2023, Number 6
<< Back Next >>
salud publica mex 2023; 65 (6)
Overweight, obesity and sugars intake in Mexicans school-aged and adolescents. Ensanut 2020-2022
Shamah-Levy T, Gaona-Pineda EB, Rodríguez-Ramírez S, Morales-Ruan C, Cuevas-Nasu L, Méndez-Gómez-Humarán I, Valenzuela-Bravo DG, Ávila-Arcos MA
Language: Spanish
References: 41
Page: 570-580
PDF size: 424.64 Kb.
ABSTRACT
Objective. To analyse the association between sugar
contribution and overweight and obesity (Ow+Ob)
among school-age and adolescent population.
Materials
and methods. Status of Ow+Ob according to World
Health Organization growth patterns was obtained for
a sample of 2 844 school-age and adolescent (5 to 19
years old) individuals, as well as total, added and intrinsic
sugars (%kcal/day) gathered by a food intake frequency
questionnaire. Adjusted probability of suffering Ow+Ob
was estimated through logistic regression models with
interaction between sugars intake and welfare conditions.
Results. Ow+Ob prevalence was 41% in 5-19y population,
also 60% exceeded the 10% recommended limit for
energy coming from added sugars. Sweetened beverages
group had the largest contribution to this high intake. The
probability of present Ow+Ob for those with higher sugar
consumption was significatively greater in those belonging
to the high welfare index (0.59) when compared with
those from the lower one (0.30).
Conclusions. Ow+Ob
and added sugars consumption are both high in the 5 to
19y population in Mexico. Strengthening, focalization and
diversification of the strategies aimed to cope with these
problems is required considering the sociodemographic
difference of the population.
REFERENCES
World Obesity Federation. World Obesity Atlas 2023 Report.Londres:World Obesity Federation, 2023 [citado 6 de junio de 2023].Disponible en: https://www.worldobesity.org/resources/resource-library/world-obesity-atlas-2023
Shamah-Levy T, Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista-Arredondo S, Colchero M, et al. Encuesta Nacional de Saludy Nutrición 2021 sobre Covid-19. Resultados nacionales. Cuernavaca:Instituto Nacional de Salud Pública, 2022 [citado junio 6, 2023]. Disponibleen: https://ensanut.insp.mx/encuestas/ensanutcontinua2021/doctos/informes/220804_Ensa21_digital_4ago.pdf
Larsson S, Burgess S. Causal role of high body mass index in multiplechronic diseases: a systematic review and meta-analysis of Mendelianrandomization studies. BMC Med. 2021;19(1):320. https://doi.org/10.1186/s12916-021-02188-x
Pulgarón E. Childhood obesity: a review of increased risk for physicaland psychological comorbidities. Clin Ther. 2013;35(1):A18-32. https://doi.org/10.1016/j.clinthera.2012.12.014
Spruijt-Metz D. Etiology, treatment and prevention of obesity in childhoodand adolescence: a decade in review. J Res Adolesc. 2011;21(1):129-52. https://doi.org/10.1111/j.1532-7795.2010.00719.x
Simmonds M, Llewellyn A, Owen C, Woolacott N. Predicting adultobesity from childhood obesity: a systematic review and meta-analysis.Obesity Reviews. 2016;17(2):95-107. https://doi.org/10.1111/obr.12334
Magriplis E, Michas G, Petridi E, Chrousos G, Roma E, Benetou V, et al.Dietary sugar intake and its association with obesity in children and adolescents.Children. 2021;8(8):676. https://doi.org/10.3390/children8080676
Lianlong Y, Han Z, Fengjia Z, Jian S, Yutong L, Xiao Y, et al. Sugar is the keycause of overweight/obesity in sugar-sweetened beverages (SSB). FrontNutr. 2022;9:885704. https://doi.org/10.3389/fnut.2022.885704
Organización Mundial de la Salud. Directriz: Ingesta de azúcares paraadultos y niños. Ginebra: OMS, 2015 [citado junio 6, 2023]. Disponible en:https://apps.who.int/iris/handle/10665/154587
Palma-Morales M, Mesa-García MD, Huertas JR. Added sugar consumptionin spanish children (7-12 y) and nutrient density of foods contributingto such consumption: an observational study. Nutrients. 2023;15(3):560.https://doi.org/10.3390/nu15030560
Monge-Rojas R, Vargas-Quesada R, Colón-Ramos U, Chinnock A.Dietary intake and sources of added sugars in various food environmentsin Costa Rican adolescents. Nutrients. 2022;14(5):959. https://doi.org/10.3390/nu14050959
López-Olmedo N, Carriquiry AL, Rodríguez-Ramírez S, Ramírez-SilvaI, Espinosa-Montero J, Hernández-Barrera L, et al. Usual Intake of addedsugars and saturated fats is high while dietary fiber is low in the Mexicanpopulation. J Nutr. 2016;146(9):1856S-65S. https://doi.org/10.3945/jn.115.218214
Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L,Bautista-Arredondo S, Colchero M, Gaona-Pineda EB, et al. Metodologíade la Encuesta Nacional de Salud y Nutrición 2021. Salud Publica Mex.2021;63(6):813-8. https://doi.org/10.21149/13348
Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista-Arredondo S, Colchero M, Gaona-Pineda EB, et al. Metodología de la EncuestaNacional de Salud y Nutrición 2020 sobre Covid-19. Salud PublicaMex. 2021;63(3):444-51. https://doi.org/10.21149/12580
Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista-Arredondo S, Colchero MA, Gaona-Pineda EB, et al. Design of the EncuestaNacional de Salud y Nutrición 2022 and planning and design of theEnsanut Continua 2020-2024. Salud Publica Mex. 2022;64(5):522-9. https://doi.org/10.21149/14186
Lohman TG, Roche AF, Martorell R. Anthropometric standarizationreference manual. Champlaign: Human Kinetics, 1988.
Habicht JP. Standardization of quantitative epidemiological methods inthe field. Bol Oficina Sanit Panam. 1974;76(5):375-84.
de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, SiekmannJ. Development of a WHO growth reference for school-aged childrenand adolescents. Bull World Health Organ. 2007;85(9):660-7. https://doi.org/10.2471/BLT.07.043497
Morales-Ruán M del C, Mayorga-Borbolla E, Arango-Angarita A,Méndez-Gómez-Humaran I, Vizuet-Vega NI. Características sociodemográficasde hogares y población de la Encuesta Nacional de Salud y NutriciónContinua 2022. Salud Publica Mex. 2023;65(supl 1):s7-14. https://doi.org/10.21149/14804
Denova-Gutiérrez E, Ramírez-Silva I, Rodríguez-Ramírez S, Jiménez-Aguilar A, Shamah-Levy T, Rivera-Dommarco JA. Validity of a food frequencyquestionnaire to assess food intake in Mexican adolescent and adultpopulation. Salud Publica Mex. 2016;58(6):617. https://doi.org/10.21149/spm.v58i6.7862
Denova-Gutiérrez E, Tucker KL, Salmerón J, Flores M, Barquera S. Relativevalidity of a food frequency questionnaire to identify dietary patternsin an adult Mexican population. Salud Publica Mex. 2016;58(6):608. https://doi.org/10.21149/spm.v58i6.7842
Gaona-Pineda EB, Rodríguez-Ramírez S, Medina-Zacarías MC,Valenzuela-Bravo DG, Martinez-Tapia B, Arango-Angarita A. Consumidoresde grupos de alimentos en población mexicana. Ensanut Continua2020-2022. Salud Publica Mex. 2023;65(supl 1):s248-58. https://doi.org/10.21149/14785
Ramírez-Silva I, Jiménez-Aguilar A, Valenzuela-Bravo D, Martinez-TapiaB, Rodríguez-Ramírez S, Gaona-Pineda EB, et al. Methodology for estimatingdietary data from the semi-quantitative food frequency questionnaireof the Mexican National Health and Nutrition Survey 2012. SaludPublica Mex. 2016;58(6):629. https://doi.org/10.21149/spm.v58i6.7974
Organización Panamericana de la Salud. Modelo de perfil de nutrientesde la Organización Panamericana de la Salud. Washington DC: OPS, 2016[citado junio 6, 2023]. Disponible en: https://iris.paho.org/bitstream/handle/10665.2/18622/9789275318737_spa.pdf
St-Onge MP, Keller KL, Heymsfield SB. Changes in childhood food consumptionpatterns: a cause for concern in light of increasing body weights.Am J Clin Nutr. 2003;78(6):1068-73. https://doi.org/10.1093/ajcn/78.6.1068
Nicklas TA. Trends in nutrient intake of 10-year-old children overtwo decades (1973-1994): The Bogalusa Heart Study. Am J Epidemiol.2001;153(10):969-77. https://doi.org/10.1093/aje/153.10.969
Della-Corte K, Fife J, Gardner A, Murphy B, Kleis L, Della-Cortye D.World trends in sugar-sweetened beverage and dietary sugar intakes inchildren and adolescents: a systematic review. Nutr Rev. 2020;79(3):274-88. https://doi.org/10.1093/nutrit/nuaa070
Nguyen M, Jarvis S, Tinajero M, Yu J, Chiavaroli L, Mejía S, et al. Sugarsweetenedbeverage consumption and weight gain in children and adults:a systematic review and meta-analysis of prospective cohort studies andrandomized controlled trials. Am J Clin Nutr. 2023;117(1):160-74. https://doi.org/10.1016/j.ajcnut.2022
Abbasalizad-Farhangi M, Mohammadi-Tofigh A, Jahangiri L, Nikniaz Z,Nikniaz L. Sugar-sweetened beverages intake and the risk of obesity inchildren: An updated systematic review and dose-response meta-analysis.Pediatr Obes. 2022;17(8):e12914. https://doi.org/10.1111/ijpo.12914
Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity andtrends in body mass index among US children and adolescents, 1999-2010. JAMA. 2012;307(5):483. https://doi.org/10.1001/jama.2012.40
Welsh JA, Cunningham SA. The role of added sugars in pediatric obesity.Pediatr Clin North Am. 2011;58(6):1455-66. https://doi.org/10.1016/j.pcl.2011.09.009
Steinberger J, Daniels SR, Eckel RH, Hayman L, Lustig RH, McCrindleB, et al. Progress and challenges in metabolic syndrome in children andadolescents. Circulation. 2009;119(4):628-47. https://doi.org/10.1161/CIRCULATIONAHA.108.191394
Calcaterra V, Cena H, Magenes V, Vincenti A, Comola G, Beretta A, et al.Sugar-sweetened beverages and metabolic risk in children and adolescentswith obesity: A Narrative Review. Nutrients. 2023;15:702. https://doi.org/10.3390/nu15030702
Yang Z, Phung H, Hughes AM, Sherwood S, Harper E, Kelly P. Trends inoverweight and obesity by socioeconomic status in year 6 school children,Australian Capital Territory, 2006-2018. BMC Public Health. 2019;19:1512.https://doi.org/10.1186/s12889-019-7645-9
Sigmund E, Sigmundová D, Badura P, Voráˇová J, Vladimír H, Hollein T, et al.Time-trends and correlates of obesity in Czech adolescents in relation tofamily socioeconomic status over a 16-year study period (2002-2018). BMCPublic Health. 2020;20(1):229. https://doi.org/10.1186/s12889-020-8336-2
Dinsa GD, Goryakin Y, Fumagalli E, Suhrcke M. Obesity and socioeconomicstatus in developing countries: a systematic review.Obesity Reviews. 2012;13(11):1067-79. https://doi.org/10.1111/j.1467-789X.2012.01017.x
Monteiro CA, Moura EC, Conde WL, Popkin BM. Socioeconomicstatus and obesity in adult populations of developing countries: a review.Bull World Health Organ. 2004;82(12):940-6.
Fontes AS, Pallottini AC, Vieira DA dos S, Fontanelli M de M, MarchioniDM, Cesar CLG, et al. Demographic, socioeconomic and lifestyle factorsassociated with sugar-sweetened beverage intake: a population-based study.Rev Bras Epidemiol. 2020;23:1980-5497. https://doi.org/10.1590/1980-549720200003
Shamah-Levy T, Romero-Martínez M, Barrientos-Gutiérrez T,Cuevas-Nasu L, Bautista-Arredondo S, Colchero MA, et al. EncuestaNacional de Salud y Nutrición 2020 sobre Covid-19 Resultadosnacionales. Cuernavaca: Instituto Nacional de Salud Pública, 2021[citado junio 5, 2023]. Disponible en: https://ensanut.insp.mx/encuestas/ensanutcontinua2020/doctos/informes/ensanutCovid19ResultadosNacionales.pdf
Landaeta-Díaz L, González-Medina G, Agüero SD. Anxiety,anhedonia and food consumption during the COVID-19 quarantinein Chile. Appetite. 2021;164:105259. https://doi.org/10.1016/j.appet.2021.105259
López-Bueno R, López-Sánchez GF, Casajús JA, Calatayud J,Gil-Salmerón A, Grabovac I, et al. Health-related behaviors amongschool-aged children and adolescents during the Spanish Covid-19sonfinement. Front Pediatr. 2020;8:573. https://doi.org/10.3389/fped.2020.00573