Does producing more food mean farmers rely less on markets? 🌾🛒
New cross-sectional study in Los Ríos, Ecuador, examines production diversity, exact farm-to-diet coupling (FDCI), and market dependence among smallholders.
Key findings below 🧵👇
Critical public health & policy takeaway:
FDCI was NOT associated with broader food insecurity or buffer resilience.
Diversifying farm production alone does not guarantee food security; market access and cash flow remain complementary, essential pathways.
Is dengue reaching Andean heights? 🦟🏔️
Analyzing 14 years of hospital discharges in Ecuador (2011–2024) paired with NASA satellite data shows that local warming is accelerating the altitudinal rise of dengue burden.
Key findings below 🧵👇
Public health takeaways:
In-hospital case fatality was 0.62% in the low Andes vs 0.33% on the coast (p=0.20), urging clinical vigilance in naive populations.
Caveat: Records reflect residential canton and severe hospital burden, not all community transmission.
🥗 Does "eating a varied diet" automatically protect young adults from early cardiometabolic risk?
We examined dietary diversity, patterns, & body composition in 349 Ecuadorian university students.
🧵 Summary of our study in @Nutrients_MDPI:
@Nutrients_MDPI 🎯 Takeaway:
Generic "eat a varied diet" advice is insufficient. Public health messaging must focus on food quality, degree of processing, & nutrient density to address early metabolic risk.
🧪 How does resting energy expenditure (#REE) evolve in critically ill, ventilated adults?
We evaluated phase-dependent REE & metabolic phenotypes using indirect calorimetry in a multicenter ICU study.
🧵 Summary of our paper in @JClinMed: