Overweight and obesity among children in nurseries
Main Article Content
Keywords
Pediatric obesity, Infant, Child development
Abstract
Background: Childhood obesity is a public health problem worldwide, which is associated with the diet, decreased physical activity and caloric imbalance, as well as genetic, behavioral and environmental factors.
Methods: A cross-sectional study was conducted where the prevalence of overweight and obesity was estimated in nurseries from the Mexican Institute of Social Security in the state of Baja California Sur. Three hundred and sixty-eight children aged between two and 47 months who were being looked after in nurseries of three geographical areas from the state were analyzed. The children’s body mass index was measured with the Anthro software, version 3.2.2, as recommended by the World Health Organization. Data analysis was performed using descriptive statistics and the chi-square test.
Results: Of the 368 studied children, 176 were male (48 %) and 192 female (52 %). The nurseries belonged to the northern, central-La Paz and southern areas. Average age was 26.1 ± 13.1 months. The prevalence of overweight and obesity was 17.3 %: 30 % in the central zone, 8.5 % in the Northern zone and 7.6% in the Southern zone. There was no relationship between diagnosis and age.
Conclusions: The prevalence of overweight and obesity was lower than that reported worldwide. The highest prevalence was observed in the central-La Paz zone, probably due to cultural and social contexts. The prevalence of overweight and obesity in nurseries from the Baja California Sur institutional office was 17.3 %.
References
Solís J. Obesidad en la población pediátrica. Act Pediatric Costarric. 2009;21(2):86-9.
Benjamin SE, Rifas-Shiman SL, Taveras-ME, Haines J, Finkelstein J, et al. Early child care and adiposity at ages 1 and 3 years. Pediatrics. 2009;124(2):555-62.
Klünder-Klünder M, Cruz-M, Medina-Bravo P, Flores-Huerta S. Padres con sobrepeso y obesidad y el riesgo de que sus hijos desarrollen obesidad y aumento en los valores de la presión arterial. Bol Med Hosp Infant Mex. 2011;68(6):438-46.
Taveras EM, Rifas-Shiman SL, Belfort-MB, Kleinman KP, Oken E, Gillman-MW. Weight status in the first 6 months of life and obesity at 3 years of age. Pediatrics. 2009;123(4):1177-83.
Albañil-Ballesteros MR, Rogero-Blanco ME, Sánchez-Martín M, Olivas-Domínguez A, Rabanal-Basalo A, Sanz-Bayona MT. Riesgo de mantener obesidad desde la infancia hasta la adolescencia. Rev Pediatr Aten Primaria. 2011;13(50):199-211.
Robbins JM, Khan KS, Lisi LM, Robbins SW, Michel SH, Torcato BR. Overweight among young children in the Philadelphia Health Care Centers. Arch Pediatr Adolesc Med. 2007;161(1):17-20.
Ruijsbroek A, Wijga AH, Kerkhof M, Koppelman-HG, Smit HA, Droomers M. The development of socio-economic health differences in childhood: Results of the Dutch longitudinal PIAMA birth cohort. BMC Public Health. 2011;11:225.
Rodríguez-Ramírez S, Mundo-Rosas V, García-Guerra A, Shamah-Levy T. Dietary patterns are associated with overweight and obesity in Mexican school-age children. Arch Latinoam Nutr. 2011;61(3): 270-9.
Hawkins SS, Law C. A review of risk factors for overweight in preschool children: A policy perspective. Int J Pediatr Obes. 2006;1(4):195-209.
Weng SF, Redsell SA, Swift JA, Yang M, Glazebrook CP. Systematic review and meta-analyses of risk factors for childhood overweight identifiable during infancy. Arch Dis Child. 2012;97(12):1019-26.
Hawkins SS, Law C. A review of risk factors for overweight in preschool children: A policy perspective. Int J Pediatr Obes. 2006;1(4):195-209.
Secretaría de Salud. [Sitio web]. Encuesta Nacional de Salud y Nutrición 2012. Resultados principales. Disponible en http://ensanut.insp.mx/informes/ensanut2006.pdf
Story M, Kaphingst-MK, French S. The role of child care settings in obesity. Child Obes 2006;6(1):143-68.
Bonvin A, Barral J, Kakebeeke TH, Kriemler S, Longchamp A, Schindler C, et al. Effect of a governmentally-led physical activity program on motor skills in young children attending child care centers: A cluster randomized controlled trial. Int J Behav Nutr Phys Act. 2013;10:90.
Núñez-Rocha GM, Meléndez-Buitrón MA, Salinas-Martínez AM, de la Garza-Casas YE, Garza-Elizondo ME, Villarreal-Ríos E. Guarderías infantiles, un espacio para la vigilancia alimentaria y nutricional. Rev Invest Clin. 2010;62(1):54-62.
Comité Nacional de Nutrición. Guías de práctica clínica para la prevención, el diagnóstico y el tratamiento de la obesidad. Arch Argent Pediatr. 2011; 109(3):256-66.
Shamah-Levy T, Cuevas-Nasu L, Méndez Gómez-Humarán I, Jiménez-Aguilar A, Mendoza-Ramírez AJ, Villalpando S. La obesidad en niños mexicanos en edad escolar se asocia con el consumo de alimentos fuera del hogar: durante el trayecto de la casa a la escuela. Arch Latinoam Nutr. 2011;61(3):288-94.
American Heart Association/American Stroke Association. Policy Recommendations for Obesity Prevention and Health Promotion in Child Care Settings. Disponible en http://www.heart.org/idc/groups/heartpublic/@wcm/ @adv/documents/downloadable/ucm_304549.pdf
Duke University. Department of Community and Family Medicine. [Sitio web]. Preventing obesity in the child care setting: Evaluating state regulations Disponible en http://cfm.mc.duke.edu/wysiwyg/downloads/State_Reports_FInal.pdf
Nascimento VG, Costa da Silva JP, Bertoli CJ, Abreu LC, Engrácia-Valenti V, Leone C. Prevalence of overweight preschool children in public day care centers: A cross-sectional study. Sao Paulo Med J. 2012;130(4):225-9.
Benjamin SE, Cradock A, Walker EM, Slining M, Gillman MW. Obesity prevention in child care: A review of US state regulations. BMC Public Health. 2008;8:188. Disponible en http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2438347/
Manios Y, Costarelli V, Kolotourou M, Kondakis K, Tzavara C, Moschonis G. Prevalence of obesity in preschool Greek children, in relation to parental characteristics and region of residence. BMC Public Health. 2007;7:178.
Magaña-Ruiz P, Ibarra-Ramírez F, Ruiz-García J, Rodríguez-Orozco AR. Hay relación entre estado nutricional estimado por antropometría y tipología familiar, en niños mexicanos entre 1 y 4 años. Nutr Hosp. 2009;24(6):751-2.
Torres-Ornelas P, Evangelista-Salazar JJ, Martínez-Salgado H. Coexistence of obesity and anemia in children between 2 and 18 years of age in Mexico. Bol Med Hosp Infant Mex. 2011;68(6):431-7.
Organización Mundial de la Salud. [Sitio web]. Patrones de crecimiento infantil. OMS Anthro (versión 3.2.2, enero de 2011) y macros. Disponible en http://www.who.int/childgrowth/software/es/
Vásquez-Garibay EM, Romero-Velarde E, Ortiz-Ortega MA, Gómez-Cruz Z, González-Rico JL, Corona-Alfaro R. Guía clínica para el diagnóstico, tratamiento y prevención del sobrepeso y la obesidad en pediatría. Rev Med Inst Mex Seguro Soc. 2007;45 (2):173-86.
Morales-Ruán MC, Hernández-Prado B, Gómez-Acosta LM, Shamah-Levy T, Cuevas-Nasu L. Obesity, overweight, screen time and physical activity in Mexican adolescents. Salud Publica Mex. 2009;51 suppl 4:S613-20.
Díaz-Martínez X, Mena-Bastías C, Chavarría-Sepúlveda P, Rodríguez-Fernández A, Valdivia-Mora PA. Estado nutricional de escolares según su nivel de actividad física, alimentación y escolaridad de la familia. Rev Cubana Salud Publica. 2013;39(4):640-50. Disponible en http://bvs.sld.cu/revistas/spu/vol39_4_13/spu03413.htm
Finch M, Wolfenden L, Falkiner M, Edenden D, Pond N, Hardy LL, Milat AJ, Wiggers J. Impact of a population based intervention to increase the adoption of multiple physical activity practices in center based childcare services: A quasi-experimental, effectiveness study. Int JBehav Nutr Phys Act. 2012;9:101.