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Secular trends are associated with the demographic and epidemiologic transitions in an indigenous community in Oaxaca, Southern Mexico
Author(s) -
Malina Robert M.,
Little Bertis B.,
Peña Reyes Maria Eugenia
Publication year - 2018
Publication title -
american journal of physical anthropology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.146
H-Index - 119
eISSN - 1096-8644
pISSN - 0002-9483
DOI - 10.1002/ajpa.23326
Subject(s) - secular variation , demography , menarche , epidemiology , epidemiological transition , demographic transition , medicine , geography , population , fertility , sociology
Objective To test the hypothesis that secular changes in body size and age at menarche are related to the demographic and epidemiologic transitions in an indigenous community in Oaxaca, southern Mexico. Methods Data were derived from surveys of a Zapotec‐speaking community conducted between 1968 and 2000. Segmented linear regressions of height, weight, BMI and recalled age at menarche on year of birth in cohorts of adults born before and after the demographic transition were used to evaluate secular changes. Corresponding comparisons of body size (MANCOVA controlling for age) and age at menarche (status quo, probit analysis) were done for samples of children and adolescents born before and after the epidemiological transition. Results Height and weight increased in adults born after the demographic transition (mid‐1950s), and especially in children and adolescents born after the epidemiological transition (mid‐1980s). Age at menarche also decreased significantly in women born after the demographic transition, but at a more rapid estimated rate in adolescents born after the epidemiological transition. Secular gains in body weight were proportional to those for height among children and adolescents, but adults, males more so than females, gained proportionally more weight. Conclusions The secular trend in height in adults of both sexes was associated with the decade of the demographic transition in the mid‐1950s. Significant secular gains in size attained and age at menarche occurred in children and youth born after the epidemiologic transition which likely reflected improved health and nutritional conditions since the mid‐1980s.