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Colegio de Medicina Interna de México.

2015, Number 4

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Med Int Mex 2015; 31 (4)

Multidisciplinary consensus of prevention, diagnosis and treatment of obesity in young and middle-aged men

Pliego-Reyes CL, Alcántar-Ramírez J, Cárdenas-Cejudo A, Díaz-Jiménez K, Morales-Andrade E, Ramírez-Wiella G, Ríos-Martínez B, Sánchez-Lío KI, Tenorio-Aguirre K, Torres-Viloria A

Language: Spanish
References: 90
Page: 414-433
PDF size: 601.86 Kb.


ABSTRACT

Background: Obesity is the main modifiable risk factor for the development of chronic non-transmissible diseases; in Mexico, overweight and obesity constitute a national epidemic with severe implications to the Mexican health care system. Because of that, it is a priority that demands actions in order to improve prevention, early diagnosis and adequate, individualized and interdisciplinary treatment.
Objective: To homologate and apply concepts of evidence-based clinical practice in prevention, diagnosis and treatment of obesity in adults aged 20-65 years.
Material and method: The expert’s consensus was done by specialized physicians in internal medicine, endocrinologists and surgery as well as psychologists, nutrition, physical activity and public health specialists. A primary document was drafted and updated by the specialists who established the evidence. The final document was enriched by the panel group and adapted to national idiosyncrasy and unanimously approved the final document.
Results: Obesity is a multifactorial disease resulting from the complex interaction between the environment and the patient who carries a set of comorbidities that result in decreased life expectancy and quality of life. Treatment should be multidisciplinary, involving medical, nutritional and psychological management that should aim from prevention to early treatment.
Conclusions: These recommendations are based on the highest levels of evidence for treatment guidelines previously established in clinical trials and standardized guidelines for the adult population with obesity. They were enriched by the experience of each participant.


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