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Centro de Investigaciones Regionales Dr. Hideyo Noguchi, Universidad Autónoma de Yucatán

2018, Number 3

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Rev Biomed 2018; 29 (3)

Food shortages and abdominal obesity in schoolchildren. An association study

Peraza-López EE, Zapata-Peraza AL

Language: Spanish
References: 46
Page: 51-59
PDF size: 322.71 Kb.


ABSTRACT

Introduction. Cardiovascular diseases and the complications of diabetes mellitus account for most of adult mortality in Mexico. Abdominal obesity (AO) and alterations in blood pressure (BP) are two of its fundamental determinants. The pathological changes caused by these entities have been demonstrated in children from 3 years of age.
Objective. To analyze the association between socioeconomic status, episodes of food shortages, sedentary lifestyle and soft drinks consumption with the development of obesity and alterations in BP in children of school age in an elementary school during 2015-2016 in Mérida Yucatán México.
Materials and methods. 264 participants, aged between 6 and 12 years were evaluated for weight, height, abdominal perimeter, BP. Semi-structured interviews were used to determine socioeconomic status, episodes of food shortages, soft drinks consumption, and sedentary lifestyle. Descriptive statistics were determined; Chi-square tests and Student’s T-tests were used for association analysis.
Results. A prevalence for overweigh in terms of BMI of 28.4% was found, 28% for abdominal obesity, and 15.7% for alterations of BP. Abdominal obesity and BP alterations were associated with consumption of bottled soft drinks (p ‹0.001). In case of food shortages, the coping strategy (loan vs reorganization was asociated with AO (p = 0.019). The sex of the participant was not associated with BMI, although it was with AO (p ‹0.01).
Conclusions. Socioeconomic status is associated with alterations in BMI. in those participants who had periodic shortages of food ,the strategy employed for dealing with the issue determines the outcomes in terms of anthropometric variables.


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  24. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Final Report. Circulation 2002 Dec 17;106(25):3143.

  25. Marchesini G, Forlani G, Cerrelli F, Manini R, Natale S, Baraldi L, et al. WHO and ATPIII proposals for the definition of the metabolic syndrome in patients with Type 2 diabetes. Diabet Med J Br Diabet Assoc 2004 Apr;21(4):383–7.

  26. Zerati AE, Monteiro Guimarães AL, Miranda de Carvalho HA, Saes GF, Ragazzo L, Wolosker N, et al. Influence of criteria used in determining prevalence of metabolic syndrome (NCEP-ATPIII versus IDF) in patients with intermittent claudication. Ann Vasc Surg 2014 Apr;28(3):640–3.

  27. Alberti KGMM, Zimmet P, Shaw J. Metabolic syndrome—a new world-wide definition. A consensus statement from the international diabetes federation. Diabet Med 2006;23(5):469–480.

  28. Durán-Arenas L, Ávila-Palomares PD, Zendejas- Villanueva R, Vargas-Ruiz MM, Tirado-Gómez LL, López-Cervantes M. Costos directos de la hemodiálisis en unidades públicas y privadas. Sal Públ Méx 2011;53: 516–524.

  29. Instituto Nacional de Estadística y Geografía. Mujeres y hombres en México 2016 [Internet]. INEGI; 2016. Available from: http://internet.contenidos.inegi.org.mx/ contenidos/Productos/prod_serv/contenidos/espanol/ bvinegi/productos/nueva_estruc/702825084097.pdf

  30. Kaur J. A Comprehensive Review on Metabolic Syndrome. Cardiol Res Pract. 2014;2014:1–21.

  31. The Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents. Pediatrics 2004 Aug 1;114(Supplement 2):555.

  32. Jellinger PS, Handelsman Y, Rosenblit PD, Bloomgarden ZT, Fonseca VA, Garber AJ, et al. American Association Of Clinical Endocrinologists And American College Of Endocrinology Guidelines For Management Of Dyslipidemia And Prevention Of Cardiovascular Disease. Endocr Pract 2017 Apr;23(Supplement 2):1–87.

  33. Aguilar M, Bhuket T, Torres S, Liu B, Wong RJ. Prevalence of the metabolic syndrome in the United States, 2003-2012. Jama 2015;313(19):1973–74.

  34. Rojas R, Aguilar-Salinas CA, Jiménez-Corona A, Shamah-Levy T, Rauda J, Ávila-Burgos L, et al. Metabolic syndrome in mexican adults: results from the National Health and Nutrition Survey 2006. Sal Públ Méx 2010;52:S11–S18.

  35. Oropeza Abúndez C, Instituto Nacional de Salud Pública (Mexico), Mexico, editors. Encuesta nacional de salud y nutrición 2012: resultados nacionales. Primera edición. Cuernavaca, Morelos, México: Instituto Nacional de Salud Pública : Secretaría de Salud; 2012. 195 p.

  36. Hernandez M, Rivera J, Shamah T, Cuevas L, Gomez L, Gaona E, et al. Encuesta Nacional de Salud y Nutricion de Medio Camino 2016 (Ensanut 2016). Informe final de resultados [Internet]. México: Instituto Nacional de Salud Pública : Secretaría de Salud; 2016. 1-149 p. Available from: http://promocion.salud.gob.mx/dgps/ descargas1/doctos_2016/ensanut_mc_2016-310oct.pdf

  37. Pacifico L, Chiesa C, Anania C, De Merulis A, Osborn JF, Romaggioli S, et al. Nonalcoholic fatty liver disease and the heart in children and adolescents. World J Gastroenterol WJG. 2014 Jul 21;20(27):9055–71.

  38. Alterio A, Alisi A, Liccardo D, Nobili V. Non-Alcoholic Fatty Liver and Metabolic Syndrome in Children: A Vicious Circle. Horm Res Paediatr 2014;82(5):283–9.

  39. Coca-colonization of diets in the Yucatan. - PubMed - NCBI [Internet]. [cited 2018 Feb 27]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/15950095

  40. Mantilla Toloza SC, Gómez-Conesa A. El Cuestionario Internacional de Actividad Física. Un instrumento adecuado en el seguimiento de la actividad física poblacional. Rev Iberoam Fisioter Kinesiol:48–52.

  41. Lurbe E, Cifkova R, Cruickshank JK, Dillon MJ, Ferreira I, Invitti C, et al. Manejo de la hipertensión arterial en niños y adolescentes: recomendaciones de la Sociedad Europea de Hipertensión. Hipertens Riesgo Vasc 2018;35(1):47–74.

  42. Mirmiran P, Yuzbashian E, Asghari G, Hosseinpour- Niazi S, Azizi F. Consumption of sugar sweetened beverage is associated with incidence of metabolic syndrome in Tehranian children and adolescents. Nutr Metab 2015;12:25.

  43. Unikel Santoncini C, Díaz de León Vázquez C, Márquez R, Alberto J. Conductas alimentarias de riesgo y correlatos psicosociales en estudiantes universitarios de primer ingreso con sobrepeso y obesidad. Sal Ment 2016 Jun;39(3):141–8.

  44. Sierra F. Prevalencia de desnutrición, sobrepeso y obesidad en niños de 1 a 12 años de edad que asisten a los comedores infantiles del DIF municipal (Mérida) [Tesis de Licenciatura en Nutricion]. [México]: Universidad Autonoma de Yucatán; 2010.

  45. Nahuat E. Estado de nutrición y su relación con la morbilidad en niños de 5 a 14 años atendidos en el servicio de pediatria del Hospital [Tesis de Licenciatura en Nutricion]. [México]: Universidad Autonoma de Yucatán; 2010.

  46. Mora S. Correlación entre los índices que miden obesidad (IMC o CC) con los lípidos totales plasmáticos, en niños entre 6 y 15 años con diagnóstico de obesiad en una unidad de medicina familiar. [Tesis recepcional de la Especialidad en Medicina Familiar]. [México]: Universidad Autonoma de Yucatán; 2010.




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