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Childhood obesity in Mexico: social determinants of health and other risk factors
  1. David Avelar Rodriguez,
  2. Erick Manuel Toro Monjaraz,
  3. Karen Rubi Ignorosa Arellano,
  4. Jaime Ramirez Mayans
  1. Pediatric Gastroenterology and Nutrition Unit, Instituto Nacional de Pediatria, Coyoacan, Mexico
  1. Correspondence to Dr David Avelar Rodriguez, davidavelar1{at}


Approximately 50 million children and adolescents in Latin America are affected by the childhood obesity pandemic. We present the case of a 5-year-old Mexican girl with obesity and gastro-oesophageal reflux disease (GORD), in whom prenatal, lifestyle and environmental risk factors were identified. Here, we demonstrate how childhood obesity is rooted since pregnancy and the perinatal stage, and how the social determinants of health like unsafe outdoor conditions, lack of infrastructure to exercise and a suboptimal physical activity curriculum in government schools strongly influence the development and maintenance of childhood obesity and complicate management.

  • global health
  • obesity (nutrition)
  • childhood nutrition
  • childhood nutrition (paediatrics)
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  • Contributors DAR and KRIA were involved in the patient’s care. They collected the information and images, carried out the literature review, wrote the manuscript and revised it extensively. EMTM and JRM also wrote and edited the manuscript and revised it extensively. All the authors approved the final version of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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