Obesity prevalence in Colombian adults is increasing fastest in lower socio-economic status groups and urban residents: results from two nationally representative surveys

Abstract

Objective: Low-and middle-income countries are experiencing rises in the prevalence of adult obesity. Whether these increases disproportionately affect vulnerable subpopulations is unclear because most previous investigations were not nationally representative, were limited to women, or relied on self-reported anthropometric data which are subject to bias. The aim of the present study was to assess changes in the prevalence of obesity from 2005 to 2010 in Colombian adults; overall and by levels of sociodemographic characteristics. ?7 %) among the poorest and 0?3 % (95 % CI 21?6, 2?2 %) in the wealthiest (P, test for interaction 5 0?007), after adjustment. Obesity rates also increased faster in older than younger people (P, test for interaction 5 0?01), among people from urban compared with non-urban areas (P, test for interaction 5 0?06) and in adults living in the Atlantic region compared with others. Conclusions: Adult obesity prevalence has increased in Colombia and its burden is shifting towards the poor and urban populations. Keywords Obesity Prevalence difference Representative survey Colombia AdultsThe global prevalence of obesity has been on the rise during the past couple of decades, especially in developing countries . These increases have been steeper in Latin America, ranging from 0?6 to 1?4 kg/m 2 per decade (4) . In parallel with this shift in the BMI distribution, global obesity prevalence has doubled and by 2008 there were an estimated 502 million obese adults in the world, including 9?8 % of men and 13?8 % of women (4) . These changes are typically followed by rises in obesity-related chronic diseases, including type 2 diabetes and CVD, which may have devastating effects on the economies and health systems of developing countries (5)(6)(7) .

Transición alimentaria y exceso de peso en adultos. Encuesta de la Situación Nutricional en Colombia, 2010

“…En América Latina y en Colombia, el exceso de peso ha venido aumentando de manera sostenida en las últimas décadas (16)(17)(18). Entre 2005 y 2010, el exceso de peso en Colombia aumentó entre 4 y 7 %, y más rápidamente en las poblaciones pobres y las áreas urbanas (18): según la Encuesta Nacional de la Situación Alimentaria, 2010 (ENSIN-2010), uno de cada dos colombianos tenía exceso de peso (17).…”

Percepciones sobre disponibilidad de alimentos y autorreporte de ingesta alimentaria en mujeres urbanas costarricenses: Un estudio piloto

“…Dado que en la zona urbana de Brasil y Colombia está ocurriendo un aumento de peso particularmente rápido entre mujeres de bajo nivel socioeconómico (NSE) (Dressler et al, 2008;Kasper et al, 2014;Monteiro et al, 2000;Olszowy et al, 2012) es razonable asumir que la disponibilidad y consumo de alimentos puede variar según Población y Salud en Mesoamérica Doi: http://dx.doi.org/10.15517/psm.v13i2.22165 Volumen 13, número 2, artículo 8, enero-julio, 2016…”

Intake of soft drinks and sugar sweetened beverages by Colombian children and adolescents

“…3 The nutrition transition continued in the period of 2005-2010, during which excess weight increased in the Colombian population by at least 5%. 4 The habitual consumption (≥2 times/day) and excessive consumption (over 0.15 L/day) of SSB, [5][6][7] mainly refreshments and others such as soft drinks, tea and juices, have been associated with excess weight and are also attributed to other undesirable effects in the development of mediators of CND, such as caries, asthma, hypertension, kidney damage, metabolic syndrome, diabetes mellitus type II, osteopenia, increased visceral fat and resistance to insulin. 8,9 However, there is also contradictory evidence stating that SSB consumption does not cause excess weight.…”