Association of Overweight, Obesity and Abdominal Obesity with Socioeconomic Status and Educational Level in Colombia

Mario A Jimenez-Mora,1 Luz D Nieves-Barreto,1 Angélica Montaño-Rodríguez,1 Eddy C Betancourt-Villamizar,2 Carlos O Mendivil1,3 1Universidad de los Andes, School of Medicine, Bogotá, Colombia; 2Team Foods, Bogotá, Colombia; 3Fundación...

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Autores principales:	Jimenez-Mora MA, Nieves-Barreto LD, Montaño-Rodríguez A, Betancourt-Villamizar EC, Mendivil CO
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	obesity overweight abdominal obesity socioeconomic status inequality latin america epidemiology Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/44d7d892c7bc4400847028bb8e9c9d26
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spelling	oai:doaj.org-article:44d7d892c7bc4400847028bb8e9c9d262021-12-02T10:16:19ZAssociation of Overweight, Obesity and Abdominal Obesity with Socioeconomic Status and Educational Level in Colombia1178-7007https://doaj.org/article/44d7d892c7bc4400847028bb8e9c9d262020-06-01T00:00:00Zhttps://www.dovepress.com/association-of-overweight-obesity-and-abdominal-obesity-with-socioecon-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Mario A Jimenez-Mora,1 Luz D Nieves-Barreto,1 Angélica Montaño-Rodríguez,1 Eddy C Betancourt-Villamizar,2 Carlos O Mendivil1,3 1Universidad de los Andes, School of Medicine, Bogotá, Colombia; 2Team Foods, Bogotá, Colombia; 3Fundación Santa Fe De Bogotá, Section of Endocrinology, Bogotá, ColombiaCorrespondence: Carlos O Mendivil Email cmendivi@uniandes.edu.coObjective: Latin American countries are experiencing a nutritional and demographic transition that predisposes to the spread of the obesity epidemic, especially among the socially and economically disadvantaged. We aimed to describe the prevalence of obesity, overweight and abdominal obesity and their association with household socioeconomic status (SES) and personal educational level in the five major cities of Colombia (Bogotá, Medellín, Cali, Barranquilla and Bucaramanga).Materials and Methods: We collected demographic and anthropometric measurements from a population-based, stratified, multi-stage probability sample of individuals aged 2– 75 years. Study surveys and anthropometric measurements were administered by highly trained staff. All reported prevalences are expanded to the target population, taking into account the sampling design.Results: The study sample included 1922 participants. In children and adolescents, the prevalence of overweight and obesity were respectively 23% and 8.8%. Overweight was most prevalent in the 2– 4 (30.9%), followed by the 5– 11 (23.8%) and the 12– 17 age group (17.8%). The combined prevalence of childhood overweight and obesity increased with SES (16.8% in the lowest vs 42.8% in the highest stratum). In adults (18– 75 years), the prevalence of excess body weight was 57.5% (36.2% overweight, 21.3% obesity), the prevalence of abdominal obesity was 34.4%, all prevalences increased with age. Obesity was far more prevalent among adult women (29.4%) than men (12.6%) (p˂0.001). Adult obesity and abdominal obesity decreased significantly and monotonically with SES and were most prevalent in individuals with the lowest educational level (35.3% and 50.7%, respectively). Almost 40% of overweight adults had abdominal obesity.Conclusion: Obesity and abdominal obesity are highly prevalent in the urban population of Colombia, and much more frequent among adults of lower SES and educational level. Excess body weight affected more often children of higher SES. Public health measures are urgently needed to tackle the spread of the obesity epidemic in Colombia and other Latin American countries, with a focus on low-income and low-educational level segments of society.Keywords: obesity, overweight, abdominal obesity, socioeconomic status, inequality, Latin America, epidemiologyJimenez-Mora MANieves-Barreto LDMontaño-Rodríguez ABetancourt-Villamizar ECMendivil CODove Medical Pressarticleobesityoverweightabdominal obesitysocioeconomic statusinequalitylatin americaepidemiologySpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 1887-1898 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	obesity overweight abdominal obesity socioeconomic status inequality latin america epidemiology Specialties of internal medicine RC581-951
spellingShingle	obesity overweight abdominal obesity socioeconomic status inequality latin america epidemiology Specialties of internal medicine RC581-951 Jimenez-Mora MA Nieves-Barreto LD Montaño-Rodríguez A Betancourt-Villamizar EC Mendivil CO Association of Overweight, Obesity and Abdominal Obesity with Socioeconomic Status and Educational Level in Colombia
description	Mario A Jimenez-Mora,1 Luz D Nieves-Barreto,1 Angélica Montaño-Rodríguez,1 Eddy C Betancourt-Villamizar,2 Carlos O Mendivil1,3 1Universidad de los Andes, School of Medicine, Bogotá, Colombia; 2Team Foods, Bogotá, Colombia; 3Fundación Santa Fe De Bogotá, Section of Endocrinology, Bogotá, ColombiaCorrespondence: Carlos O Mendivil Email cmendivi@uniandes.edu.coObjective: Latin American countries are experiencing a nutritional and demographic transition that predisposes to the spread of the obesity epidemic, especially among the socially and economically disadvantaged. We aimed to describe the prevalence of obesity, overweight and abdominal obesity and their association with household socioeconomic status (SES) and personal educational level in the five major cities of Colombia (Bogotá, Medellín, Cali, Barranquilla and Bucaramanga).Materials and Methods: We collected demographic and anthropometric measurements from a population-based, stratified, multi-stage probability sample of individuals aged 2– 75 years. Study surveys and anthropometric measurements were administered by highly trained staff. All reported prevalences are expanded to the target population, taking into account the sampling design.Results: The study sample included 1922 participants. In children and adolescents, the prevalence of overweight and obesity were respectively 23% and 8.8%. Overweight was most prevalent in the 2– 4 (30.9%), followed by the 5– 11 (23.8%) and the 12– 17 age group (17.8%). The combined prevalence of childhood overweight and obesity increased with SES (16.8% in the lowest vs 42.8% in the highest stratum). In adults (18– 75 years), the prevalence of excess body weight was 57.5% (36.2% overweight, 21.3% obesity), the prevalence of abdominal obesity was 34.4%, all prevalences increased with age. Obesity was far more prevalent among adult women (29.4%) than men (12.6%) (p˂0.001). Adult obesity and abdominal obesity decreased significantly and monotonically with SES and were most prevalent in individuals with the lowest educational level (35.3% and 50.7%, respectively). Almost 40% of overweight adults had abdominal obesity.Conclusion: Obesity and abdominal obesity are highly prevalent in the urban population of Colombia, and much more frequent among adults of lower SES and educational level. Excess body weight affected more often children of higher SES. Public health measures are urgently needed to tackle the spread of the obesity epidemic in Colombia and other Latin American countries, with a focus on low-income and low-educational level segments of society.Keywords: obesity, overweight, abdominal obesity, socioeconomic status, inequality, Latin America, epidemiology
format	article
author	Jimenez-Mora MA Nieves-Barreto LD Montaño-Rodríguez A Betancourt-Villamizar EC Mendivil CO
author_facet	Jimenez-Mora MA Nieves-Barreto LD Montaño-Rodríguez A Betancourt-Villamizar EC Mendivil CO
author_sort	Jimenez-Mora MA
title	Association of Overweight, Obesity and Abdominal Obesity with Socioeconomic Status and Educational Level in Colombia
title_short	Association of Overweight, Obesity and Abdominal Obesity with Socioeconomic Status and Educational Level in Colombia
title_full	Association of Overweight, Obesity and Abdominal Obesity with Socioeconomic Status and Educational Level in Colombia
title_fullStr	Association of Overweight, Obesity and Abdominal Obesity with Socioeconomic Status and Educational Level in Colombia
title_full_unstemmed	Association of Overweight, Obesity and Abdominal Obesity with Socioeconomic Status and Educational Level in Colombia
title_sort	association of overweight, obesity and abdominal obesity with socioeconomic status and educational level in colombia
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/44d7d892c7bc4400847028bb8e9c9d26
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Association of Overweight, Obesity and Abdominal Obesity with Socioeconomic Status and Educational Level in Colombia

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