“You Are Not Fat, You Are &lt;I&gt;Hermosa&lt;/I&gt;”: Mexican Caregivers Share Their Perceptions About Their Role Supporting Their Morbidly Obese Children

Méndez-Domínguez, Nina; Barrera-Pérez, Mario; Palma-Solís, Marco; Dickinson, Federico; Uicab-Pool, Gloria de los Ángeles; Castillo‐Burguete, María Teresa; Prelip, Michael

doi:10.1891/1540-4153.12.4.174

Cited by 4 publications

(45 citation statements)

References 29 publications

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“…Furthermore, in LMICs, food companies are developing extensive distribution networks, providing point-of-sale advertising materials or free distributions (5), and using spaces with the highest consumer traffic to tempt consumers into buying ultra-processed foods or beverages (37). Unlike other studies from LMICs, we did not find that unhealthy food environments around schools were directly linked with poorer dietary quality (9) or higher BMI (38,39). This could largely be due to the fact that students take their own lunch to school, with their parents acting as "gatekeepers" of their choices (10).…”

Section: Discussioncontrasting

confidence: 79%

Factors Influencing Adolescents' Dietary Behaviors in the School and Home Environment in Addis Ababa, Ethiopia

Trübswasser

Talsma

Ekubay

et al. 2022

Front. Public Health

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BackgroundMalnutrition affects many adolescents in Ethiopia. Over one-third of adolescent girls and two-thirds of boys are thin. Overweight and obesity in Ethiopia is mostly a concern in urban populations of higher wealth quintiles. Urbanization and globalization of diets is shifting food environments. The objective of this study was to assess whether food environments in and around schools in urban Ethiopia influence dietary diversity, quality, BMI status or perceptions of adolescents.MethodsTwelve high schools were selected in Addis Ababa (private/government). From each school, 20 pupils aged 15–19 years were randomly selected (n = 217) and interviewed about assets in their households, their diets (categorized into 10 food groups of the Minimum Dietary Diversity, the Global Dietary Recommendations scores and four categories of the NOVA classification based on level of processing) and their use of pocket money. In addition, food environment audits were conducted within the school compound and a 0.5 km radius around each school and types of food outlets.ResultsOn average there were 436 food outlets and 246 food or drink advertisements around each school. The majority of the advertisements (89.9%) were of ultra-processed foods, mostly sugar-sweetened beverages (SSBs). Most were positioned on food outlets (89.1%). SSBs or sweets were visibly on display in 26.3% of the outlets and fresh fruits and vegetables in 17.9% of outlets. Dietary diversity of adolescents was poor with an average of 3.6 food groups out of 10 consumed in the last 24 h. Ultra-processed foods and beverages were consumed by 23.5% of adolescents. The majority of adolescents spent their pocket money on SSBs, sweets or fried foods. Our analysis found that higher assets in adolescents' households were associated with higher dietary diversity and consumption of healthy food groups. We found no association between the food environment and dietary indicators or the BMI-z-score.ConclusionWhile the school food environments investigated were not conducive with promoting healthy dietary behaviors, we cannot conclude that these environmental factors directly influence adolescents' diets. The pervasive advertising and availability of unhealthy foods and beverages requires policy action for healthy school food environments.

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Section: Discussioncontrasting

confidence: 79%

Factors Influencing Adolescents' Dietary Behaviors in the School and Home Environment in Addis Ababa, Ethiopia

Trübswasser

Talsma

Ekubay

et al. 2022

Front. Public Health

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“…All the included studies were published during or after 2010. Overall, 12 studies 33,35,36,[38][39][40][44][45][46]48,49,51 included children or adolescents, 12 included parents, 29,30,32,[34][35][36][37]41,42,47,49,51 eight included teachers, 28,30,31,35,36,43,49,51 four included school principals or other school staff (not directly in charge of the child's care), 28,30,43,49 four included school food vendors or school's kitchen staff, 28,30,43,49 and one included policymakers or academics (Table A1). 50 Most of the studies were qualitative and used structured or semi-structured interviews with thematic analysis.…”

Section: Resultsmentioning

confidence: 99%

Cultural factors related to childhood and adolescent obesity in Mexico: A systematic review of qualitative studies

et al. 2022

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Culture and culturally specific beliefs or practices may influence perceptions and decisions, potentially contributing to childhood obesity. The objective of this study is to identify the cultural factors (expressed through decisions, behaviors, individual experiences, perceptions, attitudes, or views) related to childhood and adolescent obesity in Mexico. Ten databases and one search engine were searched from 1995 onwards for qualitative studies. The Sunrise Enabler Model, described within the Cultural Care Theory, guided this review. Sample, the phenomenon of interest, study design, and evaluation data were extracted, and the Critical Appraisals Skills Programme tool was used to assess the quality of the included studies. Twenty-four studies were included. Of these, 12 studies included children or adolescents, 12 included parents, eight included schoolteachers, four included school staff (other than teachers), four included food vendors, and one included policymakers. Cultural values, beliefs, lifeways (especially food and food costumes), kinship, and social factors (particularly immediate and extended family) strongly influenced childhood and adolescent obesity-related lifestyles in Mexico. Most cultural factors related to childhood obesity in Mexico identified in this review may be modifiable and amenable to practical interventions.

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“…En ambos estudios municipales la prevalencia es alarmantemente elevada y la razón de ello puede encontrar sustento en el trabajo cualitativo de Méndez y Cols. 22 . Estos investigadores analizaron las percepciones de 48 cuidadores de sujetos obesos meridanos de entre 6 y 13 años y, con base en eso, evidenciaron un alto consumo de productos de harina refinada (galletas y pastelillos), la sustitución de agua por bebidas azucaradas, así como diversas prácticas sedentarias.…”

Section: Condiciónunclassified

Estudio poblacional sobre el estado de salud y nutrición de habitantes de la ciudad de Mérida, México

Barbosa-Martín¹,

Fajardo-Niquete²,

Sosa-Valadez³

et al. 2016

Rev Esp Nutr Hum Diet

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Introducción: La Encuesta Nacional de Salud y Nutrición (ENSANUT) reporta el panorama actual de la epidemiología nutricional nacional y estatal en México. Sin embargo, no existen reportes nutricionales de las capitales de los estados mexicanos. El presente trabajo tuvo como objetivo evaluar el estado de salud y nutrición en habitantes de Mérida, Yucatán, México. Material y Métodos:Estudio transversal, retrospectivo y descriptivo que utilizó los lineamientos metodológicos y diagnósticos de la ENSANUT, OMS y Normas Oficiales Mexicanas. Se determinaron casos probables de hipertensión arterial sistémica (CPHA), casos probables de diabetes mellitus (CPDM) y se realizaron mediciones antropométricas para establecer prevalencias de desnutrición, normopeso y exceso de peso. Se utilizó SPSS 20.0 y Excel 2013 para calcular proporciones y expresar los resultados en prevalencias.Resultados: Se evaluaron 4.324 sujetos (644 preescolares, 1.881 escolares, 133 adolescentes y 1.666 adultos). En adultos, la prevalencia de CPHA fue 11,8% y la de CPDM 10,2%. En preescolares las prevalencias de bajo peso, emaciación y talla baja fueron 0,4%, 0,7% y 2,7%, respectivamente. En escolares, adolescentes y adultos las prevalencias de desnutrición fueron 3,3%, 2,2% y 1,2%, respectivamente. Las proporciones de normopeso y de exceso de peso en preescolares, escolares, adolescentes y adultos fueron 54,6%, 45,5%, 48,1% y 20,7% y del 16,1%, 51%, 49,5% y 77,9%, respectivamente. Conclusiones:Se evidenciaron altas prevalencias de casos probables de diabetes mellitus en hombres y bajas prevalencias de desnutrición en todas las edades. La proporción de exceso de peso en menores de 20 años fue mayor a lo reportado tanto a nivel nacional como estatal.

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“You Are Not Fat, You Are <I>Hermosa</I>”: Mexican Caregivers Share Their Perceptions About Their Role Supporting Their Morbidly Obese Children

Cited by 4 publications

References 29 publications

Factors Influencing Adolescents' Dietary Behaviors in the School and Home Environment in Addis Ababa, Ethiopia

Factors Influencing Adolescents' Dietary Behaviors in the School and Home Environment in Addis Ababa, Ethiopia

Cultural factors related to childhood and adolescent obesity in Mexico: A systematic review of qualitative studies

Estudio poblacional sobre el estado de salud y nutrición de habitantes de la ciudad de Mérida, México

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