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Instituto Nacional de Salud Pública

2003, Number S4

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salud publica mex 2003; 45 (S4)

Factors associated with overweight and obesity in Mexican school-age children: Results from the National Nutrition Survey 1999

Hernández B, Cuevas-Nasu L, Shamah-Levy T, Monterrubio EA, Ramírez-Silva CI, García-Feregrino R, Rivera JA, Sepúlveda-Amor J

Language: English
References: 35
Page: 551-557
PDF size: 113.24 Kb.


ABSTRACT

Objective. The objective of the study was to measure the prevalence of overweight and obesity in Mexican schoolage children (5-11 years) in the National Nutrition Survey 1999 (NNS-1999). Material and Methods. Overweight and obesity (defined as an excess of adipose tissue in the body) were evaluated through the Body Mass Index (BMI) in 10,901 children, using the standard proposed by the International Obesity Task Force. Sociodemographic variables were obtained using a questionnaire administered to the children’s mothers. Results. The national prevalence of overweight and obesity was reported to be 19.5%. The highest prevalence figures were found in Mexico City (26.6%) and the North region(25.6%). When adjusting by region, rural or urban area, sex, maternal schooling, socioeconomic status, indigenous ethnicity and age, the highest prevalences of overweight and obesity were found among girls. The risks of overweight and obesity were positively associated with maternal schooling, children’s age and socioeconomic status. Conclusions. Overweight and obesity are prevalent health problems in Mexican school-age children, particularly among girls, and positively associated with socioeconomic status, age, and maternal schooling. This is a major public health problem requiring preventive interventions to avoid future health consequences.


REFERENCES

  1. National Research Council. Committee on diet and health food and nutrition board. Commission on life sciences. Diet and health. Implications for reducing chronic disease risk. Washington, DC: National Academy Press, 1989.

  2. Seidell JC. Obesity in Europe: Scaling and epidemic. Int J Obes Relat Metab Disord 1995;19(3P):S1-4.

  3. Galuska DA, Serdula M, Pamuk E, Siegel PZ, Byesr T. Trends in overweight among US adults from 1987 to 1993: A multistate telephone survey. Am J Public Health 1996;86:1729-1735.

  4. Hodge AM, Dowse GK, Gareeboo H, Toumilehto J, Alberti KG, Zimmet PZ. Incidence, increasing prevalence and predictors of change in obesity and fat distribution over 5 years in the rapidly developing population of Mauritius. Int J Obes Relat Metab Disord 1996;20:137-146.

  5. De Onis M, Blösnner M. Prevalence and trends of overweight among preschool children in developing countries. Am J Clin Nutr 2000;72:1032-1039.

  6. Troiano RP, Flegal KM, Kuczmarski RJ, Campbell SM, Johnson CL. Overweight prevalence and trends for children and adolescents. The National Health Nutrition Examination Surveys, 1963 to 1991. Arch Pediatr Adolesc Med 1995;149:1085-1091.

  7. Chinn S, Rona RJ. Trends in weight-for-height and triceps skinfold thickness for English and Scottish children, 1972-1982 and 1982-1990. Pediatr Perinat Epidemiol 1984;8:90-106.

  8. Lehingue Y, Picot MC, Millot I, Fassio F. Accroissement de la prévalence de l’obésité chez les enfants de 4-5 ans dans un département français entre 1988 et 1993. Rev Epidemol Sante Publ 1996;44:46-47.

  9. Sepúlveda-Amor J, Lezana MA, Tapia-Conyer R, Valdespino JL, Madrigal H, Kumate J. Estado nutricional de preescolares y mujeres en México: resultados de una encuesta probabilística nacional. Gac Med Mex 1990;126:207-224.

  10. Hernández B, Peterson K, Sobol A, Rivera J, Sepúlveda J, Lezana MA. Sobrepeso en mujeres de 12 a 49 años y menores de cinco años en México. Salud Publica Mex 1996;38:178-188.

  11. Albala C, Vío F. Obesidad y pobreza: un desafío pendiente en Chile. En: Peña M, Bacallao J, ed. La obesidad en la pobreza: un nuevo reto para la salud pública. Washington, DC: OPS, 2000;Publicación Científica No. 576.

  12. Wiecha J, Casey VA. High prevalence of overweight and short stature among Head Start children in Massachusetts. Public Health Rep 1994;109(6):767-773.

  13. WHO, NUT, NCD. Obesity. Preventing and managing the global epidemic. Report of a WHO Consultation on Obesity. Geneva: WHO, 1997:17-40.

  14. González-Villalpando C, Stern MP. La obesidad como factor de riesgo cardiovascular en México. Estudio en población abierta. Rev Invest Clin 1993;45:13-21.

  15. Avila A, Chávez A, Shamah T. Encuesta Urbana de Alimentación y Nutrición en la Zona Metropolitana de la Ciudad de México (ENURBAL-1995). México, DF: INNSZ, 1995.

  16. Toussaint MG. Patrones de dieta y actividad física en la patogénesis de la obesidad en el escolar urbano. Bol Med Hosp Infant Mex 2000;57(11):650-662.

  17. Hernández B, Gortmaker SL, Colditz GA, Peterson KE, Laird NM, Parra-Cabrera S. Association of obesity with physical activity, television programs and other forms of video viewing among children in Mexico City. Int J Obes 1999;23:845-854.

  18. Repáraz F, Chueca M, Elcarte R, Iñigo J, Oyarzábal M, Villa. Obesidad infantil en Navarra: evolución, tendencia y relación entre obesidad infantil y adulta. Estudio PECNA. 1987-1993. An Sist Sanit Navar 1998;21(3):293-300.

  19. National Institutes of Health. Consensus Development Panel on the health implications of obesity. Ann Intern Med 1985;103:1073-1077.

  20. Hubert H, Feinlib M, McNamara P. Obesity as an independent risk factor for cardiovascular disease: A 26-year follow-up of participant in the Framingham heart study. Circulation 1983;67:968-974.

  21. Elcarte R, Villa-Alizaga Y, Sada J. Estudio de Navarra (PECNA). Hiperlipidemias. ¿Cuál es la mejor definición de hiperlipidemias en la edad infarto-juvenil? An Esp Pediatr 1993;38:317-322.

  22. Lew EA. Mortality and weight: Insured lives and the American Cancer Society studies. Ann Intern Med 1985;103(6):1024-1028.

  23. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ 2000; 320:1240-1243.

  24. Bronfman M, Guiscafré H, Castro V, Castro R, Gutiérrez G. La metodología y análisis de las características socioeconómicas de la muestra. Arch Invest Med 1988;19:351-360.

  25. Lohman TG, Roche AF, Martorell R, Ed. Anthropometric standardization reference manual. Champaign (IL): Human Kinetics Books, 1988.

  26. Habicht JP. Estandarización de métodos epidemiológicos cuantitativos sobre el terreno. Bol Oficina Sanit Panam 1974;76:375-385.

  27. StataCorp. Stata Statistical Software: Release 7.0. College Station (TX): Stata Corporation, 2001.

  28. SPSS for Windows. V. 10.0.0 Chicago (IL): SPSS Inc. Statistical Program for Social Sciences, 1999. Available from: http://www.spss.com/

  29. Ministerio de Salud de Chile. Informe del Ministerio de Salud. Santiago de Chile: Ministerio de Salud 1998.

  30. Wang Y, Monteiro C, Popkin BM. Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China and Russia. Am J Clin Nutr 2002; 75:971-977.

  31. Porrata C, Suárez A, Hernández M, Jiménez S, Argüelles J, Cabrera A. Dieta y salud en Cuba. Arch Latinoam Nutr 1995;45(1-S):214-219.

  32. Dietz W, Bellizzi M. Introduction: The use of body mass index to assess obesity in children. Am J Clin Nutr 1999;70:123S-125S.

  33. World Health Organization. Physical status: The use and interpretation of anthropometry: Report of a WHO Expert Committee. Geneva: WHO; 1994; Tech Rep Ser 854.

  34. Must A, Dallal GE, Dietz WH. Reference data for obesity, 85th and 95th percentiles of body mass index (wt/ht2)æ and triceps skinfold thickness. Am J Clin Nutr 1991;53:839-846. Am J Clin Nutr (correction) 1991;54:773.

  35. Rolland-Cachera MF, Cole TJ, Sempe M, Tichet J, Rossignol C, Charraud A. Body mass index variations: Centiles from birth to 87 years. Eur J Clin Nutr 1991;45(1):13-21.




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