Abstract
From the perspective of social reproduction, the focus of this study is placed on the collective practice of diet in bike taxi drivers (or rickshaws) of Mexico City’s historic downtown, analyzed as key element in a characteristic pathologic profile observed in health/disease conditions, particularly as the cause for overweight, obesity, dyslipidemias, and factors associated to metabolic syndrome. A descriptive, cross-sectional study was conducted with 110 (90.2%) drivers. A survey was used to collect data on diet habits, working conditions and lifestyle. Anthropometric measurements and blood samples were taken to analyze biochemical parameters in order to assess the subjects’ health status and establish obesity-related risk factors. The results reveal that average daily soda consumption is 1.6 liters (54 fl. oz.), an equivalent of 629 kilocalories per day. Vegetables are consumed 3.1 times per week and 65.7 kilograms (145 pounds) of corn tortillas are consumed per year. Obesity is associated to the number of years a person has been driving a bike taxi [χ2(2, N = 99) = 6.747, p = 0.034]. 69.1% is overweight or obese, 63.3% has hypertriglyceridemia and 49.1% meet three or more criteria to be diagnosed with metabolic syndrome according to the Adult Treatment Panel III (ATP III). Drivers’ intake of sugary drinks and junk food is high, while recommended food intake like vegetables, fruits, legumes and white meat is low. Ongoing campaigns are recommended to promote healthy food intake, avoid sugary drinks intake and facilitate water consumption.
2. Casallas-Murillo AL. Latin-American Social Medicine/Public Health: An Integrative Vision Facing Traditional Public Health. Rev. Cienc. Salud. 2017;15(3):397-408. http://www.doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.6123
3. Boeri N. Boundaries of Home and Work: Social Reproduction and Home-Based Workers in Ahmedabad, India. New York: CUNY Academic Works; 2016.
4. Shawna-Chapman LC, Li-Tzy W. Food, class, and health: The role of the perceived body in the social reproduction of health. Health Commun. 2013;28(4):341-350. http://www.doi.org/10.1080/10410236.2012.688009
5. World Health Organization. Global status report on noncommunicable diseases 2014: Attaining the nine global noncommunicable diseases targets; a shared responsibility compartida. Geneva: World Health Organization; 2014.
6. García E, de La Llata M, Kaufer M, Tusié M, Calzada R, Vázquez V, et al. La obesidad y el síndrome metabólico como problema de salud pública: Una reflexión. Salud Públ Méx. 2008;50(6):530-5447. http://www.doi.org/10.1590/S0036-36342008000600015
7. World Health Organization. Obesity and overweight: Fact sheet N°311 [Internet]. 2018 [cited 2019 Oct. 23]. Available from: http://www.who.int/mediacentre/factsheets/fs311/en/
8. Mexico. National Institute of Public Health. Ensanut. Encuesta Nacional de Salud y Nutrición Medio Camino 2016: Informe final de resultados. Mexico City: Ianphi; 2016.
9. World Health Organization. 10 facts on diabetes [Internet]. 2016 [cited 2019 Jan. 3]. Available from: http://www.who.int/features/factfiles/diabetes/en/
10. Berrones-Sanz LD. The Working Conditions of Motorcycle Taxi Drivers in Tláhuac, Mexico City. J Transp Health. 2018;8:73-80. http://www.doi.org/10.1016/j.jth.2017.04.008
11. Berrones-Sanz LD. Condiciones laborales de los trabajadores del volante del transporte público de pasajeros y su repercusión en la ciudad. Querétaro: Universidad Autónoma (UAQ); 2010.
12. Aguilar-Zinser JV, Irigoyen-Camacho ME, Ruiz-García-Rubio V, Pérez-Ramírez M, Guzmán-Carranza S, Velázquez-Alva MD, et al. Prevalencia de obesidad y sobrepeso en operadores mexicanos del transporte de pasajeros. Gac. Méd. Méx. 2007;143(1):21-25.
13. Korelitz JJ, Fernandez AA, Uyeda VJ, Spivey GH, Browdy BL, Schmidt RT. Health habits and risk factors among truck drivers visiting a health booth during a trucker trade show. Am J Health Promot. 1993;8(2):117-123.
14. Marcinkiewicz A, Szosland D. Selected risk factors of diabetes mellitus among road transport drivers. Int J Occup Med Environ Health. 2010;23(2):175-180. http://www.doi.org/10.2478/v10001-010-0018-3
15. Ragland DR, Winkleby MA, Schwalbe J, Holman BL, Morse L, Syme SL, et al. Prevalence of hypertension in bus drivers. Int J Epidemiol. 1987;16(2):208-214. http://www.doi.org/10.1093/ije/16.2.208
16. Sieber WK, Robinson CF, Birdsey J, Chen GX, Hitchcock EM, Lincoln JE, et al. Obesity and Other Risk Factors: The National Survey of U.S. Long-Haul Truck Driver Health and Injury. Am J Ind Med. 2014;57(6):615-626.
17. Wang PD, Lin RS. Coronary heart disease risk factors in urban bus drivers. Public Health. 2001;115(4):261-264. http://www.doi.org/10.1038/sj/ph/1900778.
18. Whitfield-Jacobson PJ, Prawitz AD, Lukaszuk JM. Long-Haul Truck Drivers Want Healthful Meal Options at Truck-Stop Restaurants. Journal Am Diet Assoc. 2007;107(12):2125-2129. http://www.doi.org/10.1016/j.jada.2007.09.003
19. Berrones-Sanz LD, Cano-Olivos P, Sánchez-Partida D, Martínez-Flores JL. Lesiones, enfermedades y accidentes de trabajo de los conductores del autotransporte de carga en México. Acta Univ. 2018;28(3):47-55. http://www.doi.org/10.15174/au.2018.1946
20. Berrones-Sanz LD. Choferes del autotransporte de carga en México: investigaciones sobre condiciones laborales y la cadena de suministro. Transp Territ. 2017;1(17):251-2566.
21. Berrones-Sanz LD. La salud de conductores de ciclotaxis en la Ciudad de México. Salud Púb Méx. 2019;61(5):557. http://dx.doi.org/10.21149/10448
22. Laurell AC. La Salud-Enfermedad como proceso social. Rev Latinoam Salud. 1982;2(1): 7-25.
23. Mexico. Secretariat for Home Affairs. Ley General de Salud. Reforma DOF 12-07-2018. Mexico City: Diario Oficial de la Federación; 2018.
24. Mexico. National Institute of Public Health. Formatos de los cuestionarios con variables: Frecuancia de consumo alimentos adolecentes-adultos [Internet]. 2016 [cited 2019 Sep. 18]. Available from: https://ensanut.insp.mx/ensanut2016/descarga_bases.php
25. Favela E, Gutiérrez JP, Medina M, Rolón M, Sierra C, Viniegra A. Guía de Práctica Clínica para el Diagnóstico y Tratamiento de la Hipertensión Arterial en el Primer Nivel de Atención. Evidencias y Recomendaciones. Catálogo Maestro de Guías de Práctica Clínica: IMSS-076-08. Mexico City: Centro Nacional de Excelencia Tecnológica en Salud (Cenetec); 2008.
26. Mexico. Secretariat for Home Affairs. Norma Oficial Mexicana NOM-007-SSA3-2011, Para la organización y funcionamiento de los laboratorios clínicos. Mexico City: Diario Oficial de la Federación; 2012.
27. Mexico. Secretariat for Home Affairs. Norma Oficial Mexicana NOM-008-SSA3-2017, Para el tratamiento integral del sobrepeso y la obesidad. Mexico City: Diario Oficial de la Federación; 2018.
28. Mexico. Secretariat for Home Affairs. Proyecto de Norma Oficial Mexicana NOM-030-SSA2-2017, Para la prevención, detección, diagnóstico, tratamiento y control de la hipertensión arterial sistémica. Mexico City: Diario Ofiacial de la Federación; 2017.
29. Mexico. Secretariat for Home Affairs. Norma Oficial Mexicana NOM-015-SSA2-2010, Prevención, tratamiento y control de la diabetes mellitus. Mexico City: Diario Oficial de la Federación; 2010.
30. Insel PM, Turner RE, Ross D. Discovering nutrition. 3rd ed. Sudbury (MA): Jones and Bartlett Publishers; 2010.
31. Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, et al. Harmonizing the metabolic syndrome. Circulation. 2009;120(16):1640-1645. http://www.doi.org/10.1161/CIRCULATIONAHA.109.192644
32. World Health Organization. Physical Activity and Adults: Recommended levels of physical activity for adults aged 18-64 years [Internet, cited 2019 Jan. 4]. Available from: http://www.who.int/dietphysicalactivity/factsheet_adults/en/
33. CEDRSSA. Consumo, distribución y producción de alimentos: el caso del complejo maíz-tortilla. Mexico City: Centro de Estudios para el Desarrollo Rural Sustentable y la Soberanía Alimentaria; 2014.
34. Kánter-Coronel I. El consumo de refrescos en la población mexicana y su impacto en la salud y economía de los hogares. Mirada Legislativa. 2013;(29).
35. Córdova-Villalobos JÁ. Consumo de bebidas para una vida saludable. Salud Púb Méx. 2008;50(2):103-104.
Copyright notice
The Journal Management and Health Policies is registered under the Creative Commons Recognition 4.0 International license. Therefore, this work can be reproduced, distributed and publicly communicated in digital format, provided that the name of the authors and the Pontificia Universidad Javeriana are recognized. It is allowed to quote, adapt, transform, autoarchive, republish and create from the material, for any purpose (including commercial), provided that authorship is properly acknowledged, a link to the original work is provided and if changes have been mad. The Pontificia Universidad Javeriana does not retain the rights over published works and the contents are the exclusive responsibility of the authors, who preserve their moral, intellectual, privacy and publicity rights.
The endorsement of the intervention of the work (revision, style correction, translation, layout) and its subsequent disclosure is granted through a license to use and not through a transfer of rights, which means that the journal and the Pontificia Universidad Javeriana disclaims any liability that may arise from ethical misconduct on the part of the authors. As a result of the protection provided by the license for use, the journal is not obliged to publish retractions or modify the information already published, unless the erratum arises from the process of editorial management. The publication of contents in this magazine does not represent royalties for taxpayers.