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Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Geographic differences in overweight and obesity prevalence in Peruvian children, 2010–2015

Authors: J. Smith Torres-Roman, Diego Urrunaga-Pastor, Jose L. Avilez, Luis M. Helguero-Santin, German Malaga

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Childhood obesity is emerging as a major public health problem worldwide. To date, most studies of obesity and overweight in Peru are focused on adults, with few of them involving children, a population at a critical stage of development. The trend in overweight and obesity prevalence in Peruvian children under the age of five has not yet been determined. Thus, the objective of the present study is to evaluate the prevalence rates of overweight and obesity between 2010 and 2015 in children under the age of five, stratified by geographical areas in Peru.

Methods

Data were obtained from the Nutritional Status Information System of Peru. The total number of children evaluated was 14,155,914. For the Geographic Information Systems (GIS), the program Geo Da 1.8® was used to ascertain the spatial distribution of prevalence rates and was mapped for children under five. To assess the degree of spatial dependence, exploratory spatial data analysis was performed using the Moran’s I statistic and was assessed with the Local Indicators of Spatial Association (LISA) analysis to identify geographic concentrations of high and low of obesity and overweight levels.

Results

Between 2010 and 2015, the national prevalence of childhood overweight and obesity ranged from 6.2%- 6.8% and 1.5%–2.7%, respectively. The highest prevalence of childhood overweight and obesity was found in 2014 and 2013, respectively. During these years, we observed that obesity decreased, but overweight remained stable. The highest prevalence of overweight and obesity was found in the departments located on the coast. Significant positive spatial autocorrelation was found for both overweight and obesity. The departments with the highest prevalence of overweight and obesity were concentrated in Lima, Callao, Ica, Moquegua and Tacna. The lowest were found in Loreto, Cusco and San Martin.

Conclusion

The decrease in obesity and the stabilisation of overweight are positive results for the Peruvian childhood. However, in comparison with other Latin American countries, Peru still lags in obesity prevention.
Literature
1.
go back to reference Finucane MM, Stevens GA, Cowan MJ, Danaei G, Lin JK, Paciorek CJ, et al. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. Lancet (London, England). 2011;377(9765):557–67.CrossRef Finucane MM, Stevens GA, Cowan MJ, Danaei G, Lin JK, Paciorek CJ, et al. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. Lancet (London, England). 2011;377(9765):557–67.CrossRef
2.
go back to reference De Onis M, Blössner M, Borghi E. Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr. 2010;92(5):1257–64.CrossRefPubMed De Onis M, Blössner M, Borghi E. Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr. 2010;92(5):1257–64.CrossRefPubMed
3.
go back to reference Wang Y, Beydoun MA. The obesity epidemic in the United States—gender, age, socioeconomic, racial/ethnic, and geographic characteristics: a systematic review and meta-regression analysis. Epidemiol Rev. 2007;29(1):6–28.CrossRefPubMed Wang Y, Beydoun MA. The obesity epidemic in the United States—gender, age, socioeconomic, racial/ethnic, and geographic characteristics: a systematic review and meta-regression analysis. Epidemiol Rev. 2007;29(1):6–28.CrossRefPubMed
4.
go back to reference Whelton H, Harrington J, Crowley E, Kelleher V, Cronin M, Perry IJ. Prevalence of overweight and obesity on the island of Ireland: results from the north south survey of Children's height, weight and body mass index, 2002. BMC Public Health. 2007;7(1):187.CrossRefPubMedPubMedCentral Whelton H, Harrington J, Crowley E, Kelleher V, Cronin M, Perry IJ. Prevalence of overweight and obesity on the island of Ireland: results from the north south survey of Children's height, weight and body mass index, 2002. BMC Public Health. 2007;7(1):187.CrossRefPubMedPubMedCentral
5.
go back to reference Mendez MA, Monteiro CA, Popkin BM. Overweight exceeds underweight among women in most developing countries. Am J Clin Nutr. 2005;81(3):714–21.CrossRefPubMed Mendez MA, Monteiro CA, Popkin BM. Overweight exceeds underweight among women in most developing countries. Am J Clin Nutr. 2005;81(3):714–21.CrossRefPubMed
7.
go back to reference Manios Y, Costarelli V, Kolotourou M, Kondakis K, Tzavara C, Moschonis G. Prevalence of obesity in preschool Greek children, in relation to parental characteristics and region of residence. BMC Public Health. 2007;7(1):178.CrossRefPubMedPubMedCentral Manios Y, Costarelli V, Kolotourou M, Kondakis K, Tzavara C, Moschonis G. Prevalence of obesity in preschool Greek children, in relation to parental characteristics and region of residence. BMC Public Health. 2007;7(1):178.CrossRefPubMedPubMedCentral
8.
go back to reference Fatemeh T, Mohammad-Mehdi H-T, Toba K, Afsaneh N, Sharifzadeh G. Prevalence of overweight and obesity in preschool children (2–5 year-olds) in Birjand, Iran. BMC Res. Notes. 2012;5(1):529.CrossRefPubMedPubMedCentral Fatemeh T, Mohammad-Mehdi H-T, Toba K, Afsaneh N, Sharifzadeh G. Prevalence of overweight and obesity in preschool children (2–5 year-olds) in Birjand, Iran. BMC Res. Notes. 2012;5(1):529.CrossRefPubMedPubMedCentral
9.
go back to reference Rivera JÁ, de Cossío TG, Pedraza LS, Aburto TC, Sánchez TG, Martorell R. Childhood and adolescent overweight and obesity in Latin America: a systematic review. Lancet Diabetes Endocrinol. 2014;2(4):321–32.CrossRefPubMed Rivera JÁ, de Cossío TG, Pedraza LS, Aburto TC, Sánchez TG, Martorell R. Childhood and adolescent overweight and obesity in Latin America: a systematic review. Lancet Diabetes Endocrinol. 2014;2(4):321–32.CrossRefPubMed
10.
go back to reference Bowen L, Ebrahim S, De Stavola B, Ness A, Kinra S, Bharathi AV, et al. Dietary intake and rural-urban migration in India: a cross-sectional study. PLoS One. 2011;6(6):e14822.CrossRefPubMedPubMedCentral Bowen L, Ebrahim S, De Stavola B, Ness A, Kinra S, Bharathi AV, et al. Dietary intake and rural-urban migration in India: a cross-sectional study. PLoS One. 2011;6(6):e14822.CrossRefPubMedPubMedCentral
11.
go back to reference Masterson Creber RM, Smeeth L, Gilman RH, Miranda JJ. Physical activity and cardiovascular risk factors among rural and urban groups and rural-to-urban migrants in Peru: a cross-sectional study. Rev. Panam. Salud Publica = Pan Am. J. Public Health. 2010;28(1):1–8. Masterson Creber RM, Smeeth L, Gilman RH, Miranda JJ. Physical activity and cardiovascular risk factors among rural and urban groups and rural-to-urban migrants in Peru: a cross-sectional study. Rev. Panam. Salud Publica = Pan Am. J. Public Health. 2010;28(1):1–8.
12.
go back to reference Miranda JJ, Carrillo-Larco RM, Gilman RH, Avilez JL, Smeeth L, Checkley W, et al. Patterns and determinants of physical inactivity in rural and urban areas in Peru: a population-based study. J Phys Act Health. 2016;13(6):654–62.CrossRefPubMed Miranda JJ, Carrillo-Larco RM, Gilman RH, Avilez JL, Smeeth L, Checkley W, et al. Patterns and determinants of physical inactivity in rural and urban areas in Peru: a population-based study. J Phys Act Health. 2016;13(6):654–62.CrossRefPubMed
13.
go back to reference de Mola CL, Quispe R, Valle GA, Poterico JA. Nutritional transition in children under five years and women of reproductive age: a 15-years trend analysis in Peru. PLoS One. 2014;9(3):e92550.CrossRef de Mola CL, Quispe R, Valle GA, Poterico JA. Nutritional transition in children under five years and women of reproductive age: a 15-years trend analysis in Peru. PLoS One. 2014;9(3):e92550.CrossRef
14.
go back to reference Torres-Roman JS, Azañedo D, Ruiz EF, Avilez JL, Málaga G. The double burden of malnutrition: a threat for Peruvian childhood. Gac Sanit. 2017;31(4):359–60.CrossRefPubMed Torres-Roman JS, Azañedo D, Ruiz EF, Avilez JL, Málaga G. The double burden of malnutrition: a threat for Peruvian childhood. Gac Sanit. 2017;31(4):359–60.CrossRefPubMed
21.
go back to reference Perú, Ministerio de Salud (MINSA). Norma Técnica de Salud para el Control del Crecimiento y Desarrollo de la niña y el niño menor de cinco años. Lima: MINSA Lima; 2011. Perú, Ministerio de Salud (MINSA). Norma Técnica de Salud para el Control del Crecimiento y Desarrollo de la niña y el niño menor de cinco años. Lima: MINSA Lima; 2011.
22.
go back to reference Anselin L, Syabri I, Kho Y. GeoDa: an introduction to spatial data analysis. Geogr Anal. 2006;38(1):5–22.CrossRef Anselin L, Syabri I, Kho Y. GeoDa: an introduction to spatial data analysis. Geogr Anal. 2006;38(1):5–22.CrossRef
23.
go back to reference Anselin L. Exploratory spatial data analysis and geographic information systems. New tools Spat. Anal. 1994;17:45–54. Anselin L. Exploratory spatial data analysis and geographic information systems. New tools Spat. Anal. 1994;17:45–54.
24.
go back to reference Álvarez-Dongo D, Sánchez-Abanto J, Gómez-Guizado G, Tarqui-Mamani C. Sobrepeso y obesidad: prevalencia y determinantes sociales del exceso de peso en la población peruana (2009-2010). Rev Peru Med Exp Salud Publica. 2012;29(3):303–13.PubMed Álvarez-Dongo D, Sánchez-Abanto J, Gómez-Guizado G, Tarqui-Mamani C. Sobrepeso y obesidad: prevalencia y determinantes sociales del exceso de peso en la población peruana (2009-2010). Rev Peru Med Exp Salud Publica. 2012;29(3):303–13.PubMed
25.
go back to reference Urke HB, Mittelmark MB, Valdivia M. Trends in stunting and overweight in Peruvian pre-schoolers from 1991 to 2011: findings from the demographic and health surveys. Public Health Nutr. 2014;17(11):2407–18.CrossRefPubMedPubMedCentral Urke HB, Mittelmark MB, Valdivia M. Trends in stunting and overweight in Peruvian pre-schoolers from 1991 to 2011: findings from the demographic and health surveys. Public Health Nutr. 2014;17(11):2407–18.CrossRefPubMedPubMedCentral
26.
go back to reference Pajuelo-Ramírez J, Miranda-Cuadros M, Campos-Sánchez M, Sánchez-Abanto J. Prevalence of overwight and obesity among children under five years in Peru 2007-2010. Rev Peru Med Exp Salud Publica. 2011;28(2):222–7.CrossRefPubMed Pajuelo-Ramírez J, Miranda-Cuadros M, Campos-Sánchez M, Sánchez-Abanto J. Prevalence of overwight and obesity among children under five years in Peru 2007-2010. Rev Peru Med Exp Salud Publica. 2011;28(2):222–7.CrossRefPubMed
27.
go back to reference Tarqui-Mamani C, Sánchez-Abanto J, Alvarez-Dongo D, Gómez-Guizado G, Valdivia-Zapana S. Tendencia del sobrepeso, obesidad y exceso de peso en el Perú. Rev peru epidemiol. 2013;5:6. Tarqui-Mamani C, Sánchez-Abanto J, Alvarez-Dongo D, Gómez-Guizado G, Valdivia-Zapana S. Tendencia del sobrepeso, obesidad y exceso de peso en el Perú. Rev peru epidemiol. 2013;5:6.
28.
go back to reference Christensen DL, Eis J, Hansen AW, Larsson MW, Mwaniki DL, Kilonzo B, et al. Obesity and regional fat distribution in Kenyan populations: impact of ethnicity and urbanization. Ann Hum Biol. 2008;35(2):232–49.CrossRefPubMed Christensen DL, Eis J, Hansen AW, Larsson MW, Mwaniki DL, Kilonzo B, et al. Obesity and regional fat distribution in Kenyan populations: impact of ethnicity and urbanization. Ann Hum Biol. 2008;35(2):232–49.CrossRefPubMed
29.
go back to reference Barquera S, Campos-Nonato I, Hernández-Barrera L, Flores M, Durazo-Arvizu R, Kanter R, et al. Obesity and central adiposity in Mexican adults: results from the Mexican National Health and nutrition survey 2006. Salud Publica Mex. 2009;51:S595–603.PubMed Barquera S, Campos-Nonato I, Hernández-Barrera L, Flores M, Durazo-Arvizu R, Kanter R, et al. Obesity and central adiposity in Mexican adults: results from the Mexican National Health and nutrition survey 2006. Salud Publica Mex. 2009;51:S595–603.PubMed
30.
go back to reference Powell LM, Chaloupka FJ, Bao Y. The availability of fast-food and full-service restaurants in the United States: associations with neighborhood characteristics. Am J Prev Med. 2007;33(4):S240–S5.CrossRefPubMed Powell LM, Chaloupka FJ, Bao Y. The availability of fast-food and full-service restaurants in the United States: associations with neighborhood characteristics. Am J Prev Med. 2007;33(4):S240–S5.CrossRefPubMed
31.
go back to reference Esteban BM, Salgado AC. Nutrición actividad física y prevención de la obesidad: estrategia NAOS. Ars Pharm. 2007;48(1):107–13. Esteban BM, Salgado AC. Nutrición actividad física y prevención de la obesidad: estrategia NAOS. Ars Pharm. 2007;48(1):107–13.
35.
go back to reference Singh AS, Mulder C, Twisk JW, Van Mechelen W, Chinapaw MJ. Tracking of childhood overweight into adulthood: a systematic review of the literature. Obes Rev. 2008;9(5):474–88.CrossRefPubMed Singh AS, Mulder C, Twisk JW, Van Mechelen W, Chinapaw MJ. Tracking of childhood overweight into adulthood: a systematic review of the literature. Obes Rev. 2008;9(5):474–88.CrossRefPubMed
36.
go back to reference Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, De Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382(9890):427–51.CrossRefPubMed Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, De Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382(9890):427–51.CrossRefPubMed
Metadata
Title
Geographic differences in overweight and obesity prevalence in Peruvian children, 2010–2015
Authors
J. Smith Torres-Roman
Diego Urrunaga-Pastor
Jose L. Avilez
Luis M. Helguero-Santin
German Malaga
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5259-2

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