medigraphic.com
Boletín Médico del Hospital Infantil de México

2012, Number 6

<< Back Next >>

Bol Med Hosp Infant Mex 2012; 69 (6)

Obesity, eating behavior, and food insecurity among adolescents in Mexico City

Ortiz-Hernández L, Rodríguez-Magallanes M, Melgar-Quiñónez H

Language: Spanish
References: 48
Page: 431-441
PDF size: 235.15 Kb.


ABSTRACT

Background. Food insecurity is presented when there is a limited availability of food that is nutritionally adequate. Food disinhibition refers to excessive eating in the absence of hunger. We analyzed the relationship among food insecurity, dietary disinhibition, food consumption and obesity in adolescents of Mexico City.
Methods. A cross-sectional survey was carried out with a convenience sample (n = 543) of adolescents in Mexico City. Food insecurity was the independent variable and was assessed through the U.S. Household Food-Security/Hunger Survey Module. Food consumption, dietary disinhibition (assessed through an ad hoc inventory), and nutritional status (overweight using body mass index, obesity through triceps and subscapular skinfolds, abdominal obesity by waist circumference) were the dependent variables. Logistic regression models were estimated to assess the existence of associations.
Results. Adolescents who experienced food insecurity had a higher probability of reporting an indicator of dietary disinhibition (hunger due to stimuli), higher intake of animal food and higher rate of abdominal obesity. In the logistic regression models it was observed that the higher probability of abdominal obesity among adolescents with food insecurity without hunger was partially due to another indicator of dietary disinhibition (fast eating).
Conclusions. In this sample of adolescents, food insecurity was related to higher probability of abdominal obesity. More studies are necessary to explore this problem in depth and confirm the possible mediating role of dietary disinhibition.



REFERENCES

  1. Del Río-Navarro BE, Velázquez-Monroy O, Sánchez-Castillo CP, Lara-Esqueda A, Berber A, Fanghänel G, et al. The high prevalence of overweight and obesity in Mexican children. Obes Res 2004;12:215-223.

  2. Olaiz-Fernández G, Rivera-Dommarco J, Shamah-Levy T, Rojas R, Villalpando-Hernández S, Hernández-Ávila M, et al. Encuesta Nacional de Salud y Nutrición 2006. Cuernavaca, México: Instituto Nacional de Salud Pública; 2006.

  3. Bickel G, Nord M, Price C, Hamilton W, Cook J. Guide to Measuring Household Food Security, Revised 2000. Alexandria, VA: U.S. Department of Agriculture, Food and Nutrition Service; 2000. Disponible en: http://www.fns.usda.gov/fsec/ files/fsguide.pdf

  4. Dietz WH. Does hunger cause obesity? Pediatrics 1995;95:766-767.

  5. Dubois L, Farmer A, Girard M, Porcherie M. Family food insufficiency is related to overweight among preschoolers. Soc Sci Med 2006;63:1503-1516.

  6. Sarlio-Lahteenkorva S, Lahelma E. Food insecurity is associated with past and present economic disadvantage and body mass index. J Nutr 2001;131:2880-2884.

  7. Adams EJ, Grummer-Strawn L, Chavez G. Food insecurity is associated with increased risk of obesity in California women. J Nutr 2003;133:1070-1074.

  8. Gibson D. Food stamp program participation is positively related to obesity in low income women. J Nutr 2003;133:2225-2231.

  9. Jones SJ, Frongillo EA. The modifying effects of Food Stamp Program participation on the relation between food insecurity and weight change in women. J Nutr 2006;136:1091-1094.

  10. Kaiser LL, Townsend MS, Melgar-Quiñonez HR, Fujii ML, Crawford PB. Choice of instrument influences relations between food insecurity and obesity in Latino women. Am J Clin Nutr 2004;80:1372-1378.

  11. Laraia BA, Siega-Riz AM, Evenson KR. Self-reported overweight and obesity are not associated with concern about enough food among adults in New York and Louisiana. Prev Med 2004;38:175-181.

  12. Olson CM. Nutrition and health outcomes associated with food insecurity and hunger. J Nutr 1999;129(suppl 2):521S-524S.

  13. Townsend MS, Peerson J, Love B, Achterberg C, Murphy SP. Food insecurity is positively related to overweight in women. J Nutr 2001;131:1738-1745.

  14. Alaimo K, Olson CM, Frongillo EA Jr. Low family income and food insufficiency in relation to overweight in US children: is there a paradox? Arch Pediatr Adolesc Med 2001;155:1161-1167.

  15. Casey PH, Szeto K, Lensing S, Bogle M, Weber J. Children in food-insufficient, low-income families: prevalence, health, and nutrition status. Arch Pediatr Adolesc Med 2001;155:508-514.

  16. Casey PH, Simpson PM, Gossett JM, Bogle ML, Champagne CM, Connell C et al. The association of child and household food insecurity with childhood overweight status. Pediatrics 2006;118:e1406-e1413.

  17. Gibson D. Long-term food stamp program participation is differentially related to overweight in young girls and boys. J Nutr 2004;134:372-379.

  18. Jyoti DF, Frongillo EA, Jones SJ. Food insecurity affects school children's academic performance, weight gain, and social skills. J Nutr 2005;135:2831-2839.

  19. Kaiser LL, Melgar-Quiñonez HR, Lamp CL, Johns MC, Sutherlin JM, Harwood JO. Food security and nutritional outcomes of preschool-age Mexican-American children. J Am Diet Assoc 2002;102:924-929.

  20. Matheson DM, Varady J, Varady A, Killen JD. Household food security and nutritional status of Hispanic children in the fifth grade. Am J Clin Nutr 2002;76:210-217.

  21. Ortiz-Hernández L, Acosta-Gutiérrez MN, Núñez-Pérez AE, Peralta-Fonseca N, Ruiz-Gómez Y. En escolares de la Ciudad de México la inseguridad alimentaria se asoció positivamente con el sobrepeso. Rev Invest Clin 2007;59:32-41.

  22. Oh SY, Hong MJ. Food insecurity is associated with dietary intake and body size of Korean children from low-income families in urban areas. Eur J Clin Nutr 2003;57:1598-1604.

  23. Isanaka S, Mora-Plazas M, Lopez-Arana S, Baylin A, Villamor E. Food insecurity is highly prevalent and predicts underweight but not overweight in adults and school children from Bogotá, Colombia. J Nutr 2007;137:2747-2755.

  24. Gulliford MC, Mahabir D, Rocke B. Food insecurity, food choices, and body mass index in adults: nutrition transition in Trinidad and Tobago. Int J Epidemiol 2003;32:508-516.

  25. Shariff ZM, Khor GL. Obesity and household food insecurity: evidence from a sample of rural households in Malaysia. Eur J Clin Nutr 2005;59:1049-1058.

  26. Dinour LM, Bergen D, Yeh MC. The food insecurity-obesity paradox: a review of the literature and the role food stamps may play. J Am Diet Assoc 2007;107:1952-1961.

  27. Stunkard AJ, Messick S. The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res 1985;29:71-83.

  28. Bond MJ, McDowell AJ, Wilkinson JY. The measurement of dietary restraint, disinhibition and hunger: an examination of the factor structure of the Three Factor Eating Questionnaire (TFEQ). Int J Obes Relat Metab Disord 2001;25:900-906.

  29. Kendall A, Olson CM, Frongillo EA Jr. Relationship of hunger and food insecurity to food availability and consumption. J Am Diet Assoc 1996;96:1019-1024.

  30. Dirección General de Saúde Pública, Consellería de Sanidad, Xunta de Galicia; Área de Análisis de Salud y Sistemas de Información Sanitaria, Organización Panamericana de la Salud. EPIDAT. Programa para análisis epidemiológico de datos tabulados. Version 3.1, 2006.

  31. Melgar-Quiñonez H, Zubieta AC, Valdez E, Whitelaw B, Kaiser L. Validation of an instrument to monitor food insecurity in Sierra de Manantlán, Jalisco. Salud Publica Mex 2005;47:413-422.

  32. Melgar-Quiñonez HR, Nord M, Pérez-Escamilla R, Segall-Correa AM. Psychometric properties of a modified US-household food security survey module in Campinas, Brazil. Eur J Clin Nutr 2008;62:665-673.

  33. Pérez-Escamilla R, Segall-Correa AM, Kurdian ML, Sampaio MDA, Marín-León L, Panigassi G. An adapted version of the U.S. Department of Agriculture Food Insecurity module is a valid tool for assessing household food insecurity in Campinas, Brazil. J Nutr 2004;134:1923-1928.

  34. Alvarez MC, Estrada E, Montoya EC, Melgar-Quiñonez H. Validation of a household food security scale in Antioquia, Colombia. Salud Publica Mex 2006;48:474-481.

  35. Birch LL, Fisher JO. Development of eating behaviors among children and adolescents. Pediatrics 1998;101:539-549.

  36. Ruel MT. Operationalizing dietary diversity: a review of measurement issues and research priorities. J Nutr 2003;133:3911S-3926S.

  37. Fernández JR, Redden DT, Pietrobelli A, Allison DB. Waist circumference percentiles in nationally representative samples of African-American, European-American, and Mexican-American children and adolescents. J Pediatr 2004;145:439-444.

  38. Lohman TG, Roche A, Martorell R. Anthropometric Standardization Reference Manual. Champaing, IL: Human Kinetics; 1988.

  39. Habicht JP. Standardization of quantitative epidemiological methods in the field. Bol Oficina Sanit Panam 1974;76:375-384.

  40. De Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bulletin WHO 2007;85:660-667. Disponible en: http://www.who.int/bulletin/volumes/85/9/07-043497/en/index.html

  41. World Health Organization Expert Committee. Physical status: The use and interpretation of anthropometry. Geneva: World Health Organization; 1995.

  42. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological-research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986;51:1173-1182.

  43. Jones SJ, Jahns L, Laraia BA, Haughton B. Lower risk of overweight in school-aged food insecure girls who participate in food assistance: results from the panel study of income dynamics child development supplement. Arch Pediatr Adolesc Med 2003;157:780-784.

  44. Wilde PE, Peterman JN. Individual weight change is associated with household food security status. J Nutr 2006;136:1395-1400.

  45. Ortiz-Hernández L. Price evolution of foods and nutriments in Mexico from 1973 to 2004. Arch Latinoam Nutr 2006;56:201-215.

  46. Ortiz-Hernández L, Delgado G, Hernández A. Desigualdad social, alimentación y obesidad en México. En: Bertan M, Arroyo P, eds. Antropología y Nutrición. México: FUNSALUD, UAM Xochimilco; 2006. pp. 237-256.

  47. Mazur RE, Marquis GS, Jensen HH. Diet and food insufficiency among Hispanic youths: acculturation and socioeconomic factors in the third National Health and Nutrition Examination Survey. Am J Clin Nutr 2003;78:1120-1127.

  48. Rose D, Oliveira V. Nutrient intakes of individuals from foodinsufficient households in the United States. Am J Public Health 1997;87:1956-1961.




2020     |     www.medigraphic.com