Fernando Sarmiento Quintero, Adolfo J Ariza, Fabiola Barboza García, Nelly Canal de Molano, Mayra Castro Benavides, Sylvia Cruchet Muñoz, Laura Delgado Carbajal, María Rita Dewaele Olivera, Adriana Fernández, Solange Heller, Liliana Ladino Meléndez, Sonia Miriam Martínez, Rosa Mayor Oxilia, Milton Mejía Castro, Carlos Montero Brens, Marta Cristina Sanabria, María Consuelo Tarazona Cote, José Fernando Vera Chamorro
{"title":"[超重和肥胖:回顾和更新]。","authors":"Fernando Sarmiento Quintero, Adolfo J Ariza, Fabiola Barboza García, Nelly Canal de Molano, Mayra Castro Benavides, Sylvia Cruchet Muñoz, Laura Delgado Carbajal, María Rita Dewaele Olivera, Adriana Fernández, Solange Heller, Liliana Ladino Meléndez, Sonia Miriam Martínez, Rosa Mayor Oxilia, Milton Mejía Castro, Carlos Montero Brens, Marta Cristina Sanabria, María Consuelo Tarazona Cote, José Fernando Vera Chamorro","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Obesity is an epidemic with important health repercussions\nin addition to high treatment-related costs. Between 2006\nand 2007 the WHO developed new assessment tools, which\naren't being globally used. In fact, there is no unified problem\nmanagement across the hemisphere.</p><p><strong>Objectives: </strong>To update\nobesity epidemiology, to promote application of WHO’s\nstandards, to review new findings on physiopathology (i.e.,\nfatty tissue as endocrine organ, intestinal microbiota), to\nupdate epidemiological information, and to provide management\nguidelines that can be integrated in clinical care.</p><p><strong>Methods: </strong>LAPSGHAN called up its members to collaborate\nin preparing this review article under the direction of\nan editor/coordinator, who selected the contents and literature\nwith the best evidencetogether with the members. Each\nmember prepared a separate document for each content. The\nchosen contents were later collated, unified, and edited. Results.\nThis documents highlights the following: 1) Although\nextreme obesity is increasing in the US, overweight and obesity\nprevalence has stabilized, while in other countries it is\nalarmingly increasing; 2) New information regarding role of\nfatty tissue as endocrine organ and self-regulator of obesity;\n3) The promising role of microbiota; and 4) Guidelines for\nchildren handling during consultation and follow-up.</p><p><strong>Conclusions: </strong>There is no widespread implementation of standards\nand guidelines from the World Health Organization\n(WHO). There is no agreement as to whether z-scores or percentiles\nshould be used, especially regarding children under 2\ndue to their changing body complexion. The most accepted\ntool to assess overweight, obesity and severe obesity is the Body\nMass Index (BMI). This document provides recommendations\non how to approach clinical care with affected children.</p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"46 2","pages":"131-59"},"PeriodicalIF":0.0000,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Overweight and obesity: review and update].\",\"authors\":\"Fernando Sarmiento Quintero, Adolfo J Ariza, Fabiola Barboza García, Nelly Canal de Molano, Mayra Castro Benavides, Sylvia Cruchet Muñoz, Laura Delgado Carbajal, María Rita Dewaele Olivera, Adriana Fernández, Solange Heller, Liliana Ladino Meléndez, Sonia Miriam Martínez, Rosa Mayor Oxilia, Milton Mejía Castro, Carlos Montero Brens, Marta Cristina Sanabria, María Consuelo Tarazona Cote, José Fernando Vera Chamorro\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Obesity is an epidemic with important health repercussions\\nin addition to high treatment-related costs. Between 2006\\nand 2007 the WHO developed new assessment tools, which\\naren't being globally used. In fact, there is no unified problem\\nmanagement across the hemisphere.</p><p><strong>Objectives: </strong>To update\\nobesity epidemiology, to promote application of WHO’s\\nstandards, to review new findings on physiopathology (i.e.,\\nfatty tissue as endocrine organ, intestinal microbiota), to\\nupdate epidemiological information, and to provide management\\nguidelines that can be integrated in clinical care.</p><p><strong>Methods: </strong>LAPSGHAN called up its members to collaborate\\nin preparing this review article under the direction of\\nan editor/coordinator, who selected the contents and literature\\nwith the best evidencetogether with the members. Each\\nmember prepared a separate document for each content. The\\nchosen contents were later collated, unified, and edited. Results.\\nThis documents highlights the following: 1) Although\\nextreme obesity is increasing in the US, overweight and obesity\\nprevalence has stabilized, while in other countries it is\\nalarmingly increasing; 2) New information regarding role of\\nfatty tissue as endocrine organ and self-regulator of obesity;\\n3) The promising role of microbiota; and 4) Guidelines for\\nchildren handling during consultation and follow-up.</p><p><strong>Conclusions: </strong>There is no widespread implementation of standards\\nand guidelines from the World Health Organization\\n(WHO). There is no agreement as to whether z-scores or percentiles\\nshould be used, especially regarding children under 2\\ndue to their changing body complexion. The most accepted\\ntool to assess overweight, obesity and severe obesity is the Body\\nMass Index (BMI). This document provides recommendations\\non how to approach clinical care with affected children.</p>\",\"PeriodicalId\":35700,\"journal\":{\"name\":\"Acta Gastroenterologica Latinoamericana\",\"volume\":\"46 2\",\"pages\":\"131-59\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta Gastroenterologica Latinoamericana\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Gastroenterologica Latinoamericana","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Obesity is an epidemic with important health repercussions
in addition to high treatment-related costs. Between 2006
and 2007 the WHO developed new assessment tools, which
aren't being globally used. In fact, there is no unified problem
management across the hemisphere.
Objectives: To update
obesity epidemiology, to promote application of WHO’s
standards, to review new findings on physiopathology (i.e.,
fatty tissue as endocrine organ, intestinal microbiota), to
update epidemiological information, and to provide management
guidelines that can be integrated in clinical care.
Methods: LAPSGHAN called up its members to collaborate
in preparing this review article under the direction of
an editor/coordinator, who selected the contents and literature
with the best evidencetogether with the members. Each
member prepared a separate document for each content. The
chosen contents were later collated, unified, and edited. Results.
This documents highlights the following: 1) Although
extreme obesity is increasing in the US, overweight and obesity
prevalence has stabilized, while in other countries it is
alarmingly increasing; 2) New information regarding role of
fatty tissue as endocrine organ and self-regulator of obesity;
3) The promising role of microbiota; and 4) Guidelines for
children handling during consultation and follow-up.
Conclusions: There is no widespread implementation of standards
and guidelines from the World Health Organization
(WHO). There is no agreement as to whether z-scores or percentiles
should be used, especially regarding children under 2
due to their changing body complexion. The most accepted
tool to assess overweight, obesity and severe obesity is the Body
Mass Index (BMI). This document provides recommendations
on how to approach clinical care with affected children.
期刊介绍:
Está dedicada a la investigación clínica y básica sobre todos los aspectos del aparato digestivo, incluídos el hígado, el páncreas y la nutrición, en seres humanos adultos y niños, animales de experimentación o sistemas celulares.