Flores M, Carrión C, Barquera S

Language: Spanish
References: 14
Page: 447-450
PDF size: 105.58 Kb.

ABSTRACT

Objective. To assess the effects of maternal overweight and obesity as risk factors for overweight and obesity in Mexican school-age children (5 to 11 years old) who participated in the National Nutrition Survey 1999 (NNS-99). Material and Methods. Information obtained by the NNS-99 was used to evaluate the relationship between maternal overweight and obesity and overweight or obesity in schoolage children. Multivariate logistic regression analysis was used. Results. A total of 9 259 children were studied. The prevalence of overweight or obesity was 19%, according to the criteria suggested by Cole. Thirty-nine percent of mothers were overweight and 26.4% were obese. After controlling for age, gender, and other sociodemographic characteristics, children of overweight mothers had a 1.9 times higher risk of being obese (95%CI 1.62-2.18), and children of obese mothers had a 3.4 times higher risk of being obese (95%CI 2.96-4.00), compared to children of mothers with normal BMI. Conclusion. Maternal overweight and obesity are risk factors for overweight or obesity in Mexican school-age children. Interventions to prevent obesity in children should be aimed towards promoting family lifestyle changes and modifying obesigenic environments.

REFERENCES

1. Martorell R, Kettel Khan L, Hughes ML, Grummer-Strawn LM. Overweight and obesity in preschool children from developing countries. Int J Obes Relat Metab Disord 2000;24:959-967.

2. Hernández B, Cuevas-Nasu L, Shamah-Levy T, Monterrubio EA, Ramírez-Silva CI, García-Feregrino R et al. Factores asociados con sobrepeso y obesidad en niños mexicanos de edad escolar: resultados de la Encuesta Nacional de Nutrición 1999. Salud Publica Mex 2003;45 Supl 4:S551- S557.

3. Must A, Anderson SE. Effects of obesity on morbidity in children and adolescents. Nutr Clin Care 2003;6:4-12.

4. Resano-Pérez E, Méndez-Ramírez I, Shamah-Levy T, Rivera J, Sepúlveda-Amor J. Metodología de la Encuesta Nacional de Nutrición 1999. Salud Publica Mex 2003;45 Supl 4: S558-S564.

5. Lohman T, Roche A, Martorell R. Anthropometrics standardization reference manual. Champaign, IL: Human Kinetics Books, 1988.

6. Barquera S, Rivera J, Safdie M, Flores M, Campos-Nonato, Campirano F. Ingesta de energía y nutrientes en niños mexicanos preescolares y escolares: Encuesta Nacional de Nutrición, 1999. Salud Publica Mex 2003; 45 Supl 4:S530-S539.

7. Hosmer DW, Lemeshow S. Applied logistic regression. New York: John Wiley and Sons, 1989.

8. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000;320:1240-1243.

9. Whitaker RC. Predicting preschooler obesity at birth: the role of maternal obesity in early pregnancy. Pediatrics 2004;114:e29-e36.

10. Parsons TJ, Power C, Manor O. Fetal and early life growth and body mass index from birth to early adulthood in 1958 British cohort: longitudinal study. BMJ 2001;323:1331-1335.

11. Maes HH, Neale MC, Eaves LJ. Genetic and environmental factors in relative body weight and human adiposity. Behav Genet 1997;27:325-351.

12. Kromeyer-Hauschild K, Zellner K, Jaeger U, Hoyer H. Prevalence of overweight and obesity among school children in Jena (Germany). Int J Obes 1999;23:1143-4450.

13. Krahnstoever K, Lipps L. Obesigenic families: parent´s physical activity and dietary intake patterns predict girls´risk of overweight. Int J Obes 2002;26:1186-1193

14. American Academy of Pediatrics. Committee on Nutrition. Policy Statement. Prevention of pediatric overweight and obesity. Pediatrics 2003;112(2):424-430.