2013, Número 3
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Rev Med Inst Mex Seguro Soc 2013; 51 (3)
Guía de práctica clínica Prevención, diagnóstico y tratamiento del sobrepeso y la obesidad exógena
Barrera-Cruz A, Ávila-Jiménez L, Cano-Pérez E, Molina-Ayala MA, Parrilla-Ortiz JI, Ramos-Hernández RI, Sosa-Caballero A, Sosa-Ruiz MR, Gutiérrez-Aguilara J
Idioma: Español
Referencias bibliográficas: 63
Paginas: 344-357
Archivo PDF: 177.00 Kb.
RESUMEN
El exceso de peso corporal es uno de los problemas más
importantes de salud pública en el mundo. En la actualidad,
México y Estados Unidos ocupan los primeros lugares
de prevalencia mundial de obesidad en la población
adulta (30 %), la cual es casi diez veces mayor que la de
países como Japón y Corea (4 %). En nuestro país, las
tendencias de sobrepeso y obesidad en las diferentes
encuestas nacionales muestran un incremento constante
de la prevalencia a lo largo del tiempo: de acuerdo
con los resultados de la ENSANUT 2012, la prevalencia
combinada de sobrepeso u obesidad (IMC ≥ 25 kg/m
2),
en la población mayor de 20 años, es mayor en las mujeres
(73.0 %) que en los hombres (69.4 %), mientras que
la prevalencia de obesidad (IMC ≥ 30 kg/m
2) es más alta
en el sexo femenino que en el masculino. La experiencia
global indica que la atención correcta de la obesidad y el
sobrepeso requiere formular y coordinar estrategias multisectoriales
integrales y efi cientes que permitan potenciar
los factores de protección a la salud, particularmente
para modifi car el comportamiento individual, familiar y
comunitario. El IMSS desarrolla programas y proyectos
de interés social para otorgar atención integral de calidad
a los derechohabientes con sobrepeso y obesidad, con
el propósito de limitar las consecuencias metabólicas de
la enfermedad, mejorar la calidad de vida de aquellos y
lograr mayor efi ciencia en el uso de los recursos.
REFERENCIAS (EN ESTE ARTÍCULO)
Haslam DW, James WP. Obesity. Lancet. 2005;366: 1197-209.
Rucker D, Padwal R, Li SK, Curioni C, Lau DC. Long term pharmacotherapy for obesity and overweight: update meta-analysis. BMJ. 2007;335:1194-99.
Gutiérrez JP, Rivera-Dommarco J, Shamah-Levy T, et al. Encuesta Nacional de Salud y Nutrición 2012. Resultados nacionales. Cuernavaca, México: Instituto Nacional de Salud Pública (MX); 2012.
Organización Mundial de la Salud. Obesidad y sobrepeso. Nota descriptiva no. 311. [Internet]. Disponible en http://www.who.int/mediacentre/factsheets/ fs311/es/index.html
Sassi Franco. Obesity and the economics of prevention: fi t not fat. Organization for the Economic Cooperation and Development: Paris, France; 2010.
OCDE. [Sitio web]. 30% el índice de obesidad en México. Disponible en http://www.oecd.org/ centrodemexico/medios/30elindicedeobesidaden mexico.htm
Pérez-Rodríguez M, Meléndez G, Nieto C, Aranda M, Pfeffer F. Dietary and physical activity/inactivity factors associated with obesity in school-aged children. Adv Nutr. 2012;3:622-8.
Wojcicki JM, Jiménez-Cruz A, Bacardi-Gascón M, Schwartz N, Heyman MB. Bimodal distribution of risk for childhood obesity in urban Baja California, Mexico. J Urban Health. 2012;89:628-38.
Banegas JR, López-García E, Gutiérrez-Fisac JL, Guallar-Castillón P, Rodríguez-Artalejo F. A simple estimate of mortality attributable to excess weight in the European Union. Eur J Clin Nutr. 2003;57: 201-8.
Secretaría de Salud. Acuerdo nacional para la salud alimentaria. Estrategia contra el sobrepeso y la obesidad. México: Secretaría de Salud; 2010. Disponible en http://portal.salud.gob.mx/sites/salud/ descargas/pdf/ANSA_acuerdo_original.pdf
Secretaría de Salud. Acuerdo Nacional para la Salud Alimentaria. Estrategia contra el sobrepeso y la obesidad. Programa de acción en el contexto escolar. México: Secretaría de Salud; 2010. Disponible en http://www.sep.gob.mx/work/models/ sep1/Resource/635/1/images/programadeaccion_ sept.pdf
Bahía L, Coutinho ES, Barufaldi LA, de Acevedo- Abreu G, Malhão TA, de Souza CP, et al. The costs of overweight and obesity-related diseases in the Brazilian public health system: cross-sectional study. BMC Public Health. 2012;12:440.
García-García E, De la Llata-Romero M, Kaufer- Horwitz M, Tusié-Luna MT, Calzada-León R, Vázquez- Velázquez V, et al. Obesity and metabolic syndrome. A challenge for the Mexican Institutes of Health. Rev Invest Clin. 2009;61:337-46.
Torres-Arreola LP, Peralta-Pedrero ML, Viniegra- Osorio A, Valenzuela-Flores AA, Sandoval-Castellanos FJ, Echevarría-Zuno S, et al. Proyecto para el desarrollo de guías de práctica clínica en el Instituto Mexicano del Seguro Social. Rev Med Inst Mex Seguro Soc. 2010;48(6):661-72.
National Institute for Health and Clinical Excellence. [Sitio web]. Obesity (NICE) guidance on the prevention, identifi cation, assessment and management of overweight and obesity in adults and children. Clinical Guideline 43. National Institute for Health and Clinical Excellence; 2006. Disponible en http://www. nice.org.uk/Guidance/CG43.
Krebs NF, Himes JH, Jacobson D, Nicklas TA, Guilday P, Styne D. Assessment of child and adolescent overweight and obesity. Pediatrics. 2007;120:193-228.
Department of Veterans Affaire. Department of Defense. VA/DoD clinical practice guideline for screening and management of overweight and obesity. Department of Veterans Affairs: WA, US; 2006.
Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894:i-xii,1-253.
National Health and Medical Research Council. Clinical practice guidelines for the management of overweight and obesity in adults. Australia: NHMRC; 2003.
Grupo de Trabajo de la Guía de Práctica Clínica sobre la Prevención y el Tratamiento de la Obesidad Infantojuvenil. Centro Cochrane Iberoamericano, coordinador. Guía de práctica clínica sobre la prevención y el tratamiento de la obesidad infantojuvenil. Guías de Práctica Clínica en el SNS: AATRM Nº 2007/25. Catalunya, España: Ministerio de Sanidad y Política Social. Agència d´Avaluació de Tecnologia i Recerca Mèdiques; 2009.
Koster A, Leitzmann MF, Schatzkin A, Mouw T, Adams KF, van Eijk JT, et al. Waist circumference and mortality. Am J Epidemiol. 2008;167:1465-75.
Scottish Intercollegiate Guidelines Network (SIGN). Management of obesity. A national clinical guideline. Edinburgh, Scotland, UK; 2010.
Lau DCW, Douketis JD, Morrison KM, Hramiak IM, Sharma AM, Ur E, and for members of the Obesity Canada Clinical Practice Guidelines Expert Panel. 2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children. CMAJ. 2007;176:S1-13.
Prochaska JO. Decision making in the transtheoretical model of behavior change. Med Decis Making. 2008;28:845-849.
Institute for Clinical Systems Improvement. Health care guideline. Prevention and management of obesity (mature adolescents and adults). Fifth edition. ICSIM: Bloomington, MN; 2011.
Guh DP, Zhang W, Bansback N, Amarsi Z, Birmingham CL, Anis AH. The incidence of co-morbidities related to obesity and overweight: a systematic review and meta-analysis. BMC Public Health. 2009;9:88. doi: 10.1186/1471-2458-9-88.
Romero-Corral A, Montori VM, Somers VK, Korinek J, Thomas RJ, Allison TG, et al. Association of bodyweight with total mortality and with cardiovascular events in coronary artery disease: a systematic review of cohort studies. Lancet. 2006;368:666-78.
Kumanyika SK, Obarzanek E, Stettler N, Bell R, Field AE, Fortmann SP, et al. Population-based prevention of obesity: the need for comprehensive promotion of healthful eating, physical activity, and energy balance: a scientifi c statement from American Heart Association Council on Epidemiology and Prevention, Interdisciplinary Committee for Prevention (formerly the expert panel on population and prevention science). Circulation. 2008;118:428-64.
Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, Penninx BW, et al. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry. 2010; 67:220-9.
Stothard KJ, Tennant PW, Bell R, Rankin J. Maternal overweight and obesity and the risk of congenital anomalies: a systematic review and meta-analysis. JAMA. 2009;301:636-50.
Metwally M, Ong KJ, Ledger WL, Li TC. Does high body mass index increase the risk of miscarriage after spontaneous and assisted conception? A metaanalysis of the evidence. Fertil Steril. 2008;90:714-26.
Chu SY, Callaghan WM, Kim SY, Schmid CH, Lau J, England LJ, et al. Maternal obesity and risk of gestational diabetes mellitus. Diabetes Care. 2007;30:2070-76.
Sacks FM, Bray GA, Carey VJ, Smith SR, Ryan DH, Anton SD, et al. Comparison of weight-loss diets with different compositions of fat, protein, and carbohydrates. N Engl J Med. 2009;360:859-73.
Okorodudu DO, Jumean MF, Montori VM, Romero- Corral A, Somers VK, Erwin PJ, et al. Diagnostic performance of body mass index to identify obesity as defi ned by body adiposity: a systematic review and meta-analysis. Int J Obes. 2010;34:791-9.
Barlow SE; Expert Committee. Expert Committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics. 2007;120:164-92.
McTigue KM, Harris R, Hemphill B, Lux L, Sutton S, Bunton AJ, et al. Screening and interventions for obesity in adults: summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med. 2003;139:933-49.
Janssen I, Katzmarzyk PT, Srinivasan SR, Chen W, Malina RM, Bouchard C, et al. Utility of childhood BMI in the prediction of adulthood disease: comparison of national and international references. Obes Res. 2005;13:1106-15.
De Onis M, Onyango AW, Borghi EA, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85:660-7.
Salas-Flores R, González-Pérez B, Cornejo-Barrera J, Llanas-Rodríguez JD, Cruz-Hernández C. Composición corporal por análisis de impedancia bioeléctrica y prevalencia de obesidad en niños en edad escolar. Rev Med Inst Mex Seguro Soc. 2011;49:493-98.
Arenz S, Rückerl R, Koletzko B, von Kries R. Breastfeeding and childhood obesity-a systematic review. Int J Obes Relat Metab Disord. 2004;28:1247-56.
Britton C, McCormick FM, Renfrew MJ, Wade A, King SE. Support for breast-feeding mothers. Cochrane Database Syst Rev. 2007;(1):CD001141.
Calañas-Continente AJ. Alimentación saludable basada en la evidencia. Endocrinol Nutr. 2005;52: 8-24.
Rivera JA, Muñoz-Hernández O, Rosas-Peralta M, Aguilar-Salinas CA, Popkin BM, Willett WC, et al. Drink consumption for a healthy life: recommendations for the general population in Mexico. Gac Med Mex. 2008;144:369-88.
U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary guidelines for Americans, 2010. Seventh edition, Washington, DC: U.S. Government Printing Offi ce; 2010.
Consenso FESNAD-SEEDO. Recomendaciones nutricionales basadas en la evidencia para la prevención y el tratamiento del sobrepeso y la obesidad en adultos. Rev Esp Obes. 2011;10:1-78.
Janssen I, Leblanc AG. Systematic review of the health benefi ts of physical activity and fi tness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7:40.
Jakicic JM, Otto AD, Lang W, Semler L, Winters C, Polzien K, et al. The effect of physical activity on 18-month weight change in overweight adults. Obesity. 2011;19:100-9.
Warburton DE, Charlesworth S, Ivey A, Nettlefold L, Bredin SS. A systematic review of the evidence for Canada’s Physical Activity Guidelines for Adults. Int J Behav Nutr Phys Act. 2010;7:39.
Organización Mundial de la Salud. Recomendaciones mundiales sobre la actividad física para la salud. Ginebra, Suiza: OMS; 2010.
García-García E, De la Llata-Romero M, Kaufer- Horwitz M, et al. Obesity and the metabolic syndrome as a public health problem: a refl ection. Salud Publica Mex. 2008;50:530-47.
Goldfi eld GS, Mallory R, Parker T, Cunningham T, Legg C, Lumb A, et al. Effects of open feedback on physical activity and television viewing in overweight and obese children: a randomized, controlled trial. Pediatrics. 2006;118:157-66.
González-Suárez C, Worley A, Grimmer-Somers K, Dones V. School-based interventions on childhood obesity: a meta-analysis. Am J Prev Med. 2009;37: 418-27.
Balas-Nakash M, Benítez-Arciniega A, Perichart- Perera O, Valdés-Ramos R, Vadillo-Ortega F. The effect of exercise on cardiovascular risk markers in Mexican school-aged children: comparison between two structured group routines. Salud Publica Mex. 2010; 52:398-405.
Singapore Ministry of Health. Obesity. Agency for Healthcare Research and Quality, 2004, [online]. Disponible en www. guideline.gov
American Diabetes Association. Standards of medical care in diabetes 2011. Diabetes Care. 2011;34: 11-61.
Villareal DT, Chode S, Parimi N, Sinacore DR, Hilton T, Armamento-Villareal R, et al. Weight loss, exercise, or both and physical function in obese older adults. N Engl J Med. 2011;364:1218-29.
Atlantis E, Barnes EH, Fiatarone Singh MA. Effi cacy of exercise for treating overweight in children and adolescents: a systematic review. Int J Obes. 2006; 30:1027-40.
Jeffery RW, Wing RR, Sherwood NE, Tate DF. Physical activity and weight loss: does prescribing higher physical activity goals improve outcome? Am J Clin Nutr. 2003;78:684-9.
Unick JL, Beavers D, Jakicic JM, Kitabchi AE, Knowler WC, Wadden TA, et al. Effectiveness of lifestyle interventions for individuals with severe obesity and type 2 diabetes: results from the Look AHEAD trial. Diabetes Care. 2011;34(10):2152-7.
Castañeda-González L, Camberos-Solís R, Bacardí- Gascón M, Jiménez-Cruz A. Long-term randomized clinical trials of pharmacological treatment of obesity: systematic review. Colomb Med. 2010;41:17-25.
McGovern L, Johnson JN, Paulo R, Hettinger A, Singhal V, Kamath C, et al. Clinical review: treatment of pediatric obesity: a systematic review and meta-analysis of randomized trials. Clin Endocrinol Metab. 2008;93:4600-5.
Powell AG, Apovian CM, Aronne LJ. New drug targets for the treatment of obesity. Clin Pharmacol Ther. 2011;90:40-51.
Park MH, Kinra S, Ward KJ, White B, Viner RM. Metformin for obesity in children and adolescents: a systematic review. Diabetes Care. 2009;32:1743-5.