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墨西哥成年人肥胖的诊断和治疗。

Diagnosis and treatment of obesity among Mexican adults.

机构信息

Departamento de Atención a la Salud, Universidad Autónoma Metropolitana Xochimilco, México, México.

出版信息

Obes Facts. 2012;5(6):937-46. doi: 10.1159/000346325. Epub 2012 Dec 22.

Abstract

OBJECTIVES

To quantify the access to diagnosis and treatment of obesity and intentional weight loss among obese adults in Mexico and to identify the sociodemographic factors related to these events.

METHODS

The 2006 Mexican National Health and Nutrition Survey - representative of the adults aged 20 to 64 years - was analyzed. Whether people had received diagnosis and treatment from health professionals and whether they had intentional weight loss were explored. The independent variables were: sex, age, socioeconomic position, locality size, and body weight perception. Analyses were carried out for obese people only (BMI ≥ 30 kg/m(2), N = 8,545).

RESULTS

Among obese people, just 20.2% were diagnosed with such condition, only 8.0% undertook treatment, and barely 5.6% had lost weight intentionally. Individuals with a higher BMI, older individuals, people with higher education, those living in wealthier households, and those living in metropolitan areas were more likely to receive diagnosis and treatment for obesity. Women and people who had been diagnosed as obese were more likely to lose weight.

CONCLUSION

There is an urgent need to increase access to diagnosis and treatment of obesity in Mexico, particularly for men and for lower socioeconomic groups.

摘要

目的

定量评估墨西哥肥胖成年人获得肥胖症诊断和治疗以及有意减轻体重的机会,并确定与这些事件相关的社会人口学因素。

方法

分析了具有代表性的 2006 年墨西哥国家健康和营养调查 - 年龄在 20 至 64 岁的成年人。调查了人们是否从卫生专业人员那里获得了诊断和治疗,以及他们是否有意减轻体重。自变量为:性别、年龄、社会经济地位、地区规模和体重感知。仅对肥胖者(BMI≥30kg/m2,N=8545)进行了分析。

结果

在肥胖者中,仅有 20.2%被诊断出患有这种疾病,仅有 8.0%接受了治疗,仅有 5.6%有意减轻了体重。BMI 较高、年龄较大、受教育程度较高、家庭较富裕以及居住在大都市地区的人更有可能接受肥胖症的诊断和治疗。被诊断为肥胖的女性和人更有可能减肥。

结论

迫切需要增加墨西哥肥胖症的诊断和治疗机会,特别是针对男性和社会经济地位较低的人群。

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