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Diabetes and hypertension increases in a society with abdominal obesity: results of the Mexican National Health Survey 2000

Published online by Cambridge University Press:  02 January 2007

Claudia P Sánchez-Castillo ,
Oscar Velásquez-Monroy ,
Agustín Lara-Esqueda ,
Arturo Berber ,
Jaime Sepulveda ,
Roberto Tapia-Conyer  and
W Philip T James
Claudia P Sánchez-Castillo*
Affiliation:
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Dirección de Nutrición, Departamento de Fisiología de la Nutrición, Vasco de Quiroga 15, Tlalpan, México14000, DF
Oscar Velásquez-Monroy
Affiliation:
Centro Nacional de Vigilancia Epidemiológica, Dirección del Pgrama de Salud del Adulto y el Anciano, Secretaría de Salud, México
Agustín Lara-Esqueda
Affiliation:
Centro Nacional de Vigilancia Epidemiológica, Dirección del Pgrama de Salud del Adulto y el Anciano, Secretaría de Salud, México
Arturo Berber
Affiliation:
Hospital Infantil de México ‘Federico Gómez’, México
Jaime Sepulveda
Affiliation:
National Health Survey 2000, México
Roberto Tapia-Conyer
Affiliation:
Subsecretaría de Prevención y Protección de la Salud, Secretaría de Salud, México
W Philip T James
Affiliation:
International Obesity Task Force, UK
*
*Corresponding author: Email [email protected]
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Abstract

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Objectives

To determine the prevalences of overweight, obesity, type 2 diabetes mellitus (DM) and hypertension (HT) in the Mexican population and compare them with those of a previous Mexican urban survey and an American survey.

Design

A structured, randomised, nationally representative Mexican sample was compared with a 1993 Mexican urban survey and the US Third National Health and Nutrition Examination Survey (NHANES III) of non-Hispanic Whites.

Setting

The Mexican National Health Survey 2000.

Subjects

Subjects were 12856 men and 28332 women, aged 20–69 years, who had their body weight, height, waist circumference (WC), blood pressure and fasting capillary blood glucose measured.

Results

Mexican adult men and women had a high prevalence of overweight (41.3 and 36.3%, respectively) and obesity (19.4 and 29.0%, respectively), similar to those in the USA in 1988–1992 and exceeding those of the 1993 Mexican survey. The prevalence of HT was 33.3% in men and 25.6% in women, with inferred DM rates of 5.6 and 9.7%, respectively. Abdominal obesity affected 46.3% of men (WC ≥ 94 cm) and 81.4% of women (WC ≥ 80 cm). There was a high prevalence of abdominal obesity in normal-weight women, with co-morbidities relating better to WC than to body mass index (BMI) in both sexes. Rates of DM and HT exceeded US rates on a comparable BMI or WC basis in adults aged <50 years.

Conclusion

The high prevalence of obesity and abdominal obesity in Mexicans is associated with markedly increased prevalences of DM and HT to levels comparable with, or even higher than, those in NHANES III of non-Hispanic Whites.

Keywords

Body mass indexWaist circumferenceType 2 diabetes mellitusHypertensionSurvey
Type
Research Article
Information
Public Health Nutrition , Volume 8 , Issue 1 , February 2005 , pp. 53 - 60
Copyright
Copyright © CABI Publishing 2005

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