1. Epidemiological and nutritional transition in Mexico: rapid increase
Bellagio Conference in Nutrition Transition
Epidemiological and nutritional
transition in Mexico: rapid increase
of non-communicable chronic
diseases and obesity
Juan A Rivera, Simón Barquera, Fabricio Campirano,
Ismael Campos, Margarita Safdie and Victor Tovar
Centro de Investigaciones en Nutrición y Salud
Instituto Nacional de Salud Pública (México)
August, 2001
Rivera et al., Public Health Nutrition, Feb 2002

2. Context, objective and sources of information
Epidemiological transition in Mexico
Retarded variant of the Transition Model
Polarization
Undernutrition principal concern in past
No major efforts to address emerging NCCDs and obesity until recently
Objective:
Characterize epidemiological and nutritional transition and their determinants in Mexico
Sources of information:
Mortality registry from ,
National Nutrition Surveys 1988 and 1999
National Chronic Diseases Survey
National Income and Expenditure Surveys

3. Relative change in age adjusted mortality rate from non-communicable chronic diseases in Mexico (1980 – 1998)
% change in age-adjusted mortality
Rivera J, Barquera S et al. The epidemiologic and nutrition transition in Mexico: rápid increase of obesity and chronic diseases, Bellagio Conference in Nutrition Transition, Belaggio, Italy 2001

4. Regions

5. Overweight and obesity in women 18-49 y (1988-1999)
33.4 vs 59.6
38.1 vs 65.3
29.1 vs 58.6
34.8 vs 59.1
30.5 vs 55.3
* Mexican National Nutrition Surveys I (1988) and II (1999), Health and Nutrition Research Center, Mexican National
Institute of Public Health.

6. Changes in relative contribution of macronutrients to total energy intake in Mexico%
1988
1999
1988
1999
1988
1999
1988
1999
1988
1999
North
Central
Mexico City
South
National

7. Change in quantity of food purchased by food groups relative to 1984 in Mexico (1984-1998)
Rivera J, Barquera S et al. The epidemiologic and nutrition transition in Mexico: rápid increase of obesity and chronic diseases, Bellagio Conference in Nutrition Transition, Belaggio, Italy 2001

8. Change of quantity of sugars purchased relative to 1984 by region in Mexico (1984-1998)
Rivera J, Barquera S et al. The epidemiologic and nutrition transition in Mexico: rápid increase of obesity and chronic diseases, Bellagio Conference in Nutrition Transition, Belaggio, Italy 2001

9. Change relative to 1984 and quantity index of soda purchased by region in Mexico (1984-1998)
Rivera J, Barquera S et al. The epidemiologic and nutrition transition in Mexico: rápid increase of obesity and chronic diseases, Bellagio Conference in Nutrition Transition, Belaggio, Italy 2001

10. What is the Government doing?

11. Reduction of prevalence of diabetes mellitus (DM)
Selected lines of action for emerging problems in the National Program of health
Reduction of prevalence of diabetes mellitus (DM)
8.2% of population has diabetes: 4.8 millions (only 1.4 diagnosed)
Control of CVD and high blood pressure (HBP)
Over ¼ of adults have hypertension and ½ of them are not aware
Attention to cancer
Mortality due to several types of cancer are increasing
Reduce addiction to tobacco, alcohol and drugs
Use increased substantially in last decades

12. Common actions to prevention and control of DM, CVD, and HBP
Promotion of healthy lifestyles
Prevention of obesity
Early identification of at risk patients
Early diagnosis and control of conditions
Mass communications program to promote prevention and treatment
Support groups of patients and their families for control of diseases