode, Hilary, Pather, Michael, Andrade, Alvaro R., Garcia, Beatriz, Velasco, Carlos, Medina, David, Bravo, Delia, Munguia, Diana, Bateman, Eric, Castro, Francisco, Schneider, Helen, Ibarra, Ilse, Zulu, Jabulisiwe, Felix, Joel, Tribe, Karla, Bobrow, Kirsten, Fairall, Lara, Folb, Naomi, Murillo, Norma, Pacheco, Norma, Rodriguez, Paloma, Navarro, Paola, Flores, Reyna, Van Zyl Smit, Richard, Meddoza, Rosario, Surka, Sameer, Van Haght, Serena, Hernandez, Yanira, Tsolekile, Lungiswa, Jeridi, Gouider, Harrabi, Imed, Maatoug, Jihen, Boughammoura, Lamia, Chaieb, Larbi, Mrizek, Nejib, Gaha, Rafika, Limam, Khalifa, Amimi, Souad, Gaha, Karima, Gamra, Habib, Al'Absi, Mustafa, Vartiainen, Erkki, Moore, Cornelius, Spillan, Debi, Cooper, Kristiane, Mitchell, Megan, Kirby, Ruth, Gao, Yunling, Aluko, Emmanuel, Sampson, Uchechukwu K., Miranda, Jaime, and Bloomfield, Gerald S.

Published
2016
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8. Impact of school and work status on diet and physical activity in rural Guatemalan adolescent girls: a qualitative study.

Author

Kurschner, Sophie, Madrigal, Luisa, Chacon, Violeta, Barnoya, Joaquin, and Rohloff, Peter

Subjects
TEENAGE girls, PHYSICAL activity, RURAL population, FOOD habits, DIET, SCHOOL food, BLOCK ciphers
Abstract

In low‐ and middle‐income countries, gender norms and access to energy‐dense, nutrient‐poor foods are well‐studied determinants of food and physical activity choices for adolescent girls. However, most work has been done in urban and school settings. In many settings, a large proportion of the adolescent population is rural or not enrolled in school. We conducted in‐depth interviews with 20 adolescent girls (ages 15–19) in Tecpán, Guatemala, a rural, largely indigenous Maya community. Interviews were coded and themes analyzed for insights into eating habits, food choices, and physical activity. Twelve participants were enrolled in school and eight were employed and not in school. Girls enrolled in school had more disrupted eating schedules and consumed more energy‐dense, nutrient‐poor foods. Girls not enrolled in school had fewer opportunities for physical activity and were more sedentary. To our knowledge, this study is the first in a low‐ and middle‐income country to consider diet and physical activity of adolescent girls enrolled and not enrolled in school. Key implications include (1) the need to reduce exposure to nutrient‐poor foods and promote healthy eating schedules in schools, and (2) the need to create community‐based opportunities for the activity for girls no longer enrolled in school. [ABSTRACT FROM AUTHOR]

Published
2020
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13. Tackling NCD in LMIC: Achievements and Lessons Learned From the NHLBI—UnitedHealth Global Health Centers of Excellence Program

Author

Engelgau, Michael M., primary, Sampson, Uchechukwu K., additional, Rabadan-Diehl, Cristina, additional, Smith, Richard, additional, Miranda, Jaime, additional, Bloomfield, Gerald S., additional, Belis, Deshiree, additional, Narayan, K.M. Venkat, additional, Rubinstein, Adolfo, additional, He, Jiang, additional, Alam, Dewan S., additional, Peters, David H., additional, Wu, Yangfeng, additional, Yan, Lijing L., additional, Merson, Michael, additional, Ramirez, Manuel, additional, Caballero, Benjamin, additional, Xavier, Denis, additional, Yusuf, Salim, additional, Prabhakaran, Dorairaj, additional, Kimaiyo, Sylvester, additional, Velazquez, Eric, additional, Denman, Catalina A., additional, Cornejo, Elsa, additional, De Zapien, Jill, additional, Rosales, Cecilia, additional, Miranda, J. Jaime, additional, Gilman, Robert H., additional, Levitt, Naomi, additional, Gaziano, Thomas A., additional, Ghannem, Hassen, additional, Laatikainen, Tiina, additional, Engelgau, Michael M., additional, Sampson, Uchechukwu, additional, Dianis, Nancy L., additional, Wolbach, Tracy L., additional, Matta, Gabriela, additional, Gutierrez, Laura, additional, Elorriaga, Natalia, additional, Poggio, Rosana, additional, Irazola, Vilma, additional, Bazzano, Lydia, additional, Bhuiya, Abbas, additional, Wazed, Abdul, additional, Khan, Alfazal, additional, Siddiquee, Ali T., additional, Islam, Anwar, additional, Khan, Jahangir A.M., additional, Uddin, Jasim, additional, Hasan, Khaled, additional, Khanam, Masuma A., additional, Yunus, Mohammad, additional, Chowdhury, Muhammad A.H., additional, Monalisa, Nazratun N., additional, Alam, Nurul, additional, Streatfield, Peter K., additional, Ahmed, Shyfuddin, additional, Parvin, Sonia, additional, Ali, Taslim, additional, Niessen, Louis W., additional, Hossain, Mohammad D., additional, Koehlmoos, Tracey L.P., additional, Standing, Hilary, additional, Lucas, Henry, additional, Bleich, Sara N., additional, Anderson, Gerard F., additional, Trujillo, Antonio J., additional, Mirelman, Andrew J., additional, Hao, Jesse, additional, Zhang, Jing, additional, Tian, Maoyi, additional, Huang, Polly, additional, Luo, Rong, additional, Fang, Weigang, additional, Li, Xian, additional, Feng, Xiangxian, additional, Li, Zhifang, additional, Deal, Kelly, additional, Peterson, Eric, additional, DeLong, Elizabeth, additional, Zhou, Bo, additional, Shi, Jingpu, additional, Neal, Bruce, additional, Jan, Stephen, additional, Li, Nicole, additional, McMahon, Stephen, additional, Zhang, Jianxin, additional, Sun, Jixin, additional, Elliot, Paul, additional, Zhao, Yi, additional, Zhang, Yuhong, additional, Yao, Chen, additional, Sun, Ningling Huang, additional, Han, Qide, additional, Shen, Ruqun, additional, Niu, Wenyi, additional, Wang, Yanfang, additional, Ke, Yang, additional, Huang, Yining, additional, Leeder, Stephen, additional, Lopez, Alan, additional, Zhang, Ruijuan, additional, Yu, Yan, additional, Roman, Ana V., additional, Mendoza, Carlos, additional, Roche, Dina, additional, Mejicano, Gabriela, additional, Cordova, Maria A., additional, Kroker, Maria F., additional, Fort, Meredith, additional, Letona, Paola, additional, Kanter, Rebecca, additional, Garcia, Regina, additional, Murillo, Sandra, additional, Chacon, Violeta, additional, Montero, Rafael, additional, Lopez, Erika J., additional, Peña, Liz, additional, Castro, Maricruz, additional, Dengo, Ana L., additional, Ulate, Emilce, additional, Alvarado, Nadia, additional, Sibrian, Josefina, additional, Alegria, Astarte, additional, Gutierrez, Ana M., additional, Fontes, Flavia, additional, Sigamani, Alben, additional, Kamath, Deepak, additional, Xavier, Freeda, additional, Deepthi, K.B., additional, Anupama, M., additional, Mathu, Nandini, additional, George, Nisha, additional, Rahul, Pranjali, additional, Pais, Prem, additional, Girish, Preeti, additional, Thomas, Seena, additional, Usha, T., additional, Thomas, Tinku, additional, Joshi, Rajnish, additional, Chidambaram, N., additional, Gupta, Rajeev, additional, Chow, Clara, additional, Pogue, Janice, additional, O'Donnell, Martin, additional, Devereaux, P.J., additional, Misquith, Dominic, additional, Agrawal, Twinkle, additional, Fathima, Farah N., additional, Reddy, Kolli Srinath, additional, Shivashankar, Roopa, additional, Ajay, Vamadevan S., additional, Khan, Hassan M., additional, Kadir, M. Masood, additional, Masood, Muhammad Q., additional, Fatmi, Zafar, additional, Krishnan, Anand, additional, Singh, Kavita, additional, Tandon, Nikhil, additional, Khadgawat, Rajesh, additional, Menon, V. Usha, additional, Sethi, Bipin Kumar, additional, Unnikrishnan, A.G., additional, Hutcheson, Mark L., additional, Ali, Mohammed K., additional, Cunningham, Solveig A., additional, Patel, Shivani A., additional, Gujral, Unjali, additional, Desai, Ankush, additional, Mohan, Deepa, additional, Pradeepa, R. Guha, additional, Mohan, V., additional, Viswanathan, Vijay, additional, Sahay, Rakesh, additional, Shah, Seema, additional, Bantwal, Ganapathi, additional, Varthakavi, Premlata K., additional, Nair, Manisha, additional, Akwanalo, Constantine, additional, Lagat, David, additional, Barasa, Felix, additional, Koech, Myra, additional, Sugut, Wilson, additional, Korir, Belinda, additional, Mosol, Priscah, additional, Ali, Shamim, additional, Sherman, Charles B., additional, Carter, Jane, additional, Bloomfield, Gerald, additional, Binanay, Cynthia, additional, Vedanthan, Rajesh, additional, Bernabé-Ortiz, A., additional, León-Velarde, F., additional, Smith, George D., additional, Málaga, Germán, additional, García, Héctor H., additional, Casas, Juan P., additional, Sacksteder, Katherine, additional, Smeeth, Liam, additional, Huicho, Luis, additional, Rivera, María, additional, Gamboa, Raúl, additional, Ebrahim, Shah, additional, Montori, Víctor M., additional, Wise, Robert A., additional, Checkley, William, additional, Diette, Gregory B., additional, Nojilana, Beatrice, additional, Majikela-Dlangamandla, Buyelwa, additional, Sylvester, Carmelita, additional, Malan, Johanna, additional, Murphy, Katherine, additional, Steyn, Krisela, additional, Van Niekerk, Lindi, additional, Mash, Robert, additional, Puoane, Thandi, additional, Kim, Grace, additional, Pandya, Ankur, additional, Abrahams-Gessel, Shafika, additional, Rhode, Hilary, additional, Pather, Michael, additional, Andrade, Alvaro R., additional, Garcia, Beatriz, additional, Velasco, Carlos, additional, Medina, David, additional, Bravo, Delia, additional, Munguia, Diana, additional, Bateman, Eric, additional, Castro, Francisco, additional, Schneider, Helen, additional, Ibarra, Ilse, additional, Zulu, Jabulisiwe, additional, Felix, Joel, additional, Tribe, Karla, additional, Bobrow, Kirsten, additional, Fairall, Lara, additional, Folb, Naomi, additional, Murillo, Norma, additional, Pacheco, Norma, additional, Rodriguez, Paloma, additional, Navarro, Paola, additional, Flores, Reyna, additional, Van Zyl Smit, Richard, additional, Meddoza, Rosario, additional, Surka, Sameer, additional, Van Haght, Serena, additional, Hernandez, Yanira, additional, Tsolekile, Lungiswa, additional, Jeridi, Gouider, additional, Harrabi, Imed, additional, Maatoug, Jihen, additional, Boughammoura, Lamia, additional, Chaieb, Larbi, additional, Mrizek, Nejib, additional, Gaha, Rafika, additional, Limam, Khalifa, additional, Amimi, Souad, additional, Gaha, Karima, additional, Gamra, Habib, additional, Al'Absi, Mustafa, additional, Vartiainen, Erkki, additional, Moore, Cornelius, additional, Spillan, Debi, additional, Cooper, Kristiane, additional, Mitchell, Megan, additional, Kirby, Ruth, additional, Gao, Yunling, additional, and Aluko, Emmanuel, additional

Published
2016
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14. Health claims and product endorsements on child-oriented beverages in Guatemala.

Author

Perry, Andrew, Chacon, Violeta, and Barnoya, Joaquin

Subjects
*BEVERAGE marketing, *CHILD nutrition, *CONVENIENCE stores, *PUBLIC health, *MALNUTRITION, *BEVERAGES, *FOOD labeling, *FOOD quality, *FRUIT juices, *MARKETING, *HEALTH insurance reimbursement, *STATISTICAL models, *MIDDLE-income countries, *LOW-income countries
Abstract

Objective: We sought to describe front-of-package marketing strategies and nutritional quality of child-oriented beverages in Guatemala.Design: We purchased all child-oriented ready-to-drink fruit drinks, milks and carbonated beverages in three convenience stores and one supermarket in Guatemala City. Front-of-package marketing was defined as the presence of spokes-characters, cartoons, celebrities, or health-related images, words, claims or endorsements on beverage packaging. We used the UK Nutrition Profiling Model (NPM) to classify beverages as healthy or less healthy.Setting: Guatemala City, Guatemala.Results: We purchased eighty-nine beverages; most were fruit drinks (n 52, 58 %), milk (15, 17 %), carbonated beverages (5, 17 %), rice/soya products (5, 6·0 %), water (1, 1 %) and energy drinks (1, 1 %). Two-thirds (57, 64 %) had health claims. Of those with a nutrition facts label (85, 96 %), nearly all (76, 89 %) were classified as less healthy. No association between the presence of health claims and NPM score (P=0·26) was found. Eight beverages had health-related endorsements. However, only one beverage was classified as healthy.Conclusions: In this sample of beverages in Guatemala City, health claims and health-related endorsements are used to promote beverages with poor nutritional quality. Our data support evidence-based policies to regulate the use of front-of-package health claims and endorsements based on nutritional quality. [ABSTRACT FROM AUTHOR]

Published
2018
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19. Snack food advertising in stores around public schools in Guatemala.

Author

Chacon, Violeta, Letona, Paola, Villamor, Eduardo, and Barnoya, Joaquin

Subjects
*RISK of childhood obesity, *ADVERTISING, *CARBONATED beverages, *CHI-squared test, *DAIRY products, *ELEMENTARY schools, *FISHER exact test, *FOOD service, *GRAIN, *RESEARCH methodology, *METROPOLITAN areas, *POPULATION geography, *RESEARCH funding, *SALES personnel, *SNACK foods, *STATISTICS, *SURVEYS, *DATA analysis, *DATA analysis software, *DESCRIPTIVE statistics
Abstract

Obesity in school-age children is emerging as a public health concern. Food marketing influences preferences and increases children’s requests for food. This study sought to describe the type of snack foods advertised to children in stores in and around public schools and assess if there is an association between child-oriented snack food advertising and proximity to schools. All food stores located inside and within a 200 square meter radius from two preschools and two primary schools were surveyed. We assessed store type, number, and type of snack food advertisements including those child-oriented inside and outside stores. We surveyed 55 stores and found 321 snack food advertisements. Most were on sweetened beverages (37%) and soft drinks (30%). Ninety-two (29%) were child-oriented. Atoles (100.0%), cereals (94.1%), and ice cream and frozen desserts (71.4%) had the greatest proportion of child-oriented advertising. We found more child-oriented advertisements in stores that were closer (<170 m) to schools compared with those farther away. In conclusion, the food industry is flooding the market, taking advantage of the lack of strict regulation in Guatemala. Child-oriented advertisements are available in almost all stores within a short walking distance from schools, exposing children to an obesogenic environment. [ABSTRACT FROM PUBLISHER]

Published
2015
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