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Epidemiological and nutritional transition in Mexico: rapid increase of non-communicable chronic diseases and obesity

Published online by Cambridge University Press:  22 December 2006

Juan A Rivera
Affiliation:
Centro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública, Avenida Universidad 655 Col. Santa María Ahuacatitl´n, Cuernavaca, Morelos, Mexico, CP 62508
Simón Barquera*
Affiliation:
Centro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública, Avenida Universidad 655 Col. Santa María Ahuacatitl´n, Cuernavaca, Morelos, Mexico, CP 62508
Fabricio Campirano
Affiliation:
Centro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública, Avenida Universidad 655 Col. Santa María Ahuacatitl´n, Cuernavaca, Morelos, Mexico, CP 62508
Ismael Campos
Affiliation:
Centro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública, Avenida Universidad 655 Col. Santa María Ahuacatitl´n, Cuernavaca, Morelos, Mexico, CP 62508
Margarita Safdie
Affiliation:
Centro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública, Avenida Universidad 655 Col. Santa María Ahuacatitl´n, Cuernavaca, Morelos, Mexico, CP 62508
Víctor Tovar
Affiliation:
Centro de Investigación en Poblaciones, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, Mexico
*
*Corresponding author: Email sbarquera@insp.mx
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Abstract

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Objective:

The objective of this paper is to characterise the epidemiological and nutritional transition and their determinants in Mexico.

Design:

Age-adjusted standardised mortality rates (SMRs) due to acute myocardial infarction (AMI), diabetes mellitus and hypertension were calculated for 1980–1998. Changes in the prevalences of overweight and obesity in women and children and of dietary intake from 1988 to 1999 were also used in the analysis. Quantities of food groups purchased by adult equivalent (AE) and food expenditures away from home between 1984 and 1989 were used to assess trends. All information was analysed at the national and regional levels, and by urban and rural areas.

Results:

SMR for diabetes, AMI and hypertension increased dramatically parallel to obesity at the national and regional levels. Fat intake in women and the purchase of refined carbohydrates, including soda, also increased.

Discussion:

The results suggest that obesity is playing a role in the increased SMRs of diabetes, AMI and hypertension in Mexico. Total energy dietary intake and food purchase data could not explain the rise in the prevalence of obesity. The increases in fat intake and the purchase of refined carbohydrates may be risk factors for increased mortality. Information on physical activity was not available.

Conclusion:

SMRs due to diabetes, hypertension and AMI have increased dramatically in parallel with the prevalence of obesity; therefore actions should be taken for the prevention of obesity. Reliable information about food consumption and physical activity is required to assess their specific roles in the aetiology of obesity.

Type
Research Article
Copyright
Copyright © CABI Publishing 2002

References

1Ch´vez, A, De Ch´vez, M, Rold´n, A, Bermejo, S, Avila, A, Madrigal, H. The Food and Nutrition Situation in Mexico: A Food Consumption, Nutritional Status and Applied Programs Tendencies Report from 1960 to 1990, 1st ed. Mexico City: Editorial Pax, Mexico, 1996.Google Scholar
2Hernandez-Diaz, S, Peterson, K, Dixit, S, Hernandez-Prado, B, Parra, S, Barquera, S, Sepúlveda, J, Rivera, J. Association of maternal short stature with stunting in Mexican children: common genes vs common environment. Eur. J. Clin. Nutr. 1999; 53: 938–45.CrossRefGoogle Scholar
3Frenk, J, Frejka, T, Bobadilla, JL, Stern, C, Lozano, M, Sepúlveda, J, et al. The epidemiologic transition in Latin America [in Spanish]. Boletin de la Oficina Sanitaria Panamericana 1991; 111(6): 485–96.Google Scholar
4Omran, AR. The epidemiologic transition. A theory of the epidemiology of population change. Milbank Mem. Fund Quart. 1971; 49(4): 509–38.CrossRefGoogle ScholarPubMed
5Omran, AR. The epidemiologic transition theory. A preliminary update. J. Trop. Pediatr. 1983; 29: 305–16.CrossRefGoogle ScholarPubMed
6Bobadilla, J, Frenk, J, Lozano, R, Frejka, T, Stern, C. The epidemiologic transition and health priorities. In: Jamison, D, ed. Disease Control Priorities in Developing Countries. New York: Oxford University Press, 1993.Google Scholar
7Drewnowski, A, Popkin, BM. The nutrition transition: new trends in the global diet. Nutr. Rev. 1997; 55(2): 3143.CrossRefGoogle ScholarPubMed
8Peña, M, Bacallao, J. Obesity and poverty: an emerging problem in the Americas. In: Peña, MaBJ, ed. Obesity and Poverty: A New Public Health Challenge. PAHO Scientific Publication No. 576. Washington, DC: Pan American Health Organization, 2000; 132.Google Scholar
9Barker, DJ. The intrauterine environment and adult cardiovascular disease. Ciba Foundation Symp. 1991; 156: 310.Google ScholarPubMed
10Barker, DJ. Fetal growth and adult disease. Br. J. Obstet. Gynaecol. 1992; 99(4): 275–6.CrossRefGoogle ScholarPubMed
11Barker, DJ, Hales, CN, Fall, CH, Osmond, C, Phipps, K, Clark, PM. Type 2 (non-insulin-dependent) diabetes mellitus, hypertension and hyperlipidaemia (syndrome X): relation to reduced fetal growth. Diabetologia 1993; 36(1): 62–7.CrossRefGoogle ScholarPubMed
12Barker, DJ, Martyn, CN, Osmond, C, Hales, CN, Fall, CH. Growth in utero and serum cholesterol concentrations in adult life. BMJ 1993; 307(6918): 1524–7.CrossRefGoogle ScholarPubMed
13Phillips, DI, Hirst, S, Clark, PM, Hales, CN, Osmond, C. Fetal growth and insulin secretion in adult life. Diabetologia 1994; 37(6): 592–6.CrossRefGoogle ScholarPubMed
14: Anon. Urbanization and public health. WHO Chronicle 1967; 21(10): 428–35.Google Scholar
15Popkin, BM. The nutrition transition in low-income countries: an emerging crisis. Nutr. Rev. 1994; 52(9): 285–98.CrossRefGoogle Scholar
16Pan American Health Organization (PAHO)/World Health Organization (WHO). International Classification of Diseases, Revision 9 (ICD-9). Washington, DC: PAHO/WHO, 1978.Google Scholar
17World Health Organization (WHO). International Statistical Classification of Diseases and Related Health Problems, ICD-10. Geneva: WHO, 1992.Google Scholar
18World Health Organization (WHO). World Health Statistics Annual. Geneva: WHO, 1999.Google Scholar
19Sepúlveda-Amor, J, Lezana, MA, Tapia-Conyer, R, Valdespino, JL, Madrigal, H, Kumate, J. Nutritional status of pre-school children and women in Mexico: results of a probabilistic national survey [in Spanish]. Gaceta Medica de Mexico 1990; 126(3): 207–24.Google Scholar
20Secretaría de Salud, Dirección de Epidemiología. Encuesta Nacional de Enfermedades Crónicas. Mexico DF: Secretaría de Salud, Dirección de Epidemiología, 1993.Google Scholar
21World Health Organization (WHO). Obesity. Preventing and Managing the Global Epidemic. Report of a WHO Consultation on Obesity, 06. Geneva: WHO, 1997.Google Scholar
22National Center for Health Statistics (NCHS)/Centers for Disease Control (CDC). NCHS Growth Curves for Children, birth–18 y. Series 11, 165. DHEW Publication (PHS) 78 1650. Washington, DC: US Government Printing Office, 1978.Google Scholar
23Food and Nutrition Board Commission of Life Sciences, National Research Council. Recommended Dietary Allowances, 10th ed. Washington, DC: Subcommittee on the 10th edition of the RDAs, 1989.Google Scholar
24SPSS, Inc. SPSS for Windows, Release 10.0.0. Chicago, IL: SPSS Inc., 1999.Google Scholar
25Rivera, J, Long, K, Gónzalez-Cossío, T, Parra, S, Rivera, M, Rosado, J. Nutrición y Salud: Un Menú para la Familia. Cuadernos de Salud. Problemas Pretransicionales. Mexico: Secretaría de Salud, 1994.Google Scholar
26Instituto Nacional de Salud Pública (INSP). Encuesta Nacional de Nutrición 1999. Tomo I. Niños Menores de 5 años. Cuernavaca Morelos: INSP, 2000.Google Scholar
27Rivera-Dommarco, J, Shamah, T, Villalpando-Hernández, S, González de Cossío, T, Hernández-Prado, B, Sepúlveda, J. Encuesta Nacional de Nutrición 1999. Estado Nutricio en Niños y Mujeres en México. Cuernavaca Morelos: Instituo Nacional de Salvd Pública, 2001.Google Scholar
28Flores, M, Melgar, H, Cortes, C, Rivera, M, Rivera, J, Sepulveda, J. Consumo de energía y nutrimentos en mujeres mexicanas en edad reproductiva. Salud Pública de México 1998; 40: 161–71.CrossRefGoogle Scholar
29Cuadernos de Salud. La Mortalidad en México: Registro, Estructura y Tendencias, 1st ed. Mexico: Secretaría de Salud, 1994.Google Scholar
30Secretaría de Salud. Mortalidad 1998. Contexto Actual y Aspectos Relevantes. Perfiles Estadísticos No. 13. Mexico: Dirección General de Estadística e Informática, 1999.Google Scholar
31Campirano, F, Barquera, S, Rivera, J, Hernández-Prado, B, Flóres-López, ML, Monterrubio, E. Estimation of energy under-reporting in obese and non-obese Mexican women using different equations: analysis of the Mexican National Nutrition Survey. Ann. Nutr. Metab 2001; 45(Suppl. 1): 146.Google Scholar
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