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Instituto Nacional de Salud Pública

2005, Number 4

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salud publica mex 2005; 47 (4)

Obesity and overweight in IMSS female workers in Mexico City

Vázquez-Martínez JL, Gómez-Dantés H, Gómez-García F, Lara-Rodríguez MA, Navarrete-Espinosa J, Pérez-Pérez G

Language: English
References: 55
Page: 268-275
PDF size: 135.97 Kb.


ABSTRACT

Objective. To estimate the prevalence and risk factors for overweight (OW) and obesity (OB) in women working at the Mexican Social Security Institute (IMSS, per its abbreviation in Spanish) in Mexico City, using two different classification criteria. Material and Methods. A cross-sectional study was performed from July 1999 to September 2000. It included 588 women 20 to 65 years of age and who were working at the IMSS. The criteria used to estimate the prevalence of OW and OB were the WHO criteria and the Mexican Official Norm (NOM) for the integrated management of obesity in Mexico. Results. The frequency of OB, according to WHO criteria, was 27.6% (26% adjusted) and for OW 43.2% (40.2% adjusted). According to the NOM, the levels of OB in those with short height (‹1.50 m) increased to 75% and to 52.2% for those with height ›1.50 m. Comparison of BMI between the two height groups showed no differences. The risk factor associated with OB and OW was age. Education and exercise were protective factors. Conclusions. The high prevalences detected in this particular working group highlight the importance of prevention and control of OB in health personnel because it can result in a high number of disability and premature retirement due to disease. The use of the NOM criteria for the identification of women at risk may be useful for early detection of high-risk groups.


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  27. French SA, Store M, Jeffery RW. Environmental Influences on Eating and Physical Activity. Annu Rev Public Health 2001; 22:309-35.

  28. Lahtí-Koski M , Vartiainen E, Mansito S, Pietinen P. Age, education and occupation as determinants of trends in body mass index in Finland, 1982 to 1997. Int J Obes Relat Metab Disord 2000;24(12):1669-76.

  29. World Health Organization. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser. 1995;854:1-452.

  30. Fundación Mexicana para la Salud. Obesidad en México. Grupo Nacional de Consenso en Obesidad. México, DF: FUNSALUD, 1997.

  31. Visscher TLS, Seidell J C The public health impact of obesity. Annu Rev Public Health 2001;22:355-75.

  32. World Health Organization. Life in the 21st Century: a vision for all. The World Health Rep. Geneva Switzerland:WHO,1998.

  33. Peña M, Bacallao J. La Obesidad en la pobreza: un problema emergente en las Américas. En: Un nuevo reto para la salud pública. Washington, D.C: Organización Pan Americana de la Salud; 2000:3-11. (Publicación Cientifica No. 5769).

  34. Flegal KM, Carrol MD, Kuczmarski RJ, Johnson CL. Overweight and obesity in the United States: prevalence and trends, 1960-1994. Int J Obes Relat Metab Disord 1998;22(1):39-47.

  35. Mokdad AH, Serdula MK, Dietz WH, Bowman BA, Marks JS, Koplan JP. The spread of the obesity epidemic in the United Stares, 1991-1998. JAMA 1999,282(16):1519-1522.

  36. Olaiz G, Rojas R, Barquera S, Shamah T, Aguilar C, Cravioto P, López P, Hernández M, Tapia R, Sepúlveda J. Encuesta Nacional de Salud 2000. Tomo 2. La salud de los adultos. Cuernavaca, Morelos, México: Instituto Nacional de Salud Pública, 2003:36-46.

  37. Rivera Dommarco J, Shamah Levy T, Villalpando Hernández S, González de Cossío T, Hernández Prado B, Sepúlveda J. Encuesta Nacional de Nutrición 1999. Estado nutricio de niños y mujeres en México. Cuernavaca, Morelos, México: Instituto Nacional de Salud Pública, 2001.

  38. Secretaria de Salud. Norma Oficial Mexicana NOM-174-SSA1-1998, Para el manejo integral de la obesidad. México: SSA,1998.

  39. Conover WJ, Iman RL. Rank transformations as a bridge between parametric and nonparametric statistics. Amer Statistician 1981;35:124-133.

  40. Ananth CV, Kleinbaum DG. Regression Models for Ordinal Responses: A review of Methods an Applications. Int J Epidemiol 1997;26(6):1323-33.

  41. World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation presented at: the World Health Organization; June3-5, 1997; Geneva, Switzerland. Publication WHO/NUT/NCD/98.1.

  42. Hernández B, Peterson K, Sobol A, Rivera J, Sepúlveda J, Lezana MA. Obesity among 12-49 year-old women and children aged under five in Mexico. Salud Publica Mex 1996;38:178-188.

  43. Pisabarro R, Irrazábal E, Recalde A. Primera Encuesta Nacional de Sobrepeso y Obesidad (ENSO I). Rev Med Uruguay 2000;16:31-38.

  44. Stern C. Tuirán R. Transición demográfica y desigualdad social en México. Ponencia presentada en la IV Conferencia Latinoamericana de Población. La transición demográfica y desigualdad social en América Latina y el Caribe, México, marzo de 1993.

  45. Hernandez B, Gortmaker SL, Colditz GA, Peterson KE, Laird NM, Parra-Cabrera S. Association of obesity with physical activity, television programs and other forms of video viewing among children in Mexico City. Int J Obes 1999;23(8):845-54.

  46. Dietz WH. Gortmaker SL. Preventing Obesity in Children and Adolescents. Annu Rev Public Health 2001;22:337-53.

  47. Huang Z, Willet WC, Manson JE, Rosner B, Stampfer MJ, Speizer FE, Colditz GA. Body weight, weight change, and risk for hypertension in women. Ann Intern Med 1998;128:81-88.

  48. Velázquez-Monroy O, Rosas-Peralta M, Lara-Esqueda A, Gustavo Pastelín-Hernández G. Hipertensión arterial en México: Resultados de la Encuesta Nacional de Salud (ENSA) 2000. Arch Cardiol Mex 2002;72:71-84.

  49. Ko GTC, Chan JCN, Cockram CS, Woo J. Prediction of hypertension, diabetes, dyslipidaemia or albuminuria using simple anthropometric indexes in Hong Kong Chinese. Int J Obes Relat Metab Disord 1999;23:1136-1142.

  50. National Institute of Health, NHLBI. Obesity Education Initiative; North American Association for the Study of Obesity. The practical guide to the identification, evaluation and treatment of overweight and obesity in adults. Bethesda, Maryland:NIH;2000.

  51. Rexrode KM, Hennekens CH, Willett WC, Colditz GA, Stampfer MJ, Rich-Edwards J, Speizer JE, Manson JE. A prospective study of body mass index, weight change, and risk of stroke in women. JAMA 1997;277:1539-1545.

  52. Poehlman ET, Toth MJ, Gardner AW. Changes in energy balance and body composition at menopause: A controlled longitudinal study. Ann Intern Med 1995; 123: 673-5.

  53. Pisabarro R. Metabolismo y climaterio: la visión de un endocrinólogo. Rev Med Uruguay 2000;16:144-151.

  54. French SA, Store M, Jeffery RW. Environmental Influences on Eating and Physical Activity. Annu Rev Public Health 2001; 22:309-35.

  55. Lahtí-Koski M , Vartiainen E, Mansito S, Pietinen P. Age, education and occupation as determinants of trends in body mass index in Finland, 1982 to 1997. Int J Obes Relat Metab Disord 2000;24(12):1669-76.




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