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

Public Health Nutrition

Arturo Berber¹  Agustín Lara-Esqueda¹  Claudia P Sánchez-Castillo¹  Jaime Sepulveda¹  Roberto Tapia-Conyer¹  W Philip T James¹  Oscar Velásquez-Monroy¹ 

关键词: Body mass index;    Waist circumference;    Type 2 diabetes mellitus;    Hypertension;    Survey;   

DOI  :  10.1079/PHN2004659

学科分类：卫生学

来源: Cambridge University Press

【 摘 要 】

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

【 授权许可】

Unknown