Exceso de peso en España: situación actual, proyecciones para 2030 y sobrecoste directo estimado para el Sistema Nacional de Salud

Hernáez, Álvaro; Zomeño, María Dolores; Dégano, Irene R.; Pérez, Sonia González; Goday, Alberto; Vila, Joan; Civeira, Fernando; Moure, Ricardo; Marrugat, Jaume

doi:10.1016/j.recesp.2018.07.009

Cited by 57 publications

(22 citation statements)

References 49 publications

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“…In Spain, data indicate that the average population weight has increased since records exist and, if this trend continues [20], obesity rates will have increased by 16% by 2030 [21]. Despite this, we do not currently have studies that relate these data to obstetric and perinatal results.…”

Section: Introductionmentioning

confidence: 99%

Relationship between Maternal Body Mass Index and Obstetric and Perinatal Complications

Ballesta‐Castillejos

Gómez‐Salgado

Rodríguez‐Almagro

et al. 2020

JCM

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Over the past few decades, overweight and obesity have become a growing health problem of particular concern for women of reproductive age as obesity in pregnancy has been associated with increased risk of obstetric and neonatal complications. The objective of this study is to describe the incidence of obstetric and perinatal complications in relation to maternal body mass index (BMI) at the time prior to delivery within the Spanish Health System. For this purpose, a cross-sectional observational study was conducted aimed at women who have been mothers between 2013 and 2018 in Spain. Data were collected through an online survey of 42 items that was distributed through lactation associations and postpartum support groups. A total of 5871 women answered the survey, with a mean age of 33.9 years (SD = 4.26 years). In the data analysis, crude odds ratios (OR) and adjusted odds ratios (AOR) were calculated through a multivariate analysis. A linear relationship was observed between the highest BMI figures and the highest risk of cephalopelvic disproportion (AOR of 1.79 for obesity type III (95% CI: 1.06–3.02)), preeclampsia (AOR of 6.86 for obesity type III (3.01–15.40)), labor induction (AOR of 1.78 for obesity type III (95% CI: 1.16–2.74)), emergency C-section (AOR of 2.92 for obesity type III (95% CI: 1.68–5.08)), morbidity composite in childbirth (AOR of 3.64 for obesity type III (95% CI: 2.13–6.24)), and macrosomia (AOR of 6.06 for obesity type III (95% CI: 3.17–11.60)), as compared with women with normoweight. Women with a higher BMI are more likely to develop complications during childbirth and macrosomia.

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Section: Introductionmentioning

confidence: 99%

Relationship between Maternal Body Mass Index and Obstetric and Perinatal Complications

Ballesta‐Castillejos

Gómez‐Salgado

Rodríguez‐Almagro

et al. 2020

JCM

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“…In Spain, these percentages have increased notably in recent years. In 2014, women with obesity or overweight reached 45%, according to self-reported information [ 2 ], and it has been estimated that, if the current trend continues, 55% of women will be overweight by 2030 [ 3 ]. This situation may be even worse, since self-reported data substantially underestimate the actual body mass index (BMI) [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Serum Phospholipid Fatty Acids Levels, Anthropometric Variables and Adiposity in Spanish Premenopausal Women

et al. 2020

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This study investigates the still uncertain association between serum phospholipid fatty acids (PL-FA), and anthropometric and adiposity variables. A cross-sectional study was conducted with 1443 Spanish premenopausal women. Participants answered an epidemiological and a food frequency questionnaire. Anthropometric variables were measured using a bioimpedance scale. Serum PL-FAs levels were determined by gas chromatography–mass spectrometry. The association between body mass index (BMI), weight gain, body fat percentage, visceral fat index, and waist circumference with serum PL-FAs and desaturation indices was evaluated using multivariable linear regression models. BMI was positively associated with the relative concentration of saturated fatty acids (SFAs) (β = 0.94, q-val = 0.001), and with palmitoleic, dihomo-γ-linolenic (DGLA), arachidonic (AA) and α-linolenic acids, and was inversely associated with oleic, gondoic, trans-vaccenic, linoleic and γ-linolenic acids. Total fat percentage was positively associated with DGLA and AA, and inversely with linoleic and γ-linolenic acids. Low relative concentrations of some SFAs and high levels of n-6 PUFAs were associated with greater waist circumference. While the oleic/stearic and AA/DGLA acid ratios were inversely associated with BMI, DGLA/linoleic acid ratio was positively related to almost all variables. In addition to BMI, total fat percentage and waist circumference were also associated with certain individual fatty acids.

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“…Most literature based on adults being carried out in the USA, UK, or China, in which the MetS are increasing, and the direct and indirect cost is imperative to determine the cost-efficiency of new programs, and prevention methods [4,22]. Nonetheless, no data was found regarding the cost of the MetS in pediatric age, whether the direct or indirect cost [27]. Nevertheless, the lack of information may be limited by the strategy used since this research was not a systematic review, so, therefore, as far as the author's knowledge, there is limited data about the economic burden.…”

Section: Discussionmentioning

confidence: 99%

“…This economic loss could be higher if the cost of climate change, especially the stress in the agriculture industry, is added to the economic burden resulted from the health effects. Furthermore, the current health programs have not included viable and sustainable to prevent or rapidly detect obesity and especially the Metabolic Syndrome (MetS) in children [1,27]. This problem is based on that there is no consensus on a MetS definition for children and adolescents.…”

Section: Introductionmentioning

confidence: 99%

A Sustainable Approach to the Metabolic Syndrome in Children and Its Economic Burden

Álvarez

Aparicio-Martínez

Pozo

et al. 2020

IJERPH

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The prevalence of obesity continues to grow, resulting in metabolic syndrome and increasing economic burden for health systems. The objectives were to measure the ability of the NIM-MetS test, previously used in the adults, for the early and sustainable detection of the Metabolic Syndrome (MetS) in children and adolescents. Moreover, to determine the economic burden of the children with MetS. Furthermore, finally, to use and implement the NIM-MetS test, via a self-created online software, as a new method to determine the risk of MetS in children. The method used was an observational study using different instruments (NIM-MetS test, International Diabetes Federation (IDF), or Cook) and measures (body mass index). Additionally, the economic burden was estimated via a research strategy in different databases, e.g., PubMed, to identify previous papers. The results (N = 265 children, age from 10–12) showed that 23.1% had obesity and 7.2% hypertension. The prevalence of MetS using the NIM-Mets was 5.7, and the cost of these children was approximate 618,253,99 euros. Finally, a model was obtained and later implemented in a web platform via simulation. The NIM-MetS obtained is a non-invasive method for the diagnosis of risk of MetS in children.

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Exceso de peso en España: situación actual, proyecciones para 2030 y sobrecoste directo estimado para el Sistema Nacional de Salud

Cited by 57 publications

References 49 publications

Relationship between Maternal Body Mass Index and Obstetric and Perinatal Complications

Relationship between Maternal Body Mass Index and Obstetric and Perinatal Complications

Serum Phospholipid Fatty Acids Levels, Anthropometric Variables and Adiposity in Spanish Premenopausal Women

A Sustainable Approach to the Metabolic Syndrome in Children and Its Economic Burden

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