Regional-level estimation of expected years of life lost attributable to overweight and obesity among Mexican adults.
BACKGROUND
Excess body weight has become a major public health problem worldwide, and the burden of overweight and obesity was calculated in this work from a health economics perspective.


OBJECTIVE
To estimate the burden of disease attributable to overweight and obesity among males and females aged 20 years and older using years of life lost (YLL) and age-standardized YLL rates (ASYLL), and to rank the leading causes of premature death.


METHODS
A cross-sectional study took place (2010-2014) and 6,054 deaths were analyzed. Thirteen basic causes of death associated with overweight or obesity were included. The population attributable fraction (PAF), YLL, and ASYLL were calculated.


RESULTS
The overall burden attributable to overweight and obesity was 36,087 YLL, and the estimated ASYLL per 10,000 persons was 1,098 and 1,029 in males and females, respectively. Type 2 diabetes mellitus was the main cause of premature death (males, 968 ASYLL; females, 772 ASYLL).


CONCLUSIONS
Overweight and obesity are major risk factors of chronic diseases that are main causes of premature death in the study population. Strategies for preventing overweight and obesity may decrease the incidence and mortality associated with these non-communicable diseases. ASYLL seems to be an indicator that is particularly well adapted to decision-making in public health.
Unidad de Medicina Familiar No. 19, Instituto Mexicano del Seguro Social, Colima, México.
Efrén
E
Murillo-Zamora
Coordinación de Vigilancia Epidemiológica, Servicios de Salud del Estado de Colima, Colima, México.
Raúl
R
García-Ceballos
Facultad de Medicina, Universidad de Colima, Colima, México.|Instituto Estatal de Cancerología, Servicios de Salud del Estado de Colima, Colima, México.
Iván
I
Delgado-Enciso
Universidad Autónoma de Nuevo León, Facultad de Medicina, Hospital Universitario "José Eleuterio González", Servicio de Anatomía Patológica y Citopatología, Monterrey, Nuevo León, México.
Raquel
R
Garza-Guajardo
Universidad Autónoma de Nuevo León, Facultad de Medicina, Hospital Universitario "José Eleuterio González", Servicio de Anatomía Patológica y Citopatología, Monterrey, Nuevo León, México.
Oralia
O
Barboza-Quintana
Universidad Autónoma de Nuevo León, Facultad de Medicina, Hospital Universitario "José Eleuterio González", Departamento de Genética, Monterrey, Nuevo León, México.
Irám P
IP
Rodríguez-Sánchez
Facultad de Ingeniería Civil, Universidad de Colima, Colima, México.|Center for Health and the Global Environment, Harvard T.H. Chan School of Public Health, Boston, MA, USA; omendoza@hsph.harvard.edu, oliver@ucol.mx.
Oliver
O
Mendoza-Cano
mortality; obesity; overweight; risk factor