Salinas-Martínez AM, Mathiew-Quirós Á, Hernández-Herrera RJ, González-Guajardo EE, Garza-Sagástegui MG

Language: Spanish
References: 30
Page: 26-33
PDF size: 141.69 Kb.

ABSTRACT

Background: Prevalence of overweight and obesity in children under 5 years can be affected by type of anthropometric indicator and selected threshold values. We assessed variation on estimates according to national and international regulations (NOM-031-SSA2-1999, NOM-008- SSA3-2010, GPC-SSA-025-08 and GPC-IMSS-029-08; WHO-2006, CDC-2000 and IOTF, respectively).
Methods: Cross-sectional study in all the daycare centers (100 %) affiliated to Instituto Mexicano del Seguro Social-Nuevo León during June- December, 2010 (n = 11 141 children). Overweight and obesity were defi ned on the basis of each regulation, and total and stratified prevalences by age and sex were estimated.
Results: According to national regulation, overweight/obesity estimates varied from 12 to 22 %, and to international normativity, from 3 to 14 %. The highest prevalence was given by NOM-008-SSA3-2010 and GPCSSA- 025-08; and the lowest by WHO-2006. There were no differences by sex, but they existed by age; the highest discrepancy occurred in the 3.0-3.9 age group with 28 %.
Conclusion: Health personnel and health policy makers should be aware of variation on estimates according to the definition employed. We recommend to standardize national regulation for pointing out overweight/ obesity in preschoolers.

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