{"id":163612,"date":"2024-07-10T17:49:00","date_gmt":"2024-07-10T23:49:00","guid":{"rendered":"https:\/\/tecscience.tec.mx\/en\/?p=163612"},"modified":"2024-12-10T17:06:27","modified_gmt":"2024-12-10T23:06:27","slug":"years-of-healthy-life-obesity","status":"publish","type":"post","link":"https:\/\/tecscience.tec.mx\/en\/health\/years-of-healthy-life-obesity\/","title":{"rendered":"The Loss of Healthy Years Lived Due to Obesity"},"content":{"rendered":"\n<p>In Mexico, <strong>obesity<\/strong> and <strong>overweight <\/strong>have an incidence of 75.2% in the adult population \u2212over 20 years old\u2212, according to the <a href=\"https:\/\/www.insp.mx\/informacion-relevante\/la-salud-de-los-mexicanos-en-cifras-resultados-de-la-ensanut-2022\" target=\"_blank\" rel=\"noreferrer noopener\">National Health and Nutrition Survey<\/a> (Ensanut). The high prevalence of these conditions, as well as their <strong>increase in children and adolescents<\/strong>, has become a public health concern because it increases the <strong>risk <\/strong>of developing <strong>chronic diseases<\/strong> such as diabetes, hypertension and cardiac complications, which translates into a <strong>loss of years of healthy life <\/strong>for the population.<\/p>\n\n\n\n<p>To understand how big the problem is, a group of experts from the <a href=\"\/en\/tag\/institute-for-obesity-research\/\" target=\"_blank\" rel=\"noreferrer noopener\">Institute for Obesity Research<\/a> (IOR) used <strong>data<\/strong> obtained by the <a href=\"https:\/\/www.healthdata.org\/research-analysis\/gbd\" target=\"_blank\" rel=\"noreferrer noopener\">Global Burden of Disease<\/a> (<strong>GBD<\/strong>) 2021, analyzing only those belonging to the country.<\/p>\n\n\n\n<p><strong>GBD<\/strong> is a global research program based at the Institute for Health Metrics and Evaluation at the University of Washington that quantifies <strong>health loss<\/strong> in different places around the world over time. Its objective is to provide precise and specific information that allows the <strong>improvement health systems<\/strong> globally.<\/p>\n\n\n\n<p>\u201cThe indicator most commonly used to make health decisions is usually <strong>mortality<\/strong>, but <strong>not everyone who gets sick<\/strong> dies,\u201d says <a href=\"https:\/\/research.tec.mx\/vivo-tec\/display\/PID_488141?_gl=1*1qxa498*_gcl_au*MTY3NzQwNTEwNS4xNzIwNjQxOTc0LjE2ODI5NDYyMDkuMTcyMDY1MTUxMi4xNzIwNjUxNTEy*_ga*NDEzMzkzNDM0LjE3MjA2NDE5NzQ.*_ga_D9LSDN87GD*MTcyMDgwNDMxNi41LjEuMTcyMDgwNTc4Mi40MS4wLjE2NDY1MTQ3Mjc.\" target=\"_blank\" rel=\"noreferrer noopener\">H\u00e9ctor Arreola Ornelas<\/a>, research professor at the IOR and the <a href=\"\/en\/tag\/school-of-government-and-public-transformation\/\" target=\"_blank\" rel=\"noreferrer noopener\">School of Government and Public Transformation<\/a> at Tec de Monterrey. \u201cThis study not only counts the people who die, but adds the years they live with unhealthy conditions.\u201d<\/p>\n\n\n\n<p>Focusing on <strong>Mexican data from 1990 to 2021<\/strong>, researchers <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38386886\/\" target=\"_blank\" rel=\"noreferrer noopener\">break down <\/a>how <strong>overweight <\/strong>and <strong>obesity <\/strong>have become the main <strong>risk factor <\/strong>for the Mexican <strong>population<\/strong>. \u201cAlthough it does not help us understand the <strong><em>why<\/em><\/strong>, it helps us understand the <em><strong>what<\/strong><\/em> very well,\u201d says <a href=\"https:\/\/www.linkedin.com\/authwall?trk=bf&amp;trkInfo=AQFkYpVPHOv4EgAAAZCoBtsgq9KTPRbPLa_Os7K6GiqhAjuzonJIhw1zxRatwZOBLCVlrkp0yw0kgFy8oWZ4Uf0AJmfAbrqxqCx2rHAWxU2LaqY5qqF7Rcy4ycKKfEUdi1Gl1AA=&amp;original_referer=&amp;sessionRedirect=https%3A%2F%2Fmx.linkedin.com%2Fin%2Flinda-morales-ju%25C3%25A1rez-49702613a\" target=\"_blank\" rel=\"noreferrer noopener\">Linda Morales<\/a>, a postdoctoral researcher at the IOR who also participated in the study.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"\u00bfPor qu\u00e9 algunas enfermedades metab\u00f3licas afectan m\u00e1s a los mexicanos?\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/5FNbrfblCdQ?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><figcaption class=\"wp-element-caption\">Subtitles available in english.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">The Burden of Overweight and Obesity in Mexico<\/h2>\n\n\n\n<p>One of the many results obtained in the study is that in <strong>2021<\/strong> the country recorded <strong>1.12 million deaths<\/strong>, of which more than <strong>118 thousand<\/strong> were related to a high body mass index (<strong>H-BMI<\/strong>), representing <strong>10.6%<\/strong> of the total of deaths.<\/p>\n\n\n\n<p>This represents a <strong>51% increase <\/strong>in deaths associated with H-BMI, compared to the 738 thousand that were estimated in <strong>2019<\/strong>.<\/p>\n\n\n\n<p>This is because <strong>H-BMI<\/strong> \u2212associated with <a href=\"\/en\/health\/types-of-obesity\/\" target=\"_blank\" rel=\"noreferrer noopener\">overweight and obesity<\/a>\u2212 is related to <strong>chronic non-communicable diseases<\/strong> such as diabetes, kidney problems, cardiovascular diseases, certain types of cancer, digestive diseases, neurological disorders and chronic respiratory diseases.<\/p>\n\n\n\n<p>\u201cThis <strong>single factor<\/strong> is <strong>associated<\/strong> with the<strong> top four causes of death<\/strong> in the country,\u201d says Morales.<\/p>\n\n\n\n<p>What is even more worrying is that the study estimates that <strong>H-BMI <\/strong>resulted in a <strong>loss of 4.2 million years of healthy life<\/strong> in the population. This figure is obtained by combining the years lost due to<strong> premature death<\/strong> and the years lived with <strong>disability<\/strong>.<\/p>\n\n\n\n<p>If a person with <strong>diabetes<\/strong> dies at age fifty, but the life expectancy in their country is eighty years, then they lost thirty years due to premature death. If during those fifty years, this person lived twenty years with desease derived complications, such as kidney, feet or eye problems, then they lived twenty years with a disability. In total, they lost fifty years of <strong>healthy life<\/strong>.<\/p>\n\n\n\n<p>\u201cThe problem is bigger than we think,\u201d says Morales.<\/p>\n\n\n\n<p><strong>Tabasco<\/strong> is the state with the <strong>highest rate<\/strong> of <strong>deaths related to this factor<\/strong>, while <strong>Sinaloa<\/strong> has <strong>the lowest<\/strong>. However, the prevalence of overweight and obesity can be observed throughout the entire republic, in both sexes and at all ages: \u201cIt is no longer a matter of just a few of us,\u201d says Arreola Ornelas.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-rich is-provider-spotify wp-block-embed-spotify wp-embed-aspect-21-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Spotify Embed: Ep. 74 - F\u00e1rmacos para bajar de peso \u00bfcu\u00e1ndo s\u00ed?\" style=\"border-radius: 12px\" width=\"100%\" height=\"152\" frameborder=\"0\" allowfullscreen allow=\"autoplay; clipboard-write; encrypted-media; fullscreen; picture-in-picture\" loading=\"lazy\" src=\"https:\/\/open.spotify.com\/embed\/episode\/490a6yhSPUC2YSZKk0WBoF?si=LNBoPxz3RQujcui_WwkdbQ&#038;utm_source=oembed\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">GBD and BMI-E<\/h2>\n\n\n\n<p>For the researchers, it is important that the population knows that the <strong>data <\/strong>reported in the study is obtained based on the most <strong>rigorous information<\/strong>.<\/p>\n\n\n\n<p>\u201cThe GBD uses all the <strong>information sources available<\/strong> in a country, such as the National Health and Nutrition Survey (<a href=\"https:\/\/ensanut.insp.mx\/\" target=\"_blank\" rel=\"noreferrer noopener\">Ensanut<\/a>) in the case of <strong>Mexico<\/strong>, and uses <strong>Bayesian models<\/strong> to obtain the estimates,\u201d says Morales.<\/p>\n\n\n\n<p>The key is that the evidence it uses is that which demonstrates a strong <strong>association<\/strong> between a<strong> risk factor<\/strong> and <strong>an outcome<\/strong>, such as <strong>H-BMI<\/strong> and <strong>years of healthy life lost<\/strong>.<\/p>\n\n\n\n<p>Using <strong>H-BMI <\/strong>as an indicator of overweight and obesity is the most practical way we currently have to measure its impact. \u201cIt is the indicator that has been measured consistently for the longest time and can be used to analyze <strong>how trends are changing<\/strong>,\u201d explains Arreola Ornelas.<\/p>\n\n\n\n<p>In recent times, <strong>this index has been strongly criticized<\/strong>, as it could be due to a person being very muscular, and not necessarily because they have a metabolic problem: \u201cCurrently, efforts are being made to complement it with other markers, such as <strong>abdominal circumference<\/strong>, <strong>waist-to-hip ratio<\/strong> and <strong>skin fold measurements<\/strong>,\u201d explains Morales.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Rompiendo estereotipos sobre la obesidad\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/zxPRtNqYMy8?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><figcaption class=\"wp-element-caption\">Subtitles available in english.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Precise evidence to guide public policies<\/h2>\n\n\n\n<p>With a study as precise as this one, the experts hope that <strong>decision makers<\/strong> will promote <strong>public policies<\/strong> that address the many causes of the problem.<\/p>\n\n\n\n<p>\u201cAlthough some policies have been implemented, they have not been accompanied by an <strong>evaluation<\/strong> and have focused only on <strong>some aspects,<\/strong>\u201d says Arreola Ornelas.<\/p>\n\n\n\n<p>For the prevalence of <strong>overweight and obesity<\/strong> to really decrease, a <a href=\"\/en\/health\/international-obesity-research-conference\/\" target=\"_blank\" rel=\"noreferrer noopener\">comprehensive plan is needed that addresses the different aspects behind it<\/a>, such as the obesogenic environment, the lack of spaces to exercise, violence in the streets that prevents people from going out, the lack of time to cook at home and lack of attention to mental illnesses, among others.<\/p>\n\n\n\n<p>\u201cIt is a complex problem that <a href=\"\/en\/health\/losing-weight\/\" target=\"_blank\" rel=\"noreferrer noopener\">does not depend solely on the decisions of individuals<\/a> or health systems,\u201d says Morales.<\/p>\n\n\n\n<p>Since <strong>1995<\/strong>, the first time the <strong>GBD<\/strong> was used in Mexico, <strong>overweight and obesity<\/strong> were already listed as a<strong> growing problem<\/strong>, but so far the country hasn&#8217;t been able to stop it.<\/p>\n\n\n\n<p>The positive thing is that this study shows that if <strong>the risk factor is reduced to a minimum<\/strong>, <strong>many lives can be saved<\/strong> and it can also be a way of measuring the success of health systems.<\/p>\n\n\n\n<p>\u201cWe are experiencing a tsunami of chronic <strong>non-communicable diseases<\/strong>, partly due to the presence of risk factors such as this,\u201d says Arreola Ornelas. \u201cWe have to attack the problem at its roots.\u201d<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"\u00bfQu\u00e9 soluciones promete la ciencia del futuro para combatir la obesidad infantil?\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/LlMveyHoqk8?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><figcaption class=\"wp-element-caption\">Subtitles available in english.<\/figcaption><\/figure>\n\n\n\n<p><strong><em>Were you interested in this story? Do you want to publish it? Contact our content editor to learn more marianaleonm@tec.mx.<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Investigadores comparten una radiograf\u00eda de la magnitud del problema del sobrepeso y la obesidad en M\u00e9xico.<\/p>\n","protected":false},"author":12,"featured_media":163614,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_eb_attr":"","footnotes":""},"categories":[86],"tags":[224,166,323],"class_list":["post-163612","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","tag-health","tag-institute-for-obesity-research","tag-school-of-government-and-public-transformation"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.0 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>The healthy life years lost to obesity | TecScience<\/title>\n<meta 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