The indicator system designed to monitor progress of the National Strategy for Overweight, Obesity and Diabetes Prevention and Control (known in Spanish as ENPCSOD) was developed by the Mexican Institute for Competitiveness (IMCO-Instituto Mexicano para la Competitividad A.C.) together with the Aspen Institute Mexico. The indicator system is a useful tool that:

* Enables a comparison of 67 indicators across the 32 Mexican states, in order to provide an assessment of the multiple factors that influence the development of obesity, diabetes and high blood pressure.

*Allows to make reasonable comparisons among noncommunicable diseases risk factors that might serve as a basis for establishing evidence-based public policy

Despite its usefulness, this tool has some limitations:

*It does not allow to establish causality between the results and the reference indicators.

*It is not possible to identify which components exert greater or lesser effect upon the reference indicators.

*It does not pretend to be the only tool to determine ENPCSOD performance.

The indicators are organized based on the three pillars of the National Strategy (Public Health, Health Care, and Health Regulation and Fiscal Policy), as well as in a set of Reference Indicators.



To quantify the extent of the phenomenon; in this case, overweight, obesity and its related diseases (type 2 diabetes and hypertension).


  • Overweight prevalence
  • Obesity prevalence
  • Diabetes prevalence
  • Hypertension prevalence
  • Diabetes mortality rate
  • Hypertension mortality rate


To measure lifestyle factors, as well as the preventive educational actions towards disease prevention.


  • Nutrition
  • Physical activity
  • Family and socioeconomic context
  • Urban conditions
  • Schooling conditions
  • Public health interventions


To measure the degree of access to health care services that patients with obesity-related diseases have (type 2 diabetes, hypertension and dyslipidemia), in order to minimize its complications and improve their quality of life.


  • Effective access to health services
  • Health care facilities and health providers
  • Households costs and economy


To measure the impact of the major regulatory policies, at medium term, as well as tax on sugar-sweetened beverages and high energy-dense foods.


  • Health regulation and fiscal policy