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      Obesidad y pobreza: ¿quién es el culpable? Translated title: Obesity and poverty, who is to blame?

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          Abstract

          Resumen La obesidad ha sido enfocada por la sociedad como un problema de apariencia física, pero ante todo es una enfermedad que incide directamente en la esperanza y calidad de vida de quien la sufre y de un gran impacto social y económico. Desde hace alrededor de dos décadas, la obesidad se está manifestando en asocio con la pobreza. Este artículo hace un análisis de los factores que influyen en el desarrollo de la obesidad en las personas de menores ingresos y las repercusiones desde el punto de vista de la salud que esta tiene sobre los individuos. Se concluye que diversos factores repercuten en este problema: genéticos, ambientales, socio-culturales y de género. Se deben establecer políticas de salud tendientes a fortalecer los hábitos saludables y a educar mediante los medios a la población.

          Translated abstract

          Abstract Obesity has focused on society as a problem of physical appearance, but primarily is a disease that directly affects life expectancy and quality of life of the sufferer and a major social and economic impact. Since about two decades, obesity is manifesting in association with poverty. The article makes an analysis of the factors influencing the development of obesity in people with lower incomes and the impact from the point of view of health it has on individuals. It is concluded that many factors affect this problem: genetic, environmental, socio-cultural and gender. Health policies must be aimed at strengthening healthy habits through the media and educate the population.

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          Most cited references25

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          Obesity and the metabolic syndrome in developing countries.

          Prevalence of obesity and the metabolic syndrome is rapidly increasing in developing countries, leading to increased morbidity and mortality due to type 2 diabetes mellitus (T2DM) and cardiovascular disease. Literature search was carried out using the terms obesity, insulin resistance, the metabolic syndrome, diabetes, dyslipidemia, nutrition, physical activity, and developing countries, from PubMed from 1966 to June 2008 and from web sites and published documents of the World Health Organization and Food and Agricultural Organization. With improvement in economic situation in developing countries, increasing prevalence of obesity and the metabolic syndrome is seen in adults and particularly in children. The main causes are increasing urbanization, nutrition transition, and reduced physical activity. Furthermore, aggressive community nutrition intervention programs for undernourished children may increase obesity. Some evidence suggests that widely prevalent perinatal undernutrition and childhood catch-up obesity may play a role in adult-onset metabolic syndrome and T2DM. The economic cost of obesity and related diseases in developing countries, having meager health budgets is enormous. To prevent increasing morbidity and mortality due to obesity-related T2DM and cardiovascular disease in developing countries, there is an urgent need to initiate large-scale community intervention programs focusing on increased physical activity and healthier food options, particularly for children. International health agencies and respective government should intensively focus on primordial and primary prevention programs for obesity and the metabolic syndrome in developing countries.
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            Undernutrition as an underlying cause of child deaths associated with diarrhea, pneumonia, malaria, and measles.

            Previous analyses derived the relative risk (RR) of dying as a result of low weight-for-age and calculated the proportion of child deaths worldwide attributable to underweight. The objectives were to examine whether the risk of dying because of underweight varies by cause of death and to estimate the fraction of deaths by cause attributable to underweight. Data were obtained from investigators of 10 cohort studies with both weight-for-age category ( -1 SD) and cause of death information. All 10 studies contributed information on weight-for-age and risk of diarrhea, pneumonia, and all-cause mortality; however, only 6 studies contributed information on deaths because of measles, and only 3 studies contributed information on deaths because of malaria or fever. With use of weighted random effects models, we related the log mortality rate by cause and anthropometric status in each study to derive cause-specific RRs of dying because of undernutrition. Prevalences of each weight-for-age category were obtained from analyses of 310 national nutrition surveys. With use of the RR and prevalence information, we then calculated the fraction of deaths by cause attributable to undernutrition. The RR of mortality because of low weight-for-age was elevated for each cause of death and for all-cause mortality. Overall, 52.5% of all deaths in young children were attributable to undernutrition, varying from 44.8% for deaths because of measles to 60.7% for deaths because of diarrhea. A significant proportion of deaths in young children worldwide is attributable to low weight-for-age, and efforts to reduce malnutrition should be a policy priority.
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              Obesity, diets, and social inequalities.

              Obesity and type 2 diabetes follow a socioeconomic gradient. Highest rates are observed among groups with the lowest levels of education and income and in the most deprived areas. Inequitable access to healthy foods is one mechanism by which socioeconomic factors influence the diet and health of a population. As incomes drop, energy-dense foods that are nutrient poor become the best way to provide daily calories at an affordable cost. By contrast, nutrient-rich foods and high-quality diets not only cost more but are consumed by more affluent groups. This article discusses obesity as an economic phenomenon. Obesity is the toxic consequence of economic insecurity and a failing economic environment.

                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                sun
                Revista Salud Uninorte
                Salud, Barranquilla
                Fundación Universidad del Norte, División de Ciencias de la (Barranquilla, Atlantico, Colombia )
                0120-5552
                2011-7531
                August 2017
                : 33
                : 2
                : 202-212
                Affiliations
                [1] Barranquilla Atlántico orgnameUniversidad del Norte orgdiv1Departamento de Medicina Colombia egmartinez@ 123456uninorte.edu.co
                [2] Barranquilla Atlántico orgnameUniversidad del Norte orgdiv1Departamento de Medicina Colombia
                Article
                S0120-55522017000200202
                0330687b-2870-4ea9-84c4-1597032a3c63

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 04 April 2017
                : 19 October 2016
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 50, Pages: 11
                Product

                SciELO Colombia


                pobreza,obesidad,alimentación,riesgo de enfermedades,poverty,obesity,nutrition,disease risk

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