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[Overweight, obesity and chronic mal nutrition in 6 to 9 year-old children in Peru, 2009-2010]
Insights
Chronic malnutrition (CM) is decreasing in Peruvian children, but obesity has doubled. This dual burden of malnutrition and obesity presents significant challenges for public health nutrition policies in Peru.
Area of Science:
- Pediatric Nutrition
- Public Health
- Epidemiology
Context:
- Childhood overweight and obesity are growing global concerns.
- Understanding nutritional status in diverse populations is crucial for targeted interventions.
- Peru faces a complex nutritional landscape with coexisting malnutrition and obesity.
Purpose:
- To determine the prevalence of overweight, obesity, and chronic malnutrition in 6- to 9-year-old children in Peru.
- To analyze regional variations in these nutritional indicators.
- To inform public health and nutrition policy development.
Summary:
- A cross-sectional study using 2009-2010 National Household Survey data analyzed 6- to 9-year-old children in Peru.
- Prevalence rates for overweight and obesity varied by reference (Must vs. WHO), with CM rates at 15.4% (NCSH) and 17.8% (WHO).
- Chronic malnutrition was highest in the Highlands, while obesity was more prevalent on the coast and in Lima. Co-occurrence of CM with overweight/obesity was noted.
Impact:
- While chronic malnutrition shows signs of decrease, the doubling of obesity rates highlights a critical public health issue.
- The co-existence of undernutrition and overnutrition necessitates integrated food and nutrition policies.
- Findings underscore the need for region-specific strategies to address Peru's evolving nutritional challenges.
Objectives:
To determine the prevalence of overweight, obesity and chronic malnutrition in 6- to 9-year-old children in Peru.
Materials And Methods:
A cross-cutting study based on the 2009-2010 National Household Survey. The size/age ratio was analyzed with references of the National Center for Health Statistic (NCSH) and the World Health Organization (WHO), considering less than two standard deviations for chronic malnutrition (CM); and the Must and WHO reference tables to measure the body mass index with 85 to 95 percentile values for overweight and above 95 for obesity.
Results:
With Must as reference, overweight was 12.1% and obesity 9.4%, and according to WHO overweight and obesity were 10.2 and 11.3% respectively. The prevalence of CM according to NCSH and WHO is 15.4 and 17.8% respectively. The highest prevalence of CM is in the north (25.2%), center (22.9%) and south of (19%) the Highland, while obesity is more present in the south coast (28%), Metropolitan Lima (22.8%) and the central Coast (22.5%). Of all the children with CM, 6.5% has overweight and 1.2% obesity.
Conclusions:
CM is decreasing because size averages have improved, however obesity has doubled. The presence of CM and obesity in children aged 6 to 9 years old in different regions of Peru poses a challenge in the planning of food and nutrition policies.
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