Global vs central obesity and some risk factors among adolescents of a municipality of Venezuela

Authors

  • Adaucio Morales University Centrocidental Lisandro Alavarado, Venezuela.
  • Mariela Montilva University Centrocidental Lisandro Alavarado, Venezuela.

Keywords:

Obesity, teenagers, Risk factors

Abstract

The objective was to determine the prevalence of global and central obesity in school adolescents of Iribarren Municipality and some risk factors. A cross-association and prevalence study was conducted.  800 adolescents between 15 and 19 years old (405 men) were studied. The two-stage sampling was performed: a) random stratified selecction of 31 institutions according to their educational level; b) accidental non-probabilistic selection of adolescents. Body mass index (BMI) and waist to height ratio (WHR) were measured. Questionnaires on eating habits and physical activity were applied. Socioeconomic status (SES), birth weight of young and parental BMI were obtained with questionnaires administered to parents. The prevalence of global and central obesity were 8.5% and 37.3%, respectively. The independent risk factors for central obesity were being female, 18 or 19 years old and overweight both parents. This risk is increased in women of SES IV and V. The independent risk factors for global obesity were 18 or 19 years old, SES I, II and III and overweight both parents. Male gender and low birth weight were risk factors for global obesity dependent on other factors. It can conclude that the WHR identified more obeses than BMI, so it is important to know the prevalence of global and central obesity, as well as the risk factors, in order to implement effective prevention and control against the severe pandemic of obesity.

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Author Biographies

Adaucio Morales, University Centrocidental Lisandro Alavarado, Venezuela.

Internist Doctor, Doctor of Biomedical Sciences, Professor and researcher of the Deanship of
Health Sciences, of the Centroccidental University Lisandro Alvarado, Venezuela.

Mariela Montilva, University Centrocidental Lisandro Alavarado, Venezuela.

Medico peditra, Nutriologa, PhD in Public Health, Professor and researcher of the Dec Cs of
Health of the Centroccidental University Lisandro Alavardo, Venezuela.

References

1. World Health Organization. Obesity and overweight. [Sito Web]. Fact sheet Nº 311. March 2013. [citado el 16 de Agosto de 2013] Disponible desde: URL http://www.who.int/mediacentre/factsheets/fs311/en/
2. Ezzati M and Riboli E. Behavioral and dietary risk factors for noncommunicable diseases. N Engl J Med. 2013; 369: 954 – 64.
3. Gutiérrez JP, 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 [Documento en línea] Cuernavaca, México: Instituto Nacional de Salud Pública (Mx), 2012. [citado el 31 de Agosto de 2013] Disponible desde URL: http://ensanut.insp.mx/informes/ENSANUT2012ResultadosNacionales.pdf
4. Atalah E. Epidemiología de la obesidad en Chile. Rev Med Clin Condes. 2012; 23: 117 – 23.
5. Instituto Nacional de Nutrición. Sobrepeso y Obesidad en Venezuela (Prevalencia y factores condicionantes) [Libro en línea]. Colección Lecciones Institucionales. Fondo editorial Gente de Maíz, s/f. [Citado el 05 de Mayo de 2014] Disponible desde: http://www.inn.gob.ve/pdf/libros/sobrepeso.pdf
6. Argimon Pallás JM y Jiménez Villa J. Métodos de Investigación Clínica y Epidemiológica. 2da Ed. Madrid – España: Ediciones Harcourt, 2000.
7. Scheaffer R, Mendenhall W and Ott L. Elementos del Muestreo. México: Grupo Editorial Iberoamérica S.A. de C.V. 1987.
8. Morales A, Montilva M, Gómez N, Cordero M. Adaptación transcultural de la escala de evaluación de conductas alimentarias en adolescentes: “Adolescent Food Habits Checklist”. An Venez Nutr. 2012; 25: 25 – 33.
9. Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12 – country reliability and validity. Med Sci Sports Exerc 2003; 35: 1381 – 95.
10. Méndez Castellano H y Méndez MC. Estratificación Social y Biología Humana. Arch Venez Pueri Pediatr. 1986; 49: 93 – 104.
11. FUNDACREDESA. Crecimiento, maduración física, estado nutricional y variables clínicas de la población venezolana: Manual de procedimientos. Material Mimeografiado. 2010.
12. Espinoza I. Guía práctica para la evaluación antropométrica del crecimiento, maduración y estado nutricional del niño y adolescente. Arch Venez Pueri Pediat. 2004; 67: S5 – S54.
13. Browning LM, Hsieh SD and Ashwell M. A systematic review of waist – to – height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0.5 could be a suitable global boundary value. Nutr Res Rev 2010; 23: 247 – 269.
14. Rubio Calvo E, Martínez Terrer T, Rubio Aranda E, García Felipe A, Dolado Arnal F y Sánchez Oriz E. Fundamentos teórico – prácticos de bioestadística para médicos. Zaragoza: Universidad, 1992.
15. Aguayo Canela M. Confusión e interacción (1): Qué son, qué suponen y cómo manejarlas en el análisis estratificado [Documento en línea] Fabis Dot. Núm. 0702007. Sevilla 2007. [Citado el 11 de Diciembre de 2012] Disponible desde URL: http://www.fabis.org/html/archivos/docuweb/Confu_Inter_1r.pdfdf
16. Kelly T, Yang W, Chen CS, Reynolds K, He J. Global burden of obesity in 2005 and projections to 2030. Int J Obes (Lond). 2008; 32: 1431 – 37.
17. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999 -2010. JAMA. 2012; 307: 483 – 490.
18. Pérez Rodrigo C. Current mapping of obesity. Nutr Hosp. 2013; 28 (Supl 5): 21 – 31.
19. Bibiloni MM, Pons A and Tur JA. Prevalence of overweight and obesity in adolescents: A systematic review. ISRN Obesity [Revista en línea] 2013 [Citado el 24 de Septiembre de 2013] Disponible desde URL: http://www.hindawi.com/isrn/obesity/2013/392747/
20. Gupta N, Goel K, Shah P and Misra A. Chilhood obesity in developing countries: epidemiology, determinants and prevention. Endocr Rev. 2012; 33: 48 – 70.
21. de Moraes ACF, Fadoni RP, Ricardi LM, Souza TC, Rosaneli CF, Nakashima ATA, et al. Prevalence of abdominal obesity in adolescents: a systematic review. Obes Rev. 2011; 12: 69 – 77.
22. Garnett SP, Baur LA and Cowell CT. The prevalence of increased central adiposity in Australian school children 1985 to 2007.Obes Rev. 2011; 12: 887 – 96.
23. Janssen I, Shields M, Craig CL and Tremblay MS. Prevalence and secular changes in abdominal obesity in Canadian adolescents and adults, 1981 to 2007 – 2009. Obes Rev. 2011; 12: 397 – 405.
24. Rigaud D, Sira D, Prado W, Pérez D y Morales P A. Prevalencia de Obesidad en estudiantes de ingeniería civil de Barquisimeto, estado Lara. Comunidad y Salud. 2011; 9: 1 – 8.
25. Li C, Ford ES, Mokdad AH, Cook S. Recent trends in waist circumference and waist-height ratio among US children and adolescents. Pediatrics. 2006; 118:1390-98.
26. Tzotzas T, Kapantais E, Tziomalos K, Ioannidis I, Mortoglou A, Bakatselos S, et al. Epidemiological survey for the prevalence of overweight and abdominal obesity in Greek adolescents. Obesity. 2008; 16: 1718 – 22.
27. Hsieh SD, Yoshinaga H, MutoT, Sakurai Y and Kosaka K. Health risks among Japanese men with moderate body mass index. Int J Obes. 2000; 24: 358 – 62.
28. Ashwell M, Cole TJ, Dixon AK. Ratio of waist circumference to height is strong predictor of intra-abdominal fat. BMJ. 1996; 313: 559 – 60.
29. Barreira TV, Staiano AE, Harrington DM, Heymsfield SB, Smith SR, Bouchard C and Katzmarzyk PT. Antropometric correlates of total body fat, abdominal adiposity, and cardiovascular disease risk factors in a biracial sample of men and women. Mayo Clin Proc. 2012; 87: 452 – 60.
30. Wells JCK, Coward WA, Cole TJ and Davies PSW. The contribution of fat and fat-free tissue to body mass index in contemporary children and the reference child. Inter J Obes. 2002; 26: 1323 – 28.
31. Maynard LM, Wisemandle W, Roche AF, Chumlea WM, Guo SS and Siervogel RM. Chilhood body composition in relation to body mass index. Pediatrics. 2001; 107: 344 – 49.
32. Serra – Majem L and Bautista – Castaño I. Etiology of obesity: two “key issues” and other emerging factors. Nutr Hosp. 2013; 28 (Supl 5): 32 – 43.
33. McLaren L. Socioeconomic status and obesity. Epidemiol Rev. 2007; 29: 29 – 48.
34. Monteiro CA, Conde WL and Popkin BM. Independient effects of income and education on the risk of obesity in the Brazilian adult population. J Nutr. 2001; 131: 881S – 886S.
35. Alberga AS, Sigal RJ, Goldfield G, Prudhomme D and Kenny GP. Overweight and obese teenagers: why is adolescence a critical period? Pediatr Obes. 2012; 7: 261 – 73.
36. González D, Nazmi A, Victora CG. Childhood poverty and abdominal obesity in adulthood: a systematic review. Cad Saude Publica, Rio de Janeiro. 2009; 25 (Supl 3): S427 – S440.
37. Victora CG, Adair L, Fall C, Hallal PC, Martorell R, Richter L, Sachdev HS for the Maternal and Child Undenutrition Study Group. Maternal and Child undernutrition: consequences for adult health and human capital. Lancet. 2008; 371: 340 – 57.
38. Bertran M. Significados socioculturales de la alimentación en la ciudad de México. En Miriam B. y Pedro A. (Editores). Antropología y Nutrición. México DF: Fundación Mexicana para la Salud, A.C. 2006.
39. Bann D, Wills A, Cooper R, Hardy R, Aihie Sayer A, Adams J, et al. Birth weight and growth from infancy to late adolescence in relation to fat and lean mass in early old age: findings from the MRC National Survey of health and development. Int J Obes. 2014; 38: 69 – 75.
40. Araújo de Franca GV, Restrepo - Mendez MC, Loret de Mola C, Victoria CG. Size at birth and abdominal adiposity in adults: a systematic review and meta-analysis. Obes Rev. 2014; 15: 77 – 91.
Decanato de Ciencias de la Salud (UCLA)

Published

2018-08-06

How to Cite

Morales, A., & Montilva, M. (2018). Global vs central obesity and some risk factors among adolescents of a municipality of Venezuela. Revista Venezolana De Salud Pública, 2(2), 16-22. Retrieved from https://revistas.uclave.org/index.php/rvsp/article/view/1467

Issue

Vol. 2 No. 2 (2014): July-December

Section

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