Impacto del Programa de manejo de la obesidad Bright Bodies aplicado a niños y adolescentes chilenos

Bustos, Pablo; Orias, Jorge; Sáez, Katia; Maldonado, Marcela; Cuadra, Liliana; Asenjo, Sylvia

doi:10.4067/s0034-98872015000900006

Cited by 7 publications

(3 citation statements)

References 18 publications

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“…Eyzaguirre et al found a prevalence of 22.7% in the study of obese Chilean children, similar to that observed in our results [12]. Bustos et al observed a proportion of 44% in another population with similar characteristics [13]. As demonstrated by our results, the literature has shown that overweight and obesity are the most important characteristics that contribute to the increase in the presence of MetS in children [30].…”

Section: Discussionsupporting

confidence: 91%

“…The latest national health survey revealed that the prevalence of MetS is around 40.1% in the adult population [11]. Several studies show oscillations between 20% and 40% in the child population, depending on the selected diagnostic criteria, regions where the study was carried out, and overweight and obesity prevalence in those areas [12,13].…”

Section: Introductionmentioning

confidence: 99%

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An Approach to Early Detection of Metabolic Syndrome through Non-Invasive Methods in Obese Children

et al. 2020

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Background: Metabolic Syndrome (MetS) has a high prevalence in children, and its presence increases in those with a high BMI. This fact confirms the need for early detection to avoid the development of other comorbidities. Non-invasive variables are presented as a cost-effective and easy to apply alternative in any clinical setting. Aim: To propose a non-invasive method for the early diagnosis of MetS in overweight and obese Chilean children. Methods: We conducted a cross-sectional study on 221 children aged 6 to 11 years. We carried out multivariate logistic regressions, receiver operating characteristic curves, and discriminant analysis to determine the predictive capacity of non-invasive variables. The proposed new method for early detection of MetS is based on clinical decision trees. Results: The prevalence of MetS was 26.7%. The area under the curve for the BMI and waist circumference was 0.827 and 0.808, respectively. Two decision trees were calculated: the first included blood pressure (≥104.5/69 mmHg), BMI (≥23.5 Kg/m2) and WHtR (≥0.55); the second used BMI (≥23.5 Kg/m2) and WHtR (≥0.55), with validity index of 74.7% and 80.5%, respectively. Conclusions: Early detection of MetS is possible through non-invasive methods in overweight and obese children. Two models (Clinical decision trees) based on anthropometric (non-invasive) variables with acceptable validity indexes have been presented. Clinical decision trees can be applied in different clinical and non-clinical settings, adapting to the tools available, being an economical and easy to measurement option. These methods reduce the use of blood tests to those patients who require confirmation.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

An Approach to Early Detection of Metabolic Syndrome through Non-Invasive Methods in Obese Children

et al. 2020

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“…Los datos reportados son el resultado del análisis de 23 artículos que cumplieron con los criterios de inclusión, y que corresponden a 12 países de América: Argentina [15][16][17][18] , Brasil 19 , Canadá [20][21] , Chile [22][23][24] , Colombia [25][26][27] , Ecuador 28 , Estados Unidos de América (EUA) 29 , Guatemala 30 , México [31][32][33][34] , Paraguay 35 , Perú 36 y Venezuela 37 . Del total de estudios analizados, solamente 21 trabajos mostraron prevalencias generales de obesidad abdominal, 18 de ellos tuvieron prevalencias de hiperglucemia, otros 18 indicaron las prevalencias de hipertrigliceridemia, 19 las prevalencias de hipoalfalipoproteinemia (HDL-C bajo), 20 más midieron prevalencias de hipertensión arterial, y 18 analizaron prevalencias del SM.…”

Section: Resultsunclassified

Prevalencia De Síndrome Metabólico en Niños Y Adolescentes De América

Pierlot

Cuevas-Romero

Rodríguez-Antolín

et al. 2017

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Nota: Artículo recibido el 09 de abril de 2016 y aceptado el 25 de octubre de 2016. ARTÍCULO DE REVISIÓN reSumen Objetivo: Analizar la prevalencia del Síndrome Metabólico (SM) y sus componentes en niños y adolescentes del continente Americano. Método: La recopilación de la información se tomó de artículos científicos de los años 2008 al 2016 que aparecen en las bases de datos PubMed, Europe PMC y SciELO. Se incluyeron estudios que muestran datos cuantitativos de los componentes del SM en niños y/o adolescentes entre 4 y 19 años de edad. Resultados: Se analizaron 23 estudios realizados en 12 países del continente americano, de los cuales sólo 3 consideraron el factor edad. Los componentes del SM más prevalentes fueron la obesidad y las dislipidemias. Mientras que los menos prevalentes fueron hiperglicemia e hipertensión. La hipoαlipoproteinemia, la hipertensión y el SM fueron más frecuentes en hombres que en mujeres. Pocos estudios analizaron factores de riesgo para el SM. Conclusión: La presencia del SM y sus componentes en niños y adolescentes americanos es variable. La variabilidad es también observada en países de otros continentes. Esta revisión evidencia la necesidad de definir los criterios de diagnóstico del SM en niños y jóvenes, y la urgencia de diseñar estrategias de prevención de las alteraciones metabólicas en edades tempranas, involucrando la participación de la familia, la sociedad y las instituciones públicas.

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What Change in Body Mass Index Is Required to Improve Cardiovascular Outcomes in Childhood and Adolescent Obesity through Lifestyle Interventions: A Meta-Regression

et al. 2020

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Background: Using meta-regression, this article aims at establishing the minimum change in BMI-standard deviation score (SDS) needed to improve lipid profiles and blood pressure in children and adolescents with obesity, to aid future trials and guidelines. Methods: Studies with participants involved in lifestyle interventions, aged 4-19 years, with a diagnosis of obesity according to defined BMI thresholds, were considered for inclusion in a large systematic review. Interventions had to report pre-and postintervention (or mean change in) BMI-SDS, plus either systolic blood pressure (SBP), high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol, and/or triglycerides (TGs). Random-effects meta-regression quantified the relationship between mean change in BMI-SDS and mean change in cardiovascular outcomes. Results: Seventy-one papers reported various cardiovascular measurements and mean change in BMI-SDS. Fifty-four, 59, 46, and 54 studies were analyzed, reporting a change in SBP, HDL, LDL, and TG, respectively. Reduction in mean BMI-SDS was significantly related to improvements in SBP, LDL, TG, and HDL (p < 0.05); BMI-SDS reductions of 1, 1.2, and 0.7 ensured a mean reduction of SBP, LDL, and TG, respectively, although an equivalent value for HDL improvement was indeterminate. Conclusion: Reductions in mean BMI-SDS of >1, >1.2, or >0.7 are likely to reduce SBP, LDL, and TG, respectively. Further studies are needed to clarify the optimal duration, intensity, and setting for interventions. Consistency is required regarding derived BMI values to facilitate future systematic reviews and meta-analyses.

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Impacto del Programa de manejo de la obesidad Bright Bodies aplicado a niños y adolescentes chilenos

Abstract: Effects of the Bright Bodies Program inChilean obese children (Rev Med Chile 2015; 143: 1136-1143

Cited by 7 publications

References 18 publications

An Approach to Early Detection of Metabolic Syndrome through Non-Invasive Methods in Obese Children

An Approach to Early Detection of Metabolic Syndrome through Non-Invasive Methods in Obese Children

Prevalencia De Síndrome Metabólico en Niños Y Adolescentes De América

What Change in Body Mass Index Is Required to Improve Cardiovascular Outcomes in Childhood and Adolescent Obesity through Lifestyle Interventions: A Meta-Regression

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