Understanding the dynamics of the obesity transition associated with physical activity, sedentary lifestyle, and consumption of ultra-processed foods in Colombia

Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved..

OBJECTIVE: We investigate the obesity transition at the country- and regional-levels, by age, gender, and socioeconomic status (SES) and its relationship to three health behavior attributes, including physical activity (PA), sedentary activities (ST), and consumption of ultra-processed foods (CUPF) within the urban population of Colombia, from 20,010 to 2050.

METHODS: The study is informed by cross-sectional data from ENSIN survey. We used these data to develop a system dynamics model that simulates the dynamics of obesity by body mass index (BMI) categories, gender, and SES. This model also uses a conservative co-flow structure for three health-related behaviors (PA, ST, and CUPF).

RESULTS: At the national level, our results indicate that the burden of obesity is shifting towards populations with lower SES as the gross domestic product (GDP) increases, particularly women aged 20-59 years with lower SES. Among this group of women, the highest burden of obesity is among those who do not meet the PA, ST and CUPF recommendations. At the regional level, our findings suggest that the regions are at different stages in the obesity transition.

CONCLUSIONS: The burden of obesity is shifting towards women with lower SES as GDP increases at the national level and across several regions. This obesity transition is paralleled by a high prevalence of women from low SES groups who do not meet the minimum recommendations for PA, CUPF, and ST. Our findings can be used by decision-makers to inform age- and SES- specific policies seeking to tackle the obesity.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:177

Enthalten in:

Preventive medicine - 177(2023) vom: 08. Dez., Seite 107720

Sprache:

Englisch

Beteiligte Personen:

Meisel, Jose D [VerfasserIn]
Esguerra, Valentina [VerfasserIn]
Giraldo, John K [VerfasserIn]
Montes, Felipe [VerfasserIn]
Stankov, Ivana [VerfasserIn]
Meisel, Carlos A [VerfasserIn]
Sarmiento, Olga L [VerfasserIn]
Valdivia, Juan A [VerfasserIn]

Links:

Volltext

Themen:

Complex system
Consumption of ultra-processed foods
Epidemiology
Journal Article
Obesity transition
Physical activity
Public health
Sedentary lifestyle
System dynamics model
System science

Anmerkungen:

Date Completed 16.12.2023

Date Revised 16.12.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ypmed.2023.107720

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362958041