Rivas-Marino Gabriela, Negin Joel, Salinas-Rodríguez Aarón, Manrique-Espinoza Betty, Sterner Kirstin N, Snodgrass Josh, Kowal Paul
University of Sydney, School of Public Health, Sydney Medical School, Sydney, Australia.
Am J Hum Biol. 2015 May-Jun;27(3):326-33. doi: 10.1002/ajhb.22642. Epub 2014 Oct 23.
The obesity epidemic in Mexico is increasing and represents a considerable public health challenge. The population aged 50 years and older is also increasing and is not exempt from the obesity rise. We aimed to determine the current prevalence of Body Mass Index (BMI) categories in a sample of Mexicans aged 50 years and older and to test the associations of BMI with physical activity categories and related factors.
Data from 2,032 individuals aged 50 years and older who participated in SAGE Wave 1 (2009-2010) were analyzed. Representativeness of the sample was obtained by using weighted data. Descriptive statistics, chi square tests, simple regression analysis, and multiple regression analysis were performed in relation to BMI, self-reported physical activity categories, and several variables, including demographic characteristics and selected risk factors for non-communicable diseases.
Among older adults, 0.6% was found to be underweight, 21.4% normal weight, 49.4% overweight, and 28.7% obese. It was also found that practicing vigorous intensity physical activity (-1.32) and being 80 years or older (-2.73) were significantly associated (P < 0.05) with a lower mean BMI (28.3). In contrast, being in the lowest income quintile (1.35), and living in urban areas (0.86) were significantly associated with a higher mean BMI.
The study results contribute to the current understanding of obesity etiology in Mexico, and moreover confirm that overweight and obesity are current public health problems that must be addressed in specific subgroups of older adults.
墨西哥的肥胖流行情况正在加剧,这是一项重大的公共卫生挑战。50岁及以上的人口数量也在增加,且未能免受肥胖率上升的影响。我们旨在确定50岁及以上墨西哥人群样本中体重指数(BMI)类别的当前患病率,并检验BMI与身体活动类别及相关因素之间的关联。
对参加SAGE第一轮调查(2009 - 2010年)的2032名50岁及以上个体的数据进行了分析。通过使用加权数据获得样本的代表性。针对BMI、自我报告的身体活动类别以及包括人口统计学特征和选定的非传染性疾病风险因素在内的几个变量,进行了描述性统计、卡方检验、简单回归分析和多元回归分析。
在老年人中,发现0.6%体重过轻,21.4%体重正常,49.4%超重,28.7%肥胖。还发现进行剧烈强度的身体活动(-1.32)以及年龄在80岁及以上(-2.73)与较低的平均BMI(28.3)显著相关(P < 0.05)。相比之下,处于最低收入五分位数(1.35)以及居住在城市地区(0.86)与较高的平均BMI显著相关。
研究结果有助于当前对墨西哥肥胖病因的理解,而且证实超重和肥胖是当前的公共卫生问题,必须在老年人群的特定亚组中加以解决。