Pinto G, Beltrán-Sánchez H

Language: English
References: 23
Page: 15-21
PDF size: 273.45 Kb.

ABSTRACT

Objective. To prospectively assess the relationship between overweight/obesity and incidence of type 2 diabetes mellitus (T2DM) among Mexicans aged 50+, assessing effects of age, genetic predisposition, education, physical activity, and place of residence. Materials and methods. The Mexican Health and Aging Study (MHAS) was used to prospectively follow respondents free of diabetes in 2001 who became diabetic by 2012. Multivariate random effects logistic regression was used to assess covariates effects on the incidence of T2DM. Results. Obese or overweight individuals at baseline (2001) were about 3 and 2 times, respectively, significantly more likely to become diabetic by 2012. Genetic predisposition increases the risk of diabetes by about three times compared to those with no family history of diabetes. Conclusion. Overweight/ obesity and genetic predisposition are the primary drivers of diabetes incidence among Mexican older adults. Reducing body weight and having access to health care may ameliorate the disease burden of T2DM.

REFERENCES

1. Food and Agriculture Organization of the United Nations. The state of food and agriculture 2013. Rome: FAO, 2013.

2. Barquera S, Campos-Nonato I, Aguilar-Salinas C, López-Ridaura R, Arredondo A, Rivera-Dommarco J. Diabetes in Mexico: cost and management of diabetes and its complications and challenges for health policy. Global Health 2013;9:3.

3. Hernández-Ávila M, Gutiérrez JP, Reynoso-Noverón N. Diabetes mellitus en México. El estado de la epidemia. Salud Publica Mex 2013;55 suppl 2:129-136.

4. Beltrán-Sánchez H, Crimmins EM. Biological risk in the Mexican population at the turn of the 21st Century. J Cross Cul Gerontol 2013;28(3):299-316.

5. García-García E, Aguilar-Salinas CA, Tusié-Luna T, Rull-Rodrigo JA. Earlyonset type 2 diabetes in Mexico. Isr Med Assoc J 2002;4(6):444-448.

6. Aguilar-Salinas CA, Vázquez-Chávez C, Gamboa-Marrufo R, García-Soto N, de Jesús Ríos-González J, Holguín R, et al. Obesity, diabetes, hypertension, and tobacco consumption in an urban adult Mexican population. Arch Med Res 2001;32(5):446-453.

7. Smith KV, Goldman N. Socioeconomic differences in health among older adults in Mexico. Soc Sci Med 2007;65(7):1372-1385.

8. Wong R, Ofstedal M, Yount K, Agree E. Unhealthy lifestyles among older adults: exploring transitions in Mexico and the U.S. Eur J Ageing 2008;5(4):311-326.

9. González C, Stern MP, González E, Rivera D, Simón J, Islas S, et al. The Mexico City Diabetes Study: a population-based approach to the study of genetic and environmental interactions in the pathogenesis of obesity and diabetes. Nutr Rev 1999;57(5):71-76.

10. Wong R, Peláez M, Palloni A, Markides K. Survey data for the study of aging in Latin America and the Caribbean: selected studies. J Aging Health 2006;18:157-179.

11. WHO Expert Committee on Physical Status. Physical status : the use and interpretation of anthropometry : report of a WHO Expert Committee. Geneva: WHO, 1995.

12. Gutiérrez JP, Rivera-Dommarco J, Shamah-Levy T, Villalpando-Hernández S, Franco A, Cuevas-Nasu L, et al. Encuesta Nacional de Salud y Nutrición 2012. Resultados Nacionales. Cuernavaca, México: INSP, 2012.

13. Rivera JA, Barquera S, Campirano F, Campos I, Safdie M, Tovar V. Epidemiological and nutritional transition in Mexico: rapid increase of non-communicable chronic diseases and obesity. Public Health Nutr 2002;5(1A):113-122.

14. Rivera JA, Barquera S, González-Cossío T, Olaiz G, Sepúlveda J. Nutrition transition in Mexico and in other Latin American countries. Nutr Rev 2004;62(7 Pt 2):S149-S157.

15. Palloni A, Beltrán-Sánchez H, Novak B, Pinto G, Wong R. Adult obesity, disease and longevity in Mexico. Salud Publica Mex 2015;57 suppl 1:S22-S30.

16. Andrade FCD. Measuring the Impact of diabetes on life expectancy and disability-free life expectancy among older adults in Mexico. J Gerontol B Psychol Sci Soc Sci 2010 2010;65B(3):381-389.

17. Knaul FM, González-Pier E, Gómez-Dantés O, García-Junco D, Arreola-Ornelas H, Barraza-Lloréns M, et al. The quest for universal health coverage: achieving social protection for all in Mexico. Lancet 2012;380(9849):1259-1279.

18. Beltrán-Sánchez H, Drummond-Andrade FC, Riosmena F. Contributions of socioeconomic factors and health care access on the awareness and treatment of diabetes and hypertension among older Mexican adults. Salud Publica Mex 2015;57suppl1:S6-S14.

19. González-Villalpando C, López-Ridaura R, Campuzano JC, González- Villalpando ME. The status of diabetes care in Mexican population: are we making a difference? Results of the National Health and Nutrition Survey 2006. Salud Publica Mex 2010;52:S36-S43.

20. Ávila-Burgos L, Cahuana-Hurtado L, González-Domínguez D, Centro de Investigación en Sistemas de Salud (Mexico). Cuentas en diabetes mellitus, enfermedades cardiovasculares y obesidad: México 2006. 1. ed. Cuernavaca, Morelos, México: INSP, 2009.

21. CONAPO. Principales causas de mortalidad en Mexico, 1980-2007 [documento en internet]. 2010. [consultado el 1 de noviembre de 2013]. Disponible en: http://www.conapo.gob.mx/en/CONAPO/Principales_causas_ de_mortalidad_en_Mexico_1980__2007

22. Ávila-Funes JA, Gutiérrez-Robledo LM, Ponce-De León-Rosales S. Validity of height and weight self-report in Mexican adults: Results from the National Health and Aging Study. Journal Nutr Health Aging 2004;8(5):355-361.

23. Palloni A, Soldo B, Wong R. The accuracy of self-reported anthropometric: obesity and older Mexicans. Population Association of America Meetings; 2003; May 1-3; Minneapolis, USA.