medigraphic.com

2012, Number 2

<< Back Next >>

Rev Med Inst Mex Seguro Soc 2012; 50 (2)

The family dysfunction as a risk factor of obesity in Mexican school children

González-Rico JL, Vásquez-Garibay EM, Cabrera-Pivaral CE, González-Pérez GJ, Troyo-Sanromán R

Language: Spanish
References: 25
Page: 127-134
PDF size: 53.44 Kb.


ABSTRACT

Background: it has been demonstrated that children obesity is a multifactorial disease and probably, the alteration of the family dynamic is another potential risk factor. The objective was to identify the association between obesity and family dysfunction in school children who attend to a family medicine unit.
Methods: case and control study at Mexican Social Security Institute in Guadalajara, Jalisco, Mexico. Sociodemographic factors and family dynamic of obese and non-obese subjects (n = 452) of six to nine years old from nuclear families were achieved.
Results: the association between family dysfunction and obesity was [OR = 1.63 (1.08-2.46), p = 0.01]. Area II, Identity formation and area VI, Discipline and methods showed a lower score in cases of children with obesity (p ‹ 0.001 y p = 0.005, respectively). In a logistic regression model family dysfunction [RM 1.79 (1.19, 2.71), p = 0.005] and low literacy of mothers [RM 1.61 (1.06, 2.45), p = 0.02)] were risk factors for obesity in school children.
Conclusions: the results showed an association between family dysfunction and obesity in school children. We suggest to consider it in the prevention of obesity in Mexican school children.


REFERENCES

  1. Kimm S, Obarsanek E. Childhood obesity: a new pandemic of the new millennium. Pediatrics 2002;110(5):1003- 1007.

  2. Sinha R, Fisco G, Teague B, Tamborlane W, Banyas B, Allen K, et al. Prevalence of impaired glucose tolerance among children and adolescents with marked obesity. N Engl J Med 2002;346(11):802-810. Disponible en http://www. nejm.org/doi/pdf/10.1056/NEJMoa012578

  3. Dehghan M, Akhtar-Danesh N, Merchant AT. Childhood obesity, prevalence and prevention. Nutr J 2005;4:24-31. Disponible en http://www.ncbi.nlm.nih.gov/pmc/articles/ PMC1208949/?tool=pubmed

  4. 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. Disponible en http://www.insp.mx/encuesta-nacional-saludy- nutricion-2006.html

  5. Flores-Huerta S, Pérez-Cuevas R, Garduño-Espinosa J, Reyes-Morales H, Rodríguez-Ortega E, Muñoz-Hernández O. Una mirada desde los servicios de salud a la nutrición de la niñez mexicana II. Problemas emergentes: sobrepeso y obesidad. Bol Med Hosp Infant Mex 2007; 64:399-407. Disponible en http://www.medigraphic.com/ pdfs/bmhim/hi-2007/hi076h.pdf

  6. Toussaint G. Patrones de dieta y actividad física en la patogénesis de la obesidad en el escolar urbano. Bol Med Hosp Infant Mex 2000;57(11):650-661. Disponible en http:// www.fondonestlenutricion.org/pdf/menu%20superior/ publicaciones/revistas/patron_d_act_fis.pdf

  7. Sothern M, Gordon S. Prevention of obesity in young children: a critical challenge for medical professionals. Clin Pediatr 2003;42(2):101-111.

  8. Vásquez-Garibay E, Sánchez E, Navarro E, Romero E, Pérez L, Kumazawa M. Instrumento de medición de la dinámica de la familia nuclear mexicana: un enfoque cuantitativo. Bol Med Hosp Infant Mex 2003;60(1):33-52.

  9. Nápoles-Rodríguez F, Ceballos González A, Sánchez- Talamantes E, González-Rico JL, Romero-Velarde E, Vásquez-Garibay E. Grado de correlación de la percepción de la dinámica familiar entre ambos padres de preescolares que acuden a guarderías del DIF Jalisco. Bol Med Hosp Infant Mex 2005;62(3):177-188. Disponible en http://www. scielo.org.mx/scielo.php?pid=S1665-11462005000300004 &script=sci_arttext

  10. Baughcum AE, Chamberlin LA, Deeks CM, Powers SW, Whitaker RC. Maternal perceptions of overweight preschool children. Pediatrics 2000;106(6):1380-1386.

  11. Huerta-Martínez N, Valadés B, Sánchez L. Frecuencia de disfunción familiar en una clínica de medicina familiar del ISSSTE en la ciudad de México. Arch Med Fam 2001;3 (4):95-98.

  12. Habitch JP. Estandarización de métodos epidemiológicos cuantitativos sobre el terreno. Bol Oficina Panam Salud 1974;76:375-384.

  13. Vásquez-Garibay E, Romero-Velarde E. Valoración del estado nutricional del niño en México. Bol Med Hosp Infant Mex 2001;58(8):476-490.

  14. Frisancho RA. Anthropometrics standard for the assessment of growth and nutritional status. Michigan: University of Michigan Press; 1990. p. 9-30.

  15. Korbonits M, Gueorguiev M, O’Grady E, Lecoeur C, Swan DC, et el. variation in the ghrelin gene increases weight and decreases insulin secretion in tall, obese children. J Clin Endocrinol Metab 2002;87(8):4005-4008. Disponible en http://jcem.endojournals.org/content/87/8/4005. full.pdf+html

  16. Hyppönen E, Virtanen SM, Kenward MG, Knip M, Akerblom HK. Obesity, increased linear growth, and risk of type 1 diabetes in children. Diabetes Care 2000;23(12):1755- 1760.

  17. Zametkin A, Zoon C, Klein H, Munson S. Psyquiatric aspects of child and adolescent obesity: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry 2004; 43(2):134-150.

  18. Sothern M, Gordon ST. Prevention of obesity in young children: a critical challenge for medical professionals. Clin Pediatr 2003;42(2):101-111.

  19. Johnson JG, Cohen P, Kasen S, Brooks JS. Childhood adversities associated with risk for eating disorders or weight problems during adolescent or early adulthood. Am J Psychiatry 2002;159(3):394-400.

  20. Salmon J, Timperio A, Telford A, Carver A, Crawford D. Association of family environment with children’s television viewing and with low level of physical activity. Obes Res 2005;13(11):1939-1951.

  21. Veugelers PJ, Fitzgerald AL. Prevalence of and risk factors for childhood overweight and obesity. CMAJ 2005; 173(6):607-613. Disponible en http://www.ncbi.nlm.nih. gov/pmc/articles/PMC1197160/?tool=pubmed

  22. Bhargava A, Jolliffe D, et al. Socio-economic, beha-vioural and environmental factors predicted body weights and household food insecurity scores in the early childhood longitudinal Study-Kindergarten. Br J Nutr 2008;100(2):438-444.

  23. Pelcastre-Villafuerte B, Riquer-Fernández F, de León-Reyes V, Reyes-Morales H, Gutiérrez-Trujillo G, Brofman M. ¿Qué se hace para no morir de hambre? Dinámicas domésticas y alimentación en la niñez en un área rural de extrema pobreza de México. Salud Publica Mex 2006;48 (6):490-497. Disponible en http://redalyc.uaemex.mx/src/ inicio/ArtPdfRed.jsp?iCve=10648607

  24. du Prel X, Krämer U, Behrendt H, Ring J, Oppermann H, Schikowski T, et al. U. Preschool children´s health and its association with parental education and individual living con-ditions in East and West Germany. BMC Public Health. 2006; 6:312 Disponible en http://www.ncbi.nlm. nih.gov/pmc/articles/PMC1769487/?tool= pubmed

  25. Sandoval-Montes IE, Romero-Velarde E, Vásquez- Garibay EM, González-Rico JL, Martínez-Ramírez HR, Sánchez-Talamantes E, Troyo-Sanromán R. Obesidad en niños. Factores socioeconómicos, demográficos y familiares. Rev Med Inst Mex Seguro Soc 2010;48(5):485- 490. Disponible en http://edumed.imss.gob.mx/edumed/ rev_med/pdf/gra_art/A935.pd f




2020     |     www.medigraphic.com