- Nutritional Studies and Diet
- Obesity, Physical Activity, Diet
- Cardiovascular Health and Risk Factors
- Health disparities and outcomes
- Nutrition, Health and Food Behavior
- Food Security and Health in Diverse Populations
- Health and Lifestyle Studies
- Global Public Health Policies and Epidemiology
- Consumer Attitudes and Food Labeling
- Regulation of Appetite and Obesity
- Biochemical Analysis and Sensing Techniques
- Eating Disorders and Behaviors
- Diet and metabolism studies
- Chronic Disease Management Strategies
- Child Nutrition and Water Access
- Dietary Effects on Health
- Nutrition, Genetics, and Disease
- Gut microbiota and health
- Breastfeeding Practices and Influences
- Diet, Metabolism, and Disease
- Resilience and Mental Health
- Disaster Response and Management
- Food Waste Reduction and Sustainability
- Agricultural pest management studies
- Animal Nutrition and Physiology
Harvard University
2016-2024
St.Martha's College Of Nursing
2014-2019
Hospital General Dr. Manuel Gea Gonzalez
2017
Instituto Nacional de Salud Pública
2013
Tecnológico de Monterrey
2007-2011
Evidence consistently suggests that plant-based diets promote human and planetary health. Reducing large-scale animal-based food production generates environmental benefits, as the entire livestock agriculture chain plays an outsized role in greenhouse gas emissions, land change degradation, scarcity-weighted water use. However, substituting animal products with their counterparts must come consideration of nutritional quality resource usage processing operations. Several policy reforms have...
<h3>Importance</h3> As public health emergencies become more prevalent, it is crucial to identify adverse physical and mental conditions that may be triggered by natural disasters. There a lack of data on whether Hurricane Maria in 2017 influenced the disease burden adults Puerto Rico. <h3>Objective</h3> To estimate prevalence chronic diseases their associated risk factors among living Rico before after 2017. <h3>Design, Setting, Participants</h3> This cross-sectional study used from 2...
Puerto Rico is experiencing an economic and healthcare crisis, yet there are scarce recent comprehensive reports on the population's health profile. We aimed to describe prevalent risk factors conditions of adults living in assess their interrelationship.Participants (n = 380) aged 30-75y recruited from a 2015 convenience sample primary care clinics San Juan, metropolitan area answered cross-sectional interviewer-administered questionnaires sociodemographic characteristics, lifestyle...
The pentalogy of Fallot stands out as one the rarest and most complex congenital heart defects. Pulmonary artery stenosis, a ventricular septal defect, an overriding aorta, right hypertrophy, atrial communication characterize it. Due to its complexity associated malformations, advanced imaging methods, such cardiac CT angiography, have become essential for proper characterization. In this study, we report case 35-week gestation newborn diagnosed with additional vascular identified through...
Abstract Context The interrelationships among the gut microbiome, Mediterranean diet (MedDiet), and a clinical endpoint of diabetes is unknown. Objective To identify microbial features MedDiet examine whether association between varies across individuals with different profiles. Methods This study included 543 diabetic, 805 prediabetic, 394 normoglycemic participants from cohort USA Hispanic/Latino men women. Fecal samples were profiled using 16S rRNA gene sequencing. Adherence to was...
There is scarce information regarding the dietary intake of adults living in Puerto Rico (PR). We aimed to assess nutrients and foods, adherence recommended diet quality, sociodemographic lifestyle factors correlated with quality among San Juan metropolitan area PR. Data were obtained from participants cross-sectional convenience-sample Assessment Diet, Lifestyle, Diseases (n = 248; ages 30-75 years). Diet was defined using Alternate Healthy Eating Index 2010 (AHEI; range 0-110 indicating...
Abstract Objective: Diminished diet quality in the Caribbean and other island settings may be related to a dietary transition from local foods towards imported products. The current study aimed characterise association between intentionally purchasing (IPLF) Puerto Rico (PR). Design: Cross-sectional study. Setting: Primary care clinics PR metropolitan area. Participants: Data were obtained adult participants (30–75 years; n 243) of Assessment Diet, Lifestyle, Diseases. IPLF was probed by...
Prevalence of chronic diseases and unhealthy lifestyle behaviors among the adult population Puerto Rico (PR) is high; however, few epidemiological studies have been conducted to address these. We aimed document methods operation establishing a multisite cross-sectional study risk factors in PR, partnership with academic, community, clinical, research institutions. The Assessment Diet, Lifestyle Diseases (PRADLAD) documented health characteristics adults living goal informing future...
A single-item self-rated diet measure (SRD) may provide a quick, low-burden screener. However, assessment of its validity is limited. This study aimed to evaluate the association an SRD construct with measured quality among adults in Puerto Rico (PR).
Abstract Background Color groups of fruits and vegetables (FV) are part a healthy diet, but evidence for an association with cardiometabolic outcomes is inconsistent. Objective To examine the between intake FV different colors incident diabetes risk biomarkers among U.S. Hispanics/Latinos. Subjects/methods We used data from 9206 adults ages 18–74 years who were free at baseline (2008–2011) had follow-up visit 2 (2014–2017) in Hispanic Community Health Study/Study Latinos (HCHS/SOL),...