[墨西哥成年人肥胖症的患病率及趋势。2018 - 19年全国健康与营养调查（Ensamut）。]
[Obesity in Mexico, prevalence andtrends in adults. Ensanut 2018-19.].
作者信息
Barquera Simón, Hernández-Barrera Lucía, Trejo-Valdivia Belem, Shamah Teresa, Campos-Nonato Ismael, Rivera-Dommarco Juan
机构信息
Centro de investigación en Nutrición y Salud, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México.
Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México.
出版信息
Salud Publica Mex. 2020 Nov-Dec;62(6):682-692. doi: 10.21149/11630.
OBJECTIVE
To describe the prevalence of obesity in Mexican adults stratifying by physical and sociodemographic conditions and to analyze trends.
MATERIALS AND METHODS
The data of 16 256 adults who participated in Ensanut 2018-19 was analyzed. Obesity (WHO), abdominal adiposity (IFD) and short stature (NOM-008-SSA3-2017) were classified. Logistic regression models were performed to analyze the association between obesity and risk factors. ENSA-2000 and Ensanut (2006, 2012, 2018-19) were used to assess trends.
RESULTS
The prevalence of overweight was 39.1%, obesity 36.1%, and abdominal adiposity 81.6%. Adults >40-50y and women had the highest prevalence. There was no difference by socio-economic level. Between 2000-2018, the prevalence of obesity increased 42.2% and morbid obesity 96.5%. Women with short stature had a higher risk (RM=1.84) of being obese than women without this condition, while in men the risk was lower (RM=0.79).
CONCLUSIONS
In Mexico the prevalence of obesity continues to increase regardless of socio-economic level, region or locality.
目的
描述按身体状况和社会人口统计学条件分层的墨西哥成年人肥胖患病率，并分析其趋势。
材料与方法
分析了16256名参与2018 - 19年全国健康与营养调查（Ensamut）的成年人的数据。对肥胖（世界卫生组织标准）、腹部肥胖（国际糖尿病联合会标准）和身材矮小（NOM - 008 - SSA3 - 2017标准）进行了分类。采用逻辑回归模型分析肥胖与风险因素之间的关联。利用2000年全国健康与营养调查（ENSA - 2000）以及全国健康与营养调查（2006年、2012年、2018 - 19年）评估趋势。
结果
超重患病率为39.1%，肥胖患病率为36.1%，腹部肥胖患病率为81.6%。40 - 50岁以上的成年人及女性患病率最高。社会经济水平方面无差异。2000年至2018年间，肥胖患病率增加了42.2%，病态肥胖患病率增加了96.5%。身材矮小的女性肥胖风险（相对风险 = 1.84）高于无此状况的女性，而男性的风险则较低（相对风险 = 0.79）。
结论
在墨西哥，无论社会经济水平、地区或地点如何，肥胖患病率持续上升。
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