RESUMEN
Introducción. La obesidad es una enfermedad crónica que afecta aproximadamente al 25% de la población española, ocasionando una elevada morbimortalidad y costes sanitarios asociados. Objetivo. Evaluar la efectividad de un programa de intervención sobre los estilos de vida en pacientes obesos atendidos en régimen de hospital de día (HD). Métodos. Estudio de intervención prospectivo no controlado realizado en pacientes obesos atendidos en el HD de Endocrinología y Nutrición del Hospital Puerto Real, e incluidos en un programa de modificación de estilos de vida hasta alcanzar una pérdida de peso mínima >= 5%. Resultados. Se estudiaron 262 pacientes de 44,6 ± 16,0 años (71% mujeres) con un peso, índice de masa corporal y perímetro de cintura inicial de 110,4 ± 21,1 kg, 41,6 ± 6,6 kg/m2 y 120,5 ± 13,2 cm, respectivamente. Los pacientes que continuaron el seguimiento perdieron una media de 4,8 ± 4,8 kg (n = 165) y 7,0 ± 6,2 kg (n = 48) a los 3 y 6 meses respectivamente, alcanzando el objetivo de pérdida de peso >= 5% el 51,5% de los pacientes (n = 135). No se observaron diferencias significativas en la pérdida de peso en ninguna de las variables clínicas o de modalidad de seguimiento analizadas. El 43,5% de los pacientes abandonó voluntariamente el seguimiento sin cumplir el objetivo propuesto. Conclusión. La intervención sobre los estilos de vida en pacientes obesos atendidos en HD permite lograr pérdidas moderadas de peso a medio plazo, alcanzando una pérdida de peso >= 5% aproximadamente la mitad de los pacientes (AU)
Introduction: Obesity is a chronic disease that affects approximately 25% of the Spanish population, causing high morbidity and associated healthcare costs. Objective: To evaluate the effectiveness of an intervention program on lifestyles in obese patients treated in a day hospital scheme. Methods: A prospective non- controlled intervention study was conducted on obese patients treated in the Endocrinology and Nutrition day hospital, Puerto Real University Hospital, and included in program of lifestyle modification to achieve a weight loss of >= 5% minimum. Results: We studied 262 patients with a mean age of 44.6 ± 16.0 years (71% women) with an initial weight, body mass index and waist circumference of 110.4 ± 21.1 kg, 41.6 ± 6.6 Kg/m2 and 120.5 ± 13.2 cm, respectively. Patients who continued in the study lost an average of 4.8 ± 4.8 kg (n = 165) and 7.0 ± 6.2 kg (n = 48) at three and six months, respectively, with 51.5% (n = 135) patients reaching the weight loss goal of >= 5%. There were no statistically differences in weight loss between any clinical or follow-up variables analysed. 43.5% of patients voluntarily left the study without reaching the weight loss goal. Conclusion: The intervention on lifestyles in obese patients treated in a day hospital achieves moderate weight loss in the medium term, with half of patients achieving a weight loss >= 5% (AU)
Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Centros de Día , Estilo de Vida , Obesidad/epidemiología , Obesidad/prevención & control , Índice de Masa Corporal , Ensayo Clínico , Calidad de Vida , Pérdida de Peso , Pérdida de Peso/fisiología , Telemedicina/instrumentación , Telemedicina/tendencias , Indicadores de Morbimortalidad , Estudios Prospectivos , Cirugía Bariátrica/métodos , Cirugía Bariátrica/tendencias , Medicina Bariátrica/métodosRESUMEN
INTRODUCTION: Obesity is a chronic disease that affects approximately 25% of the Spanish population, causing high morbidity and associated healthcare costs. OBJECTIVE: To evaluate the effectiveness of an intervention program on lifestyles in obese patients treated in a day hospital scheme. METHODS: A prospective non- controlled intervention study was conducted on obese patients treated in the Endocrinology and Nutrition day hospital, Puerto Real University Hospital, and included in program of lifestyle modification to achieve a weight loss of ≥ 5% minimum. RESULTS: We studied 262 patients with a mean age of 44.6±16.0 years (71% women) with an initial weight, body mass index and waist circumference of 110.4±21.1kg, 41.6±6.6Kg/m(2) and 120.5±13.2cm, respectively. Patients who continued in the study lost an average of 4.8±4.8kg (n=165) and 7.0±6.2kg (n=48) at three and six months, respectively, with 51.5% (n=135) patients reaching the weight loss goal of ≥ 5%. There were no statistically differences in weight loss between any clinical or follow-up variables analysed. 43.5% of patients voluntarily left the study without reaching the weight loss goal. CONCLUSION: The intervention on lifestyles in obese patients treated in a day hospital achieves moderate weight loss in the medium term, with half of patients achieving a weight loss ≥5%.
