Nutritional status of indigenous children at boarding schools in northern Mexico

Monárrez‐Espino, Joel; Martı́nez, Homero; Martínez, Víctor; Greiner, Ted

doi:10.1038/sj.ejcn.1601840

Cited by 30 publications

(22 citation statements)

References 23 publications

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“…Approximately 20-25% of the 24-to 72-month-old children in this sample were overweight or obese, which is almost double the prevalence reported in the rural subsample of a nationally representative group of Mexican school-aged children, conducted 5 years previously (Hernandez et al, 2003). The prevalence of overweight and obesity that we report in the indigenous population was also higher than a more recent study of older indigenous children at boarding school (Monárrez-Espino et al, 2004). Although the use and validity of BMI in stunted populations has been questioned, recent evidence suggests that it continues to be the best field-appropriate method for estimating the risk of overweight and obesity in both stunted and non-stunted children (Hoffman et al, 2006).…”

Section: Discussioncontrasting

confidence: 60%

Overweight with concurrent stunting in very young children from rural Mexico: prevalence and associated factors

2006

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Objective: To document the prevalence of overweight or obesity concurrent with stunting in rural low-income Mexican children and to identify demographic and socio-economic characteristics that could help identify families at risk of having an overweight/obese and stunted young child in this population. Design: Cross-sectional analysis of the nutritional status of very young children, using primary data from a rural communitybased survey conducted in 2003. Overweight, obesity and stunting were documented along with several maternal, household and community characteristics. Setting: Impoverished areas of rural Mexico. Subjects: Pre-school children (n ¼ 7555), aged 24-72 months. Results: The combined prevalence of overweight and obesity was equal to or greater than 20% in all children, as was the prevalence of stunting. The prevalence of concurrent overweight or obesity and stunting was approximately 5% in nonindigenous children, and over 10% in indigenous children 24-60 months. A multinomial logistic analysis revealed that the factors associated with coexisting stunting and overweight/obesity were lower socio-economic status (SES), lower maternal age, education, intelligence (vocabulary) and perceived social status, shorter maternal height, and larger household size. Among only stunted children, the risk of also being overweight or obese was associated with younger maternal age (relative risk ratios (RRR): 0.98, P ¼ 0.05), lower maternal perceived social status (RRR: 0.95, Po0.01) and maternal obesity (RRR: 2.93, Po0.0001) or overweight (RRR: 1.50, P ¼ 0.002). Conclusions: These analyses highlight that concurrent overweight or obesity and stunting is an important public health issue in low-income areas of rural Mexico beginning in early childhood. Even within this impoverished population, children living in households with low relative SES are the most vulnerable.

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Section: Discussioncontrasting

confidence: 60%

Overweight with concurrent stunting in very young children from rural Mexico: prevalence and associated factors

2006

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“…This finding is consistent with studies of economically disadvantaged children in Indonesia and Mexico that link iron deficiency with poorer growth. [7][8][9] This pattern is not seen in studies in the United States and Europe, where children are generally well-nourished and not severely iron deficient. In these studies, iron has been reported to relate to faster postnatal growth, a finding that has been interpreted as an increased risk of exhausting fetal iron stores among faster growing infants.…”

Section: Discussionmentioning

confidence: 44%

Fetal Alcohol Exposure, Iron-Deficiency Anemia, and Infant Growth

Carter

Jacobson²,

Molteno

et al. 2007

Pediatrics

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“…Local studies also indicated the same pattern of the prevalence of folate deficiency, with rates of 5% among Mexican adult women, 41 3% among Guatemalan adult women, 42 and 2% among Chilean older people. 43 A series of studies conducted across age groups indicated no folate deficiency in schoolchildren and older people in Mexico 44,45 ; infants, schoolchildren, and adult women in Guatemala 46,47 ; adults in Costa Rica 48 ; and adult women and older people in Chile. 30,49,50 Prevalence of Low Vitamin B 12 in Latin America and the Caribbean Figure 2 shows the prevalence of low vitamin B 12 in Latin America and the Caribbean.…”

Section: Resultsmentioning

confidence: 99%

Folate and Vitamin B₁₂ Status in Latin America and the Caribbean

et al. 2015

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Background: The current magnitude of folate and vitamin B 12 deficiency in Latin America and the Caribbean is uncertain. Objective: To summarize data on plasma or serum vitamin B 12 and folate concentrations in Latin America and the Caribbean reported since 1990, a period that covers the era before and after the introduction of folic acid fortification. Methods: A systematic review was conducted in 2012 and updated in 2014. Studies and surveys using biochemical biomarkers and conducted in apparently healthy individuals were identified. Results: Folate deficiency in Latin America and the Caribbean appears not to be a public health problem (prevalence < 5%) after the introduction of folic acid fortification. However, there is some indication that high rates of low or marginal vitamin B 12 status remain in most locations and across population groups. Conclusions: Adding vitamin B 12 as a fortificant with folic acid may be the best strategy in areas where vitamin B 12 deficiency is an established concern.

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Nutritional status of indigenous children at boarding schools in northern Mexico

Cited by 30 publications

References 23 publications

Overweight with concurrent stunting in very young children from rural Mexico: prevalence and associated factors

Overweight with concurrent stunting in very young children from rural Mexico: prevalence and associated factors

Fetal Alcohol Exposure, Iron-Deficiency Anemia, and Infant Growth

Folate and Vitamin B₁₂ Status in Latin America and the Caribbean

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Nutritional status of indigenous children at boarding schools in northern Mexico

Cited by 30 publications

References 23 publications

Overweight with concurrent stunting in very young children from rural Mexico: prevalence and associated factors

Overweight with concurrent stunting in very young children from rural Mexico: prevalence and associated factors

Fetal Alcohol Exposure, Iron-Deficiency Anemia, and Infant Growth

Folate and Vitamin B12 Status in Latin America and the Caribbean

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Product

Resources

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Folate and Vitamin B₁₂ Status in Latin America and the Caribbean