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2016, Number 2

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Rev cubana med 2016; 55 (2)

Challenges paradox the increase in some of the risk factors and the increased life expectancy vs. health reality

Alfonzo GJP

Language: Spanish
References: 31
Page: 159-166
PDF size: 112.52 Kb.


ABSTRACT

Over the last years, papers, in which a probable paradox is evident, have been publishing. It is the paradox among the increase in some of the risk factors that are modifiable, eg obesity, cardiovascular and cerebrovascular diseases and the increased life expectancy. That is, greater risks and life expectancy. If true, how to explain this paradox? The aim of this paper is to present a reflection on the alleged paradox among increase of risk factors for noncommunicable chronic diseases, including obesity and overweight and the increasing life expectancy.


REFERENCES

  1. Dixon JB. The effect of obesity on health outcomes. Mol Cell Endocrinol. 2010;316:104-8.

  2. Berrington de González A, Hartge P, Cerhan JR, Hannan L, Mooreet SC, Macinnis RJ, et al. Body-mass index and mortality among 1.46 million white adults. N Engl J Med. 2010;363:2211-9.

  3. Alfonzo JP. Obesidad Epidemia del Siglo XXI. La Habana: Ed. Ciencia y Técnica; 2008.

  4. Gortmaker SL, Swinburn BA, Levy D, Carter R, Mabry OL, Finegood DT, et al. Changing the future of obesity: science, policy, and action. Lancet. 2011;378:838-47.

  5. Whiting DR, Guariguata L, Weil C, Shaw J. IDF Diabetes Atlas: global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Res Clin Pract. 2011;94:311-21.

  6. Dixon JB, Lambert GW. The obesity paradox e A reality that requires explanation and clinical interpretation. Faltan los datos de la publication. [citado Poner fecha] Disponible en: http://dx.doi.org/10.1016/j.atherosclerosis.2012.11.005

  7. Doehner W, Erdmann E, Cairns R, Clark AL, Dormanly JA, Ferrannini E, et al. Inverse relation of body weight and weight change with mortality and morbidity in patients with type 2 diabetes and cardiovascular co-morbidity: an analysis of the PROactive study population. Int J Cardiol. 2011;162(1):20-6.

  8. Oreopoulos A, Padwal R, Kalantar-Zadeh K, Fonarow GC, Norris CM, McAlister FA. Body mass index and mortality in heart failure: a meta-analysis. Am Heart J. 2008;156:13-22.

  9. 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.

  10. Galal W, van Gestel YR, Hoeks SE, Hoeks SE, Sin DP, Wisskel TD, et al. The obesity paradox in patients with peripheral arterial disease. Chest. 2008;134:925- 30. ¿Está correcto así?

  11. Tseng CH. Obesity paradox: differential effects on cancer and noncancer mortality in patients with type 2 diabetes mellitus. Atherosclerosis. 2013;226(1):184-90.

  12. Obesidad y sobrepeso. Nota descriptiva de la OMS No. 311. 2012. [citado Poner fecha] Disponible en: http://www.who.int/mediacentre/factsheets/fs311/es/

  13. Mozaffarian D, Benjamin Ej, Go As, Anett DK, Blake Mj, Cushman M, et al. Heart disease and stroke-2015 update. A report from the American Heart Association. Circulation. 2015;131:e29-e322.

  14. República de Cuba. Dirección de Registros. Anuario Estadístico de Salud 2014. La Habana: Ministerio de Salud Pública; 2015.

  15. Aranceta Bartriana J. Prevalence of obesity in developed countries: current status and perspectives. Nutr Hosp. (2002);17(suppl 1):34-41.

  16. Dewnowsk A, Specter SE. Poverty and obesity: The role of energy, density and daily cost. Am J Nutr. (2004):79:6-18.

  17. Levenson JW, Sherrett AD, Gaziano JM. Reducing the flobal burden of cardiovascular desease: the role of risk factors. P Rev Cardiol. 2002;5:188-99.

  18. González Sánchez R, Llapur Milián R, Rubio Olivares D. Caracterización de la obesidad en adolescentes. Rev Cubana Pediatr. abr.-jun. 2002 [citado 13 Jul 2002];81(2). Disponible en: http://scieloprueba.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 75312009000200003&lng=es&nrm=iso

  19. Llapur R, González R. Obesidad en niños y adolescentes. Un problema epidémico. En: Alfonso J. Obesidad. Epidemia del siglo XXI. La Habana: Ed. Científico Técnica; 2008. p.272.

  20. Estudio Nacional de Crecimiento y Desarrollo, La Habana, 1972, 1991 y Sitios Centinelas de Vigilancia Alimentaria y Nutrición del INHA, 2002. La Habana: Instituto de Nutrición e Higiene de los Alimentos de Cuba; 2004.

  21. Díaz ME, Jiménez S, García RQ, Bonet M, Wong I. Overweight, Obesity, Central Adiposity and Associated Chronic Diseases in Cuban Adults. MEDICC Review. 2009;11(4):22-7.

  22. Jiménez Acosta J, Rodríguez Suárez A, Plasencia Concepción D. Temas de Nutrición. La Habana: Ed. Ciencias Médica; 2012.

  23. Herrera R, Almaguer M, Chipi J. Estudio epidemiológico en la comunidad para la enfermedad renal crónica, hipertensión arterial y diabetes mellitus en la Isla de la Juventud. Medicc. 2005;9(1):23-30.

  24. Oreopoulos A, Kalantar-Zadeh K, Sharma AM, Fonarow GC. The obesity paradox in the elderly: potential mechanisms and clinical implications. Clin Geriatr Med. 2009;25:643-59.

  25. Carnethon MR, De Chavez PJ, Biggs ML, Biggs ML, Lewis CE, Pankow JS, et al. Association of weight status with mortality in adults with incident diabetes. J Am Med Assoc. 2012;308:581-90.

  26. Flegal KM, GHraubard BL, Williamsom DF, Gail MH. Cause-specific escess death associalted with underweight, over weight and obesity. JAMA. 2007;Nov 7(17):2028-37.

  27. NIH. Weight loss does not lower heart disease risk from type 2 diabetes. NIH. 2012.

  28. Wing RR. Long-term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with type 2 diabetes mellitus: four-year results of the Look AHEAD trial. Arch Intern Med. 2010;170:1566-1575.

  29. Comisión Nacional Técnica Asesora del Programa de Hipertensión Arterial. Hipertensión arterial. Guía para la prevención, diagnóstico y tratamiento. La Habana: Ed. Ciencias Médicas; 2008.

  30. República de Cuba. Oficina Nacional de Estadísticas. Cuaderno de Estudios Poblacionales y Desarrollo 2010. Envejecimiento, Políticas Públicas y Desarrollo en América Latina. Retos presentes, necesidades futuras. (Serie en Internet) 2010 [citado 10 feb 19]. Disponible en: http://www.one.cu.

  31. República de Cuba. Oficina nacional de Estadísticas. Proyecciones de la población cubana 2010-2030. La Habana: ONE; 2010 [citado 15 feb 2112]. Disponible en: http://www.one.cu/proyecciones%20de%20la%20población%202010%202030.htm




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