ABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Adolescent , Weight Gain/physiology , Obesity/epidemiology , Body Composition/physiology , Anthropometry/methods , Body Weights and Measures/methods , Overweight/diagnosis , Overweight/epidemiology , Overweight/therapy , Body Mass Index , Absorptiometry, Photon/methods , Weight by Height/physiology , Spain/epidemiology , Body Composition , Body Weights and Measures/trends , European Union/statistics & numerical data , Overweight/physiopathology , Absorptiometry, Photon/trends , /methodsSubject(s)
Humans , Male , Female , Adolescent , Overweight/diagnosis , Overweight/etiology , Obesity/etiology , Body Weight/physiology , Obesity/genetics , Obesity, Morbid/epidemiology , Obesity, Morbid/genetics , Life Style , Longitudinal Studies , Risk Factors , Leptin/deficiency , Leptin/genetics , Fruit/physiology , Receptors, Leptin/biosynthesis , Pro-Opiomelanocortin/deficiency , Pro-Opiomelanocortin/genetics , Healthy Lifestyle , Micronutrients/therapeutic use , Nutrients , VegetablesABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Adolescent , Comorbidity , Body Weight , Body Weight/physiology , Risk Factors , Quality of Life , Diagnosis, Differential , Cardiovascular Diseases/epidemiology , Cardiovascular Diseases/prevention & control , Apnea/complications , Apnea/etiology , Epiphyses, Slipped/epidemiology , Metabolic Syndrome/complications , Metabolic Syndrome/etiologySubject(s)
Humans , Male , Female , Adolescent , Overweight/complications , Overweight/diagnosis , Overweight/psychology , Family/psychology , Comorbidity , Micronutrients/therapeutic use , Exercise/physiology , Metformin/therapeutic use , Nutrients , Weight Loss , Risk Factors , Cardiovascular Diseases/complications , Cardiovascular Diseases/metabolism , Endocrine Surgical ProceduresABSTRACT
La obesidad es una enfermedad crónica multifactorial de gran trascendencia sociosanitaria y económica y constituye un problema de salud pública. Causa o empeora un gran número de problemas relacionados con la salud: diabetes, enfermedad coronaria, hipertensión y determinados tumores. Se asocia con mayor riesgo de mortalidad cardiovascular, mayor prevalencia de alteraciones psicopatológicas, incremento del coste sanitario y disminución de la esperanza de vida. Actualmente en España, la prevalencia de exceso de peso afecta aproximadamente al 50% de la población. La Sociedad Española de Endocrinología y Nutrición (SEEN) ha elaborado una Guía de Práctica Clínica sobre el diagnóstico, la evaluación y el tratamiento del sobrepeso y de la obesidad en adultos estructurada en dos partes: 1) Definición y clasificación, epidemiología, etiopatogenia, complicaciones, beneficios de la reducción ponderal y evaluación del enfermo con sobrepeso u obesidad; 2) identificación de enfermos con riesgo de obesidad subsidiarios de tratamiento, objetivos de tratamiento y estrategias terapéuticas disponibles para conseguirlos, indicándose además, el grado de recomendación basado en la evidencia científica sobre cada uno de estos aspectos. Aun siendo la obesidad una enfermedad que debiera implicar no sólo a personal sanitario, sino también a autoridades políticas, agentes sociales, educadores e industria alimentaria entre otros, la SEEN ha querido desarrollar esta guía dados los evidentes aspectos endocrinológicos y metabólicos de este trastorno. Esta guía establece recomendaciones basadas en la evidencia científica para ayudar a tomar decisiones sobre el diagnóstico, la evaluación y el tratamiento del exceso ponderal en adultos y posibilitar una atención más homogénea y de calidad (AU)
Obesity is a chronic, multifactor disease with sizeable socio sanitary and economic consequences and is an issue in public health, mostly in developing countries. It causes or exacerbates a large number of health problems: diabetes, coronary heart disease, hypertension, and the incidence of certain cancers. It has been linked to a greater risk of cardiovascular mortality, a higher prevalence of psychopathology disorders and social maladjustment with a higher health care cost and shorter life-expectancy. In Spain, nowadays, the prevalence of overweight and obesity is nearly 50% of population. SEEN has developed a Clinical Practice Guide on diagnosis, evaluation and treatment of overweight and obesity in adult people with two sections: 1) Definition and classification of adult obesity, its epidemiology, etiopathogeny, complications, benefits of weight reduction and clinical evaluation of patients with overweight or obesity, and 2) Identification of patients with obesity risk subsidiary to weight reduction treatment, therapy goals and therapeutical strategies available to achieve them indicating as well the degree of recommendation based upon scientific evidence on each aspect. Although obesity is a disease which is supposed to involve not only medical but also political authorities, social agents, educators and food industry among others, SEEN decided to develop this Guide taking into account the evident endocrinological and metabolical aspects of this disorder. The Guide contains scientific evidencebased recommendations intended to help doctors making decisions on diagnose, evaluations and treatment of adult overweight so that a more homogeneous attendance with settled quality can be achieved (AU)
