Differences in magnitude and rate of change in adult obesity distribution by age and sex in Mexico, Colombia and Peru, 2005-2010

Goro Yamada, Carlos Castillo-Salgado, Jessica C. Jones-Smith, Lawrence Hale Moulton

Research output: Contribution to journalArticle

Abstract

Objective Unequal obesity distributions among adult populations have been reported in low- and middle-income countries, but mainly based on data of women of reproductive age. Moreover, incorporation of ever-changing skewed BMI distributions in analyses has been a challenge. Our study aimed to assess magnitude and rates of change in BMI distributions by age and sex.Design Shapes of BMI distributions were estimated for 2005 and 2010, and their changes were assessed, using the generalized additive model for location, scale and shape (GAMLSS) and assuming BMI follows a Box-Cox power exponential (BCPE) distribution.Setting Nationally representative, repeated cross-sectional health surveys conducted between 2005 and 2013 in Mexico, Colombia and Peru.Subjects Adult men and non-pregnant women aged 20-69 years.Results Whereas women had more right-shifted and wider BMI distributions than men in almost all age groups across the countries in 2010, men in their 30s-40s experienced more rapid increases in BMI between 2005 and 2010, notably in Peru. The highest increase in overweight and obesity prevalence was observed among Peruvian men of 35-39 years, with a 5-year increase of 21 percentage points.Conclusions The BCPE-GAMLSS method is an alternative to analyse measurements with time-varying distributions visually, in addition to conventional indicators such as means and prevalences. Consideration of differences in BMI distributions and their changes by sex and age would provide vital information in tailoring relevant policies and programmes to reach target populations effectively. Increases in BMI portend increases of obesity-associated diseases, for which preventive and preparative actions are urgent.

Original languageEnglish (US)
Pages (from-to)757-763
Number of pages7
JournalPublic health nutrition
Volume22
Issue number4
DOIs
StatePublished - Mar 1 2019

Fingerprint

Sex Distribution
Peru
Colombia
Age Distribution
Mexico
Obesity
Health Services Needs and Demand
Health Surveys
Age Groups
Cross-Sectional Studies
Population

Keywords

  • BCPE distribution
  • BMI
  • Latin America
  • Obesity
  • Statistical method

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Public Health, Environmental and Occupational Health

Cite this

Differences in magnitude and rate of change in adult obesity distribution by age and sex in Mexico, Colombia and Peru, 2005-2010. / Yamada, Goro; Castillo-Salgado, Carlos; Jones-Smith, Jessica C.; Moulton, Lawrence Hale.

In: Public health nutrition, Vol. 22, No. 4, 01.03.2019, p. 757-763.

Research output: Contribution to journalArticle

@article{1c4d9d5f39644237b7e7363e77b2f0d4,
title = "Differences in magnitude and rate of change in adult obesity distribution by age and sex in Mexico, Colombia and Peru, 2005-2010",
abstract = "Objective Unequal obesity distributions among adult populations have been reported in low- and middle-income countries, but mainly based on data of women of reproductive age. Moreover, incorporation of ever-changing skewed BMI distributions in analyses has been a challenge. Our study aimed to assess magnitude and rates of change in BMI distributions by age and sex.Design Shapes of BMI distributions were estimated for 2005 and 2010, and their changes were assessed, using the generalized additive model for location, scale and shape (GAMLSS) and assuming BMI follows a Box-Cox power exponential (BCPE) distribution.Setting Nationally representative, repeated cross-sectional health surveys conducted between 2005 and 2013 in Mexico, Colombia and Peru.Subjects Adult men and non-pregnant women aged 20-69 years.Results Whereas women had more right-shifted and wider BMI distributions than men in almost all age groups across the countries in 2010, men in their 30s-40s experienced more rapid increases in BMI between 2005 and 2010, notably in Peru. The highest increase in overweight and obesity prevalence was observed among Peruvian men of 35-39 years, with a 5-year increase of 21 percentage points.Conclusions The BCPE-GAMLSS method is an alternative to analyse measurements with time-varying distributions visually, in addition to conventional indicators such as means and prevalences. Consideration of differences in BMI distributions and their changes by sex and age would provide vital information in tailoring relevant policies and programmes to reach target populations effectively. Increases in BMI portend increases of obesity-associated diseases, for which preventive and preparative actions are urgent.",
keywords = "BCPE distribution, BMI, Latin America, Obesity, Statistical method",
author = "Goro Yamada and Carlos Castillo-Salgado and Jones-Smith, {Jessica C.} and Moulton, {Lawrence Hale}",
year = "2019",
month = "3",
day = "1",
doi = "10.1017/S1368980018002343",
language = "English (US)",
volume = "22",
pages = "757--763",
journal = "Public Health Nutrition",
issn = "1368-9800",
publisher = "Cambridge University Press",
number = "4",

}

TY - JOUR

T1 - Differences in magnitude and rate of change in adult obesity distribution by age and sex in Mexico, Colombia and Peru, 2005-2010

AU - Yamada, Goro

AU - Castillo-Salgado, Carlos

AU - Jones-Smith, Jessica C.

AU - Moulton, Lawrence Hale

PY - 2019/3/1

Y1 - 2019/3/1

N2 - Objective Unequal obesity distributions among adult populations have been reported in low- and middle-income countries, but mainly based on data of women of reproductive age. Moreover, incorporation of ever-changing skewed BMI distributions in analyses has been a challenge. Our study aimed to assess magnitude and rates of change in BMI distributions by age and sex.Design Shapes of BMI distributions were estimated for 2005 and 2010, and their changes were assessed, using the generalized additive model for location, scale and shape (GAMLSS) and assuming BMI follows a Box-Cox power exponential (BCPE) distribution.Setting Nationally representative, repeated cross-sectional health surveys conducted between 2005 and 2013 in Mexico, Colombia and Peru.Subjects Adult men and non-pregnant women aged 20-69 years.Results Whereas women had more right-shifted and wider BMI distributions than men in almost all age groups across the countries in 2010, men in their 30s-40s experienced more rapid increases in BMI between 2005 and 2010, notably in Peru. The highest increase in overweight and obesity prevalence was observed among Peruvian men of 35-39 years, with a 5-year increase of 21 percentage points.Conclusions The BCPE-GAMLSS method is an alternative to analyse measurements with time-varying distributions visually, in addition to conventional indicators such as means and prevalences. Consideration of differences in BMI distributions and their changes by sex and age would provide vital information in tailoring relevant policies and programmes to reach target populations effectively. Increases in BMI portend increases of obesity-associated diseases, for which preventive and preparative actions are urgent.

AB - Objective Unequal obesity distributions among adult populations have been reported in low- and middle-income countries, but mainly based on data of women of reproductive age. Moreover, incorporation of ever-changing skewed BMI distributions in analyses has been a challenge. Our study aimed to assess magnitude and rates of change in BMI distributions by age and sex.Design Shapes of BMI distributions were estimated for 2005 and 2010, and their changes were assessed, using the generalized additive model for location, scale and shape (GAMLSS) and assuming BMI follows a Box-Cox power exponential (BCPE) distribution.Setting Nationally representative, repeated cross-sectional health surveys conducted between 2005 and 2013 in Mexico, Colombia and Peru.Subjects Adult men and non-pregnant women aged 20-69 years.Results Whereas women had more right-shifted and wider BMI distributions than men in almost all age groups across the countries in 2010, men in their 30s-40s experienced more rapid increases in BMI between 2005 and 2010, notably in Peru. The highest increase in overweight and obesity prevalence was observed among Peruvian men of 35-39 years, with a 5-year increase of 21 percentage points.Conclusions The BCPE-GAMLSS method is an alternative to analyse measurements with time-varying distributions visually, in addition to conventional indicators such as means and prevalences. Consideration of differences in BMI distributions and their changes by sex and age would provide vital information in tailoring relevant policies and programmes to reach target populations effectively. Increases in BMI portend increases of obesity-associated diseases, for which preventive and preparative actions are urgent.

KW - BCPE distribution

KW - BMI

KW - Latin America

KW - Obesity

KW - Statistical method

UR - http://www.scopus.com/inward/record.url?scp=85062947469&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85062947469&partnerID=8YFLogxK

U2 - 10.1017/S1368980018002343

DO - 10.1017/S1368980018002343

M3 - Article

C2 - 30253818

AN - SCOPUS:85062947469

VL - 22

SP - 757

EP - 763

JO - Public Health Nutrition

JF - Public Health Nutrition

SN - 1368-9800

IS - 4

ER -