[超重和肥胖:回顾和更新]。

Q4 Medicine
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
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引用次数: 0

摘要

肥胖是一种流行病,除了高昂的治疗费用外,还会对健康产生重要影响。2006年至2007年间,世卫组织开发了新的评估工具,但没有在全球范围内使用。事实上,整个西半球没有统一的问题管理。目的:更新肥胖流行病学,促进世界卫生组织标准的应用,审查生理病理学(即脂肪组织作为内分泌器官,肠道微生物群)的新发现,更新流行病学信息,并提供可纳入临床护理的管理指南。方法:在编辑/协调员的指导下,LAPSGHAN召集其成员合作准备这篇综述文章,编辑/协调员与成员一起选择证据最充分的内容和文献。每个成员为每个内容准备了一个单独的文件。所选内容后来被整理、统一和编辑。结果。该文件强调了以下几点:1)尽管美国的极度肥胖正在增加,但超重和肥胖的患病率已经稳定下来,而在其他国家,这一比例正在惊人地增加;2)脂肪组织作为内分泌器官和肥胖自我调节的新信息;3)微生物群的潜在作用;4)咨询和随访期间儿童处理指南。结论:没有广泛实施世界卫生组织(WHO)的标准和指南。关于是否应该使用z分数或百分位数,特别是对于2岁以下的儿童,由于他们的身体肤色变化,没有达成一致意见。评估超重、肥胖和严重肥胖最被接受的工具是身体质量指数(BMI)。本文件提供了如何对患病儿童进行临床护理的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Overweight and obesity: review and update].

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.

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来源期刊
Acta Gastroenterologica Latinoamericana
Acta Gastroenterologica Latinoamericana Medicine-Gastroenterology
CiteScore
0.20
自引率
0.00%
发文量
47
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.
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