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Bertomeu-Gonzalez V, Sanchez-Ferrer F, Quesada JA, Nso-Roca AP, Lopez-Pineda A, Ruiz-Nodar JM. Prevalence of childhood obesity in Spain and its relation with socioeconomic status and health behaviors: Population-based cross-sectional study. Med Clin (Barc) 2024:S0025-7753(24)00199-4. [PMID: 38714468 DOI: 10.1016/j.medcli.2024.02.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Revised: 02/04/2024] [Accepted: 02/06/2024] [Indexed: 05/09/2024]
Abstract
OBJECTIVES This study aims to assess the current state of childhood overweight and obesity in Spain, and its relationship with socioeconomic status and health-related behaviors. METHODS Population-based cross-sectional observational study, based on the 2017 National Health Survey in minors in Spain. This study included all children surveyed who were aged 1-14 years. Childhood obesity was estimated from the z-score of the body mass index. RESULTS The study included 4882 children aged 1-14 years (mean 7.5). The prevalence of obesity was 18.6% (95% confidence interval [CI] 18.5-18.7), while 13.5% (95% CI 13.4-13.6) were overweight. These figures represent over a million children in Spain who are obese and nearly 750,000 who are overweight. A north-south geographic gradient was apparent, with higher prevalence of unhealthy body weight in southern Spain. Factors associated with childhood obesity were low socioeconomic status, poor diet and sedentarism, among others. CONCLUSIONS Childhood overweight in Spain is strongly associated with socioeconomic status and other factors such as diet and sedentarism. Multidisciplinary public health interventions are needed to reduce this serious health problem in children.
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Affiliation(s)
- Vicente Bertomeu-Gonzalez
- GRINCAVA Research Group, Clinical Medicine Department, Miguel Hernandez University, San Juan de Alicante, Alicante, Spain; Cardiology Section, University Hospital of San Juan de Alicante, San Juan de Alicante, Alicante, Spain; Center for Biomedical Research Network Cardiovascular Diseases (CIBERCV), Spain
| | - Francisco Sanchez-Ferrer
- GRINCAVA Research Group, Clinical Medicine Department, Miguel Hernandez University, San Juan de Alicante, Alicante, Spain; Pharmacology, Pediatrics and Organic Chemistry Department, Miguel Hernandez University, San Juan de Alicante, Alicante, Spain.
| | - Jose Antonio Quesada
- GRINCAVA Research Group, Clinical Medicine Department, Miguel Hernandez University, San Juan de Alicante, Alicante, Spain
| | - Ana Pilar Nso-Roca
- GRINCAVA Research Group, Clinical Medicine Department, Miguel Hernandez University, San Juan de Alicante, Alicante, Spain
| | - Adriana Lopez-Pineda
- GRINCAVA Research Group, Clinical Medicine Department, Miguel Hernandez University, San Juan de Alicante, Alicante, Spain
| | - Juan Miguel Ruiz-Nodar
- GRINCAVA Research Group, Clinical Medicine Department, Miguel Hernandez University, San Juan de Alicante, Alicante, Spain; Center for Biomedical Research Network Cardiovascular Diseases (CIBERCV), Spain; Cardiology Service, General University Hospital of Alicante, Alicante, Spain
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Gutiérrez-González E, Andreu-Ivorra B, Rollán-Gordo A, Tejedor-Romero L, Sánchez-Arenas F, García-Solano M. Differences in the temporal trends of childhood overweight and obesity in Spain in the 2011-2019 period by sex, age and socioeconomic level: results of the ALADINO study. An Pediatr (Barc) 2024; 100:233-240. [PMID: 38538511 DOI: 10.1016/j.anpede.2024.03.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Accepted: 01/31/2024] [Indexed: 04/28/2024] Open
Abstract
INTRODUCTION Childhood excess weight is a growing public health problem. The aim of this study was to assess temporal trends in the prevalence of overweight, obesity and central obesity in schoolchildren aged 6-9 years in Spain between 2011 and 2019 based on demographic and socioeconomic characteristics. METHODOLOGY The analysis included data from the 2011, 2015 and 2019 rounds of the cross-sectional observational and descriptive ALADINO study in schoolchildren of both sexes aged 6-9 years. We conducted a descriptive analysis of the trends in the prevalence of overweight and obesity (defined according to the criteria of the World Health Organization and the International Obesity Task Force) and of central obesity, in addition to associated demographic and socioeconomic variables. RESULTS Between 2011 and 2019, the prevalence of overweight (WHO criteria) decreased in boys aged 6, 7 and 8 years (by -5.4%, -5.7% and -5.3%, respectively) and boys whose parents had a higher educational attainment (by -5.3%). In relation to the socioeconomic level, overweight in boys declined at all income levels. However, between 2011 and 2019, both the prevalence of overweight in girls and the prevalence of obesity (applying the WHO and IOTF criteria) and the prevalence of central obesity in both sexes remained stable. CONCLUSIONS The prevalence of overweight and the prevalence of obesity in schoolchildren aged 6-9 years in Spain remain high. Between 2011 and 2019, the prevalence of overweight in children aged 6-8 years and in children whose parents had university degrees decreased, whereas obesity in boys, overweight and obesity in girls and central obesity in both sexes remained stable.
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Affiliation(s)
- Enrique Gutiérrez-González
- Subdirección General de Nutrición, Agencia Española de Seguridad Alimentaria y Nutrición, Ministerio de Sanidad, Madrid, Spain
| | - Blanca Andreu-Ivorra
- Servicio de Epidemiología, Consejería de Salud de la Región de Murcia, Murcia, Spain
| | - Almudena Rollán-Gordo
- Subdirección General de Nutrición, Agencia Española de Seguridad Alimentaria y Nutrición, Ministerio de Sanidad, Madrid, Spain
| | - Laura Tejedor-Romero
- Servicio de Medicina Preventiva, Hospital Universitario de La Princesa, Madrid, Spain
| | | | - Marta García-Solano
- Subdirección General de Nutrición, Agencia Española de Seguridad Alimentaria y Nutrición, Ministerio de Sanidad, Madrid, Spain.
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Caamiña L, Pietropaolo A, Basile G, Dönmez MI, Uleri A, Territo A, Fraile P. Does obesity really affect renal transplantation outcomes? Actas Urol Esp 2024; 48:125-133. [PMID: 37604402 DOI: 10.1016/j.acuroe.2023.08.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 07/12/2023] [Accepted: 07/13/2023] [Indexed: 08/23/2023]
Abstract
INTRODUCTION Kidney transplantation is the treatment of choice for patients with stage 5 chronic kidney disease (CKD). About 60% of CKD patients are overweight or obese at the time of kidney transplantation, and post-transplant obesity occurs in 50% of patients, with a weight gain of 10% in the first year and high risk of cardiovascular mortality. Obesity is associated with an increased risk of delayed graft function (DGF), acute rejection, surgical complications, graft loss and mortality. The aim of this study is to assess the clinical evolution of obese and overweight patients that have received a kidney transplant, based on short- and long-term complications associated with a higher BMI. MATERIAL AND METHODS A descriptive, observational, cross-sectional study was conducted with 104 kidney or pancreas-kidney transplant patients between March 2017 and December 2020, with a follow-up until April 2021. For comparative analysis, patients were grouped according to BMI. RESULTS Mean age was of 56.65 years, 60.6% male and 39.4 % female. Overweight patients experienced prolonged surgeries, more surgical wound dehiscence, delayed graft function, hernias, proteinuria and more indications for renal biopsies. Additionally, obese patients displayed more DGF, indications for renal biopsies, proteinuria, development of diabetes mellitus, atrial fibrillation and needed prolonged hospital stays. CONCLUSIONS Despite a high prevalence of comorbidity in the overweight and/or obese population, we found no reduction in patient and/or graft survival. However, longer follow-up is needed.
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Affiliation(s)
- L Caamiña
- Nefrología, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain; Urología, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain; Servicio de Urología, Hospital Universitario de Southampton NHS Foundation Trust, Southampton, United Kingdom
| | - A Pietropaolo
- Servicio de Urología, Hospital Universitario de Southampton NHS Foundation Trust, Southampton, United Kingdom; Grupo de trabajo de Trasplante Renal y grupo de trabajo de Urolitiasis y Endourología de la sección de Jóvenes Urólogos Académicos (YAU) de la Asociación Europea de Urología (EAU), Arnhem, The Netherlands.
| | - G Basile
- Grupo de trabajo de Trasplante Renal y grupo de trabajo de Urolitiasis y Endourología de la sección de Jóvenes Urólogos Académicos (YAU) de la Asociación Europea de Urología (EAU), Arnhem, The Netherlands; Servicio de Urología, Fundación Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - M I Dönmez
- Grupo de trabajo de Trasplante Renal y grupo de trabajo de Urolitiasis y Endourología de la sección de Jóvenes Urólogos Académicos (YAU) de la Asociación Europea de Urología (EAU), Arnhem, The Netherlands; Servicio de Urología, Facultad de Medicina de Estambul, Universidad de Estambul, Estambul, Turkey
| | - A Uleri
- Grupo de trabajo de Trasplante Renal y grupo de trabajo de Urolitiasis y Endourología de la sección de Jóvenes Urólogos Académicos (YAU) de la Asociación Europea de Urología (EAU), Arnhem, The Netherlands; Servicio de Urología, Fundación Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - A Territo
- Grupo de trabajo de Trasplante Renal y grupo de trabajo de Urolitiasis y Endourología de la sección de Jóvenes Urólogos Académicos (YAU) de la Asociación Europea de Urología (EAU), Arnhem, The Netherlands; Servicio de Urología, Fundación Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - P Fraile
- Nefrología, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain
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Castillo-García A, Valenzuela PL, Saco-Ledo G, Carrera-Bastos P, Ruilope LM, Santos-Lozano A, Lucia A. Lifestyle and cardiovascular risk in working young adults: insights from a nationwide Spanish cohort. Rev Esp Cardiol (Engl Ed) 2024:S1885-5857(24)00069-0. [PMID: 38423178 DOI: 10.1016/j.rec.2024.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Accepted: 02/13/2024] [Indexed: 03/02/2024]
Abstract
INTRODUCTION AND OBJECTIVES This study aimed to describe the cardiovascular risk profile of working young adults from Spain and its association with lifestyle. METHODS Participants (18-30 years) were recruited from a nationwide cohort of economically active adults insured by a large occupational risk prevention company, with data obtained from routine medical assessments. The participants were categorized as having an "unhealthy" cardiovascular risk profile based on the presence of prediabetes/diabetes, prehypertension/hypertension, or hypercholesterolemia, or a "healthy" profile if these conditions were completely absent. The association with lifestyle factors (weight, physical activity, sleeping characteristics, alcohol consumption, smoking) was assessed. RESULTS A total of 78 421 young adults (27±2 years, 36% female) were evaluated at baseline. The "unhealthy" cardiovascular risk profile was prevalent (18%) and inversely associated (OR, 0.64; 95%CI, 0.57-0.80) with an optimal lifestyle (normal weight, regular physical activity, no drinking/smoking, and good sleep). The latter condition was found in only 3.5% of the participants. On the other hand, prospective analyses in 44 776 participants (median follow-up=2 [range 2-5] years) showed that 2.0% transitioned from a "healthy" to an "unhealthy" profile. Being physically active (OR, 0.95; 95%CI, 0.81-0.99) and having a normal weight (OR, 0.61; 95%CI, 0.51-0.70) were associated with a lower likelihood of this transition. No consistent associations were found for other lifestyle factors. CONCLUSIONS The prevalence of cardiovascular risk factors is high in economically active young Spanish adults. An unhealthy cardiovascular risk profile is inversely associated with an optimal lifestyle, but the latter is highly infrequent in this population.
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Affiliation(s)
- Adrián Castillo-García
- Departamento de Biología de Sistemas, Universidad de Alcalá, Alcalá de Henares, Madrid, Spain. https://twitter.com/@adrian_science
| | - Pedro L Valenzuela
- Departamento de Biología de Sistemas, Universidad de Alcalá, Alcalá de Henares, Madrid, Spain; Physical Activity and Health Research Group (PaHerg), Instituto de Investigación Hospital 12 de Octubre (imas12), Madrid, Spain.
| | - Gonzalo Saco-Ledo
- Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain
| | - Pedro Carrera-Bastos
- Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain; Centre for Primary Health Care Research, Lund University, Malmö, Sweden
| | - Luis M Ruilope
- Grupo de Investigación Traslacional en Hipertensión y Enfermedad Cardiorrenal, Instituto de Investigación Hospital 12 de Octubre (imas12), Madrid, Spain
| | - Alejandro Santos-Lozano
- Physical Activity and Health Research Group (PaHerg), Instituto de Investigación Hospital 12 de Octubre (imas12), Madrid, Spain; i+HeALTH Strategic Research Group, Universidad Europea Miguel de Cervantes, Valladolid, Spain
| | - Alejandro Lucia
- Physical Activity and Health Research Group (PaHerg), Instituto de Investigación Hospital 12 de Octubre (imas12), Madrid, Spain; Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain
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Dórame-López NA, Bobadilla-Tapia LE, Tapia-Villaseñor A, Gallegos-Aguilar AC, Serna-Gutiérrez A, Alemán-Mateo H, Esparza-Romero J. Diagnosis of nutritional status, dyslipidemia and associated risk factors in indigenous Yaqui schoolchildren. GAC MED MEX 2024; 160:53-61. [PMID: 38753569 DOI: 10.24875/gmm.m24000856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Accepted: 10/05/2023] [Indexed: 05/18/2024] Open
Abstract
BACKGROUND Malnutrition is a global problem that affects schoolchildren and can increase the risk of diseases in adulthood. Adult members of the Yaqui Indigenous group have been shown to have serious health problems, and Yaqui schoolchildren could therefore find themselves in a similar situation. OBJECTIVE To evaluate the nutritional status, lipid profile and associated factors in a sample of Yaqui schoolchildren. MATERIAL AND METHODS A total of 109 Yaqui schoolchildren who lived in their localities of origin were recruited. Anthropometric measurements were carried out, a venous blood sample was extracted in fasting conditions, and several questionnaires were applied. RESULTS The prevalence of overweight/obesity was 38.5%, with no cases of chronic malnutrition being recorded; 38.6% of the children had dyslipidemia. Fiber consumption was a protective factor against overweight/obesity, while fat intake was a risk factor. The physical activity score was found to be a protective factor against dyslipidemia, and the risk factors were BMI-for-age Z-scores, waist circumference, family history of dyslipidemia, educational level, and permanent employment. CONCLUSIONS Yaqui schoolchildren equally suffer from a high proportion of overweight/obesity and dyslipidemia. The associated factors may be useful for the design of contextualized interventions for this population.
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Affiliation(s)
- Norma A Dórame-López
- Food Intake and Development Research Center, Nutrition Coordination, Obesity and Diabetes Research Unit, Hermosillo
| | - Leticia E Bobadilla-Tapia
- Food Intake and Development Research Center, Nutrition Coordination, Obesity and Diabetes Research Unit, Hermosillo
| | - Alejandra Tapia-Villaseñor
- Food Intake and Development Research Center, Nutrition Coordination, Obesity and Diabetes Research Unit, Hermosillo
| | - Ana C Gallegos-Aguilar
- Food Intake and Development Research Center, Nutrition Coordination, Obesity and Diabetes Research Unit, Hermosillo
| | | | - Heliodoro Alemán-Mateo
- Food Intake and Development Research Center, Nutrition Coordination, Obesity and Diabetes Research Unit, Hermosillo
| | - Julián Esparza-Romero
- Food Intake and Development Research Center, Nutrition Coordination, Obesity and Diabetes Research Unit, Hermosillo
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Mínguez Ojeda C, Gómez Dos Santos V, Lorca JÁ, Ruz-Caracuel I, Pian H, Sanjuanbenito Dehesa A, Burgos Revilla FJ, Araujo-Castro M. Influence of obesity and overweight in surgical outcomes of adrenalectomy for primary adrenal disease: A cohort study of 146 cases. ENDOCRINOL DIAB NUTR 2023; 70:564-571. [PMID: 37996201 DOI: 10.1016/j.endien.2023.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Accepted: 09/02/2023] [Indexed: 11/25/2023]
Abstract
OBJECTIVE To evaluate the impact of obesity and overweight on surgical outcomes in a large cohort of patients who underwent adrenalectomy due to benign or malignant primary adrenal disease. METHODS A retrospective single-center study of patients without history of active extraadrenal malignancy, with adrenal tumors operated on consecutively in our center between January 2010 and December 2022. Obesity was defined as a body mass index (BMI)≥30kg/m2 and overweight as BMI between 25.0 and 30.0kg/m2. RESULTS Of 146 patients with adrenal tumors who underwent adrenalectomy, 9.6% (n=14) were obese, 54.8% (n=80) overweight and 35.6% (n=52) normal weight. Obese patients had higher diastolic blood pressure (87.6±12.22 vs. 79.3±10.23mmHg, P=0.010) and a higher prevalence of dyslipidemia (57.1% vs. 25.8%, P=0.014) and bilateral tumors (14.3% vs. 3.1%, P=0.044) than non-obese patients. The rates of intraoperative and of postsurgical complications were similar between obese/overweight patients and patients with normal weight. However, a significantly higher rate of postsurgical complications (27.3% vs. 5.7%, P=0.009) and a longer hospital stay (5.4±1.39 vs. 3.5±1.78 days, P=0.007) were observed in patients with obesity than in non-obese patients. In the multivariant analysis, obesity, age, ASA>2 and tumor size were independent risk factors for postoperative complications, with obesity being the most important factor (OR 23.34 [2.23-244.24]). CONCLUSION Obesity and overweight are common conditions in patients who undergo adrenalectomy. Adrenalectomy is considered a safe procedure in patients with overweight, but it is associated with a higher risk of postsurgical complications and longer hospital stay in obese patients.
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Affiliation(s)
- César Mínguez Ojeda
- Urology Department, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain
| | | | - Javier Álvaro Lorca
- Urology Department, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain
| | - Ignacio Ruz-Caracuel
- Pathology Department, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain
| | - Héctor Pian
- Pathology Department, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain
| | | | | | - Marta Araujo-Castro
- Endocrinology & Nutrition Department, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain; Medicine Department, University of Alcalá, Madrid, Spain.
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Lua-Bernal F, Ruíz-Betancourt BS, Rivas-Ruiz R, López-Mayorga RM. [Impact of attend to day care associated with healthy weight in infants and preschoolers]. Rev Med Inst Mex Seguro Soc 2023; 61:S468-S476. [PMID: 37934941 PMCID: PMC10751070 DOI: 10.5281/zenodo.8319739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Accepted: 03/15/2023] [Indexed: 11/09/2023]
Abstract
Background Being overweight affects millions of infants and preschoolers in the world, affecting their quality and life expectancy. Exposure to day care centers may play an important role in preventing unhealthy weight (UW). Objective To point out the prevalence and association of day care exposure and other factors associated with UW in infants and preschoolers. Methods An analytical cross-sectional study was carried out. Infant population aged 6-47 months without comorbidities that compromised their nutritional status were included, and those with formal childcare different from the selected day care were excluded. Exposure to day care, and other factors (perinatal, physical activity, nutritional, and familiar) were evaluated. A z score > 1 SD was considered UW. Prevalence, odds ratios (OR), 95% confidence intervals (95%CI) and adjusted RM by low birth weight, initiation of complementary feeding, consumption of sugary drinks, daytime naps, maternal nutritional status, and family income quintile through logistic regression. Results The overall prevalence of UW was 17.84% (95%CI: 14.93-21.16), 11.84 (95%CI: 8.54-16.14) for children exposed to day care, and 23.78% (95%CI: 19.21-29.02) in unexposed infant population, showing significant differences between both prevalences (p < 0.001). The adjusted OR for UW presentation was 0.39 (95% CI: 0.23-0.66). Conclusions Exposure to IMSS day care has shown to be a possible protective environment against the development of a UW.
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Affiliation(s)
- Felipe Lua-Bernal
- Instituto Politécnico Nacional, Escuela Superior de Medicina, Sección de Estudios de Posgrado e Investigación. Ciudad de México, MéxicoInstituto Mexicano del Seguro SocialMéxico
| | - Blanca Sandra Ruíz-Betancourt
- Instituto Mexicano del Seguro Social, Coordinación de Vigilancia Epidemiológica Ciudad de México, México Instituto Mexicano del Seguro SocialMéxico
| | - Rodolfo Rivas-Ruiz
- Instituto Mexicano del Seguro Social, Coordinación de investigación en Salud, Centro de Adiestramiento e Investigación Clínica, Ciudad de México, MéxicoInstituto Mexicano del Seguro SocialMéxico
| | - Ruth Mery López-Mayorga
- Instituto Politécnico Nacional, Escuela Superior de Medicina, Sección de Estudios de Posgrado e Investigación. Ciudad de México, MéxicoInstituto Mexicano del Seguro SocialMéxico
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Barba Orozco E, Ezquerra Duran A. Study of gastroesophageal reflux. Interpretation of functional tests in the obese patient. Cir Esp 2023; 101 Suppl 4:S8-S18. [PMID: 37979941 DOI: 10.1016/j.cireng.2023.01.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 01/09/2023] [Indexed: 11/20/2023]
Abstract
Overweight and obesity are a public health problem and in 1997 obesity was recognized as a global epidemic by the World Health Organization (WHO). Overweight and obesity affect almost 60% of adults and one in three children in Europe according to the most recent WHO report. Objectively, gastroesophageal reflux disease (GERD) is defined as the presence of characteristic esophageal mucosal damage assessed by endoscopy and/or the demonstra-tion of pathological acid exposure by reflux monitoring studies. The prevalence of GERD is increased in obese patients In overweight and obese patients, the clinical symptoms of GERD are especially present in the supine position and this correlates with more frequent episodes of nocturnal reflux in the 24-h pH monitoring, there is also an increase in the number of refluxes with content acid. In the population with symptoms, digestive endoscopy detects data of erosive esophagitis in 50% of patients, while 24-h pH-impedanciometry diagnoses 92% of patients with non-erosive reflux disease (NERD) The presence of persistent GERD in the mucosa affects esophageal motility and patients may develop ineffective esophageal motility-type disorders, so we will review the interpre-tation of the functional tests that determine motility, which is esophageal manometry, and those that determine reflux gastroesophageal, acid and non-acid, which is the pH measure-ment with or without 24-h impedanciometry.
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Affiliation(s)
- Elizabeth Barba Orozco
- Gastroenterology Department, Neurogastroenterology and Motility Unit, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain.
| | - Alberto Ezquerra Duran
- Gastroenterology Department, Neurogastroenterology and Motility Unit, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain
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Gutiérrez-González E, Sánchez Arenas F, López-Sobaler AM, Andreu Ivorra B, Rollán Gordo A, García-Solano M. Socioeconomic and gender inequalities in childhood obesity in Spain. An Pediatr (Barc) 2023; 99:111-121. [PMID: 37517879 DOI: 10.1016/j.anpede.2023.05.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Accepted: 05/22/2023] [Indexed: 08/01/2023] Open
Abstract
INTRODUCTION Childhood obesity is inversely associated with household socioeconomic status in high-income countries. Our aim was to explore the association between childhood weight status and household socioeconomic status in Spain in relation to family characteristics, perceptions and lifestyle habits and the school environment. METHODS We performed a descriptive analysis of child weight status according to family socioeconomic factors and mediating variables based on data from the ALADINO 2019 study in a sample of 16,665 schoolchildren representative of the population aged 6-9 years in Spain. RESULTS The prevalence of childhood obesity in households with low socioeconomic status (26.8% boys; 20.4% girls) was, in both sexes, twice as high as in those with higher socioeconomic status (12.1% boys; 8.7% girls). Unhealthy eating habits, sedentary lifestyles (mainly in girls) and the presence of screens in the bedroom (more prevalent in boys) were more frequent in school-aged children from low-income households. On the other hand, in the most disadvantaged households, a history of breastfeeding and physical activity (especially in girls) were less frequent. Similarly, schools attended by children from low-income households were less likely to have their own kitchens and indoor gymnasiums or offer sports activities. CONCLUSION A lower household socioeconomic status was associated with poorer dietary and physical activity habits and certain characteristics of the family and school environments that mediate the inverse association between household socioeconomic status and the prevalence of childhood obesity. Girls were less physically active and reported more sedentary lifestyles, while boys had greater access to screens. Interventions to combat childhood obesity should address the identified inequalities.
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Affiliation(s)
- Enrique Gutiérrez-González
- Subdirección General de Nutrición, Agencia Española de Seguridad Alimentaria y Nutrición, Ministerio de Consumo, Madrid, Spain
| | | | - Ana María López-Sobaler
- Departamento de Nutrición y Ciencias de los Alimentos, Facultad de Farmacia, Universidad Complutense de Madrid, Madrid, Spain; Grupo de Investigación "Valoración Nutricional de Individuos y Colectivos: Metodología y Aplicaciones" (VALORNUT), Universidad Complutense de Madrid, Madrid, Spain
| | - Blanca Andreu Ivorra
- Servicio de Medicina Preventiva, Hospital Universitario de Alcorcón, Madrid, Spain
| | - Almudena Rollán Gordo
- Subdirección General de Nutrición, Agencia Española de Seguridad Alimentaria y Nutrición, Ministerio de Consumo, Madrid, Spain
| | - Marta García-Solano
- Subdirección General de Nutrición, Agencia Española de Seguridad Alimentaria y Nutrición, Ministerio de Consumo, Madrid, Spain.
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Carpena Lucas PJ, Jiménez Candel MI, Sánchez-Cubo F, Ceballos-Santamaría G, Vargas Vargas M, Mondéjar Jiménez J. Sociocultural differences in the development of obesity in adolescents in Murcia. ENDOCRINOL DIAB NUTR 2023; 70:352-359. [PMID: 36446708 DOI: 10.1016/j.endien.2021.12.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Accepted: 12/14/2021] [Indexed: 06/03/2023]
Abstract
BACKGROUND Childhood obesity presents alarming numbers in our country, being even higher in the population of immigrant origin. The main objective was to analyse the excess weight numbers both in native adolescents and in those children of immigrants and to determine the ethnic influence on lifestyle habits that could condition these differences in weight overload. METHODS Adolescents from 1st year of Obligatory Secondary Education (E.S.O.) participated; somatometry was determined and classified according to BMI (with WHO references) and parental origin. Parents completed the survey on healthy habits (ENHASA). An analysis of variance was performed for each of the 4 dimensions of the questionnaire. RESULTS A total of 416 adolescents participated (12.8±0.62 years). Excess weight was detected in 41.2% of the participants, with significant differences between groups (p 0.018): 36.7% in Spanish, 42.9% in North Africa and 58.2% in South America. The ANOVA analysis showed differences in the section "physical activity" (p 0.003), highlighting the maximum disparity in the performance of extracurricular sports activities, with a lower score in both non-native groups. CONCLUSION We found significant differences according to ethnic origin in the number of overweight children and the amount of physical activity they do; South American adolescents are the most sedentary. We must design interventions that guarantee the access of all adolescents to sports activities to prevent the development of obesity.
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Affiliation(s)
| | | | - Francisco Sánchez-Cubo
- Facultad de Ciencias Sociales de Cuenca, Universidad de Castilla-La Mancha, Cuenca, Spain
| | | | - Manuel Vargas Vargas
- Facultad de Ciencias Sociales de Cuenca, Universidad de Castilla-La Mancha, Cuenca, Spain
| | - Jośe Mondéjar Jiménez
- Facultad de Ciencias Sociales de Cuenca, Universidad de Castilla-La Mancha, Cuenca, Spain
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Lasarte-Velillas JJ, Lamiquiz-Moneo I, Lasarte-Sanz I, Sala-Fernández L, Marín-Andrés M, Rubio-Sánchez P, Moneo-Hernández MI, Hernández-Aguilar MT. Prevalence of overweight and obesity in Aragón and variations according to health determinants. An Pediatr (Barc) 2023; 98:157-164. [PMID: 36804331 DOI: 10.1016/j.anpede.2022.09.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 09/13/2022] [Indexed: 02/19/2023] Open
Abstract
INTRODUCTION Childhood obesity is a serious global health problem that is continuously increasing worldwide. Many studies suggest that socioeconomic factors are related to the development of obesity. The objective of our study was to analyse the prevalence of overweight and obesity in Aragón, calculated applying the World Health Organization (WHO) growth standards, and to study its association with socioeconomic factors. MATERIAL AND METHODS We collected data for the entire paediatric population of Aragón aged 2-14 years. We classified each child as normal weight, overweight or obese based on the body mass index. We calculated prevalences by province and basic health care zone. To analyse differences in relation to social inequalities, we used the Aragón deprivation index as an indicator of socioeconomic status. RESULTS The final sample consisted of 161 335 children aged 2-14 years, 51% male and 49% female. The overall prevalence of excess weight was 31.1% (17.7% overweight and 13.3% obesity) and was significantly higher in boys. We found a high frequency of under-recording in health records (65%). There was a direct association between the deprivation index and the prevalence of obesity and overweight throughout Aragón, with a significant strong correlation in urban areas, where socioeconomic factors explained up to 66.4% of obesity and 48.9% of body weight excess. CONCLUSIONS In Aragón, the prevalence of obesity and excess weight is high and associated with low family socioeconomic status.
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Affiliation(s)
| | | | - Inés Lasarte-Sanz
- Medicina Familiar y Comunitaria, Centro de salud Actur Oeste, Zaragoza, Spain
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Arreola-Ornelas H, Merino-Juárez GA, Contreras-Loya D, Méndez-Carniado O, Morales-Juárez L, Bernal-Serrano D, Arizmendi-Barrera KA, Vargas-Martínez C, Razo C, Knaul FM, Gakidou E, Dai X, Cogen R, Ahmad NS. Burden of overweight and obesity in Mexico from 1990 to 2021. GAC MED MEX 2023; 159:543-556. [PMID: 38386886 DOI: 10.24875/gmm.m24000836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Accepted: 10/31/2023] [Indexed: 02/24/2024] Open
Abstract
BACKGROUND Overweight and obesity (OW/OB) represent a serious challenge in Mexico, with effects on health, society and economy. Demographic, epidemiological, nutritional, social and economic factors have exacerbated this problem. OBJECTIVE To analyze mortality and years of healthy life lost in Mexico due to OW/OB in the 1990-2021 period. MATERIAL AND METHODS The Global Burden of Disease and Risk Factors 2021 study was used to analyze data on elevated body mass index (BMI) as a risk factor and its evolution in Mexico. RESULTS In 2021, 118 thousand deaths attributable to high BMI were recorded, which accounted for 10.6% of total deaths and more than 4.2 million disability-adjusted life years lost. CONCLUSIONS The obesogenic environment, influenced by social determinants of health, has had a significant impact on mortality, burden of disease, and economic costs. Addressing OW/OB requires multisector interventions to strengthen the Mexican health system.
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Affiliation(s)
- Héctor Arreola-Ornelas
- Public Policies Unit, Institute of Research on Obesity, Tecnológico de Monterrey, Monterrey, Nuevo León, Mexico
- Fundación Mexicana para la Salud, A. C., Mexico City, Mexico
| | - Gustavo A Merino-Juárez
- Public Policies Unit, Institute of Research on Obesity, Tecnológico de Monterrey, Monterrey, Nuevo León, Mexico
- School of Government and Public Transformation, Tecnológico de Monterrey, Mexico City, Mexico
| | - David Contreras-Loya
- Public Policies Unit, Institute of Research on Obesity, Tecnológico de Monterrey, Monterrey, Nuevo León, Mexico
- School of Government and Public Transformation, Tecnológico de Monterrey, Mexico City, Mexico
| | | | - Linda Morales-Juárez
- Public Policies Unit, Institute of Research on Obesity, Tecnológico de Monterrey, Monterrey, Nuevo León, Mexico
- School of Government and Public Transformation, Tecnológico de Monterrey, Mexico City, Mexico
| | - Daniel Bernal-Serrano
- School of Government and Public Transformation, Tecnológico de Monterrey, Mexico City, Mexico
| | - Klaudia A Arizmendi-Barrera
- Public Policies Unit, Institute of Research on Obesity, Tecnológico de Monterrey, Monterrey, Nuevo León, Mexico
- School of Government and Public Transformation, Tecnológico de Monterrey, Mexico City, Mexico
| | - Carolina Vargas-Martínez
- Public Policies Unit, Institute of Research on Obesity, Tecnológico de Monterrey, Monterrey, Nuevo León, Mexico
- School of Government and Public Transformation, Tecnológico de Monterrey, Mexico City, Mexico
| | - Christian Razo
- Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, United States of America
- Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, Washington, United States of America
| | - Felicia M Knaul
- Tómatelo a Pecho, A. C., Mexico City, Mexico
- Fundación Mexicana para la Salud, A. C., Mexico City, Mexico
- Institute for Advanced Study of the Americas, University of Miami, Coral Gables, Florida, United States of America
| | - Emmanuela Gakidou
- Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, United States of America
- Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, Washington, United States of America
| | - Xiaochen Dai
- Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, United States of America
- Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, Washington, United States of America
| | - Rebecca Cogen
- Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, United States of America
| | - Noah S Ahmad
- Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, United States of America
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Ruiz-García A, Arranz-Martínez E, Morales-Cobos LE, García-Álvarez JC, Iturmendi-Martínez N, Rivera-Teijido M. Prevalence rates of overweight and obesity and their associations with cardiometabolic and renal factors. SIMETAP-OB study. Clin Investig Arterioscler 2022; 34:291-302. [PMID: 35618556 DOI: 10.1016/j.arteri.2022.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Revised: 03/21/2022] [Accepted: 03/22/2022] [Indexed: 06/15/2023]
Abstract
INTRODUCTION Excess weight is a major health problem. Aims of this study were to determine the prevalence rates of overweight and obesity, and to compare their associations with cardiometabolic and renal risk factors between obese and non-obese populations, and between overweight and non-overweight populations. METHODS Cross-sectional observational study conducted in Primary Care. Population-based random sample: 6,588 study subjects between 18 and 102 years of age (response rate: 66%). Crude and sex- and age-adjusted prevalence rates of overweight and obesity were calculated, and their associations with cardiometabolic and renal variables were assessed by bivariate and multivariate analysis. RESULTS The age- and sex-adjusted prevalence rates of overweight and obesity were 36.0% (42.1% in men; 33.1% in women) and 25.0% (26.2% in men; 24.5% in women), respectively. These prevalences increased with age, and were higher in men than in women. Fifty-two percent (95%CI: 50.0-53.9) of the overweight population and 62.3% (95%CI: 60.1-64.5) of the obese population had a high or very high cardiovascular risk. Abdominal obesity, physical inactivity, prediabetes, hypertension, hypertriglyceridemia, and low HDL-C were independently associated with both entities. Furthermore, diabetes was independently associated with overweight and hypercholesterolemia with obesity. CONCLUSIONS The prevalence of overweight and obesity was 61.0% (68.4% in men and 59.0% in women). More than half of the overweight population and nearly two-thirds of the obese population had a high cardiovascular risk. Hyperglycemia, physical inactivity, hypertension, hypercholesterolemia, low HDL-C, and hypertriglyceridemia were independently associated with overweight and obesity.
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Affiliation(s)
- Antonio Ruiz-García
- Lipids and Cardiovascular Prevention Unit, Pinto University Health Center, Pinto, Madrid, Spain.
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14
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Hernández-Ruiz Á, Madrigal C, Soto-Méndez MJ, Gil Á. Challenges and perspectives of the double burden of malnutrition in Latin America. Clin Investig Arterioscler 2022; 34 Suppl 1:S3-S16. [PMID: 35153111 DOI: 10.1016/j.arteri.2021.11.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Accepted: 11/22/2021] [Indexed: 06/14/2023]
Abstract
Nutrition is a key factor in the development of non-communicable chronic diseases (NCCDs), especially cardiovascular diseases (CVD) and their risk factors. The "double burden of malnutrition" (DBM) is the coexistence of undernutrition and overnutrition in the same population across the life-course. In Latin America, the transition from a predominantly underweight to an overweight and obese population has increased more rapidly than in other regions in the world. Undernutrition and the micronutrient deficiencies particularly iron, zinc, and vitamins A and D, present high heterogeneity in Latin American countries, and are currently considered important public health problems. In this region, NCCDs account for 50% of the disability-adjusted life-years, led by CVD. The most prevalent cardiovascular risk factors are overweight, obesity, hypertension, dyslipidemia and type 2 diabetes mellitus. Because of the cost of treatment and the potential years of life lost due to premature death, CVD is known to affect the poorest segments of the population, affecting communities, and governments. More than 80% of CVD deaths occur in low- and middle-income countries. The persistence of damage in some cells due to undernutrition may explain certain findings regarding the increase in NCCD. These aspects together with epigenetic changes have highlighted the importance of a lifelong approach to nutritional policy development. Reducing DBM requires major societal interventions in public health and nutrition to achieve holistic change that can be sustained over the long term and spread throughout the global food system. The implementation of effective state policies of double impact actions should influence both sides of the burden and be considered an urgent priority, considering country-specific inequalities and socio-demographic differences in the Latin American region, using diverse and multidisciplinary strategies.
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Affiliation(s)
- Ángela Hernández-Ruiz
- Iberoamerican Nutrition Foundation (FINUT), Av. Del Conocimiento 12, 3.ª pta., Armilla 18016, Granada, Spain
| | - Casandra Madrigal
- Iberoamerican Nutrition Foundation (FINUT), Av. Del Conocimiento 12, 3.ª pta., Armilla 18016, Granada, Spain; Department of Nutrition and Food Science, Faculty of Pharmacy, University of Granada, Granada, Spain
| | - María José Soto-Méndez
- Iberoamerican Nutrition Foundation (FINUT), Av. Del Conocimiento 12, 3.ª pta., Armilla 18016, Granada, Spain
| | - Ángel Gil
- Iberoamerican Nutrition Foundation (FINUT), Av. Del Conocimiento 12, 3.ª pta., Armilla 18016, Granada, Spain; Department of Biochemistry and Molecular Biology II University of Granada, University of Granada, Granada, Spain; Institute of Nutrition and Food Technology "José Mataix," Biomedical Research Center, University of Granada, Granada, Spain; Biosanitary Research Institute IBS.GRANADA, Granada University Hospital Complex, Granada, Spain; CIBEROBN (Physiopathology of Obesity and Nutrition), Instituto de Salud Carlos III, Madrid, Spain.
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Caferoglu Z, Erdal B, Hatipoglu N, Kurtoglu S. The effects of diet quality and dietary acid load on insulin resistance in overweight children and adolescents. ENDOCRINOL DIAB NUTR 2022; 69:426-432. [PMID: 35817547 DOI: 10.1016/j.endien.2022.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Accepted: 07/28/2021] [Indexed: 06/15/2023]
Abstract
INTRODUCTION This study aimed to investigate the association of diet quality (DQ) and dietary acid load (DAL) with insulin resistance (IR) in overweight children and adolescents. MATERIALS AND METHODS The study was conducted on 135 overweight participants aged 6-17 years. DQ was assessed using the Healthy Eating Index 2015 (HEI-2015) and the HEI-2015-TUBER, revised in accordance with the Turkey Dietary Guidelines (TUBER). Estimation of DAL was made calculating the potential renal acid load (PRAL) and net endogenous acid production (NEAP) scores. RESULTS The HEI-2015-TUBER score was lower in those with IR than in those without IR (p=0.021). Higher PRAL and NEAP scores were found in those with IR (p=0.060 and p=0.044, respectively). Moreover, a one-unit increase in the HEI-2015-TUBER score and the DAL score was associated with a reduction of 4.2% and a rise of approximately 3% in IR risk, respectively. CONCLUSIONS Healthy eating habits in overweight paediatric groups may help to reduce the IR risk, improving DQ and decreasing DAL.
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Affiliation(s)
- Zeynep Caferoglu
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Erciyes University, Kayseri, Turkey.
| | - Busra Erdal
- Department of Nutrition and Dietetics, Institute of Health Sciences, Erciyes University, Kayseri, Turkey
| | - Nihal Hatipoglu
- Department of Paediatric Endocrinology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Selim Kurtoglu
- Department of Paediatric Endocrinology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
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González-Plaza E, Bellart J, Martínez-Verdú MÁ, Arranz Á, Luján-Barroso L, Seguranyes G. Pre-pregnancy overweight and obesity prevalence and relation to maternal and perinatal outcomes. Enferm Clin (Engl Ed) 2022; 32 Suppl 1:S23-S30. [PMID: 35688564 DOI: 10.1016/j.enfcle.2021.04.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Accepted: 04/25/2021] [Indexed: 06/15/2023]
Abstract
OBJECTIVE To identify the prevalence of pre-pregnancy overweight/obesity in pregnant women and its relationship with socio-demographic factors and to describe the maternal and perinatal outcomes in a Barcelona hospital (Spain). METHOD A descriptive cross-association study, with retrospective data collection, was performed Barcelona Hospital. The data of 5447 pregnant women who delivered at >=23 weeks of gestation were included. Body Mass Index (BMI) data were categorised into World Health Organization classifications. p values <.05 (two-tailed) were considered significant. Logistic regression models were performed. RESULTS The prevalence of pre-pregnancy obesity was 8.4% and 18.9% for overweight. Gestational diabetes was more frequent in pre-pregnancy overweight/obesity (OR 1.92: 95% CI 1.54-2.40 and OR 3.34: 95% CI 2.57-4.33), as were preeclampsia (OR 2.08: 95% CI 1.55-2.79 and OR 3.35: 95% CI 2.38-4.71), induction of labour (OR 1.19: 95% CI 1.02-1.38 and OR 1.94: 95% CI 1.57-2.10), caesarean section (OR 1.41: 95% CI 1.21-1.65 and OR 2.68: 95% CI 2.18-3.29), prematurity (OR 1.28: 95% CI 1-1.65 and OR 1.79: 95% CI 1.32-2.44) and macrosomia (OR 1.87: 95% CI 1.43-2.46 and OR 2.03: 95% CI 1.40-2.93). CONCLUSIONS One in four pregnant women had pre-pregnancy overweight or obesity. This study shows the relationship between pre-pregnancy overweight or obesity with adverse maternal and perinatal outcomes.
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Affiliation(s)
- Elena González-Plaza
- Maternal-Fetal Medicine Department at BCNatal, Barcelona Clinic Hospital, 08028 Barcelona, Spain; Department of Nursing: Public, Mental and Maternity and Child Health, School of Nursing, Faculty of Medicine and Health Science, University of Barcelona, 08907 L'Hospitalet del Llobregat, Barcelona, Spain.
| | - Jordi Bellart
- Maternal-Fetal Medicine Department at BCNatal, Barcelona Clinic Hospital, 08028 Barcelona, Spain; Department of Medicine, Faculty of Medicine and Health Science, University of Barcelona, 08036 Barcelona, Spain
| | - Maria Ángels Martínez-Verdú
- Maternal-Fetal Medicine Department at BCNatal, Barcelona Clinic Hospital, 08028 Barcelona, Spain; Department of Nursing: Public, Mental and Maternity and Child Health, School of Nursing, Faculty of Medicine and Health Science, University of Barcelona, 08907 L'Hospitalet del Llobregat, Barcelona, Spain
| | - Ángela Arranz
- Maternal-Fetal Medicine Department at BCNatal, Barcelona Clinic Hospital, 08028 Barcelona, Spain; Department of Nursing: Public, Mental and Maternity and Child Health, School of Nursing, Faculty of Medicine and Health Science, University of Barcelona, 08907 L'Hospitalet del Llobregat, Barcelona, Spain
| | - Leila Luján-Barroso
- Department of Nursing: Public, Mental and Maternity and Child Health, School of Nursing, Faculty of Medicine and Health Science, University of Barcelona, 08907 L'Hospitalet del Llobregat, Barcelona, Spain; Unit of Nutrition and Cancer, Cancer Epidemiology Research Programme, Bellvitge Biomedical Research Institute, Catalan Institute of Oncology, 08907 L'Hospitalet de Llobregat, Spain
| | - Gloria Seguranyes
- Department of Nursing: Public, Mental and Maternity and Child Health, School of Nursing, Faculty of Medicine and Health Science, University of Barcelona, 08907 L'Hospitalet del Llobregat, Barcelona, Spain; Research Group on Sexual and Reproductive Health Care "GRASSIR", 08007 Barcelona, Spain
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17
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González-Mereles AP, Arguinzoniz-Valenzuela SL, López-López AP, Maqueda-Tenorio SE, González-Baqué I. Overweight and obesity in children and adolescents with chronic autoimmune thyroiditis. Bol Med Hosp Infant Mex 2021; 78:424-431. [PMID: 34571516 DOI: 10.24875/bmhim.20000292] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background An association between overweight and thyroid dysfunction, including chronic autoimmune thyroiditis (CAT), has been previously described. Patients with overweight and obesity have a higher risk of increased thyroid-stimulating hormone (TSH) and anti-thyroid antibodies. Weight gain may also be a clinical sign of hypothyroidism. This study aimed to describe the frequency of overweight and obesity in children with CAT and to compare thyroid function and antibody titles according to body weight. Methods Clinical records from 78 patients with CAT who were followed up at a children's hospital in Mexico City were assessed. We collected demographic, anthropometric, and biochemical data, including thyroid function tests and antibodies. According to body mass index (BMI) percentiles, patients were classified as normal weight, overweight or obese according to BMI percentiles. Also, BMI changes at 6 and 12 months of follow-up were analyzed. Results We observed 19.2% of the patients with overweight and 15.4% with obesity. Patients with obesity showed high TSH and low thyroid hormone levels. Also, the frequency of hypothyroidism at presentation was higher in this group. No significant difference was found in antibody titles between groups. A significant BMI percentile reduction was observed during follow-up of patients independently of thyroid function at diagnosis and treatment. Conclusions Obesity is related to hypothyroidism in patients with chronic autoimmune thyroiditis, although causality cannot be established through this observational study.
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Affiliation(s)
| | | | - Ana P López-López
- Servicio de Endocrinología, Instituto Nacional de Pediatría, Mexico City, Mexico
| | | | - Iñaki González-Baqué
- Servicio de Endocrinología, Instituto Nacional de Pediatría, Mexico City, Mexico
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Martínez-Cruz CF, Guido-Campuzano MA, Ramírez-Maya AM, Themann PGA, Poblano-Alcalá A, López-Navarrete GE, Poblano A. Body mass index in offspring of mothers with diabetes mellitus: follow-up at 2, 4, 6, and 8 years of age. Bol Med Hosp Infant Mex 2021; 78:395-403. [PMID: 34570748 DOI: 10.24875/bmhim.20000311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background Offspring of mothers with diabetes mellitus (DM) during pregnancy may be at high risk for developmental alterations. This study aimed to identify the effects of maternal pre- and gestational diabetes on the body mass index of infants and children at two, four, six, and eight years of age. Methods We studied children of mothers with type 1, type 2, and gestational diabetes and a control group. Maternal and neonatal variables were analyzed for associations with children overweight/obesity. Results Mothers with DM were older than controls (32 ± 6 vs. 22 ± 6 years, p < 0.001). The frequency of preeclampsia in mothers with DM was 28%. Gestational age and weight at birth were lower in infants from the groups of mothers with DM in comparison with controls (32.8 ± 3.1 vs. 36.4 ± 2.2 weeks, p < 0.001, and 1,637 ± 600 vs. 2,208 ± 518 g, p < 0.001, respectively). At 8 years of age, 47% of the offspring of mothers with DM type 2 had overweight/obesity (odds ratio (OR 8.25) 95% confidence interval (CI) 1.3-51, p = 0.01), while 27% of offspring of mothers with type 1 DM had overweight/obesity, and 10% of offspring of mothers with gestational diabetes presented overweight/obesity. Conclusions Offspring of pre-gestational DM mothers have a higher risk to develop overweight/obesity, as was observed with follow-up until school age, for which they require continuous vigilance.
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Affiliation(s)
- Carlos F Martínez-Cruz
- Departamento de Seguimiento Pediátrico, Instituto Nacional de Perinatología Dr. Isidro Espinosa de los Reyes. Mexico City, Mexico
| | - Martina A Guido-Campuzano
- Departamento de Seguimiento Pediátrico, Instituto Nacional de Perinatología Dr. Isidro Espinosa de los Reyes. Mexico City, Mexico
| | - Alma M Ramírez-Maya
- Departamento de Seguimiento Pediátrico, Instituto Nacional de Perinatología Dr. Isidro Espinosa de los Reyes. Mexico City, Mexico
| | - Patricia García-Alonso Themann
- Departamento de Seguimiento Pediátrico, Instituto Nacional de Perinatología Dr. Isidro Espinosa de los Reyes. Mexico City, Mexico
| | - Adriana Poblano-Alcalá
- Laboratorio de Neurofisiología Cognitiva, Instituto Nacional de Rehabilitación. Mexico City, Mexico
| | - Gloria E López-Navarrete
- Departamento de Seguimiento Pediátrico, Instituto Nacional de Perinatología Dr. Isidro Espinosa de los Reyes. Mexico City, Mexico
| | - Adrián Poblano
- Laboratorio de Neurofisiología Cognitiva, Instituto Nacional de Rehabilitación. Mexico City, Mexico
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Alustiza E, Perales A, Mateo-Abad M, Ozcoidi I, Aizpuru G, Albaina O, Vergara I. Tackling risk factors for type 2 diabetes in adolescents: PRE-STARt study in Euskadi. An Pediatr (Barc) 2021; 95:186-196. [PMID: 34384737 DOI: 10.1016/j.anpede.2020.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 11/05/2020] [Indexed: 10/20/2022] Open
Abstract
INTRODUCTION Obesity in the child population and its effect in the development of metabolic diseases are a public health issue. One of the aims of the European Project in a health system, is the evaluation of the effectiveness of a multidisciplinary health promotion program directed at adolescents with risk factors associated with the development of type 2 Diabetes Mellitus (T2DM). PATIENTS AND METHODS Randomised clinical trial with two groups of 12-14 year-old overweight adolescents. The intervention group took part in a multidisciplinary program for 24 months. This program was based on 11 group sessions (8 main sessions and 3 additional support ones) for adolescents and their guardians. The control group received usual care at primary care level. Longitudinal regression models were adjusted to assess the evolution of anthropometric measures and living habits at baseline, 3, 6, 12, and 24 months in both groups. RESULTS There were 92 participants, equally distributed by group. Statistically significant differences were observed between intervention and control groups in several results: evolution of the body mass index; increase in the consumption of fruits and vegetables; decrease in the consumption of snacks and sweetened drinks; and increase in the number of days per week with more than one hour of physical activity. CONCLUSIONS The results confirm the effectiveness of this multidisciplinary program, both in the evolution of the body mass index, and in the improvement of the eating and physical activity habits, all of them risk factors for the future development of metabolic diseases, such as T2DM.
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Affiliation(s)
- Elena Alustiza
- Osakidetza, Centro de Salud de Egia, Donostia-San Sebastián, Gipuzkoa, Spain
| | - Amaia Perales
- Consulta de Asesoramiento en Alimentación y Salud, Beasain, Gipuzkoa, Spain
| | - Maider Mateo-Abad
- Instituto de Investigación en Servicios de Salud Kronikgune, Barakaldo, Bizkaia, Spain; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Barakaldo, Bizkaia, Spain.
| | - Irene Ozcoidi
- Osakidetza, Centro de Salud de Amara Berri, Donostia-San Sebastián, Gipuzkoa, Spain
| | - Garbiñe Aizpuru
- Consulta de Dietética y Asesoramiento Nutricional, Donostia-San Sebastián, Gipuzkoa, Spain
| | - Olatz Albaina
- Instituto de Investigación en Servicios de Salud Kronikgune, Barakaldo, Bizkaia, Spain
| | - Itziar Vergara
- Instituto de Investigación en Servicios de Salud Kronikgune, Barakaldo, Bizkaia, Spain; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Barakaldo, Bizkaia, Spain; Instituto de Investigación Sanitaria Biodonostia, Grupo de Atención Primaria, Donostia-San Sebastián, Gipuzkoa, Spain
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de Bont J, Bennett M, León-Muñoz LM, Duarte-Salles T. The prevalence and incidence rate of overweight and obesity among 2.5 million children and adolescents in Spain. ACTA ACUST UNITED AC 2021; 75:300-307. [PMID: 34384717 DOI: 10.1016/j.rec.2021.07.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Accepted: 06/24/2021] [Indexed: 12/11/2022]
Abstract
INTRODUCTION AND OBJECTIVES Childhood obesity trends are plateauing in Spain, but limited information is available about how they differ by region. This study assessed childhood and adolescent the prevalence and incidence of overweight and obesity from 2005 to 2017 across 8 Spanish regions. METHODS This longitudinal study used height and weight measurements from 2.5 million children aged 2 to 17 years to calculate overweight and obesity, according to the World Health Organization (WHO) guidelines. Data were obtained from The Base de datos para la Investigación Farmacoepidemiológica en Atención Primaria, and the Information System for Research in Primary Care. Prevalence and incidence rates and trends from 2005 to 2017 were calculated and stratified by age, sex, and region. RESULTS The overall obesity prevalence increased in boys and girls from age 2 (0.8%; 95%CI, 0.8-0.9 in both sexes) until peaking at age 7 in girls (17.3%; 95%CI, 17.1-17.5) and age 9 in boys (24.1%; 95%CI 23.9-24.3). The highest and lowest obesity prevalences were observed in Murcia and Navarre. Overall obesity prevalence trends decreased from 2005 to 2017 in all age-sex groups and in most regions. Highest obesity incidence rates were found in children aged 6 to 7 years, (4.5 [4.5-4.5] and 3.5 [3.5-3.5] new obesity cases per 100 person-years in boys and girls, respectively). Boys had higher prevalence and incidence rates than girls across all regions. Overweight/obesity prevalence and incidence rates and their trends were consistently higher than the obesity results, although a similar pattern was observed across sex and age. CONCLUSIONS Overweight and obesity prevalence slightly decreased in Spain from 2005 to 2017, but regional, sex, and age differences persisted. Because incidence peaked around the age of 6 years, it may be important to begin health promotion programs at an early age.
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Affiliation(s)
- Jeroen de Bont
- Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain; Departament de Pediatria, d'Obstetrícia i Ginecologia i de Medicina Preventiva, Universitat Autònoma de Barcelona (UAB), Bellaterra, Barcelona, Spain; ISGlobal, Barcelona, Spain; Centro de Investigación en Red de Epidemiología y Salud Pública (CIBERESP), Spain; Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, Barcelona, Spain
| | - Matthew Bennett
- Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain; Departament de Pediatria, d'Obstetrícia i Ginecologia i de Medicina Preventiva, Universitat Autònoma de Barcelona (UAB), Bellaterra, Barcelona, Spain
| | - Luz M León-Muñoz
- División de Farmacoepidemiología y Farmacovigilancia, Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Madrid, Spain
| | - Talita Duarte-Salles
- Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
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Jiménez Candel MI, Carpena Lucas PJ, Ceballos-Santamaría G, Mondéjar Jiménez J, Monreal Tomás AB, Lozano Pastor VE. Relationship between modifiable risk factors and overweight in adolescents aged 12-14 years. An Pediatr (Barc) 2021; 95:159-166. [PMID: 34364811 DOI: 10.1016/j.anpede.2020.08.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Accepted: 08/03/2020] [Indexed: 01/24/2023] Open
Abstract
INTRODUCTION Spain is the European leader in overweight (O-W), partly to the social and environmental changes of the last decades. The objective of the work was to study the modifiable risk factors that lead to O-W. MATERIAL AND METHODS A self-designed questionnaire with factors related to childhood obesity was produced, and was administered to the parents of adolescents who were attending first year of high school in four centres in Health Area V in Murcia. Weight, height, abdominal circumference and Waist-Height Index (WHI) of the students were measured, and classified as overweight-obesity. A reduction technique was applied, generating factors that grouped the items according to subject, as well as a multivalent technique to assess the dependency relationship between the variables, and the SB-OI. RESULTS Of the 421 students included, 28% and 35% had excess weight and abdominal obesity, respectively. The factor analysis grouped the items into 4 factors: diet, physical activity, technologies, and environment, with a subsection about body perception. The structural equation model presented an R2 of 0.440. The highest relationship was obtained with the environment factor (t 2.89), and perception (t 14.61), followed by the use of technologies. A direct relationship was also revealed regarding diet and physical activity, although not significant. CONCLUSIONS Family perception and the social-school environment have an important influence on the development of the O-W. Health education interventions involving parents and teachers are probably the smartest and most cost-effective strategies.
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González-Plaza E, Bellart J, Martínez-Verdú MÁ, Arranz Á, Luján-Barroso L, Seguranyes G. Pre-pregnancy overweight and obesity prevalence and relation to maternal and perinatal outcomes. Enferm Clin (Engl Ed) 2021; 32:S1130-8621(21)00081-4. [PMID: 34158216 DOI: 10.1016/j.enfcli.2021.04.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Revised: 04/21/2021] [Accepted: 04/25/2021] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To identify the prevalence of pre-pregnancy overweight/obesity in pregnant women and its relationship with socio-demographic factors and to describe the maternal and perinatal outcomes in a Barcelona hospital (Spain). METHOD A descriptive cross-association study, with retrospective data collection, was performed Barcelona Hospital. The data of 5447 pregnant women who delivered at >=23 weeks of gestation were included. Body Mass Index (BMI) data were categorised into World Health Organization classifications. p values <.05 (two-tailed) were considered significant. Logistic regression models were performed. RESULTS The prevalence of pre-pregnancy obesity was 8.4% and 18.9% for overweight. Gestational diabetes was more frequent in pre-pregnancy overweight/obesity (OR 1.92: 95% CI 1.54-2.40 and OR 3.34: 95% CI 2.57-4.33), as were preeclampsia (OR 2.08: 95% CI 1.55-2.79 and OR 3.35: 95% CI 2.38-4.71), induction of labour (OR 1.19: 95% CI 1.02-1.38 and OR 1.94: 95% CI 1.57-2.10), caesarean section (OR 1.41: 95% CI 1.21-1.65 and OR 2.68: 95% CI 2.18-3.29), prematurity (OR 1.28: 95% CI 1-1.65 and OR 1.79: 95% CI 1.32-2.44) and macrosomia (OR 1.87: 95% CI 1.43-2.46 and OR 2.03: 95% CI 1.40-2.93). CONCLUSIONS One in four pregnant women had pre-pregnancy overweight or obesity. This study shows the relationship between pre-pregnancy overweight or obesity with adverse maternal and perinatal outcomes.
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Affiliation(s)
- Elena González-Plaza
- Maternal-Fetal Medicine Department at BCNatal, Barcelona Clinic Hospital, 08028 Barcelona, Spain; Department of Nursing: Public, Mental and Maternity and Child Health, School of Nursing, Faculty of Medicine and Health Science, University of Barcelona, 08907 L'Hospitalet del Llobregat, Barcelona, Spain.
| | - Jordi Bellart
- Maternal-Fetal Medicine Department at BCNatal, Barcelona Clinic Hospital, 08028 Barcelona, Spain; Department of Medicine, Faculty of Medicine and Health Science, University of Barcelona, 08036 Barcelona, Spain
| | - Maria Ángels Martínez-Verdú
- Maternal-Fetal Medicine Department at BCNatal, Barcelona Clinic Hospital, 08028 Barcelona, Spain; Department of Nursing: Public, Mental and Maternity and Child Health, School of Nursing, Faculty of Medicine and Health Science, University of Barcelona, 08907 L'Hospitalet del Llobregat, Barcelona, Spain
| | - Ángela Arranz
- Maternal-Fetal Medicine Department at BCNatal, Barcelona Clinic Hospital, 08028 Barcelona, Spain; Department of Nursing: Public, Mental and Maternity and Child Health, School of Nursing, Faculty of Medicine and Health Science, University of Barcelona, 08907 L'Hospitalet del Llobregat, Barcelona, Spain
| | - Leila Luján-Barroso
- Department of Nursing: Public, Mental and Maternity and Child Health, School of Nursing, Faculty of Medicine and Health Science, University of Barcelona, 08907 L'Hospitalet del Llobregat, Barcelona, Spain; Unit of Nutrition and Cancer, Cancer Epidemiology Research Programme, Bellvitge Biomedical Research Institute, Catalan Institute of Oncology, 08907 L'Hospitalet de Llobregat, Spain
| | - Gloria Seguranyes
- Department of Nursing: Public, Mental and Maternity and Child Health, School of Nursing, Faculty of Medicine and Health Science, University of Barcelona, 08907 L'Hospitalet del Llobregat, Barcelona, Spain; Research Group on Sexual and Reproductive Health Care "GRASSIR", 08007 Barcelona, Spain
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García-Solano M, Gutiérrez-González E, López-Sobaler AM, Dal Re Saavedra MÁ, Robledo de Dios T, Villar-Villalba C, Yusta-Boyo MJ, Pérez-Farinós N. Weight status in the 6 to 9 year-old school population in Spain: Results of the ALADINO 2015 study. An Pediatr (Barc) 2021; 94:366-376. [PMID: 34090633 DOI: 10.1016/j.anpede.2020.05.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Accepted: 05/03/2020] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION Overweight and obesity in childhood and adolescence has grown alarmingly in the last twenty years or so in many countries of Europe, including Spain. This study presents the prevalences of overweight and obesity in 6-9 year-old schoolchildren in 2015, and their associated characteristics. METHODOLOGY ALADINO (Its initials in Spanish for Diet, physical activity, child development and obesity) is a cross-sectional study of a representative sample of 6-9 year-old schoolchildren in Spain, in line with the Childhood Obesity Surveillance Initiative (COSI) of the World Health Organisation (WHO). The height and weight of the participants, defining the weight status according to WHO standards, and a questionnaire was given to the parents on lifestyle and sociodemographic characteristics. RESULTS Anthropometric measurements were taken on 10,899 schoolchildren for 168 primary education centres. Excess weight was observed in 41.3% (95% CI: 40.0-42.6), overweight in 23.2% (95% CI: 22.1-24.3) and obesity in 18.1% (95% CI: 17.2-19.1), with obesity being more prevalent in boys, overweight in girls. The prevalence of abdominal obesity was 23.2% (95% CI: 21.8-24.6). The prevalence of overweight and obesity increased with age. Excess weight decreased by 3.2% compared to 2011, mainly due to the decrease in overweight in boys, while that of obesity remained stable. Excess weight was more prevalent in schoolchildren from families with a lower socioeconomic level. CONCLUSIONS The prevalence of excess weight in 6-9 year-old schoolchildren in Spain has decreased by 3.2% since 2011, due to the decrease in overweight, whilst obesity remained stable. Action must be taken in the obesogenic environment, by promoting healthy eating habits and physical activity, bearing in mind the inequalities in health.
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Affiliation(s)
- Marta García-Solano
- Agencia Española de Seguridad Alimentaria y Nutrición, Ministerio de Consumo, Madrid, Spain
| | | | - Ana María López-Sobaler
- Departamento de Nutrición y Ciencia de los Alimentos, Facultad de Farmacia, Universidad Complutense de Madrid, Madrid, Spain; Grupo de investigación Valoración Nutricional de Individuos y Colectivos: metodología y aplicaciones (VALORNUT), Universidad Complutense de Madrid, Madrid, Spain
| | | | - Teresa Robledo de Dios
- Agencia Española de Seguridad Alimentaria y Nutrición, Ministerio de Consumo, Madrid, Spain
| | - Carmen Villar-Villalba
- Agencia Española de Seguridad Alimentaria y Nutrición, Ministerio de Consumo, Madrid, Spain
| | - María José Yusta-Boyo
- Agencia Española de Seguridad Alimentaria y Nutrición, Ministerio de Consumo, Madrid, Spain
| | - Napoleón Pérez-Farinós
- Departamento de Salud Pública y Psiquiatría, Facultad de Medicina, Universidad de Málaga, Málaga, Spain
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Guevara-Valtier MC, Pacheco-Pérez LA, Velarde-Valenzuela LA, Ruiz-González KJ, Cárdenas-Villarreal V, Gutiérrez-Valverde JM. Social network support and risk factors for obesity and overweight in adolescents. Enferm Clin (Engl Ed) 2021; 31:148-155. [PMID: 33589347 DOI: 10.1016/j.enfcli.2020.11.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2019] [Revised: 08/12/2020] [Accepted: 11/14/2020] [Indexed: 10/22/2022]
Abstract
AIM To determine the relationship between social support in social networks and risk factors of overweight and obesity including healthy lifestyles and perceived barriers in adolescents. METHOD Descriptive and cross-sectional study with adolescents from a public high school in Nuevo León, Mexico. Anthropometric measurements were determined to obtain body mass index, behavioural measurements for perceived barriers to healthy eating and physical activity, as well as healthy lifestyles. RESULTS A total of 188 adolescents participated, male sex predominated at 55.9%, mean age was 16.1 years. From them, 52.1% were overweight, less than half of the adolescents reported having friends on social networks (37.8%); 52% of overweight participants need changes in their diet and the majority reported low physical activity (82.7%). There is a correlation between social support in social networks and perceived barriers to physical activity in overweight adolescents (r2 0.144; p < 0.05). CONCLUSIONS Most of the adolescents do not have an adequate diet or perform recommended physical activity, one of the main causes is lack of motivation as a perceived barrier. Social networks represent a tool for nursing staff to promote health and develop interventions aimed at preventing disease in a global context in digital transition.
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Alustiza E, Perales A, Mateo-Abad M, Ozcoidi I, Aizpuru G, Albaina O, Vergara I. [Tackling risk factors for type 2 diabetes in adolescents: PRE-STARt study in Euskadi]. An Pediatr (Barc) 2020. [PMID: 33388268 DOI: 10.1016/j.anpedi.2020.11.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
INTRODUCTION Obesity in the child population and its effect in the development of metabolic diseases are a public health issue. One of the aims of the European Project PRE-STARt in Euskadi, is the evaluation of the effectiveness of a multidisciplinary health promotion program directed at adolescents with risk factors associated with the development of type 2 Diabetes Mellitus (T2DM). PATIENTS AND METHODS Randomised clinical trial with two groups of 12-14 year-old overweight adolescents. The intervention group took part in a multidisciplinary program for 24 months. This program was based on 11 group sessions (8 main sessions and 3 additional support ones) for adolescents and their guardians. The control group received usual care at primary care level. Longitudinal regression models were adjusted to assess the evolution of anthropometric measures and living habits at baseline, 3, 6, 12, and 24 months in both groups. RESULTS There were 92 participants, equally distributed by group. Statistically significant differences were observed between intervention and control groups in several results: evolution of the body mass index; increase in the consumption of fruits and vegetables; decrease in the consumption of snacks and sweetened drinks; and increase in the number of days per week with more than one hour of physical activity. CONCLUSIONS The results confirm the effectiveness of this multidisciplinary program, both in the evolution of the body mass index, and in the improvement of the eating and physical activity habits, all of them risk factors for the future development of metabolic diseases, such as T2DM.
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Affiliation(s)
- Elena Alustiza
- Osakidetza, Centro de Salud de Egia, Donostia-San Sebastián, Gipuzkoa, España
| | - Amaia Perales
- Consulta de Asesoramiento en Alimentación y Salud, Beasain, Gipuzkoa, España
| | - Maider Mateo-Abad
- Instituto de Investigación en Servicios de Salud Kronikgune, Barakaldo, Bizkaia, España; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Barakaldo, Bizkaia, España.
| | - Irene Ozcoidi
- Osakidetza, Centro de Salud de Amara Berri, Donostia-San Sebastián, Gipuzkoa, España
| | - Garbiñe Aizpuru
- Consulta de Dietética y Asesoramiento Nutricional, Donostia, San-Sebastián, Gipuzkoa, España
| | - Olatz Albaina
- Instituto de Investigación en Servicios de Salud Kronikgune, Barakaldo, Bizkaia, España
| | - Itziar Vergara
- Instituto de Investigación en Servicios de Salud Kronikgune, Barakaldo, Bizkaia, España; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Barakaldo, Bizkaia, España; Instituto de Investigación Sanitaria Biodonostia, Grupo de Atención Primaria, Donostia-San Sebastián, Gipuzkoa, España
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Sandoval Jaramillo V, Pedroza Amezquita A, Alpala Díaz DA, Esneider Patiño Palma B, Calero Saa PA. [Cardiovascular risk and associated factors in university teachers]. Rehabilitacion (Madr) 2020; 55:111-117. [PMID: 33092850 DOI: 10.1016/j.rh.2020.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Revised: 09/01/2020] [Accepted: 09/03/2020] [Indexed: 10/23/2022]
Abstract
OBJECTIVE The aim of this study was to identify the factors associated with cardiovascular risk in teachers in a private university in Colombia. MATERIALS AND METHODS We performed a descriptive cross-sectional study with an analytical phase. Probabilistic sampling was performed by proportional fixation with 104 full-time teachers who met the inclusion criteria. RESULTS There were 55 women (52.9%) and 49 men (47.1%). A statistically significant relationship was found with age (p=.001) with an OR 0.351, and with body mass index (p=.000) with an OR 6.071, establishing that altered body mass index conferred a 6-fold increased risk of cardiovascular disease. CONCLUSION Body mass index is a constant variable in terms of the relationship with the occurrence of cardiovascular disease, which reflects individuals' lifestyle.
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Affiliation(s)
| | | | - D A Alpala Díaz
- Universidad Santiago de Cali, Santiago de Cali, Valle del Cauca, Colombia
| | | | - P A Calero Saa
- Grupo de Investigación Salud y Movimiento, Universidad Santiago de Cali, Santiago de Cali, Valle del Cauca, Colombia
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Paz-Morales MDLÁ, Martínez-Martínez A, Guevara-Valtier MC, Ruiz-González KJ, Pacheco-Pérez LA, Ortiz-Félix RE. [Family functioning, parental rearing and its relationship to nutritional status in preschoolers]. Aten Primaria 2020; 52:548-554. [PMID: 32605723 PMCID: PMC7505860 DOI: 10.1016/j.aprim.2020.02.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2019] [Revised: 02/27/2020] [Accepted: 02/29/2020] [Indexed: 12/05/2022] Open
Abstract
Objetivo Analizar la asociación entre funcionalidad familiar, crianza parental y estado nutricional en preescolares. Diseño Estudio cuantitativo, descriptivo correlacional y transversal. Emplazamiento Instituciones públicas de educación preescolar en el estado de Nuevo León, México. Atención Primaria. Participantes Muestra compuesta por 228 diadas (madre o padre y preescolar); se tomó como único criterio de inclusión ser el responsable principal de la crianza del preescolar. Mediciones principales Se empleó un cuaderno de recogida datos sociodemográficos, el estado nutricional se determinó basándose en recomendaciones de la Organización Mundial de la Salud, se utilizaron la Escala de Evaluación de la Cohesión y la Adaptabilidad Familiar y el cuestionario de Estilos de Crianza Parental. Se obtuvo estadística descriptiva y el coeficiente de correlación de Spearman. Resultados El promedio de edad de los padres fue de 32,09 años, el 60,5% de las madres se dedican al hogar y el 100% de los padres trabaja; la media de escolaridad en años fue de 12,16; el 68,9% de los participantes son casados; referente a los preescolares, el 29,4% presentó sobrepeso u obesidad. En cuanto a la funcionalidad familiar, se identificó que en la dimensión de cohesión es semirrelacionada el 44,3%. El estilo de crianza parental que predominó en los padres fue el permisivo con el 62,3%. Conclusiones La mayoría de los padres de familia presentaron desequilibrio en la funcionalidad familiar. No se encontró significación estadística entre funcionalidad familiar y crianza parental con estado nutricional en preescolares (p < 0,05).
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Torres-González EDJ, Zamarripa-Jáuregui RG, Carrillo-Martínez JM, Guerrero-Romero F, Martínez-Aguilar G. Prevalence of overweight and obesity in school-age children. GAC MED MEX 2020; 156:182-186. [PMID: 32539004 DOI: 10.24875/gmm.m20000390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Introduction Childhood obesity is a public health challenge. Between 1999 and 2012, the prevalence in Mexico of overweight and obesity in schoolchildren went from 25.5 to 32 %. Objective To report current prevalence of overweight and obesity in schoolchildren from the municipality of Durango, Mexico. Method Cross-sectional survey conducted between January 2017 and December 2018. A total of 24,600 children aged between six and 11 years from 138 schools of the municipality of Durango were included. The body mass index reference values established by the World Health Organization were used to determine the presence of overweight and obesity. Results The prevalence of overweight was 19.7 %, of obesity, 16 %, and of overweight and obesity combined, 35.7 %. In the six-year-old group, a prevalence of overweight-obesity of 25.4 % was found, and in the 11-year-old group, 41.1 %. Conclusions The prevalence of overweight-obesity in children aged from 6 to 11 years in the municipality of Durango is higher than those reported in the national survey by states in 2012 and in the 2016 national survey; a trend towards an increase with age was observed.
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Aguirre Palacios FA, Aguirre Caamaño MF, Celis G. [Phenotype proposal for early diagnosis of possibility of metabolic syndrome in school children aged 6 to 15 years]. Hipertens Riesgo Vasc 2020; 37:115-124. [PMID: 32534888 DOI: 10.1016/j.hipert.2020.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Revised: 05/10/2020] [Accepted: 05/11/2020] [Indexed: 01/19/2023]
Abstract
INTRODUCTION AND OBJECTIVES Obesity and metabolic syndrome (MS) continue to be a problem at a socioeconomic level, causing high morbidity and mortality in the adult population. Prevention of risk factors should be carried out from an early age. Currently, there is no consensus on the opportune moment to start an intervention or treatment, regarding metabolic syndrome. The objective of the study is to describe the phenotype to predict early diagnosis of metabolic syndrome in schoolchildren. MATERIAL AND METHODS Observational, prospective, cross-sectional and analytical study in schoolchildren from 6 to 15 years old, conducted in Guayaquil. Anthropometric measurements and a survey were performed, obtaining signing informed consent. The IBM Watson artificial intelligence (AI) platform with its software Modeler Flow, were used for the analysis. RESULTS A population of 1025 students between 6 and 15 years old (mean of 12 years for men and 13 years for women) was examined, of whom 62.3% were men and 37.7% women. 23.9% of the population was overweight and 14% obese. A greater tendency to weight alteration was observed in men than in women (51.37% vs 47.79%), and a lower waist circumference in men (85 cm vs 87 cm, respectively). Males had a higher level of systolic blood pressure (SBP), being within the 90th percentile (mean SBP of 123 mmHg) 61.2%, compared to 38.8% of women, with a p < 0.001. Sedentary lifestyle is similar in both groups, with an average of 4.79 hours in front of the screen and/or video games. A statistically significant correlation was demonstrated between SBP and the waist/height ratio (WHtR) in the 90th percentile and 95th percentile (X2 9.075, p < 0.028, and X2 23,54, p < 0,000 respectively), as well as a relationship between 95th percentile and sex (X2 11.57, p < 0.001). The Modeler Flow software showed us that if WHtR, > 0.46, weight > 56.1 kg and height > 1.61 m, the probability of presenting metabolic syndrome, was of 82.4%. The statistic of this study has a predictive accuracy of 90% (error deviation of 0.009). The importance in the predictors of metabolic syndrome, range from 97.57% to 100%. CONCLUSIONS A prevalence of 33.9% of metabolic syndrome was observed in schoolchildren from 6 to 15 years old, with pathological cut-off points of: WHtR > 0.46, weight > 56.1 kg, pure sedentary lifestyle > 3 hours in front of the screen/playing video games, and SBP within the 90th percentile (> 123 mmHg). With these four indicators, we can predict a probability of early diagnosis of metabolic syndrome of 97% to 100%.
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Affiliation(s)
| | - M F Aguirre Caamaño
- Unidad de Cirugía Cardiovascular
- Hospital Universitario de la Princesa, Madrid, España
| | - G Celis
- Investigación Clínica y Epidemiología
- Universidad de Las Américas, Ecuador
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Petrova D, Salamanca-Fernández E, Rodríguez Barranco M, Navarro Pérez P, Jiménez Moleón JJ, Sánchez MJ. [Obesity as a risk factor in COVID-19: Possible mechanisms and implications]. Aten Primaria 2020; 52:496-500. [PMID: 32586628 PMCID: PMC7247450 DOI: 10.1016/j.aprim.2020.05.003] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Accepted: 05/18/2020] [Indexed: 12/20/2022] Open
Abstract
Varios artículos recientes sugieren que la obesidad es un factor de riesgo para una enfermedad más grave por coronavirus. En este artículo se resume la evidencia científica disponible sobre el papel de la obesidad en COVID-19, con especial atención en las personas más jóvenes y los mecanismos biológicos propuestos para explicar tanto el mayor riesgo observado como la posible mayor contagiosidad de esta población. Se consideran varias implicaciones de la pandemia sobre las personas con obesidad, en relación con las posibles dificultades en el manejo de los pacientes ingresados, las implicaciones del confinamiento sobre el control y tratamiento de la obesidad, y el estigma que sufren estas personas por su condición, y que puede verse aumentado si se confirma la relación de la obesidad con COVID-19. Comprender el papel de la obesidad en COVID-19 debería ser una prioridad de salud pública, dada la alta prevalencia de esta condición en nuestro país.
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Affiliation(s)
- Dafina Petrova
- Escuela Andaluza de Salud Pública (EASP), Granada, España; Instituto de Investigación Biosanitaria (ibs.GRANADA), Granada, España; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, España
| | - Elena Salamanca-Fernández
- Escuela Andaluza de Salud Pública (EASP), Granada, España; Instituto de Investigación Biosanitaria (ibs.GRANADA), Granada, España; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, España
| | - Miguel Rodríguez Barranco
- Escuela Andaluza de Salud Pública (EASP), Granada, España; Instituto de Investigación Biosanitaria (ibs.GRANADA), Granada, España; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, España
| | | | - José Juan Jiménez Moleón
- Instituto de Investigación Biosanitaria (ibs.GRANADA), Granada, España; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, España; Departamento de Medicina Preventiva y Salud Pública, Universidad de Granada, Granada, España
| | - Maria-José Sánchez
- Escuela Andaluza de Salud Pública (EASP), Granada, España; Instituto de Investigación Biosanitaria (ibs.GRANADA), Granada, España; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, España; Departamento de Medicina Preventiva y Salud Pública, Universidad de Granada, Granada, España.
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Paca-Palao A, Huayanay-Espinoza CA, Parra DC, Velasquez-Melendez G, Miranda JJ. [Association between exclusive breastfeeding and obesity in children: a cross-sectional study of three Latin American countries]. Gac Sanit 2019; 35:168-176. [PMID: 31787405 DOI: 10.1016/j.gaceta.2019.09.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2018] [Revised: 07/01/2019] [Accepted: 09/04/2019] [Indexed: 12/25/2022]
Abstract
OBJECTIVE To determine if breastfeeding for at least the first six months of life is associated with overweight and obesity in children 2 to 5 years old. METHOD Cross sectional analysis of data from national demographic and health surveys conducted in Bolivia, Colombia and Peru. Overweight and obesity were defined using World Health Organization standard definitions. Odds ratios (OR) were calculated using multinomial logistic regression. RESULTS The prevalence of obesity in children 2 to 5 years old was 10.4% (95% confidence interval [95%CI]: 8.2-12.6) in Bolivia, 4.9% in Colombia (95%CI: 4.0-5.8), and 6.4% (95%CI: 5.2-8.0) in Peru. Prevalence of exclusive breastfeeding for at least the first 6 months in the study population was 89.9% (95%CI: 87.8-91.9) in Bolivia, 73.9% (95%CI: 72.2-75.6) in Colombia, and 92.8% (95%CI: 91.2-92.4) in Peru. Exclusive breastfeeding was associated with a decreased risk of obesity in children as compared to no breastfeeding or breastfeeding for less than 6 months in Bolivia (OR = .30; 95%CI: .16-.57) and a marginal association in Colombia (OR = .71; 95%CI: .47-1.06) and Peru (OR = .49; 95%CI: 0.23-1.04). No association between breastfeeding and overweight was found. CONCLUSION Exclusive breastfeeding for at least the first six months of life decreases the risk of obesity in children 2 to 5 years old in Bolivia. A similar but weaker pattern was observed for children in Colombia and Peru.
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Affiliation(s)
- Ada Paca-Palao
- Facultad de Salud Pública y Administración Carlos Vidal Layseca, Universidad Peruana Cayetano Heredia, Lima, Perú; Ex Beca Naval Medical Research Unit, NAMRU-6; CRONICAS Centro de Excelencia de Enfermedades Crónicas, Universidad Peruana Cayetano Heredia, Lima, Perú; Ministerio de Educación, Lima, Perú
| | - Carlos A Huayanay-Espinoza
- CRONICAS Centro de Excelencia de Enfermedades Crónicas, Universidad Peruana Cayetano Heredia, Lima, Perú
| | - Diana C Parra
- Program of Physical Therapy and Department of Surgery, Institute for Public Health, Washington University in St Louis School of Medicine, St Louis, MO, USA
| | - Gustavo Velasquez-Melendez
- Department of Maternal and Child Nursing and Public Health, Escola de Enfermagem, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brasil
| | - J Jaime Miranda
- CRONICAS Centro de Excelencia de Enfermedades Crónicas, Universidad Peruana Cayetano Heredia, Lima, Perú; Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Perú.
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Penha JTD, Gazolla FM, Carvalho CNDM, Madeira IR, Rodrigues-Júnior F, Machado EDA, Sicuro FL, Farinatti P, Bouskela E, Collett-Solberg PF. Physical fitness and activity, metabolic profile, adipokines and endothelial function in children. J Pediatr (Rio J) 2019; 95:531-537. [PMID: 29856943 DOI: 10.1016/j.jped.2018.04.010] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2018] [Revised: 04/25/2018] [Accepted: 04/25/2018] [Indexed: 01/17/2023] Open
Abstract
OBJECTIVES The prevalence of obesity is increasing. The aim of this study was to investigate if there is endothelial dysfunction in children with normal or excess weight, and whether the metabolic profile, adipokines, and endothelial dysfunction would be more strongly associated with physical fitness or with physical activity levels. METHOD Cross-sectional study involving children aged 5-12 years. The evaluation included venous occlusion plethysmography, serum levels of adiponectin, leptin and insulin, lipid profile, physical activity score (PAQ-C questionnaire), and physical fitness evaluation (Yo-Yo test). RESULTS A total of 62 children participated in this study. Based on the body mass index, 27 were eutrophic, 10 overweight and 25 obese. Triglycerides, LDL cholesterol, HOMA-IR, and leptin were higher in the obese and excess-weight groups compared to the eutrophic group (p<0.01). HDL cholesterol and adiponectin levels were higher in the eutrophic group compared to the obese and excess-weight groups (p<0.01). Flow-mediated vasodilation after hyperemia was higher in the eutrophic group in comparison to obese and excess-weight subjects (p<0.05). There was no difference in the physical activity levels among groups measured by PAQ-C. The Yo-Yo test was significantly associated with HDL cholesterol (rho=-0.41; p=0.01), and this association remained after adjusting for body mass index z-score (rho=0.28; p=0.03). CONCLUSION This study showed that endothelial dysfunction is already present in obese children, suggesting a predisposition to atherosclerotic disease. Moreover, HDL cholesterol levels were correlated with physical fitness, regardless of body mass index.
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Affiliation(s)
- Jociene Terra da Penha
- Universidade do Estado do Rio de Janeiro (UERJ), Laboratório de Pesquisas Clínicas e Experimentais em Biologia Vascular (Biovasc), Rio de Janeiro, RJ, Brazil
| | - Fernanda Mussi Gazolla
- Universidade do Estado do Rio de Janeiro (UERJ), Faculdade de Ciências Médicas, Rio de Janeiro, RJ, Brazil
| | | | - Isabel Rey Madeira
- Universidade do Estado do Rio de Janeiro (UERJ), Laboratório de Pesquisas Clínicas e Experimentais em Biologia Vascular (Biovasc), Rio de Janeiro, RJ, Brazil
| | - Flávio Rodrigues-Júnior
- Universidade do Estado do Rio de Janeiro (UERJ), Laboratório de Pesquisas Clínicas e Experimentais em Biologia Vascular (Biovasc), Rio de Janeiro, RJ, Brazil
| | - Elisabeth de Amorim Machado
- Universidade do Estado do Rio de Janeiro (UERJ), Laboratório de Pesquisas Clínicas e Experimentais em Biologia Vascular (Biovasc), Rio de Janeiro, RJ, Brazil
| | - Fernando Lencastre Sicuro
- Universidade do Estado do Rio de Janeiro (UERJ), Laboratório de Pesquisas Clínicas e Experimentais em Biologia Vascular do Centro Biomédico (Biovasc), Rio de Janeiro, RJ, Brazil
| | - Paulo Farinatti
- Universidade do Estado do Rio de Janeiro (UERJ), Instituto de Educação Física e Desporto, Laboratório de Atividade Física e Promoção da Saúde (Labsau), Rio de Janeiro, RJ, Brazil
| | - Eliete Bouskela
- Universidade do Estado do Rio de Janeiro (UERJ), Laboratório de Pesquisas Clínicas e Experimentais em Biologia Vascular (Biovasc), Rio de Janeiro, RJ, Brazil
| | - Paulo Ferrez Collett-Solberg
- Universidade do Estado do Rio de Janeiro (UERJ), Laboratório de Pesquisas Clínicas e Experimentais em Biologia Vascular (Biovasc), Rio de Janeiro, RJ, Brazil; Universidade do Estado do Rio de Janeiro (UERJ), Faculdade de Ciências Médicas, Rio de Janeiro, RJ, Brazil.
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López Tarraga PJ, Madrona-Marcos F, Panisello-Royo J, Carbayo-Herencia JA, Rosich N, Tarraga-Marcos L, Castell E, Alins J. [Evaluation of a motivational intervention of physical activity program in the treatment of obesity and overweight]. Hipertens Riesgo Vasc 2019; 37:11-16. [PMID: 31405823 DOI: 10.1016/j.hipert.2019.05.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Revised: 05/01/2019] [Accepted: 05/17/2019] [Indexed: 11/18/2022]
Abstract
OBJECTIVE To analyse the outcomes of a motivational physical activity program for the treatment of obesity. METHOD A randomised, controlled, double blind clinical trial with 2 arms, 12 months of follow-up and a 1:1 allocation ratio. The data was collected between July 2017 and July 2018. The patients, of both genders, had to be referred by their occupational medicine doctors with the diagnosis of overweight or obesity and be aged between 20 and 65 years. An analysis was made of the anthropometric measurements, lipid parameters, as well as on the follow-up of the program. RESULTS A total of 123 obese or overweight patients participated. Two groups were formed; 61 in intervention group [G1] and 62 in as usual care control group [G2]). As regards the 107 that finished the study (60 in G1 and 47 in G2), the mean age was 45.55±12.83 SD, with 57.2% women and 42.8% men. The number of patients followed-up was much higher in the Physical Activity Program than in the control group, and the number of dropouts (only one) was insignificant. It can be seen how both the weight and the body mass index as the main lipid parameters are reduced in the study group significantly with respect to the control group. The physical activity of the group in the motivated physical activity program is three times higher than in the group without intervention. There was a significant relationship between the increase in activity and weight reduction (P<.001), also between the reduction in weight and the reduction in cholesterol and triglycerides. CONCLUSIONS In our study, a motivational physical activity program leads to more follow-up and therefore improves the anthropometric and lipid parameters.
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Affiliation(s)
- P J López Tarraga
- Facultad de Medicina, Universidad de Castilla-La Mancha, Albacete, España; Medicina de Familia, Centro de Salud Zona 5 A, Albacete, España.
| | | | | | | | - N Rosich
- Nutricionista, Fundación para el Fomento de la Salud, Barcelona, España
| | | | - E Castell
- Servicio de Psicología, Hospital Vall d'Hebron, Barcelona, España
| | - J Alins
- Medicina de Familia, ABS Abrera, Abrera, Barcelona, España
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Rubio Herrera MA, Fernández-García JM, Corio Andújar R, Santos Altozano C, Urieta Carpi JJ. [Pharmacological treatment of obesity for Primary Care physicians]. Semergen 2019; 45:559-565. [PMID: 31350172 DOI: 10.1016/j.semerg.2019.04.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2019] [Revised: 02/25/2019] [Accepted: 04/07/2019] [Indexed: 11/29/2022]
Abstract
Obesity is a disease of high prevalence in Primary Care clinics. It is associated with major comorbidities (dyslipidaemia, diabetes, hypertension) that increase morbidity and mortality, health expenditure, and reduces the quality of life of patients. Changes in lifestyle are still the pillars of the treatment of excess weight. Pharmacological treatment should be considered when there are difficulties in achieving weight loss goals. In this article, a review is presented on the currently authorised drugs for the treatment of obesity and overweight with major comorbidities.
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Affiliation(s)
- M A Rubio Herrera
- Servicio de Endocrinología y Nutrición, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria San Carlos (IDISSC), Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España
| | | | - R Corio Andújar
- Centro de Salud Martí Juliá, Cornellá de Llobregat, Barcelona, España
| | | | - J J Urieta Carpi
- Servicio de Urgencias, Hospital Comarcal de Inca, Inca, Palma de Mallorca, España
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D'avila HF, Poll FA, Reuter CP, Burgos MS, Mello ED. Health-related quality of life in adolescents with excess weight. J Pediatr (Rio J) 2019; 95:495-501. [PMID: 29957249 DOI: 10.1016/j.jped.2018.05.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2017] [Revised: 04/23/2018] [Accepted: 04/23/2018] [Indexed: 12/13/2022] Open
Abstract
OBJECTIVE To identify health-related quality of life in adolescents with excess weight and associated factors, such as gender, age, and weight categories. METHOD A cross-sectional study with collected and secondary data from 276 adolescents aged between 10 and 19 years with overweight and obesity, and whose parents or guardians authorized their participation. Anthropometric data, pubertal development, and the PedsQL 4.0 questionnaire were collected for the health-related quality of life assessment. Categorical data were described as numbers and percentages. For the description of health-related quality of life subscales, medians and the 25th and 75th percentiles were used, as well as the Mann-Whitney test for comparisons between age group, gender, and weight categories. RESULTS The median health-related quality of life total score was 78.3 (68.5-87.4). The lowest scale was the "emotional score", 65 (50-80). Higher health-related quality of life was found in boys in most of the scores (p<0.05), except for the "school score" (p=0.09). Regarding the age group, the median of the "physical scores" (p=0.03) and "social score" (p=0.02) were significantly lower in the group younger than 14 years. When separated according to weight categories, it was verified that obese adolescents differed significantly in relation to the "physical score" (p=0.00), "school score" (p=0.04), and "total score" (p=0.02) of the health-related quality of life. However, there was no significant difference between the emotional, social, and psychosocial scores. CONCLUSIONS Adolescents with overweight and obesity show losses in the health-related quality of life and also between the different domains, when separated by age, gender, and weight categories.
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Affiliation(s)
- Helen F D'avila
- Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Porto Alegre, RS, Brazil.
| | - Fabiana A Poll
- Universidade de Santa Cruz do Sul (UNISC), Departamento de Educação Física e Saúde, Santa Cruz do Sul, RS, Brazil
| | - Cézane P Reuter
- Universidade de Santa Cruz do Sul (UNISC), Departamento de Educação Física e Saúde, Santa Cruz do Sul, RS, Brazil
| | - Miria S Burgos
- Universidade de Santa Cruz do Sul (UNISC), Departamento de Educação Física e Saúde, Santa Cruz do Sul, RS, Brazil
| | - Elza D Mello
- Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Porto Alegre, RS, Brazil
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Santiago ACT, Cunha LPMD, Vieira NSA, Oliveira Moreira LM, Oliveira PRD, Lyra PPR, Alves CDAD. Breastfeeding in children born small for gestational age and future nutritional and metabolic outcomes: a systematic review. J Pediatr (Rio J) 2019; 95:264-274. [PMID: 30138579 DOI: 10.1016/j.jped.2018.06.013] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2018] [Revised: 05/05/2018] [Accepted: 05/30/2018] [Indexed: 10/28/2022] Open
Abstract
OBJECTIVE To systematically review evidence related to nutritional and cardiometabolic outcomes in children born at term and small for gestational age and the association with breastfeeding. SOURCE OF DATA Two independent reviewers searched the MEDLINE, LILACS, SciELO, and Embase databases without time or language restrictions. The PRISMA tool was used, and studies that evaluated infants born at term and small for gestational age, breastfed, and with an evaluation of cardiometabolic outcomes were included. Studies with preterm infants, those that did not have information on breastfeeding, and those with lack of evaluation of the outcome variables were excluded. Also excluded were review articles, editorials, and series of cases. SUMMARY OF DATA Only seven articles were found that met the abovementioned criteria. There was a great variability in the type of evaluation, as well as in the age of these children. It was demonstrated that breastfeeding promoted growth without body composition alteration and without increased insulin resistance in children with exclusive breastfeeding, when compared to children receiving a higher calorie formula, except for one article that observed an increase in fat mass in exclusively breastfed children. CONCLUSION Breastfeeding seems to be a safe feeding practice for infants born at term and small for gestational age, showing no association with deleterious short-term outcomes. Breastfeeding stimulation in these populations seems to be a way of preventing the health problems associated with the high risk of chronic noncommunicable diseases and obesity.
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Yáñez-Ortega JL, Arrieta-Cerdán E, Lozano-Alonso JE, Gil Costa M, Gutiérrez-Araus AM, Cordero-Guevara JA, Vega Alonso T. Prevalence of overweight and obesity in child population. A study of a cohort in Castile and Leon, Spain. ACTA ACUST UNITED AC 2019; 66:173-180. [PMID: 30772371 DOI: 10.1016/j.endinu.2018.10.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2018] [Revised: 09/20/2018] [Accepted: 10/01/2018] [Indexed: 11/20/2022]
Abstract
INTRODUCTION Several studies warn that overweight and obesity have become an epidemic with severe consequences in the population's health. The objetive of the present study is to estimate the prevalence of overweight and obesity in Castile and Leon in a sample of children at 6, 11 and 14 years of age, to describe its evolution and its association with life habits and antecedents. MATERIAL AND METHODS Observational study, retrospective cohort, performed by the pediatricians of the Health Sentinel Network. The study is part of a joint Project with the National Research Center on Human Evolution (CENIEH) in Burgos to know the pattern of growth and development of the child population of Castile and Leon. In 2012, a health examination and a retrospective collection were carried out based on the clinical history of a simple of 326 children, from the cohort was born in 1998. RESULTS Following the WHO references, at age 14 there was 25.3% of boys and 18.5% of girls with overweight. Obesity was estimated to affect the 8.2% and 4.8% of them respectively. At 11 years of age there was the maximum of overweight in girls and of obesity in boys. At the urban-non urban environment, quantity and quality of sleep and the parents' BMI have been some of the associated factors to weight level of the children. DISCUSSION In Castile and Leon, as in other populations of our environment, there is a severe problema of overweight and obesity. For their control it is necesary to deepen understanding of lifestyles and antecedents related to the birth as well as to calculate the growth rate in the pediatric age.
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Affiliation(s)
- José L Yáñez-Ortega
- Sección de Epidemiología, Servicio Territorial de Sanidad, Junta de Castilla y León, Burgos, España.
| | - Esther Arrieta-Cerdán
- Dirección General de Salud Pública, Consejería de Sanidad, Junta de Castilla y León, Valladolid, España
| | - José E Lozano-Alonso
- Dirección General de Salud Pública, Consejería de Sanidad, Junta de Castilla y León, Valladolid, España
| | - Milagros Gil Costa
- Dirección General de Salud Pública, Consejería de Sanidad, Junta de Castilla y León, Valladolid, España
| | | | - José A Cordero-Guevara
- Gerencia de Atención Primaria de Burgos, SACYL, Junta de Castilla y León, Burgos, España
| | - Tomás Vega Alonso
- Dirección General de Salud Pública, Consejería de Sanidad, Junta de Castilla y León, Valladolid, España
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Olivares Jara M, Vázquez Arce MI, Peña Pachés L, Roser Mas C, Pérez-Alenda S, Marques-Sule E. [Non-randomized trial to evaluate a continuous physiotherapy program versus interval in overweight patients suffering from acute coronary syndrome]. Aten Primaria 2019; 52:319-326. [PMID: 30732967 PMCID: PMC7231869 DOI: 10.1016/j.aprim.2018.09.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Revised: 07/11/2018] [Accepted: 09/13/2018] [Indexed: 11/29/2022] Open
Abstract
Presentamos un ensayo no aleatorizado de un programa de fisioterapia continuo frente a interválico para pacientes con sobrepeso y síndrome coronario agudo. Objetivo Detectar diferencias entre un programa de fisioterapia (PF) continuo (CONT) y uno interválico (INT) en pacientes con sobrepeso y síndrome coronario agudo, respecto a parámetros antropométricos, analíticos, frecuencia cardiaca de reposo, adherencia a la intervención, desgaste, seguridad y tolerancia. Diseño Estudio multicéntrico cuasiexperimental con diseño pre-post, no aleatorizado con muestreo por conveniencia con 2 brazos de tratamiento. Emplazamiento Centros de prevención cardiaca comunitaria (Departamentos de Salud Manises, Valencia-La Fe, Játiva-Onteniente). Participantes Se consideró a 339 sujetos con sobrepeso y síndrome coronario agudo que vivían en la comunidad; mayores de 18 años; sin contraindicación para realizar ejercicio físico; sin participación previa en PF. Intervenciones Se realizó un PF con entrenamiento CONT o uno con entrenamiento INT (2 meses). Cada sesión se dividió en calentamiento, esfuerzo y enfriamiento. El esfuerzo se realizó a intensidad 12-13 Borg y con frecuencia cardiaca calculada según la máxima obtenida en ergometría basal. Mediciones principales Se analizó el índice de masa corporal, perímetro abdominal, perfil lipídico, glucemia, hemoglobina glicosilada, frecuencia cardiaca de reposo, adherencia, desgaste, seguridad y tolerancia. Resultados El grupo CONT mostró diferencias significativamente mejores en las variables índice de masa corporal, perímetro abdominal, colesterol total, colesterol LDL, triglicéridos, HbA1C, glucemia y frecuencia cardiaca de reposo, respecto al PF INT. No hubo diferencias entre grupos respecto a adherencia, desgaste, seguridad y tolerancia. Conclusiones El grupo CONT produjo mejores resultados en todas las variables excepto en el colesterol HDL. Ambos programas registraron una elevada adherencia, seguridad y tolerancia.
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Affiliation(s)
- Miryam Olivares Jara
- Departamento de Salud Manises, Servicio de Cardiología, Hospital de Manises, Valencia, España
| | - Maria Isabel Vázquez Arce
- Departamento de Salud La Fe, Servicio de Rehabilitación y Medicina Física, Hospital Universitario y Politécnico La Fe, Valencia, España; Universidad San Vicente Mártir, Valencia, España
| | - Laura Peña Pachés
- Departamento de Salud Manises, Servicio de Rehabilitación, Hospital de Manises, Valencia, España
| | - Catalina Roser Mas
- Departamento de Salud Manises, Servicio de Rehabilitación, Hospital de Manises, Valencia, España
| | | | - Elena Marques-Sule
- Departamento de Fisioterapia, Universidad de Valencia, Valencia, España; Departamentos de Salud Valencia, Instituto Valenciano del Corazón, Játiva, Onteniente, Valencia, España.
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Hernáez Á, Zomeño MD, Dégano IR, Pérez-Fernández S, Goday A, Vila J, Civeira F, Moure R, Marrugat J. Excess Weight in Spain: Current Situation, Projections for 2030, and Estimated Direct Extra Cost for the Spanish Health System. ACTA ACUST UNITED AC 2018; 72:916-924. [PMID: 30473259 DOI: 10.1016/j.rec.2018.10.010] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2017] [Accepted: 07/13/2018] [Indexed: 01/10/2023]
Abstract
INTRODUCTION AND OBJECTIVES Excess weight promotes the development of several chronic diseases and decreases quality of life. Its prevalence is increasing globally. Our aim was to estimate the trend in excess weight between 1987 and 2014 in Spanish adults, calculate cases of excess weight and its direct extra costs in 2006 and 2016, and project its trend to 2030. METHODS We selected 47 articles in a systematic literature search to determine the progression of the prevalence of overweight, nonmorbid obesity, and morbid obesity and average body mass index between 1987 and 2014. We projected the expected number of cases in 2006, 2016, and 2030 and the associated direct extra medical costs. RESULTS Between 1987 and 2014, the prevalence of overweight, obesity, and morbid obesity increased by 0.28%/y (P=.004), 0.50%/y (P <.001) and 0.030%/y (P=.006) in men, and by 0.10%/y (P=.123), 0.25%/y (P=.078), and 0.042%/y (P=.251) in women. The mean body mass index increased by 0.10 kg/m2/y in men (P <.001) and 0.26 kg/m2/y in women (significantly only between 1987 and 2002, P <.001). We estimated 23 500 000 patients with excess weight in 2016, generating 1.95 billion €/y in direct extra medical costs. If the current trend continues, between 2016 and 2030, there will be 3 100 000 new cases of excess weight, leading to 3.0 billion €/y of direct extra medical costs in 2030. CONCLUSIONS Excess weight in Spanish adults has risen since the creation of population registries, generating direct extra medical costs that represent 2% of the 2016 health budget. If this trend continues, we expect 16% more cases in 2030 and 58% more direct extra medical costs.
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Affiliation(s)
- Álvaro Hernáez
- Grupo de Investigación en Riesgo Cardiovascular, Nutrición y Envejecimiento, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Facultad de Ciencias de la Salud Blanquerna, Universitat Ramón Llull, Barcelona, Spain; CIBER de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain
| | - M Dolores Zomeño
- Facultad de Ciencias de la Salud Blanquerna, Universitat Ramón Llull, Barcelona, Spain; Grupo de Investigación en Riesgo Cardiovascular y Nutrición-REGICOR, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, Spain; Programa de Doctorado en Alimentación y Nutrición, Facultat de Farmàcia, Universitat de Barcelona, Barcelona, Spain
| | - Irene R Dégano
- Grupo de investigación REGICOR, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, Spain; CIBER de Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain
| | - Silvia Pérez-Fernández
- Grupo de investigación REGICOR, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, Spain; CIBER de Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain
| | - Alberto Goday
- CIBER de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain; Grupo de Investigación en Riesgo Cardiovascular y Nutrición-REGICOR, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, Spain; Servicio de Endocrinología, Hospital del Mar, Barcelona, Spain; Departamento de Medicina, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Joan Vila
- Grupo de investigación REGICOR, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain
| | - Fernando Civeira
- CIBER de Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain; Unidad de Lípidos y Arteriosclerosis, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, IIS Aragón, Universidad de Zaragoza, Zaragoza, Spain
| | - Ricardo Moure
- CIBER de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain; Departamento de Bioquímica y Biomedicina Molecular, Institut de Biomedicina IBUB, Universitat de Barcelona, Barcelona, Spain
| | - Jaume Marrugat
- Grupo de investigación REGICOR, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, Spain; CIBER de Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain.
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Uribe-Salas FJ, Portillo-Téllez MDC, Parra-Ávila J, Hernández-Corral S, Alonso-Tovar R, Acevedo-Casillas MS, Felipe-Mayo J. [Autopercepción del peso a través de figuras corporales en niños en edad escolar de Piedras Negras, Coahuila, México]. Bol Med Hosp Infant Mex 2018; 75:366-372. [PMID: 30407456 DOI: 10.24875/bmhim.18000041] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background The prevalence of overweight and obesity has increased worldwide. In this context, the lack of awareness of excess weight among overweight and obese children is a public health concern that needs to be explored in the Northern border of Mexico. Methods Body mass index (BMI) was calculated from children from third to sixth grades of basic education. The Children's Body Image Scale was applied to evaluate perceived and ideal BMI comparing against calculated BMI. We also analyzed the frequency of accurate perceivers of actual weight and discrepancy of ideal weight against calculated BMI. Results We studied 155 children (43.8% were female) with a mean age of 10.2 years. Accuracy prevalence of BMI perceived respect to calculated BMI was 59.4%. Discrepancy prevalence of ideal BMI respect to calculated BMI was 44.4%. Comparison of perceived BMI respect to calculated BMI showed an overestimation on low weight category (33%) and subestimations in categories of normal weight (12.4%), overweight (85%) and obesity (81.6%). Comparison of ideal BMI respect to calculated BMI showed an absolute overestimation of low weight and underestimations in categories of normal weight, overweight and obesity of 5.6%, 100%, and 97.4%, respectively. Conclusions The results of this work showed a consistent underestimation of children's body weight, particularly among those classified in categories of overweight and obesity in a demographic context in which the prevalence of both categories was of 38% in this study.
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Barcones-Molero MF, Sánchez-Villegas A, Martínez-González MA, Bes-Rastrollo M, Martínez-Urbistondo M, Santabárbara J, Martínez JA. The influence of obesity and weight gain on quality of life according to the SF-36 for individuals of the dynamic follow-up cohort of the University of Navarra. Rev Clin Esp 2018; 218:408-416. [PMID: 29958652 DOI: 10.1016/j.rce.2018.05.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2018] [Revised: 05/07/2018] [Accepted: 05/12/2018] [Indexed: 12/20/2022]
Abstract
BACKGROUND The health-related quality of life is an important element for the comprehensive assessment of overweight and obesity. OBJECTIVE To assess the impact of obesity and weight gain on the health-related quality of life of the dynamic cohort of the Follow-up Program of the University of Navarra. MATERIAL AND METHODS The analysis included 10,033 participants of the prospective dynamic cohort of the Follow-up Project of the University of Navarra, with a response rate of approximately 90%. The quality of life was measured with the Short Form 36 Health Survey (SF-36) (0, worst quality of life; 100, best quality of life). The statistical analysis was performed with generalized lineal models (mean of each SF-36 domain and 95% CI). A difference of 3 points was considered clinically relevant. RESULTS The SF-36 analysis showed that physical function, general health and the physical component summary were inferior in individuals with excess weight and obesity at the start of the study, compared with individuals with normal weight. The study population with unchanged excess weight or obesity after 2 years of follow-up presented lower scores on the SF-36 domains corresponding to physical function, body pain, physical component summary and general health than individuals who maintained the normal weight category according to BMI (kg/m2). CONCLUSIONS Obesity appears to be associated with a negative impact on health-related quality of life, affecting the physical area more significantly than the psychosocial.
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Affiliation(s)
- M F Barcones-Molero
- Instituto de Investigación Sanitaria de Aragón (IIS-IACS Aragón), Hospital Clínico Universitario Lozano Bles», Hospital Universitario Miguel Servet, Centro de Salud Torre Ramona, Zaragoza, España.
| | - A Sánchez-Villegas
- Grupo de Investigación en Nutrición, Instituto Universitario de Investigaciones Biomédicas y Sanitarias (IUIBS) , Las Palmas de Gran Canaria, España; Ciber de Fisiopatología de la Obesidad y Nutrición (CIBER OBN), Instituto de Salud Carlos III, Madrid, España
| | - M A Martínez-González
- Ciber de Fisiopatología de la Obesidad y Nutrición (CIBER OBN), Instituto de Salud Carlos III, Madrid, España; Departamento de Medicina Preventiva y Salud Pública, Universidad de Navarra, Pamplona, España; Instituto de Investigación Sanitaria de Navarra (IdisNA), Pamplona, España
| | - M Bes-Rastrollo
- Ciber de Fisiopatología de la Obesidad y Nutrición (CIBER OBN), Instituto de Salud Carlos III, Madrid, España; Departamento de Medicina Preventiva y Salud Pública, Universidad de Navarra, Pamplona, España; Instituto de Investigación Sanitaria de Navarra (IdisNA), Pamplona, España
| | - M Martínez-Urbistondo
- Servicio de Medicina Interna, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, España
| | - J Santabárbara
- Departamento de Medicina Preventiva y Salud Pública, Universidad de Zaragoza, Zaragoza, España
| | - J A Martínez
- Ciber de Fisiopatología de la Obesidad y Nutrición (CIBER OBN), Instituto de Salud Carlos III, Madrid, España; Departamento de Medicina Preventiva y Salud Pública, Universidad de Navarra, Pamplona, España; Instituto de Investigación Sanitaria de Navarra (IdisNA), Pamplona, España; Departamento de Nutrición, Ciencias de la Alimentación, Fisiología y Centro de Investigación en Nutrición, Universidad de Navarra, Pamplona, España; IMDEA Food, Campus Cantoblanco, Madrid, España
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Ortiz-Marrón H, Ortiz-Pinto MA, Cuadrado-Gamarra JI, Esteban-Vasallo M, Cortés-Rico O, Rey-Gayo L, Ordobás M, Galán I. Persistence and Variation in Overweight and Obesity Among the Pre-school Population of the Community of Madrid After 2 Years of Follow-up. The ELOIN Cohort. ACTA ACUST UNITED AC 2018; 71:902-9. [PMID: 29724637 DOI: 10.1016/j.rec.2017.12.024] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2017] [Accepted: 12/21/2017] [Indexed: 11/21/2022]
Abstract
INTRODUCTION AND OBJECTIVES The childhood obesity epidemic is a worldwide public health problem which starts at very early ages. The aim of this study was to determine the persistence of and variation in overweight and obesity among a cohort of children followed up from 4 to 6 years of age. METHODS The data were drawn from the ELOIN (Longitudinal Childhood Obesity Study), a population-based cohort in the Community of Madrid, Spain. A total of 2435 children were involved. Weight and height were objectively measured and standardised at 4 (2012-2013) and 6 years of age (2014-2015) by 31 purpose-trained pediatricians. Three reference criteria were used: the World Health Organization (WHO-2006), International Obesity Task Force (IOTF-2000), and Spanish tables of the Orbegozo Foundation 2004, were used to define "absence of excess weight", overweight and obesity. RESULTS According to the above three classification criteria, between the ages of 4 and 6 years the prevalence of overweight increased from 5.7%-16.5% (range of the 3 criteria) to 8.9%-17.0%, and obesity increased from 3.0%-5.4% to 6.1%-10.1%. Three out of every 4 obese children at age 4 years persisted with obesity at age 6 years, whereas 20.6%-29.3% who were overweight became obese. A total of 8.0% to 16.1% of children maintained "excess weight" (overweight/obesity), 7.9% to 11% were new cases, and 2.2% to 5.9% showed remission. CONCLUSIONS Excess weight increased between the ages of 4 and 6 years. Important variations were observed in weight status susceptible to intervention during well-child visits.
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Nogueira-de-Almeida CA, Mello EDD. Correlation of body mass index Z-scores with glucose and lipid profiles among overweight and obese children and adolescents. J Pediatr (Rio J) 2018; 94:308-312. [PMID: 28881179 DOI: 10.1016/j.jped.2017.06.012] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2017] [Revised: 05/04/2017] [Accepted: 05/04/2017] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE To evaluate the prevalence of abnormalities in plasma lipid and glucose profiles among overweight and obese children and adolescents, and to assess the presence of a correlation between body mass index Z-scores and indicators of comorbidities related to both profiles. METHODS This was a multicenter cross-sectional study conducted at two outpatient clinics. The study included all 417 comers for the first visit from 2008 to 2012, aged between 7 and 18 years, with BMI above the Z-score +1. Anthropometry and blood sampling were obtained. The prevalence of dyslipidemias, hyperglycemia, and insulin resistance were evaluated, together with the correlations of these variables with the increase of Z-BMI. RESULTS Dyslipidemia was observed in 43.4% of the boys and 66.1% of the girls, with no difference between genders. High glucose levels were detected in 6.2% of the individuals. Insulin resistance was present in 32.3% and 41.7% of the cases, with no statistical significance between boys and girls. Correlations between the Z-BMI were noted for triglycerides in the entire group and among girls; for HDL-c, only among girls; for glucose, a correlation was observed for the entire group, but not when stratified by gender. The indicators of insulin resistance were all correlated with Z-BMI, even when corrected for age. CONCLUSIONS Overweight and obesity give origin to a high prevalence of dyslipidemia and insulin resistance. BMI Z-scores showed a weak positive correlation with glucose and triglyceride, and negative with HDL-c. In turn, the strongest positive correlation was found with insulin resistance indicators.
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Affiliation(s)
| | - Elza Daniel de Mello
- Universidade Federal do Rio Grande do Sul (UFRGS), Faculdade de Medicina, Porto Alegre, RS, Brazil
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Warkentin S, Mais LA, Latorre MDRDO, Carnell S, Taddei JAAC. Factors associated with parental underestimation of child's weight status. J Pediatr (Rio J) 2018; 94:162-169. [PMID: 28826796 DOI: 10.1016/j.jped.2017.05.010] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2016] [Revised: 02/07/2017] [Accepted: 03/08/2017] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE The aim of this study was to examine the prevalence of parental misperception of child weight status, and identify socioeconomic, anthropometric, behavioral and dietary factors associated with underestimation. METHOD Cross-sectional study. Data was collected in 14 Brazilian private schools. Parents of children aged 2-8 years (n=976) completed a self-reported questionnaire assessing their perception of their child's weight status, and sociodemographic, anthropometric, behavioral and dietary information. To measure the agreement between parental perception about child weight status and actual child weight status, the Kappa coefficient was estimated, and to investigate associations between parental underestimation and independent variables, chi-squared tests were performed, followed by multiple logistic regression, considering p≤0.05 for statistical significance. RESULTS Overall, 48.05% of the parents incorrectly classified their child's weight. Specifically, 45.08% underestimated their child's weight status, with just 3% of parents overestimating. Children with higher body mass index (OR=2.03; p<0.001) and boys (OR=1.70; p<0.001) were more likely to have their weight status underestimated by parents. CONCLUSION Since awareness of weight problems is essential for prevention and treatment, clinical practitioners should help parents at high risk of misperception to correctly evaluate their child's weight status.
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Affiliation(s)
- Sarah Warkentin
- Universidade Federal de São Paulo (UNIFESP), Departamento de Pediatria, Disciplina de Nutrologia, São Paulo, SP, Brazil.
| | - Laís A Mais
- Universidade Federal de São Paulo (UNIFESP), Departamento de Pediatria, Disciplina de Nutrologia, São Paulo, SP, Brazil
| | - Maria do Rosário D O Latorre
- Universidade de São Paulo (USP), Faculdade de Saúde Pública, Departamento de Epidemiologia, São Paulo, SP, Brazil
| | - Susan Carnell
- Johns Hopkins University School of Medicine, Department of Psychiatry and Behavioral Sciences, Division of Child and Adolescent Psychiatry, Baltimore, United States
| | - José Augusto A C Taddei
- Universidade Federal de São Paulo (UNIFESP), Departamento de Pediatria, Disciplina de Nutrologia, São Paulo, SP, Brazil
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Bibiloni MDM, Fernández-Blanco J, Pujol-Plana N, Surià Sonet S, Pujol-Puyané MC, Mercadé Fuentes S, Ojer Fernández de Soto L, Tur JA. [Reversion of overweight and obesity in Vilafranca del Penedès child population: ACTIVA'T Program (2012)]. Gac Sanit 2017; 33:197-202. [PMID: 29169902 DOI: 10.1016/j.gaceta.2017.10.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2017] [Revised: 07/07/2017] [Accepted: 10/02/2017] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To assess a 6-month nutritional and physical activity intervention program on the nutritional status of overweight or obese and not very active 8-14 years old children by means of a controlled pre-post design (ACTIVA'T program). METHOD Pre-post study in 8-14 years old overweight or obese and low active children from Vilafranca del Penedès (Barcelona, Spain) randomized in control group (n = 51, 47.1% girls, nutritional intervention and ≤3h/wk physical activity) and ACTIVA'T group (n = 45, 37.8% girls, nutritional and physical activity ≥5h/wk intervention). Body mass index, waist/height index, and diet quality by means of KIDMED test at the beginning and at the end of the program were assessed. During the intervention, each participant was accompanied by a relative (father or mother) who performed the same activities as the children. RESULTS Dietary recommendations have positively changed the habits of both ACTIVA'T and control group. The reversion in the prevalence of overweight and obesity was 93.8% and 58.6%, respectively, in the ACTIVA'T group, compared to 25.0% and 35.8% in the control group. Abdominal obesity was decreased from 42.2% to 17.8% in the ACTIVA'T group and from 47.1% to 27.5% in the control group. CONCLUSIONS The program ACTIVA'T (nutritional education and physical activity promotion) improves the quality of diet and reverses the prevalence of overweight and obesity in the underactive child population.
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Affiliation(s)
- Maria Del Mar Bibiloni
- Grupo de Investigación en Nutrición Comunitaria y Estrés Oxidativo, Universidad de las Islas Baleares, Palma de Mallorca, España; CIBER de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), España
| | - Jordi Fernández-Blanco
- Servicio de Atención Primaria Alt Penedès-Garraf-Nord, Vilafranca del Penedès, Barcelona, España
| | - Noemí Pujol-Plana
- Servicio de Atención Primaria Alt Penedès-Garraf-Nord, Vilafranca del Penedès, Barcelona, España
| | - Sònia Surià Sonet
- Servicio de Atención Primaria Alt Penedès-Garraf-Nord, Vilafranca del Penedès, Barcelona, España
| | - Maria Cèlia Pujol-Puyané
- Servicio de Atención Primaria Alt Penedès-Garraf-Nord, Vilafranca del Penedès, Barcelona, España
| | - Sílvia Mercadé Fuentes
- Servicio de Atención Primaria Alt Penedès-Garraf-Nord, Vilafranca del Penedès, Barcelona, España
| | | | - Josep A Tur
- Grupo de Investigación en Nutrición Comunitaria y Estrés Oxidativo, Universidad de las Islas Baleares, Palma de Mallorca, España; CIBER de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), España.
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Pérez-Ríos M, Santiago-Pérez MI, Leis R, Malvar A, Suanzes J, Hervada X. [Prevalence of malnutrition in Spanish schoolchildren]. An Pediatr (Barc) 2017; 89:44-49. [PMID: 29102499 DOI: 10.1016/j.anpedi.2017.09.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2017] [Revised: 08/14/2017] [Accepted: 09/01/2017] [Indexed: 10/18/2022] Open
Abstract
INTRODUCTION AND AIMS The term malnutrition includes malnutrition due to excess or obesity, underweight as well as stunted growth. Its prevalence in a population can be estimated using anthropometric variables. The aim of this study is to estimate the prevalence of malnutrition in Galician schoolchildren aged 6 to 15years in the school year 2013-2014. METHODS A cross-sectional study was conducted on a representative sample by gender and age of the Galician population of 6 to 15years old. The prevalence of obesity, underweight, and short stature was estimated by age and gender using the reference standards proposed by the World Health Organisation. RESULTS Of the total of 7,438 schoolchildren weighed and measured, 16.4% had malnutrition. The prevalence of obesity was 14.8%, underweight was 0.7%, and short stature for age was estimated at 1%. Obesity was more prevalent among boys. As regards underweight and short stature, when there were differences, prevalence was higher among girls. CONCLUSIONS In Galicia, 16 out of every 100 schoolchildren aged 6 to 15years had malnutrition, with that due to excess or obesity being the most frequent. Prevalence of underweight and short stature did not exceed 1%. This data shows that primary prevention measures should be promoted at an early age to reduce malnutrition due to excess or adiposity, in particular.
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Affiliation(s)
- Mónica Pérez-Ríos
- Subdirección de Información sobre Saúde e Epidemioloxía, Dirección Xeral de Saúde Pública, Consellería de Sanidade, Xunta de Galicia, Santiago de Compostela, La Coruña, España; Área de Medicina Preventiva y Salud Pública, Universidad de Santiago de Compostela, Santiago de Compostela, La Coruña, España.
| | - María I Santiago-Pérez
- Subdirección de Información sobre Saúde e Epidemioloxía, Dirección Xeral de Saúde Pública, Consellería de Sanidade, Xunta de Galicia, Santiago de Compostela, La Coruña, España
| | - Rosaura Leis
- Servicio de Pediatría, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España
| | - Alberto Malvar
- Subdirección de Información sobre Saúde e Epidemioloxía, Dirección Xeral de Saúde Pública, Consellería de Sanidade, Xunta de Galicia, Santiago de Compostela, La Coruña, España
| | - Jorge Suanzes
- Subdirección de Programas de Fomento de Estilos de Vida Saudables, Dirección Xeral de Saúde Pública, Consellería de Sanidade, Xunta de Galicia, Santiago de Compostela, La Coruña, España
| | - Xurxo Hervada
- Subdirección de Información sobre Saúde e Epidemioloxía, Dirección Xeral de Saúde Pública, Consellería de Sanidade, Xunta de Galicia, Santiago de Compostela, La Coruña, España
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Longo-Silva G, Silveira JAC, Menezes RCED, Toloni MHDA. Age at introduction of ultra-processed food among preschool children attending day-care centers. J Pediatr (Rio J) 2017; 93:508-516. [PMID: 28572017 DOI: 10.1016/j.jped.2016.11.015] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2016] [Revised: 11/08/2016] [Accepted: 11/23/2016] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE To identify the age of introduction of ultra-processed food and its associated factors among preschool children. METHODS Cross-sectional study carried out from March to June 2014 with 359 preschool children aged 17 to 63 months attending day-care centers. Time until ultra-processed food introduction (outcome variable) was described by the Kaplan-Meier analysis, and the log-rank test was used to compare the survival functions of independent variables. Factors associated with ultra-processed food introduction were investigated using the multivariate Cox proportional hazards model. The results were shown as hazard ratios with their respective 95% confidence intervals. RESULTS The median time until ultra-processed food introduction was six months. Between the 3rd and 6th months, there is a significant increase in the probability of introducing ultra-processed food in the children's diet; and while the probability in the 3rd month varies from 0.15 to 0.25, at six months the variation ranges from 0.6 to 1.0. The final Cox proportional hazards model showed that unplanned pregnancy (1.32 [1.05-1.65]), absence of prenatal care (2.50 [1.02-6.16]), and income >2 minimum wages (1, 50 [1.09-2.06]) were independent risk factors for the introduction of ultra-processed food. CONCLUSION Up to the 6th month of life, approximately 75% of preschool children had received one or more ultra-processed food in their diet. In addition, it was observed that the poorest families, as well as unfavorable prenatal factors, were associated with early introduction of ultra-processed food.
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Affiliation(s)
- Giovana Longo-Silva
- Universidade Federal de Alagoas (UFAL), Faculdade de Nutrição (FANUT), Programa de Pós-Graduação em Nutrição, Maceió, AL, Brazil.
| | - Jonas Augusto C Silveira
- Universidade Federal de Alagoas (UFAL), Faculdade de Nutrição (FANUT), Programa de Pós-Graduação em Nutrição, Maceió, AL, Brazil
| | - Rísia Cristina Egito de Menezes
- Universidade Federal de Alagoas (UFAL), Faculdade de Nutrição (FANUT), Programa de Pós-Graduação em Nutrição, Maceió, AL, Brazil
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Bibiloni MDM, Fernández-Blanco J, Pujol-Plana N, Martín-Galindo N, Fernández-Vallejo MM, Roca-Domingo M, Chamorro-Medina J, Tur JA. [Improving diet quality in children through a new nutritional education programme: INFADIMED]. Gac Sanit 2017; 31:472-477. [PMID: 28410796 DOI: 10.1016/j.gaceta.2016.10.013] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/15/2016] [Revised: 10/14/2016] [Accepted: 10/19/2016] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To assess the results of a nutritional education programme developed by using available local resources to improve diet quality and decrease overweight and obesity prevalence among children. METHOD A longitudinal intervention study by means of nutritional education (INFADIMED) in children (aged 3-7 years) from Vilafranca del Penedès (Barcelona, Spain), recruited from preschool centres and primary schools, with an intervention or INFADIMED group (n=319; 50.2% female) and a control group (n=880; 49.8% female). Weight, height and body mass index were measured in both groups at the beginning and at the end of the programme. Adherence to the Mediterranean diet was also assessed using the KIDMED test. RESULTS Consumption of fruit or juices, vegetables, yogurt and/or cheese, pasta or rice, and nuts increased, while skipping breakfast, consumption of bakery products for breakfast, and/or consumption of sweets several times per day decreased in the INFADIMED group. INFADIMED also changed, from the beginning to the end of the study, the adherence to a Mediterranean diet: high (39.2% to 70.5%), acceptable (49.2% to 28.2%), and low (11.6% to 1.3%). Approximately 2.6% of the participants in the control group and 11.3% of the participants in the INFADIMED group who were overweight and obese changed to normal weight (odds ratio: 4.08; 95% confidence interval: 2.37-7.04). CONCLUSIONS INFADIMED is a nutritional education programme with benefits on both diet quality and overweight and obesity prevalence among children.
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Affiliation(s)
- Maria Del Mar Bibiloni
- Grupo de Investigación en Nutrición Comunitaria y Estrés Oxidativo, Universidad de las Islas Baleares, Palma de Mallorca, España; CIBER de Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, España
| | | | - Noemí Pujol-Plana
- Equipo de Atención Primaria Garraf-Rural, Sant Pere de Ribes, España
| | - Núria Martín-Galindo
- Equipo de Pediatría Territorial Alt Penedès-Garraf, VIlafranca del Penedès, España
| | | | | | | | - Josep A Tur
- Grupo de Investigación en Nutrición Comunitaria y Estrés Oxidativo, Universidad de las Islas Baleares, Palma de Mallorca, España; CIBER de Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, España.
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Anzolin CC, Silva DAS, Zanuto EF, Cayres SU, Codogno JS, Costa Junior P, Machado DRL, Christofaro DGD. Accuracy of different cutoff points of body mass index to identify overweight according to body fat values estimated by DEXA. J Pediatr (Rio J) 2017; 93:58-63. [PMID: 27543808 DOI: 10.1016/j.jped.2016.04.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2015] [Revised: 03/30/2016] [Accepted: 04/06/2016] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE To evaluate the sensitivity and specificity of different cutoff points of body mass index for predicting overweight/obesity according to body fat values estimated by DEXA among Brazilian adolescents. METHODS Cross-sectional study including 229 male adolescents aged 10-15 years, in which body adiposity and anthropometric measures were assessed. Nutritional status was classified by BMI according to cutoff points described in scientific literature. RESULTS Moderate agreements were observed between body fat estimated by DEXA and cutoffs proposed by Cole et al. (K=0.61), Conde and Monteiro (K=0.65), Must et al. (K=0.61) and WHO (K=0.63). The BMI in continuous form showed good agreement with the Dexa (ICC=0.72). The highest sensitivity was observed for cutoff by Conde and Monteiro (0.74 [0.62, 0.84]) and the highest specificity by Cole et al. (0.98 [0.94, 0.99]). For the areas under the ROC curve of cutoff points analyzed, significant difference comparing the cutoff points by Cole et al. and Conde and Monteiro (0.0449 [0.00294, 0.0927]) was observed. CONCLUSIONS The cutoff proposed by Conde and Monteiro was more sensitive in identifying overweight and obesity when compared to the reference method, and the cutoff proposed by Cole et al. presented the highest specificity for such outcomes.
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Affiliation(s)
- Caroline Cristina Anzolin
- Universidade Estadual Paulista (UNESP), Programa de Pós-Graduação em Fisioterapia, Presidente Prudente, SP, Brazil
| | - Diego Augusto Santos Silva
- Universidade Federal de Santa Catarina (UFSC), Departamento de Educação Física, Florianópolis, SC, Brazil
| | - Edner Fernando Zanuto
- Universidade Estadual Paulista (UNESP), Programa de Pós-Graduação em Fisioterapia, Presidente Prudente, SP, Brazil
| | - Suziane Ungari Cayres
- Universidade de São Paulo (USP), Escola de Educação Física e Esporte, Ribeirão Preto, SP, Brazil
| | - Jamile Sanches Codogno
- Universidade Estadual Paulista (UNESP), Programa de Pós-Graduação em Fisioterapia, Presidente Prudente, SP, Brazil
| | - Paulo Costa Junior
- Universidade Estadual Paulista (UNESP), Programa de Pós-Graduação em Fisioterapia, Presidente Prudente, SP, Brazil
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Carissimi A, Adan A, Tonetti L, Fabbri M, Hidalgo MP, Levandovski R, Natale V, Martoni M. Physical self-efficacy is associated to body mass index in schoolchildren. J Pediatr (Rio J) 2017; 93:64-69. [PMID: 27712961 DOI: 10.1016/j.jped.2016.04.011] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/09/2015] [Revised: 03/30/2016] [Accepted: 04/06/2016] [Indexed: 12/17/2022] Open
Abstract
OBJECTIVE The present study aimed to investigate the relationship between physical self-efficacy and body mass index in a large sample of schoolchildren. METHODS The Perceived Physical Ability Scale for Children was administered to 1560 children (50.4% boys; 8-12 years) from three different countries. Weight and height were also recorded to obtain the body mass index. RESULTS In agreement with the literature, the boys reported greater perceived physical self-efficacy than girls. Moreover, the number of boys who are obese is double that of girls, while the number of boys who are underweight is half that found in girls. In the linear regression model, the increase in body mass index was negatively related to the physical self-efficacy score, differently for boys and girls. Furthermore, age and nationality also were predictors of low physical self-efficacy only for girls. CONCLUSION The results of this study reinforce the importance of psychological aspect of obesity, as the perceived physical self-efficacy and body mass index were negatively associated in a sample of schoolchildren for boys and girls.
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Affiliation(s)
- Alicia Carissimi
- Universidade Federal do Rio Grande do Sul (UFRGS), Hospital de Clínicas de Porto Alegre (HCPA), Laboratório de Cronobiologia e Sono, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-Graduação em Psiquiatria e Ciências do Comportamento, Porto Alegre, RS, Brazil.
| | - Ana Adan
- Universitat de Barcelona, Facultad de Psicología, Departamento de Psiquiatría y Psicobiología Clínica, Barcelona, Spain; Universitat de Barcelona, Institut de Recerca en Cervell, Cognició i Conducta (IR3C), Barcelona, Spain
| | - Lorenzo Tonetti
- Università di Bologna, Dipartimento di Psicologia, Bologna, Italy
| | - Marco Fabbri
- Seconda Università degli Studi di Napoli, Dipartimento di Psicologia, Caserta, Italy
| | - Maria Paz Hidalgo
- Universidade Federal do Rio Grande do Sul (UFRGS), Hospital de Clínicas de Porto Alegre (HCPA), Laboratório de Cronobiologia e Sono, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-Graduação em Psiquiatria e Ciências do Comportamento, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul (UFRGS), Faculdade de Medicina, Departamento de Psiquiatria e Medicina Legal, Porto Alegre, RS, Brazil
| | - Rosa Levandovski
- Universidade Federal do Rio Grande do Sul (UFRGS), Hospital de Clínicas de Porto Alegre (HCPA), Laboratório de Cronobiologia e Sono, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-Graduação em Psiquiatria e Ciências do Comportamento, Porto Alegre, RS, Brazil
| | - Vincenzo Natale
- Università di Bologna, Dipartimento di Psicologia, Bologna, Italy
| | - Monica Martoni
- Università di Bologna, Dipartimento di Medicina Specialistica, Diagnostica e Sperimentale, Bologna, Italy
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