The prevalence of chronic diseases and major disease risk factors at different ages among 150 000 men and women living in Mexico City: cross-sectional analyses of a prospective study
<p style="text-align:justify;"> <b>Background:</b> While most of the global burden from chronic diseases, and especially vascular diseases, is now borne by low and middle-income countries, few large-scale epidemiological studies of chronic diseases in such countries have...
Main Authors: | , , , , , , |
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Format: | Journal article |
Language: | English |
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BioMed Central
2009
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_version_ | 1797078902498131968 |
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author | Kuri-Morales, P Emberson, J Alegre-Díaz, J Tapia-Conyer, R Collins, R Peto, R Whitlock, G |
author_facet | Kuri-Morales, P Emberson, J Alegre-Díaz, J Tapia-Conyer, R Collins, R Peto, R Whitlock, G |
author_sort | Kuri-Morales, P |
collection | OXFORD |
description | <p style="text-align:justify;"> <b>Background:</b> While most of the global burden from chronic diseases, and especially vascular diseases, is now borne by low and middle-income countries, few large-scale epidemiological studies of chronic diseases in such countries have been performed.<br/><br/> <b>Methods:</b> From 1998–2004, 52 584 men and 106 962 women aged ≥35 years were visited in their homes in Mexico City. Self reported diagnoses of chronic diseases and major disease risk factors were ascertained and physical measurements taken. Age- and sex-specific prevalences and means were analysed.<br/><br/> <b>Results:</b> After about age 50 years, diabetes was extremely common – for example, 23.8% of men and 26.9% of women aged 65–74 reported a diagnosis. By comparison, ischaemic heart disease was reported by 4.8% of men and 3.0% of women aged 65–74, a history of stroke by 2.8% and 2.3%, respectively, and a history of cancer by 1.3% and 2.1%. Cancer history was generally more common among women than men – the excess being largest in middle-age, due to breast and cervical cancer. At older ages, the gap narrowed because of an increasing prevalence of prostate cancer. 51% of men and 25% of women aged 35–54 smoked cigarettes, while 29% of men and 41% of women aged 35–54 were obese (i.e. BMI ≥30 kg/m2). The prevalence of treated hypertension or measured blood pressure ≥140/90 mmHg increased about 50% more steeply with age among women than men, to 66% of women and 58% of men aged 65–74. Physical inactivity was highly prevalent but daily alcohol drinking was relatively uncommon.<br/><br/> <b>Conclusion:</b> Diabetes, obesity and tobacco smoking are highly prevalent among adults living in Mexico City. Long-term follow-up of this and other cohorts will establish the relevance of such factors to the major causes of death and disability in Mexico. </p> |
first_indexed | 2024-03-07T00:38:09Z |
format | Journal article |
id | oxford-uuid:82208ed5-7fb0-4b0c-afe8-a3421f4f4a34 |
institution | University of Oxford |
language | English |
last_indexed | 2024-03-07T00:38:09Z |
publishDate | 2009 |
publisher | BioMed Central |
record_format | dspace |
spelling | oxford-uuid:82208ed5-7fb0-4b0c-afe8-a3421f4f4a342022-03-26T21:35:08ZThe prevalence of chronic diseases and major disease risk factors at different ages among 150 000 men and women living in Mexico City: cross-sectional analyses of a prospective studyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:82208ed5-7fb0-4b0c-afe8-a3421f4f4a34EnglishSymplectic Elements at OxfordBioMed Central2009Kuri-Morales, PEmberson, JAlegre-Díaz, JTapia-Conyer, RCollins, RPeto, RWhitlock, G <p style="text-align:justify;"> <b>Background:</b> While most of the global burden from chronic diseases, and especially vascular diseases, is now borne by low and middle-income countries, few large-scale epidemiological studies of chronic diseases in such countries have been performed.<br/><br/> <b>Methods:</b> From 1998–2004, 52 584 men and 106 962 women aged ≥35 years were visited in their homes in Mexico City. Self reported diagnoses of chronic diseases and major disease risk factors were ascertained and physical measurements taken. Age- and sex-specific prevalences and means were analysed.<br/><br/> <b>Results:</b> After about age 50 years, diabetes was extremely common – for example, 23.8% of men and 26.9% of women aged 65–74 reported a diagnosis. By comparison, ischaemic heart disease was reported by 4.8% of men and 3.0% of women aged 65–74, a history of stroke by 2.8% and 2.3%, respectively, and a history of cancer by 1.3% and 2.1%. Cancer history was generally more common among women than men – the excess being largest in middle-age, due to breast and cervical cancer. At older ages, the gap narrowed because of an increasing prevalence of prostate cancer. 51% of men and 25% of women aged 35–54 smoked cigarettes, while 29% of men and 41% of women aged 35–54 were obese (i.e. BMI ≥30 kg/m2). The prevalence of treated hypertension or measured blood pressure ≥140/90 mmHg increased about 50% more steeply with age among women than men, to 66% of women and 58% of men aged 65–74. Physical inactivity was highly prevalent but daily alcohol drinking was relatively uncommon.<br/><br/> <b>Conclusion:</b> Diabetes, obesity and tobacco smoking are highly prevalent among adults living in Mexico City. Long-term follow-up of this and other cohorts will establish the relevance of such factors to the major causes of death and disability in Mexico. </p> |
spellingShingle | Kuri-Morales, P Emberson, J Alegre-Díaz, J Tapia-Conyer, R Collins, R Peto, R Whitlock, G The prevalence of chronic diseases and major disease risk factors at different ages among 150 000 men and women living in Mexico City: cross-sectional analyses of a prospective study |
title | The prevalence of chronic diseases and major disease risk factors at different ages among 150 000 men and women living in Mexico City: cross-sectional analyses of a prospective study |
title_full | The prevalence of chronic diseases and major disease risk factors at different ages among 150 000 men and women living in Mexico City: cross-sectional analyses of a prospective study |
title_fullStr | The prevalence of chronic diseases and major disease risk factors at different ages among 150 000 men and women living in Mexico City: cross-sectional analyses of a prospective study |
title_full_unstemmed | The prevalence of chronic diseases and major disease risk factors at different ages among 150 000 men and women living in Mexico City: cross-sectional analyses of a prospective study |
title_short | The prevalence of chronic diseases and major disease risk factors at different ages among 150 000 men and women living in Mexico City: cross-sectional analyses of a prospective study |
title_sort | prevalence of chronic diseases and major disease risk factors at different ages among 150 000 men and women living in mexico city cross sectional analyses of a prospective study |
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