Intervención Educativa en Jóvenes Obesos para Reducción de Índice de Masa Corporal y Cintura Cadera
Resumen
Objetivo: Evaluar el efecto de una intervención educativa en la reducción de índice de masa corporal y relación cintura /cadera en adultos jóvenes con obesidad. Método: Estudio cuasiexperimental, comparativo, prospectivo, longitudinal, homodemico y unicéntrico, que se llevó a cabo en la Unidad de Medicina Familiar 12. En 150 adultos jóvenes de 25 a 44 años se realizaron 8 sesiones quincenales durante cuatro meses, cuyo soporte técnico se deriva de la Norma Oficial Mexicana NOM-043-SSA2-2012 y Vargas y cols. Resultados: En 150 pacientes posterior a la intervención educativa una disminución de grados de obesidad a sobrepeso, así como reducción en cintura cadera de bajo riesgo en 44.7%. La prueba de Wilcoxon se obtuvo una p significativa de < 0.005. Conclusión: existe un efecto favorable de la intervención educativa en la reducción de índice de masa corporal e índice cintura cadera en los pacientes adultos jóvenes y la importancia de este grupo etario.
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Aberle, J., Lautenbach, A., Meyhöfer, S., Schmid, S. M., Selig, L., & Blüher, M. (2021). Obesity and Diabetes. Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association, 129(S 01), S44–S51. https://doi.org/10.1055/a-1284-6050
Aein A, Omidi N, Khatami F, Samat S, Khorgami MR. Development, Implementation, and Evaluation of an Educational Package to Control the Biomedical Profile of Metabolic Syndrome. Int J Prev Med. 2021 Mar 29;12:31. doi: 10.4103/ijpvm.IJPVM_434_20. PMID: 34249280; PMCID: PMC8218797.
Atakan MM, Koşar ŞN, Güzel Y, Tin HT, Yan X. The Role of Exercise, Diet, and Cytokines in Preventing Obesity and Improving Adipose Tissue. Nutrients. 2021 Apr 25;13(5):1459. doi: 10.3390/nu13051459. PMID: 33922998; PMCID: PMC8145589.
Cheng, F. W., Garay, J. L., & Handu, D. (2021). Weight Management Interventions for Adults With Overweight or Obesity: An Evidence Analysis Center Scoping Review. Journal of the Academy of Nutrition and Dietetics, 121(9), 1855–1865. https://doi.org/10.1016/j.jand.2020.07.022
Gallo, S., & Cheskin, L. J. (2021). Treatment of Obesity: Beyond the Diet. Gastroenterology clinics of North America, 50(1), 113–125. https://doi.org/10.1016/j.gtc.2020.10.003
Garcia-Oropesa, E. M., Martinez-Lopez, Y. E., Ruiz-Cejudo, S. M., Martínez-Ezquerro, J. D., Diaz-Badillo, A., Ramirez-Pfeiffer, C., Bustamante-Fuentes, A., Lopez-Sosa, E. B., Moctezuma-Chavez, O. O., Nava-Gonzalez, E. J., Perales-Torres, A. L., Perez-Navarro, L. M., Rosas-Diaz, M., Carter, K., Tapia, B., & Lopez-Alvarenga, J. C. (2021). Looking for Crumbs in the Obesity Forest: Anti-obesity Interventions and Obesity-Associated Cardiometabolic Traits in the Mexican Population. History and Systematic Review With Meta-Analyses. Frontiers in medicine, 8, 665023. https://doi.org/10.3389/fmed.2021.665023
Gill, D., Zuber, V., Dawson, J., et al. (2021). Risk factors mediating the effect of body mass index and waist-to-hip ratio on cardiovascular outcomes: Mendelian randomization analysis. *International Journal of Obesity, 45*, 1428–1438. https://doi.org/10.1038/s41366-021-00807-4
Kaufer-Horwitz, Martha, Pérez Hernández, Juan Fernando. (2022). La obesidad: aspectos fisiopatológicos y clínicos. Inter disciplina, 10(26), 147-175. Epub 04 de abril de 2022. https://doi.org/10.22201/ceiich.24485705e.2022.26.80973
Larsson, S. C., & Burgess, S. (2021). Causal role of high body mass index in multiple chronic diseases: a systematic review and meta-analysis of Mendelian randomization studies. BMC medicine, 19(1), 320. https://doi.org/10.1186/s12916-021-02188-x
Moncayo Molina, L., Moncayo Rivera, D., Moncayo Rivera, C., Zeas Nolivos, K., Rosas Romero, M., & Pesantez Durán, F. (2021). Índice de masa corporal y la circunferencia de la cintura como indicadores del estado de salud. FACSALUD-UNEMI, 5(9), 4-13. https://doi.org/10.29076/issn.2602-8360vol5iss9.2021pp4-13p
Norma Oficial Mexicana NOM-043-SSA2-2012. (2016). *Servicios básicos de salud. Promoción y educación para la salud en materia alimentaria. Criterios para brindar orientación*. Disponible en https://www.cndh.org.mx/DocTR/2016/JUR/A70/01/JUR-20170331-NOR37.pdf
Peiris, C. L., van Namen, M., & O'Donoghue, G. (2021). Education-based, lifestyle intervention programs with unsupervised exercise improve outcomes in adults with metabolic syndrome. A systematic review and meta-analysis. Reviews in endocrine & metabolic disorders, 22(4), 877–890. https://doi.org/10.1007/s11154-021-096442
Peven JC, Jakicic JM, Rogers RJ, Lesnovskaya A, Erickson KI, Kang C, Zhou X, Porter A, Donofry SD, Watt JC, Stillman CM. The Effects of a 12-Month Weight Loss Intervention on Cognitive Outcomes in Adults with Overweight and Obesity. Nutrients. 2020 Sep 29;12(10):2988. doi: 10.3390/nu12102988. PMID: 33003548; PMCID: PMC7600527.
Ponce-Alcala, R. E., Ramirez-Garcia Luna, J. L., Shamah-Levy, T., & Melgar-Quiñonez, H. (2021). The association between household food insecurity and obesity in Mexico: a cross-sectional study of ENSANUT MC 2016. Public health nutrition, 24(17), 5826–5836. https://doi.org/10.1017/S1368980021003153
Redmond, LC, Jock, B., Kolahdooz, F., Sharma, S., Pardilla, M., Swartz, J., … Gittelsohn, J. (2022). Una intervención multinivel y multicomponente contra la obesidad (Prevención de la obesidad y evaluación de la eficacia de la intervención en los nativos norteamericanos) reduce la ingesta de refrescos en adultos nativos americanos. Public Health Nutrition , 25 (3), 770–780. doi:10.1017/S1368980020001172.
Safaei, M., Sundararajan, E. A., Driss, M., Boulila, W., & Shapi'i, A. (2021). A systematic literature review on obesity: Understanding the causes & consequences of obesity and reviewing various machine learning approaches used to predict obesity. Computers in biology and medicine, 136, 104754. https://doi.org/10.1016/j.compbiomed.2021.104754
Serna-Gutiérrez, A., Castro-Juarez, A. A., Romero-Martínez, M., et al. (2022). Prevalence of overweight, obesity, and central obesity and factors associated with BMI in indigenous Yaqui people: A probabilistic cross-sectional survey. BMC Public Health, 22, 308. https://doi.org/10.1186/s12889-022-12702-2
Sommer, I., Teufer, B., Szelag, M. et al.(2020) The performance of anthropometric tools to determine obesity: a systematic review and meta-analysis. Sci Rep 10, 12699 . https://doi.org/10.1038/s41598-020-69498-7
Stephens, C. R., Easton, J. F., Robles-Cabrera, A., Fossion, R., de la Cruz, L., Martínez-Tapia, R., Barajas-Martínez, A., Hernández-Chávez, A., López-Rivera, J. A., & Rivera, A. L. (2020). The Impact of Education and Age on Metabolic Disorders. Frontiers in public health, 8, 180. https://doi.org/10.3389/fpubh.2020.00180
Suazo, E. M. H., Chagoya, L. A. M., & Gutierrez, L. G. F. (2021). Improvement on Biometrics in Individuals Undergoing a 10 and 21-Day Lifestyle Intervention in a Lifestyle Medicine Clinic in Mexico. Journal of lifestyle medicine, 11(2), 66–73. https://doi.org/10.15280/jlm.2021.11.2.66
Tudor, K., Tearne, S., & Jebb, S. (2020). Gender differences in response to an opportunistic brief intervention for obesity in primary care: Data from the BWeL trial. Clinical Obesity, e12418. https://doi.org/10.1111/cob.12418
Van Baak, M. A., Pramono, A., Battista, F., Beaulieu, K., Blundell, J. E., Busetto, L., Carraça, E. V., Dicker, D., Encantado, J., Ermolao, A., Farpour-Lambert, N., Woodward, E., Bellicha, A., & Oppert, J. M. (2021). Effect of different types of regular exercise on physical fitness in adults with overweight or obesity: Systematic review and meta-analyses. Obesity reviews : an official journal of the International Association for the Study of Obesity, 22 Suppl 4(Suppl 4), e13239. https://doi.org/10.1111/obr.13239
Vargas, B. S. B., Gutiérrez, R. A., Viveros, A. M. I., et al. (2021). Evaluación de una estrategia educativa en adultos con sobrepeso y obesidad adscritos a una unidad de medicina familiar. Aten Familia, 28(3), 206-212.
Vidaña-Pérez, D., Braverman-Bronstein, A., Zepeda-Tello, R., Camacho-García-Formentí, D., Colchero, M. A., Rivera-Dommarco, J. A., Popkin, B. M., & Barrientos-Gutierrez, T. (2022). Equitability of Individual and Population Interventions to Reduce Obesity: A Modeling Study in Mexico. American journal of preventive medicine, 62(1), 105–113. https://doi.org/10.1016/j.amepre.2021.05.033
Aberle, J., Lautenbach, A., Meyhöfer, S., Schmid, S. M., Selig, L., & Blüher, M. (2021). Obesity and Diabetes. Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association, 129(S 01), S44–S51. https://doi.org/10.1055/a-1284-6050
Aein A, Omidi N, Khatami F, Samat S, Khorgami MR. Development, Implementation, and Evaluation of an Educational Package to Control the Biomedical Profile of Metabolic Syndrome. Int J Prev Med. 2021 Mar 29;12:31. doi: 10.4103/ijpvm.IJPVM_434_20. PMID: 34249280; PMCID: PMC8218797.
Atakan MM, Koşar ŞN, Güzel Y, Tin HT, Yan X. The Role of Exercise, Diet, and Cytokines in Preventing Obesity and Improving Adipose Tissue. Nutrients. 2021 Apr 25;13(5):1459. doi: 10.3390/nu13051459. PMID: 33922998; PMCID: PMC8145589.
Cheng, F. W., Garay, J. L., & Handu, D. (2021). Weight Management Interventions for Adults With Overweight or Obesity: An Evidence Analysis Center Scoping Review. Journal of the Academy of Nutrition and Dietetics, 121(9), 1855–1865. https://doi.org/10.1016/j.jand.2020.07.022
Gallo, S., & Cheskin, L. J. (2021). Treatment of Obesity: Beyond the Diet. Gastroenterology clinics of North America, 50(1), 113–125. https://doi.org/10.1016/j.gtc.2020.10.003
Garcia-Oropesa, E. M., Martinez-Lopez, Y. E., Ruiz-Cejudo, S. M., Martínez-Ezquerro, J. D., Diaz-Badillo, A., Ramirez-Pfeiffer, C., Bustamante-Fuentes, A., Lopez-Sosa, E. B., Moctezuma-Chavez, O. O., Nava-Gonzalez, E. J., Perales-Torres, A. L., Perez-Navarro, L. M., Rosas-Diaz, M., Carter, K., Tapia, B., & Lopez-Alvarenga, J. C. (2021). Looking for Crumbs in the Obesity Forest: Anti-obesity Interventions and Obesity-Associated Cardiometabolic Traits in the Mexican Population. History and Systematic Chicaiza Valle, V. L., & Rodríguez Quiñonez, V. M. (2024). Herramientas Tecnológicas Educativas en el Proceso de Enseñanza-Aprendizaje Inicial de la U.E. “Alfredo Pérez Guerrero”. Estudios Y Perspectivas Revista Científica Y Académica , 4(2), 426–473. https://doi.org/10.61384/r.c.a.v4i2.231
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Gill, D., Zuber, V., Dawson, J., et al. (2021). Risk factors mediating the effect of body mass index and waist-to-hip ratio on cardiovascular outcomes: Mendelian randomization analysis. *International Journal of Obesity, 45*, 1428–1438. https://doi.org/10.1038/s41366-021-00807-4
Kaufer-Horwitz, Martha, Pérez Hernández, Juan Fernando. (2022). La obesidad: aspectos fisiopatológicos y clínicos. Inter disciplina, 10(26), 147-175. Epub 04 de abril de 2022. https://doi.org/10.22201/ceiich.24485705e.2022.26.80973
Larsson, S. C., & Burgess, S. (2021). Causal role of high body mass index in multiple chronic diseases: a systematic review and meta-analysis of Mendelian randomization studies. BMC medicine, 19(1), 320. https://doi.org/10.1186/s12916-021-02188-x
Moncayo Molina, L., Moncayo Rivera, D., Moncayo Rivera, C., Zeas Nolivos, K., Rosas Romero, M., & Pesantez Durán, F. (2021). Índice de masa corporal y la circunferencia de la cintura como indicadores del estado de salud. FACSALUD-UNEMI, 5(9), 4-13. https://doi.org/10.29076/issn.2602-8360vol5iss9.2021pp4-13p
Norma Oficial Mexicana NOM-043-SSA2-2012. (2016). *Servicios básicos de salud. Promoción y educación para la salud en materia alimentaria. Criterios para brindar orientación*. Disponible en https://www.cndh.org.mx/DocTR/2016/JUR/A70/01/JUR-20170331-NOR37.pdf
Peiris, C. L., van Namen, M., & O'Donoghue, G. (2021). Education-based, lifestyle intervention programs with unsupervised exercise improve outcomes in adults with metabolic syndrome. A systematic review and meta-analysis. Reviews in endocrine & metabolic disorders, 22(4), 877–890. https://doi.org/10.1007/s11154-021-09644-2
Peven JC, Jakicic JM, Rogers RJ, Lesnovskaya A, Erickson KI, Kang C, Zhou X, Porter A, Donofry SD, Watt JC, Stillman CM. The Effects of a 12-Month Weight Loss Intervention on Cognitive Outcomes in Adults with Overweight and Obesity. Nutrients. 2020 Sep 29;12(10):2988. doi: 10.3390/nu12102988. PMID: 33003548; PMCID: PMC7600527.
Ponce-Alcala, R. E., Ramirez-Garcia Luna, J. L., Shamah-Levy, T., & Melgar-Quiñonez, H. (2021). The association between household food insecurity and obesity in Mexico: a cross-sectional study of ENSANUT MC 2016. Public health nutrition, 24(17), 5826–5836. https://doi.org/10.1017/S1368980021003153
Redmond, LC, Jock, B., Kolahdooz, F., Sharma, S., Pardilla, M., Swartz, J., … Gittelsohn, J. (2022). Una intervención multinivel y multicomponente contra la obesidad (Prevención de la obesidad y evaluación de la eficacia de la intervención en los nativos norteamericanos) reduce la ingesta de refrescos en adultos nativos americanos. Public Health Nutrition , 25 (3), 770–780. doi:10.1017/S1368980020001172.
Safaei, M., Sundararajan, E. A., Driss, M., Boulila, W., & Shapi'i, A. (2021). A systematic literature review on obesity: Understanding the causes & consequences of obesity and reviewing various machine learning approaches used to predict obesity. Computers in biology and medicine, 136, 104754. https://doi.org/10.1016/j.compbiomed.2021.104754
Serna-Gutiérrez, A., Castro-Juarez, A. A., Romero-Martínez, M., et al. (2022). Prevalence of overweight, obesity, and central obesity and factors associated with BMI in indigenous Yaqui people: A probabilistic cross-sectional survey. BMC Public Health, 22, 308. https://doi.org/10.1186/s12889-022-12702-2
Sommer, I., Teufer, B., Szelag, M. et al.(2020) The performance of anthropometric tools to determine obesity: a systematic review and meta-analysis. Sci Rep 10, 12699 . https://doi.org/10.1038/s41598-020-69498-7
Stephens, C. R., Easton, J. F., Robles-Cabrera, A., Fossion, R., de la Cruz, L., Martínez-Tapia, R., Barajas-Martínez, A., Hernández-Chávez, A., López-Rivera, J. A., & Rivera, A. L. (2020). The Impact of Education and Age on Metabolic Disorders. Frontiers in public health, 8, 180. https://doi.org/10.3389/fpubh.2020.00180
Suazo, E. M. H., Chagoya, L. A. M., & Gutierrez, L. G. F. (2021). Improvement on Biometrics in Individuals Undergoing a 10 and 21-Day Lifestyle Intervention in a Lifestyle Medicine Clinic in Mexico. Journal of lifestyle medicine, 11(2), 66–73. https://doi.org/10.15280/jlm.2021.11.2.66
Tudor, K., Tearne, S., & Jebb, S. (2020). Gender differences in response to an opportunistic brief intervention for obesity in primary care: Data from the BWeL trial. Clinical Obesity, e12418. https://doi.org/10.1111/cob.12418
Van Baak, M. A., Pramono, A., Battista, F., Beaulieu, K., Blundell, J. E., Busetto, L., Carraça, E. V., Dicker, D., Encantado, J., Ermolao, A., Farpour-Lambert, N., Woodward, E., Bellicha, A., & Oppert, J. M. (2021). Effect of different types of regular exercise on physical fitness in adults with overweight or obesity: Systematic review and meta-analyses. Obesity reviews : an official journal of the International Association for the Study of Obesity, 22 Suppl 4(Suppl 4), e13239. https://doi.org/10.1111/obr.13239
Vargas, B. S. B., Gutiérrez, R. A., Viveros, A. M. I., et al. (2021). Evaluación de una estrategia educativa en adultos con sobrepeso y obesidad adscritos a una unidad de medicina familiar. Aten Familia, 28(3), 206-212.
Vidaña-Pérez, D., Braverman-Bronstein, A., Zepeda-Tello, R., Camacho-García-Formentí, D., Colchero, M. A., Rivera-Dommarco, J. A., Popkin, B. M., & Barrientos-Gutierrez, T. (2022). Equitability of Individual and Population Interventions to Reduce Obesity: A Modeling Study in Mexico. American journal of preventive medicine, 62(1), 105–113. https://doi.org/10.1016/j.amepre.2021.05.033
Derechos de autor 2024 Cristina Montaño Flores , Ana Karen Guadalupe Villagómez-Mendoza , Janette Juárez Muñoz, Chynthia Gabriela López Ramos , María Mariela Wences Olivar
Esta obra está bajo licencia internacional Creative Commons Reconocimiento 4.0.
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