español Relationship between high body mass index and socioeconomic variables in the Chilean population: A cross-sectional study
DOI:
https://doi.org/10.14306/renhyd.26.1.1444Keywords:
Body Mass Index, Overweight, Obesity, Income, PrevalenceAbstract
Introduction: The aim of this study was to analyze the prevalence of elevated body mass index (BMI) in the Chilean population, and its relationship with sex, age, education, smoking habits and economic income.
Methodology: Cross-sectional observational study was carried out, using the results of the Social Protection Surveys 2009 and 2015. The independent variable was the BMI, while the dependent variables were sex, age, education, smoking and economic income. With a sample of 21,392 respondents, data were processed in the Stata program, using three statistical analysis models (Ordinary Least Squares, Logit and Odds Ratio).
Results: 40% of those surveyedwere overweight, and20% were obese. The prevalence of overweight was higher in men, while obesity was higher in women. Elevated BMI was higher in people over 45 years of age. Every 5 years of increase of education,in an individual's education, the BMI decreased 1 point. Smoking showed an inverse relationship with high BMI. As the income decile increased, the prevalence of overweight increased and that of obesity decreased.
Conclusions: Education is relevant in the implementation of BMI prevention and control strategies. Smoking, in relation to high BMI, was shown to have an inverse relationship which could be associated as a body weight control mechanism, making it necessary to refocus from the educational field. In relation to economic income, the findings are contradictory, since it was found that the likelihood of an individual being overweight incremented as their income increased, while the likelihood of being obese decreased as income increased.
References
(1) WHO. Obesity and overweight [Internet]. WHO 2020. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/obesity-and-overweight.
(2) WHO. 10 facts on obesity [Internet]. WHO 2017. Disponible en: https://www.who.int/features/factfiles/obesity/en/.
(3) Vio del Río F. Increase of obesity in Chile and the world. Rev Chil Nutr. 2018; 45: 6–6, doi: 10.4067/s0717-75182018000100006.
(4) Márquez R. Obesity: prevalence and relationship with educational level in Spain. Nutr Clín Diet Hosp. 2016; 36: 181-188, doi: 10.12873/363marquezdiaz.
(5) Abarca-Gómez L, Abdeen ZA, Hamid ZA, Abu-Rmeileh NM, Acosta-Cazares B, Acuin C, et al. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128•9 million children, adolescents, and adults. The Lancet. 2017;390:2627-42, doi: 10.1016/S0140-6736(17)32129-3.
(6) Lanas F, Bazzano L, Rubinstein A, Calandrelli M, Chen C-S, Elorriaga N, et al. Prevalence, distributions and determinants of obesity and central obesity in the Southern Cone of America. PLOS ONE. 2016; 11: e0163727, doi: 10.1371/journal.pone.0163727.
(7) Rodrigo-Cano S, Soriano del Castillo JM, Merino-Torres JF. Obesity’s causes and treatment. Nutr Clín Diet Hosp. 2017; 37: 87-92.DOI: 10.12873/374rodrigo.
(8) Hernández J, Domínguez A, Moncada OM.Prevalence and current trend of overweight and obesity in adults worldwide. Rev Cubana Endocrinol. 2019; 30: e193.
(9) The GBD 2015 Obesity Collaborators. Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med. 2017; 377: 13–27, doi: 10.1056/NEJMoa1614362.
(10) Ministerio Trabajo y Previsión Social. Encuesta de Protección Social [Internet]. [Citado 12 de junio de 2021]. Disponible en:
https://www.previsionsocial.gob.cl/sps/biblioteca/encuesta-de-proteccion-social/.
(11) Petermann, Durán E, Labraña AM, Martínez MA, Leiva AM, Garrido-Méndez A et al. Factors associated with the development of obesity in Chile: results of the 2009-2010 Encuesta Nacional de Salud. Rev Méd Chile. 2017; 145: 716-722, doi: 10.4067/s0034-98872017000600716.
(12) Atalah SE. Epidemiology of obesity in Chile. Rev Méd Clín Las Condes. 2012; 23: 117–23, doi: 10.1016/S0716-8640(12)70287-0.
(13) de la Manzanara FML. Intervention in the prevention of obesity and overweight in schoolchildren: a meta-analysis. Rev Cuidando la Salud. 2021; 17: 2-18.
(14) Pardos-Mainer E.Obesity, School Intervention; Physical Activity and Healthy Lifestyles in Spanish Children. Rev Cub de Salud Pública. 2021; 47: e1096.
(15) Salmela J, Lallukka T, Kanerva N, Pietiläinen O, Rahkonen O, Mauramo E. Intergenerational social mobility and body mass index trajectories - A follow-up study from Finland. SSM Popul Health. 2021;13:100723, doi: 10.1016/j.ssmph.2020.100723.
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