2011, Number 1
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Bol Med Hosp Infant Mex 2011; 68 (1)
General guidelines established for the sale or distribution of food and beverages consumed in basic education establishments: crytical analysis of the AGREEMENT
Flores HS, Klünder KM, Medina BP
Language: Spanish
References: 21
Page: 69-78
PDF size: 320.22 Kb.
ABSTRACT
This paper offers a critical analysis of the AGREEMENT under which the general guidelines to sell or distribute foods and beverages in elementary school cafeterias has been established. This is a legal instrument established by the Ministry of Public Education and Health to regulate that foods and beverages sold and consumed in school cafeterias will be healthful in order to reduce the high rates of overweight and obesity in school-aged children. All of the chapters in the AGREEMENT have been analyzed to determine their pertinence to overcome the problem of overweight and obesity: legal aspects, physical characteristics of the cafeteria, and the committees to determine the functions of the cafeteria. Furthermore, analyses have been made of the scientific terms where the nutritional composition of the healthy products is defined. It is expected that foods and beverages sold in school cafeterias will be changed to healthful items over the next 3 years. A list of statements considered as strengths or weaknesses is presented as well as a table that includes several actions that could be undertaken by teachers, parents, students and school authorities within the school and the surroundings to reduce the problem of overweight and obesity in children.
REFERENCES
Rivera Dommarco J, Shamah Levy T, Villalpando Hernández S, González de Cossío T, Hernández Prado B, Sepúlveda J, eds. Encuesta Nacional de Nutrición 1999. Estado nutricio de niños y mujeres en México. Cuernavaca, Morelos, México: Instituto Nacional de Salud Pública; 2001.
Olaiz-Fernández G, Rivera-Dommarco J, Shamah-Levy T, Rojas R, Villalpando-Hernández S, Hernández-Avila M, Sepúlveda Amor J. Encuesta Nacional de Salud y Nutrición 2006. Cuernavaca, México: Instituto Nacional de Salud Pública; 2006.
Monteiro R, Azevedo I. Chronic inflammation in obesity and the metabolic syndrome. Mediators Inflamm 2010; 2010: Article ID 289645. doi: 10.1155/2010/289645.
Juárez-López C, Klünder-Klünder M, Medina-Bravo P, Madrigal-Azcárate A, Mass-Díaz E, Flores-Huerta S. Insulin resistance and its association with the components of the metabolic syndrome among obese children and adolescents. BMC Public Health 2010;10:318.
Flores-Huerta S, Klünder-Klünder M, Reyes de la Cruz L, Santos JI. Increase in body mass index and waist circumference is associated with high blood pressure in children and adolescents in Mexico City. Arch Med Res 2009;40:208-215.
World Health Organization. 2008-2013 Action plan for the global strategy for the prevention and control of noncommunicable diseases; 2008.
Terán-Garcia M, Lakka HM. Obesidad: el reto que se avecina. In: Vargas-Parada L, Laclette JP, eds. La Medicina Genómica: Una Nueva Síntesis. México: Fundación Mexicana para la Salud. Instituto Nacional de Medicina Genómica. Fondo de Cultura Económica; 2010.
U.S. Surgeon General. Overweight and obesity health consequences. Rockville: MD. 2001. Disponible en: http://www.surgeongeneral.gov/topics/obesity/calltoaction/fact_consequences.htm> (fecha de acceso: 27 de octubre de 2010).
Daniels SR, Arnett DK, Eckel RH, Gidding SS, Hayman LL, Kumanyika S, et al. Overweight in children and adolescents: pathophysiology, consequences, prevention, and treatment. Circulation 2005;111:1999-2012.
Secretaría de Salud. Programa Nacional de Salud 2007-2012. Por un México sano: construyendo alianzas para una mejor salud. México: Secretaría de Salud; 2007.
Flores Huerta S, Klünder Klünder M, Medina Bravo P. La escuela primaria como ámbito de oportunidad para prevenir el sobrepeso y la obesidad en niños. Bol Med Hosp Infant Mex 2008;65:626-638.
Meléndez G. Factores asociados con el sobrepeso y la obesidad en el ambiente escolar. México: Ed. Médica Panamericana; 2008.
Committee on Nutrition Standards for Foods in Schools, Food and Nutrition Board. Stallings V, Yaktine A, eds. Nutrition Standards for Foods in Schools: Leading the Way toward Healthier Youth. Washington DC: The National Academies Press; 2007.
Lobstain T, Baur LA. Polices to prevent childhood obesity in the European Union. Eur J Public Health 2005;15:576-579.
Secretaría de Salud. ACUERDO mediante el cual se establecen los lineamientos generales para el expendio o distribución de alimentos y bebidas en los establecimientos de consumo escolar de los planteles de educación básica. México: Diario Oficial de la Federación. 2010. Disponible en: http://www.dof.gob.mx/nota_detalle.php?codigo=5156173&fecha=23/08/2010.
Secretaría de Salud. Acuerdo Nacional para la Salud Alimentaria. Estrategia contra el sobrepeso y la obesidad. México: Secretaría de Salud. 2010. Disponible en: http://portal.salud.gob.mx/sites/salud/descargas/pdf/ANSA_acuerdo_original.pdf
Wansink B, Just DR, McKendry J. Lunch line redesign. New York Times. Octubre 21, 2010.
World Health Organization. Set of recommendations on the marketing of foods and non-alcoholic beverages to children. 2010. Disponible en: http://whqlibdoc.who.int/publications/2010/9789241500210_eng.pdf
World Health Organization. Global strategy on diet, physical activity and health. Resolution of the Fifty-seventh World Health Assembly. WHA55.23. 2004. Disponible en: http://www.who.int/dietphysicalactivity/strategy/eb11344/strategy_english_web.pdf
Cámara de Senadores de México. Dictámenes de las Comisiones Unidas de Salud y de Estudios Legislativos, Segunda, en relación con los artículos 301 y 307 de la Ley General de Salud. Gaceta del Senado, 2010; Año II Primer Periodo Ordinario 172:1-14. Disponible en: http://www.senado.gob.mx/sgsp/gaceta/61/2/2010-11-05-1/assets/documentos/gaceta.pdf
Secretaría de Salud. Programa de Acción Específico 2007- 2012 Escuela y Salud. México: Secretaría de Salud; 2009. Disponible en: http://www.promocion.salud.gob.mx/dgps/descargas1/programas/programa_escuela_salud.pdf