Comportamiento del exceso de peso en las mujeres en edad fértil que viven sin restricciones en la comunidad

Ana María Gómez Álvarez, Gisela Pita Rodríguez, Lidia Cardellá Rosales, Oneida Paneque Blanco, Eliane de la Torre Núñez

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Introducción: El exceso de peso y la obesidad se han convertido en un importante problema de salud en Cuba. Las mujeres en edad fértil podrían verse expuestas a un ambiente obesogénico que eventualmente repercuta sobre el estado de salud, y la salud del producto de la concepción. Objetivo: Estimar el comportamiento del exceso de peso en las mujeres en edad fértil que viven sin restricciones en la comunidad. Diseño del estudio: Transversal, analítico. Serie de estudio: Ciento diecinueve mujeres con edades entre 18 – 39 años que viven sin restricciones en el Consejo Popular Santa Fe, municipio Playa, La Habana (Cuba). Material y método: Se evaluaron las  asociaciones que sostienen el Índice de Masa Corporal (IMC) y la circunferencia de la cintura (CC) con el estado de las condiciones de vida, y los estilos de vida (Alcoholismo/Tabaquismo/Actividad física), de las mujeres encuestadas. Resultados: El 48.8% de las mujeres presentaron IMC >= 25.0 Kg.m-2. La frecuencia observada de obesidad fue del 19.5%. El 34.5% de las mujeres mostraron CC > 80.0 cm. Las variables antropométricas fueron independientes de las
condiciones de vida y los estilos de vida de la mujer. Conclusiones: La adiposidad global | central de las mujeres en edad fértil son independientes de las condiciones de vida y los estilos de vida.

Palabras clave

Índice de Masa Corporal; Circunferencia de la cintura; Antropometría; Fertilidad; Mujer; Estado nutricional


Alfonzo Guerra JP. Obesidad: Epidemia del siglo XXI. Editorial Científico Técnica. La Habana: 2008.

McAllister EJ, Dhurandhar NV, Keith SW, Aronne LJ, Barger J, Baskin M; et al. Ten putative contributors to the

obesity epidemic. Crit Rev Food Sci Nutr 2009;49:868-913.

Keith SW, Redden DT, Katzmarzyk PT, Boggiano MM, Hanlon EC, Benca RM; et al. Putative contributors to the secular increase in obesity: Exploring the roads less traveled. Int J Obesity 2006;30:1585-94.

Atkinson RL. Viruses as an etiology of obesity. Mayo Clinic Proceedings 2007;82:1192-8.

van Ginneken V, Sitnyakowsky L, Jeffery JE. Infectobesity: Viral infections (especially with human adenovirus-36: Ad-36) may be a cause of obesity. Medical Hypotheses 2009;72:383-8.

Waterland RA, Michels KB. Epigenetic epidemiology of the developmental origins hypothesis. Annu Rev Nutr 2007;


Gluckman PD, Hanson MA. Developmental and epigenetic pathways to obesity: An evolutionary developmental perspective. Int J Obes 2008;32(Suppl):S62-S71.

King D. The future challenge of obesity. Lancet 2011;378(9793):838-47.

Kimmons J E, Blanck H M, Carlton B, Zhang J, Kettel L. Associations between Body Mass Index and the prevalence of low micronutrient levels among US adults. Med Gen Med 2006;8:59.

Block G, Mangels AR, Patterson BH, Levander OA, Norkus EP, Taylor PR. Body weight and prior depletion affect

plasma ascorbate levels attained on identical vitamin C intake: A controlled diet study. J Am Coll Nutr 1999;18:628-37.

Moor de BA, Wartanowicz M, Ziemlanski S. Blood vitamin and lipid levels in overweight and obese women.

Eur J Clin Nutr 1992;46:803-808.

Hotzel D. Suboptimal nutritional status in obesity (selected nutrients). Bibl Nutr Dieta 1986;37:36-41.

Baeten JM, Bukusi EA, Lambe M. Pregnancy complications and outcomes among overweight and obese nulliparous women. Am J Public Health 2001;91:436.

Martorell R, Khan LK, Hughes ML, Grummer-Strawn LM. Obesity in women from developing countries. Eur J Clin Nutr 2000;54:247-52.

Siega-Riz AM, Laraia L. The implications of maternal overweight and obesity on the course of pregnancy and

birth outcomes. Matern Child Health J 2006;10(Suppl):S153-S156.

Cedergren M, Kallen B. Maternal obesity and the risk for orofacial clefts in the offspring. Cleft Palate-Craniofacial J


Guelinckx I, Devlieger R, Beckers K, Vansant G. Complications of obesity maternal obesity: Pregnancy

complications, gestational weight gain and nutrition. Obesity Reviews 2008;9:140-50.

Carmichael SL, Rasmussen SA, Shaw GM. Prepregnancy obesity: A complex risk factor for selected birth defects. Birth Defects Research (Part A) 2010;88:804-10.

Bush B, Shaw S, Cleary P, Delbanco TL, Aronson MD. Screening for alcohol abuse using the CAGE questionnaire. Am J Medicine 1987;82:231-5.

Mayfield D, McLeod G, Hall P. The CAGE questionnaire: Validation of a new alcoholism screening instrument. Am J Psychiatry 1974;131:1121-3.

Hagströmer M, Oja P, Sjöström M. The International Physical Activity Questionnaire (IPAQ): A study of concurrent and construct validity. Public Health Nutr 2006;9:755-62.

Lee PH, Macfarlane DJ, Lam TH, Stewart SM. Validity of the International Physical Activity Questionnaire short

form (IPAQ-SF): A systematic review. Int J Behavioral Nutrition Physical Activity 2011;8:1.

Weiner JS, Lourie JA. Human biology. A guide to field methods. International Biological Program. Handbook number 9. Blackwell Scientific Publications. Oxford: 1969.

Lohman TG, Roche AF, Martorell R. Anthropometric standardization reference manual. Second Edition. Human Kinetics Books. Champaign [Illinois]: 1991. Pp 44-47.

Waterlow JC. Classification and definition of protein-calorie malnutrition. Br Med J 1972; 3(826): 566-9.

WHO Working Group. Use and interpretation of anthropometric indicators of nutritional status. Bulletin WHO 1986;64:929-41.

Seidel JC, Deurenberg P. Fat distribution of overweight persons in relation to morbidity and subjective health. Int J

Obesity 1985;9:363-74.

Santana Porbén S, Martínez Canalejo H. Manual de Procedimientos Bioestadísticos. Editorial EAE Académica Española. Madrid: 2012.

Acosta Jiménez SM, Rodríguez Suárez A, Díaz Sánchez ME. La obesidad en Cuba. Una mirada a su evolución en

diferentes grupos poblacionales. RCAN Rev Cubana Aliment Nutr 2013;23:297-308.

Catalano PM, Ehrenberg HM. The shortand long‐term implications of maternal obesity on the mother and her offspring [Review article]. Brit J Obstet Gynaecol 2006;113:1126-33.

Ehrenberg HM, Mercer BM, Catalano PM. The influence of obesity and diabetes on the prevalence of macrosomia. Am J Obstet Gynecol 2004;191:964-8.

McLaren L. Socioeconomic status and obesity. Epidemiologic Rev 2007;29:29-48.

Peña M, Bacallao J. Obesity and poverty. PAHO Pan American Health Organization. Scientific Publication Number 576. pp 41-49. Washington DC: 2000.

Peña M, Bacallao J. Malnutrition and poverty. Annu Review Nutrition 2002;22:241-53.

Monteiro CA, Moura EC, Conde WL, Popkin BM. Socioeconomic status and obesity in adult populations of

developing countries: A review. Bull World Health Org 2004;82:940-6.

Molarius A, Seidell JC, Sans S, Tuomilehto J, Kuulasmaa K. Educational level, relative body weight, and changes in their association over 10 years: An international perspective from the WHO MONICA Project. Am J Public Health 2000;90:1260-8.

Monsivais P, Drewnowski A. Lower energy- density diets are associated with higher monetary costs per kilocalorie and are consumed by women of higher socioeconomic status. JADA J Am Dietet Assoc 2009;109:814-22.

Smith TG, Stoddard C, Barnes MG. Why the poor get fat: Weight gain and economic insecurity. Forum Health Economics Policy 2009;12:1-31.

Drewnowski A. The economics of food choice behavior: Why poverty and obesity are linked. En: Obesity Treatment and Prevention: New Directions. Vol. 73. pp. 95-112. Karger

Publishers. Geneva: 2012.

Drewnowski A. Obesity and the food environment: Dietary energy density and diet costs. Am J Preventive Med 2004;27:154-62.

Charles N, Kerr M. Women, food, and families. University Press. Manchester: 1988.

Allen P, Sachs C. Women and food chains: The gendered politics of food. Taking food public: Redefining food ways in a changing world. Pp. 23-40. Washington DC: 2012.

Dammann KW, Smith C. Factors affecting low-income women's food choices and the perceived impact of dietary intake and socioeconomic status on their health and weight. J Nutrition Education Behavior 2009;41:242-53.

Bell K, Salmon A, McNaughton D. Alcohol, tobacco, obesity and the new public health. Critical Public Health


Tweed JO, Hsia SH, Lutfy K, Friedman TC. The endocrine effects of nicotine and cigarette smoke. Trends Endocrinol Metab 2012;23:334-42.

Jo YH, Talmage DA, Role LW. Nicotinic receptor‐mediated effects on appetite and food intake. J Neurobiol


Williamson DF, Madans J, Anda RF, Kleinman JC, Giovino GA, Byers T. Smoking cessation and severity of

weight gain in a national cohort. New Engl J Med 1991;324:739-45.

Cawley J, Dragone D, Von Hinke Kessler Scholder S. The demand for cigaretts as derived from the demand for

weight loss: A theoretical and empirical investigation. Health Economics 2016;25:8-23.

Ino T. Maternal smoking during pregnancy and offspring obesity: Metaanalysis. Pediatrics International 2010;52:94-9.

Weitzman M, Cook S, Auinger P, Florin TA, Daniels S, Nguyen M, Winickoff JP. Tobacco smoke exposure is associated with the metabolic syndrome in adolescents. Circulation 2005;112:862-9.

Hillman RW. Alcoholism and malnutrition. En: The biology of alcoholism. Springer. New York: 1974.

pp. 513-586.

Suter PM, Tremblay A. Is alcohol consumption a risk factor for weight gain and obesity? Crit Rev Clin Lab Sci 2005;42:197-227.

Manson JE, Skerrett PJ, Greenland P, VanItallie TB. The escalating pandemics of obesity and sedentary lifestyle: A call to action for clinicians. Arch Internal Medicine 2004;164:249-58.

Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA; et al. Physical activity and public health:

Updated recommendation for adults from the American College of Sports Medicine and the American Heart

Association. Circulation 2007;116:1081.

Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: The evidence. Canadian Med Assoc J 2006;


Hu FB, Willett WC, Li T, Stampfer MJ, Colditz GA, Manson JE. Adiposity as compared with physical activity in

predicting mortality among women. New Engl J Med 2004;351:2694-2703.

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