Abstract
Mexico has experienced changes in its demographic and epidemiologic profile accompanied by recent changes in nutrition and income. Thus, the old and the young have experienced very different environments. Using data from the Mexican National Health Nutrition Survey 2006, we examine age and sex differences in physiological status and dysregulation and assess how socioeconomic factors associate with variability in biological indicators of health. Results indicate that young people have experienced better physical development as evidenced by their being taller and having less stunting. There is currently little under-nutrition in Mexico, but there is evidence of over-nutrition as indicated by high prevalence of overweight across the age range. Physiological dysregulation across multiple systems is higher in Mexicans than Americans across all ages. Mexicans have: higher levels of blood pressure, plasma glucose, and especially for women, dysregulated cholesterol and higher body weight. Low education is associated with both being stunted and overweight, and with adverse levels of HDL cholesterol and more physiological risk factors. Rural dwelling males are less likely to be overweight as are females living in poor states. Living in a poor state among females and having rural residence among males is associated with a higher number of high-risk factors. Overweight is a strong predictor of hypertension. Age differences in indicators of physiological development suggest that the epidemiological and demographic transitions in Mexico were accompanied by improved physical development; however, increases in nutrition may have reached a point of diminishing returns as Mexico switched from a state of under-nutrition to over-nutrition.
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Aguilar-Salinas, C. A., Gómez-Pérez, F. J., Rull, J., Villalpando, S., Barquera, S., & Rojas, R. (2010). Prevalence of dyslipidemias in the mexican national health and nutrition survey 2006. Salud Pública de México, 52(Suppl. 1), S44–S53.
Aguirre-Arenas, J., Escobar-Pérez, M., & Chávez-Villasana, A. (1998). Evaluación de los patrones alimentarios y la nutrición en cuatro comunidades rurales. Salud Pública de México, 40(5), 398–407.
Aguirre, A. (1999). Evolución de la mortalidad en américa latina, 1960–1990 y perspectivas de reducción de mortalidad infantil. In K. Hill, J. B. Morelos, & R. Wong (Eds.), Las consecuencias de las transiciones demográfica y epidemiológica an america latina (pp. 45–56). Mexico: El Colegio de Mexico.
Barker, D. J. P. (1997). Maternal nutrition, fetal nutrition, and disease in later life. Nutrition, 13(9), 807–813.
Barker, D. J. P., Forsén, T., Eriksson, J. G., & Osmond, C. (2002). Growth and living conditions in childhood and hypertension in adult life: a longitudinal study. Journal of Hypertension, 20(10), 1951–1956.
Barker, D. J. P., Martyn, C. N., Osmond, C., Hales, C. N., & Fall, C. H. (1993). Growth in utero and serum cholesterol concentrations in adult life. British Medical Journal, 307(6918), 1524–1527.
Barquera, S., Campos-Nonato, I., Carrión-Rábago, C., Villalpando, S., López-Ridaura, R., Rojas, R., et al. (2010a). Methodology for the analysis of type 2 diabetes, metabolic syndrome and cardiovascular disease risk indicators in the ensanut 2006. Salud Pública de México, 52(Suppl. 1), S4–S10.
Barquera, S., Campos-Nonato, I., Hernández-Barrera, L., Flores, M., Durazo-Arvizu, R., Kanter, R., et al. (2009). Obesity and central adiposity in mexican adults: results from the mexican national health and nutrition survey 2006. Salud Pública de México, 51(Suppl. 4), S595–S603.
Barquera, S., Campos-Nonato, I., Hernández-Barrera, L., Villalpando, S., Rodríguez-Gilabert, C., Durazo-Arvizú, R., et al. (2010b). Hypertension in mexican adults: results from the national health and nutrition survey 2006. Salud Pública de México, 52(Suppl. 1), S63–S71.
Barquera, S., Hotz, C., Rivera, J., Tolentino, L., Espinoza, J., Campos, I., et al. (2006). Food consumption, food expenditure, anthropometric status and nutrition-related diseases in mexico. In Food and Agriculture Organization of the United Nations (Ed.), The double burden of malnutrition: Case studies from six developing countries (pp. 161–203).
Beltrán-Sánchez, H., Crimmins, E. M., Teruel, G. M., & Thomas, D. (2011). Links between childhood and adult social circumstances and obesity and hypertension in the mexican population. Journal of Aging and Health, 23(7), 1141–1165.
Ben-Shlomo, Y., & Kuh, D. (2002). A life course approach to chronic disease epidemiology: conceptual models, empirical challenges and interdisciplinary perspectives. International Journal of Epidemiology, 31(2), 285–293.
Camposortega Cruz, S. (1997). Cambios en la mortalidad: Cien años de mortalidad en mexico [changes in mortality: a century of mortality in mexico]. Demos, 12, 11–13.
Centers for Disease Control and Prevention (CDC), & National Center for Health Statistics (NCHS). (2012). National health and nutrition examination survey protocol. Retrieved Oct 30, 2012, from http://www.cdc.gov/nchs/nhanes/nhanes_questionnaires.htm
CONAPO. (2012). Tasa de mortalidad infantil por municipio, 2005 [infant mortality by locality, 2005] Retrieved Oct 30, 2012, from http://www.conapo.gob.mx/en/CONAPO/Base_de_datos
Consejo Nacional de Evaluación de la Politica de Desarrollo Social. (2007). Los mapas de la pobreza en méxico Retrieved Oct 30, 2012, from http://www.coneval.gob.mx/mapas/mapas/presentacion.pdf
Consejo Nacional de Población. (2010). La situacion demográfica de mexico 2010 [mexico’s demographic state 2010]. Mexico: Consejo Nacional de Población.
Crimmins, E. M., & Finch, C. E. (2006). Infection, inflammation, height, and longevity. Proceedings of the National Academy of Sciences of the United States of America, 103(2), 498–503.
Crimmins, E. M., Kim, J. K., & Seeman, T. E. (2009). Poverty and biological risk: the earlier “aging” of the poor. Journals of Gerontology—Series A Biological Sciences and Medical Sciences, 64(2), 286–292.
Crimmins, E. M., Preston, S. H., & Cohen, B. (2011). Explaining divergent levels of longevity in high-income countries. Washington: National Academies Press.
Crimmins, E. M., Wheaton, F., Vasunilashorn, S., Beltrán-Sánchez, H., Zhang, L., & Kim, J. K. (2013). A global perspective on physiological change with age. In S. A. Mc-Donald & Z. Zimmer (Eds.), Global ageing in the twenty-first century: Challenges, opportunities and implications. England: Ashgate Publishing Ltd.
Finch, C. E. (2007). The biology of human longevity: Inflammation, nutrition, and aging in the evolution of life spans. Burlington: Academic.
Fogel, R. W., & Costa, D. L. (1997). A theory of technophysio evolution, with some implications for forecasting population, health care costs, and pension costs. Demography, 34(1), 49–66.
Gruenewald, T. L., Seeman, T. E., Ryff, C. D., Karlamangla, A. S., & Singer, B. H. (2006). Combinations of biomarkers predictive of later life mortality. Proceedings of the National Academy of Sciences of the United States of America, 103(38), 14158–14163.
Hales, C. N., & Barker, D. J. P. (2001). The thrifty phenotype hypothesis: type 2 diabetes. British Medical Bulletin, 60(1), 5–20.
Juarez-Rojas, J. G., Cardoso-Saldana, G. C., Posadas-Sanchez, R., Medina-Urrutia, A. X., Yamamoto-Kimura, L., & Posadas-Romero, C. (2008). Blood pressure and associated cardiovascular risk factors in adolescents of mexico city. Archivos de Cardiología de México, 78(4), 384–391.
Lloyd-Jones, D. M., Wilson, P. W., Larson, M. G., Beiser, A., Leip, E. P., D’Agostino, R. B., et al. (2004). Framingham risk score and prediction of lifetime risk for coronary heart disease. The American Journal of Cardiology, 94(1), 20–24.
McKeown, T., Record, R. G., & Turner, R. D. (1975). An interpretation of the decline of mortality in england and wales during the twentieth century. Population Studies, 29(3), 391–422.
Mitka, M. (2004). Metabolic syndrome recasts old cardiac, diabetes risk factors as a “new” entity. JAMA : The Journal of the American Medical Association, 291(17), 2062–2063.
Montez, J. K., & Hayward, M. (2011). Early life conditions and later life mortality. In R. Rogers & E. M. Crimmins (Eds.), International handbook of adult mortality (pp. 187–206). Dordrecht: Springer.
Njelekela, M., Sato, T., Nara, Y., Miki, T., Kuga, S., Noguchi, T., et al. (2003). Nutritional variation and cardiovascular risk factors in tanzania–rural–urban difference. South African Medical Journal, 93(4), 295–299.
Olaiz-Fernández, G., Rivera-Dommarco, J., Shamah-Levy, T., Rojas, R., Villalpando-Hernández, S., Hernández-Avila, M., et al. (2006). Encuesta nacional de salud y nutrición 2006. Cuernavaca: Instituto Nacional de Salud Pública.
Palloni, A., Soldo, B. J., Wong, R., & McEniry, M. (2003). Health status in a national sample of elderly mexicans. Working Paper Series. Center for Demography and Ecology, University of Madison-Wisconsin., 2003–03. Retrieved from http://www.ssc.wisc.edu/cde/cdewp/2003-03.pdf
Palloni, A., & Wyrick, R. (1981). Mortality decline in latin-america—changes in the structure of causes of deaths, 1950–1975. Social Biology, 28(3–4), 187–216.
Popkin, B. M. (2002). The shift in stages of the nutrition transition in the developing world differs from past experiences! Public Health Nutrition, 5(1A), 205–214.
Popkin, B. M. (2006). Global nutrition dynamics: the world is shifting rapidly toward a diet linked with noncommunicable diseases. American Journal of Clinical Nutrition, 84(2), 289–298.
Rivera, J. A., Barquera, S., Campirano, F., Campos, I., Safdie, M., & Tovar, V. (2002). Epidemiological and nutritional transition in mexico: rapid increase of non-communicable chronic diseases and obesity. Public Health Nutrition, 5(1A), 113–122.
Rivera, J. A., Barquera, S., Gonzalez-Cossio, T., Olaiz, G., & Sepulveda, J. (2004). Nutrition transition in mexico and in other latin american countries. Nutrition Reviews, 62(II), S149–S157.
Samper-Ternent, R., Michaels-Obregon, A., Wong, R., & Palloni, A. (2012). Older adults under a mixed regime of infectious and chronic diseases. Salud Pública de México, 54(5), 487–495.
Seeman, T. E., McEwen, B. S., Rowe, J. W., & Singer, B. H. (2001). Allostatic load as a marker of cumulative biological risk: Macarthur studies of successful aging. Proceedings of the National Academy of Sciences of the United States of America, 98(8), 4770–4775.
Sobngwi, E., Mbanya, J.-C., Unwin, N. C., Porcher, R., Kengne, A.-P., Fezeu, L., et al. (2004). Exposure over the life course to an urban environment and its relation with obesity, diabetes, and hypertension in rural and urban cameroon. International Journal of Epidemiology, 33(4), 769–776.
Warner, D. F., & Hayward, M. D. (2006). Early-life origins of the race gap in men's mortality. Journal of Health and Social Behavior, 47(3), 209–226.
Wong, R., Espinoza, M., & Palloni, A. (2007). Adultos mayores mexicanos en contexto socioeconómico amplio: Salud y envejecimiento. Salud Pública de México, 49(Suppl. 4), S436–S447.
World Health Organization. (2012). World health statistics 2012. Geneva: World Health Organization.
Yamamoto-Kimura, L., Posadas-Romero, C., Posadas-Sanchez, R., Zamora-Gonzalez, J., Cardoso-Saldana, G., & Ramirez, I. M. (2006). Prevalence and interrelations of cardiovascular risk factors in urban and rural mexican adolescents. Journal of Adolescent Health, 38(5), 591–598.
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Financial support was provided by grants from the National Institute on Aging: R01AG030668, T32AG000037, and P30AG17265, and the Harvard Center for Population and Development Studies.
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Beltrán-Sánchez, H., Crimmins, E.M. Biological Risk in the Mexican Population at the Turn of the 21st Century. J Cross Cult Gerontol 28, 299–316 (2013). https://doi.org/10.1007/s10823-013-9199-0
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DOI: https://doi.org/10.1007/s10823-013-9199-0