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Unraveling the Emerging Childhood Obesity Epidemic in Mexico: The Nutrition Transition
Non-communicable chronic diseases such as diabetes, cancers, and cardiovascular diseases, among others, are rapidly replacing infectious diseases as the major burden on global health. Worldwide, the greatest recent mortality caused by chronic disease occurred in low and lower-middle income countries (World Health Organization, 2005a). While the number of deaths resulting from infectious diseases were considerable in lower-middle income countries, in low income nations such mortality was high and similar in magnitude to chronic disease mortality. These trends result in: (1) a double-burden on public health and health-care systems particularly in economically vulnerable countries where much of the world's population lives; and (2) significant global mortality which may be preventable through lifestyle changes, as many chronic diseases may be attributable to risk factors such as smoking, physical inactivity, and poor diet.
Shepherd
As many low and low-middle income countries have undergone rapid urbanization and economic development in the past half-century, transitions have occurred with respect to demography, nutrition, and epidemiology (collectively referred to as 'nutrition transition'). The adoption of new technologies has increased exposure to novel foreign cultures and ideologies, goods, services, and lifestyles (often from the 'West'). New employment opportunities have led to changes from rural to urban lifestyles, from physically-demanding jobs to more sedentary labour, and to more sedentary leisure time. Transportation has become altered to accommodate faster systems while displacing walking, cycling or other physical activities. Traditional diets based on indigenous staple grains, local produce, and limited animal sources of protein have been replaced by simplified, nutrient-poor and highly processed foods containing large quantities of sugars and saturated fats. In countries undergoing such a transition, changes in body composition are observed as overweight and obesity become prevalent and may coexist with under-nutrition.

Mexico is considered a middle-income country by the World Bank (World Bank, 2005b); however, extreme inequality exists among rich versus poor, urban versus rural, north versus south, and among indigenous versus other population groups. While Mexico has the highest per capita income in Latin America, 53% of the country lives in poverty (living on less than $2 per day), while 24% is extremely poor (living on less than $1 per day). This inequality exacerbates the dual burden of simultaneously higher rates of under-nutrition and obesity.

old red truck

As in other countries, the co-existence of childhood obesity and under-nutrition may be evidence of such a nutrition transition in Mexico. In order to design appropriate health interventions to reduce the negative changes in body composition and health, the determinants as well as the prevalence of both extremes in body weight need to be investigated and documented.


The CAMBIO Research Network is developing an international, multi-disciplinary team of researchers to investigate and address childhood obesity in Mexico, within the context of the nutrition transition. The project started as a collaboration between researchers from Universidad de Guadalajara, Jalisco, Mexico, and Queen's University, Ontario, Canada, but our network is growing and new collaborations are currently being developed.

Our long-term goals are to increase research capacity and knowledge transfer, and to promote partnerships and collaborations. To achieve our goals, four key activities are being undertaken:

1. Develop and deliver an annual short course on obesity

2. Develop a collaborative program of research

3. Facilitate faculty and student exchanges and researcher visits

4. Build partnerships and promote networking.

a. World Health Organization. 2005. Preventing chronic disease. A vital Investment. Geneva, WHO.

b. World Bank. 2005. Mexico Country Brief. Available at www.worldbank.or

© CAMBIO, School of Kinesiology and Health Studies, Queen's University, Kingston, Canada K7L 3N6
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