2020, Number 6
<< Back Next >>
salud publica mex 2020; 62 (6)
Obesity in Mexico, prevalence and trends in adults. Ensanut 2018-19
Barquera S, Hernández-Barrera L, Trejo-Valdivia B, Shamah T, Campos-Nonato I, Rivera-Dommarco J
Language: Spanish
References: 35
Page: 682-692
PDF size: 369.65 Kb.
ABSTRACT
Objective. To describe the prevalence of obesity in Mexican
adults stratifying by physical and sociodemographic conditions
and to analyze trends.
Materials and methods. The
data of 16 256 adults who participated in Ensanut 2018-19
was analyzed. Obesity (WHO), abdominal adiposity (IFD)
and short stature (NOM-008-SSA3-2017) were classified.
Logistic regression models were performed to analyze the
association between obesity and risk factors. ENSA-2000 and
Ensanut (2006, 2012, 2018-19) were used to assess trends.
Results. The prevalence of overweight was 39.1%, obesity
36.1%, and abdominal adiposity 81.6%. Adults ›40-50y and
women had the highest prevalence. There was no difference
by socio-economic level. Between 2000-2018, the prevalence
of obesity increased 42.2% and morbid obesity 96.5%. Women
with short stature had a higher risk (RM=1.84) of being obese
than women without this condition, while in men the risk was
lower (RM=0.79).
Conclusions. In Mexico the prevalence
of obesity continues to increase regardless of socio-economic
level, region or locality.
REFERENCES
Collaboration NCDRF. Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants. Lancet. 2016;387(10026):1377- 96. https://doi.org/10.1016/S0140-6736(16)30054-X
Collaborators GBDO, Afshin A, Forouzanfar MH, Reitsma MB, Sur P, Estep K, et al. Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med. 2017;377(1):13-27. https://doi.org/10.1056/ NEJMoa1614362
Rojas-Martinez R, Basto-Abreu A, Aguilar-Salinas CA, Zarate-Rojas E, Villalpando S, Barrientos-Gutierrez T. Prevalence of previously diagnosed diabetes mellitus in Mexico. Salud Publica Mex. 2018;60(3):224-32. https:// doi.org/10.21149/8566
Hall JE, do Carmo JM, da Silva AA, Wang Z, Hall ME. Obesity-induced hypertension: interaction of neurohumoral and renal mechanisms. Circ Res. 2015;116(6):991-1006. https://doi.org/10.1161/CIRCRESAHA.116.305697
DALYs GBD, Collaborators H. Global, regional, and national disabilityadjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390(10100):1260-344. https://doi.org/10.1016/S0140- 6736(17)32130-X
Barquera S, Campos I, Rivera JA. Mexico attempts to tackle obesity: the process, results, push backs and future challenges. Obes Rev. 2013;14(Suppl 2):69-78. https://doi.org/10.1111/obr.12096
Ford ND, Patel SA, Narayan KM. Obesity in low- and middle-income countries: burden, drivers, and emerging challenges. Annu Rev Public Health. 2017;38(20):145-64. https://doi.org/10.1146/annurev-publhealth- 031816-044604
Farrell P, Thow AM, Abimbola S, Faruqui N, Negin J. How food insecurity could lead to obesity in LMICs: When not enough is too much: a realist review of how food insecurity could lead to obesity in low- and middleincome countries. Health Promot Int. 2018;33(5):812-26. https://doi. org/10.1093/heapro/dax026
Bosy-Westphal A, Plachta-Danielzik S, Dorhofer RP, Muller MJ. Short stature and obesity: positive association in adults but inverse association in children and adolescents. Br J Nutr. 2009;102(3):453-61. https://doi. org/10.1017/S0007114508190304
Lovejoy JC, Sainsbury A, Stock Conference Working G. Sex differences in obesity and the regulation of energy homeostasis. Obes Rev. 2009;10(2):154-67. https://doi.org/10.1111/j.1467-789X.2008.00529.x
Hill JL, You W, Zoellner JM. Disparities in obesity among rural and urban residents in a health disparate region. BMC Public Health. 2014;14(10):1051. https://doi.org/10.1186/1471-2458-14-1051
Sepulveda-Amor J, Lezana M, Tapia-Conyer R, Valdespino J, Madrigal H, Kumate J. Nutritional status of pre-school children and women in Mexico: results of a probabilistic national survey. Gac Med Mex. 1990;126(3):207-24.
Rivera-Dommarco J, Shamah T, Villalpando-Hernández S, González de Cossío T, Hernandez B, Sepulveda J. Encuesta Nacional de Nutrición 1999. Cuernavaca, Mexico: INSP, SSA, INEGI, 2001.
Barquera S, Campos-Nonato I, Hernandez-Barrera L, Pedroza A, Rivera-Dommarco JA. Prevalence of obesity in Mexican adults 2000-2012. Salud Publica Mex. 2013;55(Suppl 2):S151-60
Basto-Abreu A, Barrientos-Gutiérrez T, Rojas-Martínez R, Aguilar- Salinas C, López-Olmedo N, De la Cruz-Góngora V, et al. Prevalencia de diabetes y descontrol glucémico en México: resultados de la Ensanut 2016. Salud Publica Mex. 2020;(62):50-9. https://doi.org/10.21149/10752
Sturm R, Hattori A. Morbid obesity rates continue to rise rapidly in the United States. Int J Obes (Lond). 2013;37(6):889-91. https://doi. org/10.1038/ijo.2012.159
Malta DC, Silva AGD, Tonaco LAB, Freitas MIF, Velasquez-Melendez G. Time trends in morbid obesity prevalence in the Brazilian adult population from 2006 to 2017. Cad Saude Publica. 2019;35(9):e00223518. https://doi.org/10.1590/0102-311X00223518
Martorell R. Improved nutrition in the first 1000 days and adult human capital and health. Am J Hum Biol. 2017;29(2):1-12. https://doi. org/10.1002/ajhb.22952
Romero-Martínez M, Shamah T, Vielma-Orozco E, Heredia-Hernández O, Mojica-Cuevas J, Cuevas-Nasu L, et al. Encuesta Nacional de Salud y Nutrición 2018-19: metodología y perspectivas. Salud Publica Mex. 2019;61(1):917-23. https://doi.org/10.21149/11095
World Health Organization. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. WHO Technical Report Series 854. Ginebra: World Health Organization, 1995.
Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, et al. Harmonizing the metaboli c syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation. 2009;120(16):1640-5. https://doi.org/10.1161/CIRCULATIONAHA. 109.192644
Secretaría de Salud. NORMA Oficial Mexicana NOM-008-SSA3-2017, Para el tratamiento integral del sobrepeso y la obesidad [internet]. México: Secretaría de Salud, 2018 [citado septiembre 8, 2020]. Disponible en: https://dof.gob.mx/nota_detalle.php?codigo=5523105&fecha=18/05/2018
Gutiérrez J, 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: Instituto Nacional de Salud Pública, 2012.
Melgar H. Informe sobre taller regional: Armonización de la Escala Latinoamericana y Caribeña de Seguridad Alimentaria [internet]. Cuernavaca: Instituto Nacional de Salud Pública, 2010 [citado septiembre 8, 2020]. Disponible en: https://es.calameo.com/books/0004868814e5f5eefb501
Olaiz G, Rojas R, Barquera S, Shamah T, Aguilar C, Cravioto P, et al. Encuesta Nacional de Salud 2000. Tomo 2. La salud de los adultos. Cuernavaca: Instituto Nacional de Salud Pública, 2003.
Olaiz G, Rivera-Dommarco J, Shamah T, Rojas R, Villalpando S, Hernández A. Encuesta Nacional de Salud y Nutrición 2006. Cuernavaca: Instituto Nacional de Salud Pública, 2006.
Inskip H, Beral V, Fraser P, Haskey J. Methods for age-adjustment of rates. Stat Med. 1983;2(4):455-66. https://doi.org/10.1002/sim.4780020404
World Health Organization. Health information. Standard population density [internet]. Ginebra: WHO, 2020 [citado septiembre 8, 2020]. Disponible en: https://apps.who.int/healthinfo/statistics/mortality/whodpms/ definitions/pop.htm
National Academies of Sciences Engineering and Medicine (U.S.). Committee on Evaluating Approaches to Assessing Prevalence and Trends In Obesity. Assessing prevalence and trends in obesity: navigating the evidence. Washington DC: National Academies Pres, 2016.
Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945):766-81. https://doi. org/10.1016/S0140-6736(14)60460-8
Romero-Corral A, Somers VK, Sierra-Johnson J, Thomas RJ, Collazo- Clavell ML, Korinek J, et al. Accuracy of body mass index in diagnosing obesity in the adult general population. Int J Obes (Lond). 2008;32(6):959- 66. https://doi.org/10.1038/ijo.2008.11
McTigue KM, Hess R, Ziouras J. Obesity in older adults: a systematic review of the evidence for diagnosis and treatment. Obesity (Silver Spring). 2006;14(9):1485-97. https://doi.org/10.1038/oby.2006.171
Mindell JS, Moody A, Vecino-Ortiz AI, Alfaro T, Frenz P, Scholes S, et al. Comparison of Health Examination Survey Methods in Brazil, Chile, Colombia, Mexico, England, Scotland, and the United States. Am J Epidemiol. 2017;186(6):648-58. https://doi.org/10.1093/aje/kwx045
The Lancet Diabetes E. Sweet success: will sugar taxes improve health? Lancet Diabetes Endocrinol. 2017;5(4):235. https://doi.org/10.1016/S2213- 8587(17)30070-0
Arora M, Barquera S, Farpour-Lambert NJ, Hassell T, Heymsfield SB, Oldfield B, et al. Stigma and obesity: the crux of the matter. Lancet Public Health. 2019;4(11):e549-e50. https://doi.org/10.1016/S2468- 2667(19)30186-0