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The double burden of undernutrition and excess body weight in Mexico.
Am J Clin Nutr 2014; 100(6):1652S-8SAJ

Abstract

BACKGROUND

In Mexico, stunting and anemia have declined but are still high in some regions and subpopulations, whereas overweight and obesity have increased at alarming rates in all age and socioeconomic groups.

OBJECTIVE

The objective was to describe the coexistence of stunting, anemia, and overweight and obesity at the national, household, and individual levels.

DESIGN

We estimated national prevalences of and trends for stunting, anemia, and overweight and obesity in children aged <5 y and in school-aged children (5-11 y old) and anemia and overweight and obesity in women aged 20-49 y by using the National Health and Nutrition Surveys conducted in 1988, 1999, 2006, and 2012. With the use of the most recent data (2012), the double burden of malnutrition at the household level was estimated and defined as the coexistence of stunting in children aged <5 y and overweight or obesity in the mother. At the individual level, double burden was defined as concurrent stunting and overweight and obesity in children aged 5-11 y and concurrent anemia and overweight or obesity in children aged 5-11 y and in women. We also tested if the coexistence of the conditions corresponded to expected values, under the assumption of independent distributions of each condition.

RESULTS

At the household level, the prevalence of concurrent stunting in children aged <5 y and overweight and obesity in mothers was 8.4%; at the individual level, prevalences were 1% for stunting and overweight or obesity and 2.9% for anemia and overweight or obesity in children aged 5-11 y and 7.6% for anemia and overweight or obesity in women. At the household and individual levels in children aged 5-11 y, prevalences of double burden were significantly lower than expected, whereas anemia and the prevalence of overweight or obesity in women were not different from that expected.

CONCLUSIONS

Although some prevalences of double burden were lower than expected, assuming independent distributions of the 2 conditions, the coexistence of stunting, overweight or obesity, and anemia at the national, household, and intraindividual levels in Mexico calls for policies and programs to prevent the 3 conditions.

Authors+Show Affiliations

From the Center for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Mexico.From the Center for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Mexico.From the Center for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Mexico.From the Center for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Mexico.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25411308

Citation

Kroker-Lobos, Maria F., et al. "The Double Burden of Undernutrition and Excess Body Weight in Mexico." The American Journal of Clinical Nutrition, vol. 100, no. 6, 2014, 1652S-8S.
Kroker-Lobos MF, Pedroza-Tobías A, Pedraza LS, et al. The double burden of undernutrition and excess body weight in Mexico. Am J Clin Nutr. 2014;100(6):1652S-8S.
Kroker-Lobos, M. F., Pedroza-Tobías, A., Pedraza, L. S., & Rivera, J. A. (2014). The double burden of undernutrition and excess body weight in Mexico. The American Journal of Clinical Nutrition, 100(6), 1652S-8S. doi:10.3945/ajcn.114.083832.
Kroker-Lobos MF, et al. The Double Burden of Undernutrition and Excess Body Weight in Mexico. Am J Clin Nutr. 2014;100(6):1652S-8S. PubMed PMID: 25411308.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The double burden of undernutrition and excess body weight in Mexico. AU - Kroker-Lobos,Maria F, AU - Pedroza-Tobías,Andrea, AU - Pedraza,Lilia S, AU - Rivera,Juan A, Y1 - 2014/10/29/ PY - 2014/11/21/entrez PY - 2014/11/21/pubmed PY - 2015/2/24/medline KW - Mexico KW - children KW - double burden KW - overweight and obesity KW - undernutrition KW - women nutrition policy SP - 1652S EP - 8S JF - The American journal of clinical nutrition JO - Am. J. Clin. Nutr. VL - 100 IS - 6 N2 - BACKGROUND: In Mexico, stunting and anemia have declined but are still high in some regions and subpopulations, whereas overweight and obesity have increased at alarming rates in all age and socioeconomic groups. OBJECTIVE: The objective was to describe the coexistence of stunting, anemia, and overweight and obesity at the national, household, and individual levels. DESIGN: We estimated national prevalences of and trends for stunting, anemia, and overweight and obesity in children aged <5 y and in school-aged children (5-11 y old) and anemia and overweight and obesity in women aged 20-49 y by using the National Health and Nutrition Surveys conducted in 1988, 1999, 2006, and 2012. With the use of the most recent data (2012), the double burden of malnutrition at the household level was estimated and defined as the coexistence of stunting in children aged <5 y and overweight or obesity in the mother. At the individual level, double burden was defined as concurrent stunting and overweight and obesity in children aged 5-11 y and concurrent anemia and overweight or obesity in children aged 5-11 y and in women. We also tested if the coexistence of the conditions corresponded to expected values, under the assumption of independent distributions of each condition. RESULTS: At the household level, the prevalence of concurrent stunting in children aged <5 y and overweight and obesity in mothers was 8.4%; at the individual level, prevalences were 1% for stunting and overweight or obesity and 2.9% for anemia and overweight or obesity in children aged 5-11 y and 7.6% for anemia and overweight or obesity in women. At the household and individual levels in children aged 5-11 y, prevalences of double burden were significantly lower than expected, whereas anemia and the prevalence of overweight or obesity in women were not different from that expected. CONCLUSIONS: Although some prevalences of double burden were lower than expected, assuming independent distributions of the 2 conditions, the coexistence of stunting, overweight or obesity, and anemia at the national, household, and intraindividual levels in Mexico calls for policies and programs to prevent the 3 conditions. SN - 1938-3207 UR - https://www.unboundmedicine.com/medline/citation/25411308/The_double_burden_of_undernutrition_and_excess_body_weight_in_Mexico_ L2 - https://academic.oup.com/ajcn/article-lookup/doi/10.3945/ajcn.114.083832 DB - PRIME DP - Unbound Medicine ER -