Simón Barquera

Simón Barquera
Instituto Nacional de Salud Pública | INSP · Center for Nutrition and Health Research

MD, MS, PhD

About

454
Publications
1,897,928
Reads
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Introduction
Dr. Simon Barquera. MD (UAM, Mexico), MS and PhD degrees from Tufts (Boston MA). Consultant for WHO, PAHO, WB, UNICEF and IAEA. Co-author of the Mexican Nutrition Survey (1999), and Mexican Health and Nutrition Surveys (2000-2018). Nutrition and Health Research Center Director, INSP. Fellow Obesity Society, SAC World Obesity Federation. Fellow, National Academy of Medicine and Mex Acad of Science. Twitter: @sbarquera
Additional affiliations
May 2017 - present
Instituto Nacional de Salud Pública
Position
  • Managing Director
August 2015 - present
Instituto Nacional de Salud Pública
Position
  • Research leader
January 2009 - present
Instituto Nacional de Salud Pública
Position
  • Director. Nutrition Policy Research
Education
September 1996 - August 2004
Tufts University
Field of study
  • Nutritional Epidemiology
September 1994 - May 1996
Tufts University
Field of study
  • Food Policy and Human Nutrition
August 1988 - May 1994
Univerisdad Autónoma Metropolitana
Field of study

Publications

Publications (454)
Article
Full-text available
Purpose of review: There are today 11 mega-countries with more than 100 million inhabitants. Together these countries represent more than 60% of the world's population. All are facing noncommunicable chronic disease (NCD) epidemic where high cholesterol, obesity, diabetes, and cardiovascular diseases are becoming the main public health concerns. Mo...
Article
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Atherosclerotic cardiovascular disease (ACD) is the leading cause of mortality worldwide. The objective of this paper is to provide an overview of the global burden of ACD and its risk factors and to discuss the main challenges and opportunities for prevention. Publicly available data from the Global Burden of Disease Study were analyzed for ischem...
Article
Background: Child and maternal health outcomes have notably improved in Mexico since 1990, whereas rising adult mortality rates defy traditional epidemiological transition models in which decreased death rates occur across all ages. These trends suggest Mexico is experiencing a more complex, dissonant health transition than historically observed....
Article
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Background: Up-to-date evidence about levels and trends in disease and injury incidence, prevalence, and years lived with disability (YLDs) is an essential input into global, regional, and national health policies. In the Global Burden of Disease Study 2013 (GBD 2013), we estimated these quantities for acute and chronic diseases and injuries for 18...
Article
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Background: Ingestion of water has been associated with general wellbeing. When water intake is insufficient, symptoms such as thirst, fatigue and impaired memory result. Currently there are no instruments to assess water consumption associated with wellbeing. The objective of our study was to develop and validate such an instrument in urban, low...
Article
Hemorheology and microcirculation alterations are caused by erythrocyte size and shape (ESS) modifications. People´s diets can alter erythrocyte functions and membrane fluidity by changing cell membrane components. The aim was to identify differences in ESS obtained by scanning electron (SEM) and atomic force microscopy (AFM) in people with prediab...
Article
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Front-of-pack labeling (FOPL) is a tool that enables consumers to compare foods and select healthier options. Due to low understanding of the Guideline Daily Amount (GDA) labeling among Mexicans, a law was implemented in October 2020 that modified the FOPL to a warning labeling (WL) system. The purpose of this study was to compare the perception an...
Article
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Background Childhood overweight and obesity is a global public health issue. Although there is evidence of a reduced prevalence in some countries, there is still much controversy about the efficacy of health interventions that aim to prevent and treat obesity in this specific population. The objective of the present study is to develop an overview...
Article
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Background Diet is one of the leading risk factors for non-communicable diseases and is related to sociodemographic and lifestyle factors, including sex. These associations vary across populations. We aimed to investigate which factors are associated with dietary patterns among adults living in Mexico City by sex. Methods We used data from the Mex...
Article
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There is evidence of the association between different retail stores and food consumption, yet research is still limited in low- and medium-income countries, where the context of the food retail environment is different from that observed in high-income countries. Specifically, less is known about how convenience and small grocery stores, which off...
Article
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Background: Warning Labels (WL) highlight excessive amounts of critical nutrients in order to discourage consumption of unhealthful packaged food products. This study aimed to evaluate among Mexican school children, the objective understanding of traditional and numeric WL (aimed at small products) considered by the Mexican regulation, and whether...
Article
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Background Informal food outlets, defined as vendors who rarely have access to water and toilets, much less shelter and electricity, are a common component of the food environment, particularly in many non-Western countries. The purpose of this study was to review available instruments that measure the quality and particularly the healthfulness of...
Article
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Public open spaces (POS) are “publicly owned spaces such as parks, green areas, squares, market-places, streets and highways which are of public access”. Some attributes could increase or de-crease participants’ attendance. Thus, reliable and valid audit tools are needed in order to meas-ure these attributes. This study aimed to develop and validat...
Article
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One strategy for the prevention and treatment of non-communicable diseases (NCDs) is the implementation of the front-of-pack labeling (FoPL) in foods and beverages. In 2020, Mexico adopted the warning label system (WL) as a new public health policy, whose aim is to help consumers make healthier food choices. Previously, the Guideline Daily Amount (...
Article
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Objective: To identify the behavioral and normative believes factors that might have major influence on the decision to buy packaged foods in urban Mexican families. Materials and methods: We performed a cross-sectional study in four urban cities of Mexico. Participants responded a self-administered questionnaire (n=3 340) outside of randomly se...
Article
Background: Food marketing increases product appeal, purchasing and consumption, using diverse strategies and locations to reach consumers. Objectives: The aim of this study was to examine differences in adults' self-reported exposure to various marketing strategies (brand and licensed characters, celebrities, sponsorship of sports and cultural...
Article
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Background: Food environments play a key role in dietary behavior and vary due to different contexts, regulations, and policies. Objectives: This study aimed to characterize the perceived availability of healthy and unhealthy foods in three different settings in 5 countries. Methods: We analyzed data from the 2018 International Food Policy Stu...
Article
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Abstract In recent decades, the growing obesity epidemic in Mexico has become one of the most important public health chal�lenges faced by the country. With support from the World Obesity Federation, we formed a working group in 2021 to identify and summarize priority actions that Mexico can take to face this epidemic. More than 1 000 health pr...
Article
Full-text available
Background: Different nutrient profiles (NPs) have been developed in Latin America to assess the nutritional quality of packaged food products. Recently, the Mexican NP was developed as part of the new warning label regulation implemented in 2020, considering 5 warning octagons (calories, sugar, sodium, saturated fats, and trans fats) and 2 warnin...
Preprint
Background In Mexico, the inclusion of a Front-of-Pack Label in the Official Mexican Standard-051 (NOM-051 for its Spanish acronym) has been widely discussed for years by different stakeholder groups. In 2019, the NOM-051 modification project was proposed, which included front-of-pack warning labels. To be modified, it went through a public consult...
Book
Full-text available
El sodio (Na) es un nutriente esencial para funciones específicas en el cuerpo humano. Además, es uno de los principales ingredientes que aumenta la palatabilidad, así como preservar durante más tiempo a los alimentos y bebidas. Este nutriente cuando es consumido en cantidades excesivas se encuentra relacionado directamente con el aumento en la ten...
Article
Background School-based meal programs may promote healthy dietary intake among youth. However, limited data exist regarding the impact of income-targeted school meal programs across countries, particularly among food insecure youth. Objectives To examine self-reported awareness of and participation in free school meal programs, and associations wi...
Chapter
This chapter describes some of the public health policy tools that have the potential to improve population diets. One possible policy response to the burden of obesity and diet‐related diseases is fiscal policies such as food taxes and subsidies. In addition to fiscal measures, other policies that have shown to improve the food environment include...
Article
Full-text available
La creciente epidemia de obesidad ha sido uno de los retos más importantes de salud pública en México durante los últimos años. Con apoyo de la Federación Mundial de Obesidad, en 2021 formamos un grupo de profesionales para identificar y resumir las acciones prioritarias en las que puede enfocarse nuestro país para hacer frente a esta epidemia. Al...
Article
In recent decades, the growing obesity epidemic in Mexico has become one of the most important public health challenges faced by the country. With support from the World Obesity Federation, we formed a working group in 2021 to identify and summarize prior-ity actions that Mexico can take to face this epidemic. More than 1 000 health professionals j...
Article
Full-text available
Objective: To evaluate the test-retest reliability and validity of the long-form International Physical Activity Questionnaire (IPAQ-long form). Materials and methods: A subsample of 86 teachers underwent telephone interviews and clinic visits in Mexico City. Through 22 months, physical activity (PA) levels were obtained from accelerometers (mon...
Article
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Hypertension (HTN) and cardiovascular diseases (CVD) are important public health problems in Mexico. High sodium intake is linked to high blood pressure and increased risk of developing CVD. International organizations suggest consuming <2 g of sodium/day; however, the Mexican population consumes amounts above what is recommended: 3.1 g/day. Althou...
Article
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Background The World Health Organization stated a pandemic by severe acute respiratory syndrome coronavirus SARS-Cov2 (COVID-19) on March, 2020 with devastating implications for populations, healthcare systems, and economies globally. Objective The present study explores the association between patients living in municipalities with crowding condi...
Article
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Background Ultra-processed foods are recognized as indicators of an unhealthy diet in epidemiological studies. In addition to ultra-processed foods, the NOVA food classification system identifies three other groups with less processing. Unprocessed foods that, together with minimally processed foods (MPF), make NOVA group 1, NOVA group 2 is process...
Article
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Population studies have demonstrated an association between sodium and potassium intake and blood pressure levels and lipids. The aim of this study was to describe the dietary intake and contribution of sodium and potassium to the Mexican diet, and to describe its association with nutrition status and clinical characteristics. We analyzed a nationa...
Article
Full-text available
Background Reliable and valid instruments are needed to estimate physical activity levels. The purposes of this study were to estimate the reliability and validity of the Physical Activity Questionnaire (MTPAQ) in a subsample of the Mexican Teachers Cohort study. Methods We completed telephone interviews and clinical examinations of 82 teachers. T...
Article
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Background: Reliable and valid instruments are needed to estimate physical activity levels. The purposes of this study were to estimate the reliability and validity of the Physical Activity Questionnaire (MTPAQ) in a subsample of the Mexican Teachers Cohort study. Methods: We completed telephone interviews and clinical examinations of 82 teachers....
Article
Objetivo. Analizar la asociación entre seropositividad a SARS-CoV-2 y enfermedades crónicas en adultos y adultos mayores mexicanos. Material y métodos. Se utilizó la Encuesta Nacional de Salud y Nutrición 2020 sobre Covid-19 (Ensanut 2020 Covid-19) para evaluar la asociación de seropositividad a SARS-CoV-2 con hipertensión arterial sistémica, dia...
Article
Objective: To estimate the prevalence of diabetes (diagnosed and undiagnosed), glycemic control in Mexico, and its associated factors. Materials and methods: We used data from Ensanut 2018 (n=12 648) and 2020 (n=2 309). We defined diabetes as fasting glucose ≥126 mg/dl or HbA1c≥6.5% or previously diagnosed; glycemic control was defined as HbA1c<...
Article
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Objetivo. Describir la prevalencia de hipertensión arterial (HTA) en adultos mexicanos, la proporción que tiene tensión arterial (TA) controlada y la tendencia en el periodo 2018-2020. Material y métodos. Se midió la TA a 9 844 adultos en la Encuesta Nacional de Salud y Nutrición (Ensanut) 2020. Se consideró que tenían HTA o TA controlada cuando cu...
Article
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Objective Front-of-pack (FOP) nutrition labeling is a globally-recommended strategy to encourage healthier food choices. We evaluated the effect of FOP labels on the perceived healthfulness of a sweetened fruit drink in an international sample of adult consumers. Design Six-arm randomized controlled experiment to examine the impact of FOP labels (...
Article
Background Ultra-processed foods (UPF) are associated with poor diet quality and chronic diseases. UPF falls into one of the four groups classified according to the extent and purpose of processing: Group 1 includes unprocessed and minimally processed foods (MPF); group 2 refers to processed culinary ingredients (PCI); group 3, processed foods (PF)...
Article
Full-text available
The nutrient profile (NP) behind Mexico’s warning labels is based on the Pan American Health Organization’s (PAHO) model. It provides a measure of acceptable amounts of critical nutrients that can be applied to obesity and NCD prevention strategies. This NP goes against the narrative created by the food industry that “there are no good foods or bad...
Article
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Introduction and objective: To determine the prevalence of elevated liver enzyme levels and the fatty liver index according to specific sociodemographic, clinical, anthropometric, and metabolic risk factors in Mexican adult population. Material and methods: The present analysis was conducted using data from the Mexican National Health and Nutritio...
Article
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Food systems that support healthy diets in sustainable, resilient, just, and equitable ways can engender progress in eradicating poverty and malnutrition; protecting human rights; and restoring natural resources. Food system activities have contributed to great gains for humanity but have also led to significant challenges, including hunger, poor d...
Article
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The relative cost of healthy and sustainable diets is key for their adoption in different countries. Using a newly developed modelling tool that generates different diet baskets, we compared the costs of diets following the EAT–Lancet healthy reference diet, the Mexican dietary guidelines and locals’ current food intake. On average, the cost of the...
Article
Introduction and objective To determine the prevalence of elevated liver enzyme levels and the fatty liver index according to specific sociodemographic, clinical, anthropometric, and metabolic risk factors in Mexican adult population. Material and Methods The present analysis was conducted using data from the Mexican National Health and Nutrition...
Article
Full-text available
Objectives To identify general characteristics, the use of persuasive techniques, and the nutritional quality of Mexican digital marketing of food and beverages/brand with the greatest number of followers and views (Facebook, Twitter, and YouTube) with specific appeal to children/adolescents. Study design Cross sectional, quantitative, exploratory...
Article
Countries worldwide have implemented mandatory or voluntary front-of-package nutrition labeling systems. We provide a narrative review of ( a) real-world evaluations of front-of-package nutrition labels that analyze objective sales data and ( b) studies that objectively assess product reformulation in response to a front-of-package nutrition label...
Article
Background Cost is one of the main drivers of food selection, thus it is important to monitor food prices. Evidence from low- and middle-income countries such as Mexico is limited. Objective The aim of this study was to evaluate the price and price trend of healthy and less healthy food/beverage groups in Mexico from 2011 to 2018. Design This stu...
Preprint
Population studies have demonstrated an association between sodium (Na) and po-tassium (K) intake and levels of blood pressure (BP) and cholesterol. The aim of this study was to describe the dietary intake and distribution of Na and K in Mexicans, and their as-sociation with metabolic risk outcomes. We analyzed a national survey that included 4,219...
Preprint
Full-text available
Background. Warning Labels (WL) are a new approach which highlight excessive amounts of critical nutrients in processed foods or beverages in order to discourage consumption of unhealthful products. This study aimed to evaluate among Mexican school children, the objective understanding of traditional and numeric WL considered by the Mexican regulat...
Article
Full-text available
Background: Physical inactivity and high sitting time are directly related to mortality and morbidity of non-communicable diseases (NCDs). Thus, improved understanding of the prevalence and trends of these behaviors could support the design of policies and interventions for NCDs prevention. Objective: To determine the current prevalence of physi...
Article
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Screen-based activities are associated with increased risk of obesity and contribute to physical inactivity and poor dietary habits. The primary aim of this study was to examine the associations among screen-based activities, physical activity, and dietary habits in school-aged children in Guadalajara, Puerto Vallarta, and Mexico City, Mexico. The...
Article
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Background: The use of health and nutrition claims on front-of-pack labels may impact consumers' food choices; therefore, many countries have established regulations to avoid misinformation. This study describes the prevalence of health and nutrition claims on the front-of-pack of food products in retail stores in Mexico and estimate the potential...
Article
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Objectives Characterize children's and adolescent's exposure of Digital Marketing (DM) and identify DM strategies of advertised food and beverages Methods This was a cross-sectional study. We used a crowdsourcing strategy to recruit children and adolescents around Mexico. Those with home access to Wi-Fi, with mobile capacity to record their habitu...
Article
The global surges in obesity and nutrition-related non-communicable diseases (NCDs) have created a need for decisive new food policy initiatives. A major concern has been the impact of ultra-processed foods (UPFs) and ultra-processed drinks on weight gain and on the risk of several NCDs. These foods, generally high in calories, added sugar, sodium,...
Article
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Abstract Objective. To describe the available evidence on the transmission of Covid-19 or similar acute respiratory infections in open, public spaces. Materials and methods. Our search included 4 926 articles in English from 2000 to 2020. Six researchers reviewed the title and abstracts from Embase and PubMed databases, and two researchers reviewed...
Article
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Early diagnosis and control of diabetes can reduce premature mortality and disability. We described the diabetes prevalence, awareness, treatment, and control in Mexico City. Data came from the Mexico City Representative Diabetes Survey, conducted between May to June 2015. Participants (20–69 y, n = 1307) reported their diabetes condition, treatmen...
Article
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Background People with a previous diagnosis of non-communicable diseases (NCDs) are more likely to develop serious forms of COVID-19 or die. Mexico is the country with the fourth highest fatality rate from SARS-Cov-2, with high mortality in younger adults. Objectives To describe and characterize the association of NCDs with the case-fatality rate...
Article
The study aim was to assess the application of atomic force microscopy (AFM) to evaluate erythrocyte morphology in early stages of type 2 diabetes mellitus, and the association with biochemical, anthropometric, diet, and physical activity indicators. This was a pilot cross-sectional study with four groups: healthy individuals, people with prediabet...
Article
Full-text available
Background The overarching objective was to examine the effectiveness of intervention strategies to promote fruit and vegetable consumption. To do this, systematic review evidence regarding the effects of intervention strategies was synthesized; organized, where appropriate, by the setting in which the strategies were implemented. Additionally, we...
Preprint
Full-text available
Background. Diet is one of the leading risk factors for developing non-communicable diseases and is related to sociodemographic and lifestyle factors, including sex. We aimed to investigate the associated factors of dietary patterns among adults living in Mexico City by sex. Methods. We used data from a city-wide representative survey conducted bet...
Article
Objetivo: Documentar la evolución de los marcos reguladores de la publicidad de alimentos y bebidas no alcohólicas (PABNA) dirigida a la población infantil (PI) en México. Material y métodos: Revisión documental de las leyes, reglamentos y lineamientos encargados de regular la PABNA publicados en el Diario Oficial de la Federación (DOF) desde 1926...