title: Unusually high prevalence rates of obesity in four Mexican rural communities.
abstract: OBJECTIVE
  To establish the nutritional status of previously studied rural populations.
  
  
  METHODS
  A total of 139 households with 245 males and 301 females from four relatively isolated Mexican rural communities were randomly selected to be surveyed in 1996.
  
  
  RESULTS
  Underweight was not a problem in either children or adults. In children <5 y only three (4.2%) were stunted but the age- and sex-specific distributions of body mass index (BMI) in children showed 17% of boys and 19% of girls exceeded the proposed International Obesity Task Force limits for classifying the overweight. Triceps skinfold values were similar to NHANESI values for white USA children. Of the adult men 42% were overweight (BMI 25.0-29.9) and 9% obese; 40% of adult women were overweight and a further 33% obese. Adjusting BMI values with corrected total heights by relating them to measured knee height reduced the BMI of women >50 y by 2.0 units; the male data were essentially unchanged. The prevalence of abdominal obesity in women, based on waist measurements and WHO cut-off points was high with 25% of women having elevated values despite a normal BMI; 43% of the overweight women had substantial increases in waist measurements, indicative of high risk, as did 91% of obese women. The men's waist measurements were greater in relation to both BMI and body fat but the prevalence of values in excess of the suggested sex-specific WHO limits was less than half that of women.
  
  
  CONCLUSIONS
  The high prevalence of overweight and obesity is now evident in poor and relatively isolated rural communities of Mexico.
  
  
  BACKGROUND
  The Chronic Disease Office, from the Ministry of Health in Mexico partially financed this study.
authors.affiliation: Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Dirección de Nutrición, Departamento de Fisiología de la Nutrición, México. claudias@aztlan.innsz.mx
authors.forename: C P
authors.initials: CP
authors.lastname: Sánchez-Castillo
authors.forename: J J
authors.initials: JJ
authors.lastname: Lara
authors.forename: A R
authors.initials: AR
authors.lastname: Villa
authors.forename: J
authors.initials: J
authors.lastname: Aguirre
authors.forename: M
authors.initials: M
authors.lastname: Escobar
authors.forename: H
authors.initials: H
authors.lastname: Gutiérrez
authors.forename: A
authors.initials: A
authors.lastname: Chávez
authors.forename: W P
authors.initials: WP
authors.lastname: James
mesh_terms: D000273:Adipose Tissue / Q000033:anatomy & histology*; D000293:Adolescent; D000328:Adult; D015992:Body Mass Index; D001835:Body Weight; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009749:Nutrition Surveys; D009752:Nutritional Status; D009765:Obesity / Q000453:epidemiology*; D015995:Prevalence; D012423:Rural Health; D012737:Sex Factors