Mexican migrant farm workers are one of the poorest and most marginalized social groups within the country. They face the double burden of malnutrition, food insecurity, as well as harsh living and labor conditions. Objective: To examine the relationship between household food insecurity (HFI) and obesity in a population of migrant farm workers in highly modernized agribusiness areas of Northwest Mexico. Methods: This was a cross-sectional study with a concentric (site) (n = 146 households) and systematic selection of participants (adult men and women). Methods included questionnaires regarding socio-demographic characteristics, food security, diet (two non-consecutive 24-h recalls), and physical activity (PA). Anthropometric data included height, weight, and waist circumference. Data analysis covered descriptive statistics, multivariate linear and logistic regression. Results: Sample showed 75% prevalence of overweight and obesity, while 87% of households reported some level of HFI. Mild HFI resulted in five times more probability of farm workers’ obesity (OR = 5.18, 95% CI: 1.37–19.58). However, there was a protective effect of HFI for obesity among men (OR 0.089, 95% CI: 0.01–0.58) in a context of intense labor-related PA. Conclusion: There is a difference by gender in the relationship of HFI with obesity prevalence related perhaps to the energy expenditure of male agricultural migrant workers.
Objectives
To examine the relationship between prevalence of overweight and obesity in adult women, household food insecurity (FI) and local food environment measures in Hermosillo, Mexico.
Methods
We conducted a cross-sectional study design with a multi-stage sampling process for neighborhoods, households and individuals (in areas with medium and high levels of social marginalization). Measures of body weight, height and waist circumference from adult women were collected from September to November 2018. Through validated questionnaires and face-to-face interviews, we assessed food security (scale of food security for families in northwestern Mexico), perception of the local food environment (NEMS-P), socioeconomic status and self-reported physical activity.
Results
Prevalence of overweight and obesity among women was 80.5%, 82% were moderately active, and 69% did mainly housework. Seventy nine % of households showed some level of FI. Participants reported mainly supermarkets and corner stores for food purchasing (75.7% and 15.4%, respectively). There was a higher probability of obesity in women who visited neighborhood corner stores daily compared to those who purchased in other food establishments (OR: 3.66; 95% CI, 1.2–10.4). Among households with FI, the consumption of food while watching television, occupation, cohabitation status (being married or living with a partner) and the frequency and places of food purchasing, were associated with women´s overweight or obesity (P < 0.05). There was an association between women's waist circumference and severe household FI (P < 0.05).
Conclusions
The food environment and household FI were related to the prevalence of overweight and obesity among adult women.
Funding Sources
This research was funded by the Interdisciplinary Research Network on Obesity Prevention at Centro de Investigación en Alimentación y Desarrollo.
Sin duda alguna, el procedimiento laparoscópico más utilizado en el mundo lo constituye la colecistectomía, pero a pesar de ser unas de las técnicas sofisticadas el riesgo de complicaciones sigue siendo elevada. El objetivo del estudio fue Determinar las complicaciones quirúrgicas de los pacientes sometidos a colecistectomía laparoscópica electiva del Hospital Militar Central durante el periodo enero del 2019 a junio del 2020, El estudio fue observacional, descriptivo, prospectivo, con muestreo no probabilístico de casos consecutivos, de pacientes admitidos al servicio de cirugía general del Hospital Militar Central sometidos a colecistectomía videolaparoscopica durante el periodo arriba mencionado. La muestra correspondió a 371 fichas de pacientes operados. La complicación quirúrgica fue de 1,06%. Las edades de los pacientes se encontraban entre 15 a 39 años en un 36,81% y 51,28% de los pacientes fueron del sexo femenino. Las complicaciones durante el desarrollo de la colecistectomía fueron dos casos de hemorragias en el lecho operatorio que se convirtió al final en una cirugía abierta y las complicaciones que se originaron en el período postoperatorio inmediato se encontraron el bilioperitoneo y fuga del clip de la arteria cística.
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