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      Modificación del estado nutricional de cuidadores de niños y adolescentes con obesidad en tratamiento dietético Translated title: Change in nutritional status in caregivers of children and teenagers with obesity during dietary treatment

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          Abstract

          Esta investigación tuvo como objetivo evaluar el cambio del estado nutricional de los cuidadores de niños y adolescentes con obesidad, ocurrido después del tratamiento dietético al que fueron sometidos dichos pacientes en el Centro de Atención Nutricional Infantil Antímano (CANIA) durante el período 2005-2011. Se recolectaron los datos antropométricos de 145 niños y adolescentes con obesidad (edades: 2 a 16 años) y de sus cuidadores, construyendo los indicadores: índice de masa corporal (IMC) en adultos y peso relativo en niños y adolescentes. Al inicio del tratamiento, 39,3 % de los cuidadores se categorizaron como sobrepeso y 44,2 % como obesidad; mientras que en el último control registrado, 40,0 % presentaban sobrepeso y 41,4 % obesidad. El test McNemar-Bowker, que valoró la modificación cualitativa del estado nutricional en adultos, arrojó un p-valor = 0,363, mientras que la t-Student para IMC promedio, fue de 0,002, ambos a un nivel de significación α = 0,05. Al inicio del tratamiento, la mayoría de los niños y adolescentes se encontró dentro del diagnóstico de obesidad moderada (64,1 %) y grave (26,9 %); sin embargo, en el último control, los diagnósticos más comunes fueron obesidad moderada (39,3 %) y leve (26,2 %). El estado nutricional de los cuidadores no cambió significativamente durante ese período a diferencia del IMC que si presentó cambios cuantitativos. Esta investigación sugiere la utilidad de incluir la medición antropométrica del cuidador en la historia nutricional del niño y adolescente con obesidad, para así lograr un seguimiento del estado nutricional del grupo familiar.

          Translated abstract

          The purpose of this paper was to evaluate the change in the nutritional status of caregivers for children and teenagers with obesity during a dietary treatment given to these patients at CANIA (Centro de Atención Nutricional Infantil Antímano) within the period 2005-2011. The anthropometric data of both caregivers and children, and teenagers (n = 145; ages= 2 to 16 years) was collected from their histories, building the indicators: body mass index (BMI) in adults and relative weight in children. 39.3 % of the caregivers were found to be overweight and 44.2 % were obese at baseline, 40.0 % of which maintained the overweight in their last recorded control and 41.4 % remained obese. The McNemar’s - Bowker test to value the qualitative change of the nutritional status in adults showed a p-value= 0.363. Additionally, the p-value of the Student’s t-test on related mean BMI was 0.002. Both tests were calculated at a significance level of α = 0.05. According to the relative weight, most children and teenagers at base line were classified with moderate and severe obesity (64.1 % and 26.9 % respectively), in the last control the most common diagnosis in this group were moderate and mild obesity (39.3 % and 26.2 % respectively). The nutritional status of caregivers showed no significant change during the time of the studied treatment; however, the mean BMI of caregivers resulted significantly lower. This study suggests the utility of including recorded anthropometric data of caregivers to monitor the nutritional status of the family group.

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          Most cited references12

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          Benefits of Modest Weight Loss in Improving Cardiovascular Risk Factors in Overweight and Obese Individuals With Type 2 Diabetes

          OBJECTIVE Overweight and obese individuals are encouraged to lose 5–10% of their body weight to improve cardiovascular disease (CVD) risk, but data supporting this recommendation are limited, particularly for individuals with type 2 diabetes. RESEARCH DESIGN AND METHODS We conducted an observational analysis of participants in the Look AHEAD (Action For Health in Diabetes) study (n = 5,145, 40.5% male, 37% from ethnic/racial minorities) and examined the association between the magnitude of weight loss and changes in CVD risk factors at 1 year and the odds of meeting predefined criteria for clinically significant improvements in risk factors in individuals with type 2 diabetes. RESULTS The magnitude of weight loss at 1 year was strongly (P < 0.0001) associated with improvements in glycemia, blood pressure, tryiglycerides, and HDL cholesterol but not with LDL cholesterol (P = 0.79). Compared with weight-stable participants, those who lost 5 to <10% ([means ± SD] 7.25 ± 2.1 kg) of their body weight had increased odds of achieving a 0.5% point reduction in HbA1c (odds ratio 3.52 [95% CI 2.81–4.40]), a 5-mmHg decrease in diastolic blood pressure (1.48 [1.20–1.82]), a 5-mmHg decrease in systolic blood pressure (1.56 [1.27–1.91]), a 5 mg/dL increase in HDL cholesterol (1.69 [1.37–2.07]), and a 40 mg/dL decrease in triglycerides (2.20 [1.71–2.83]). The odds of clinically significant improvements in most risk factors were even greater in those who lost 10–15% of their body weight. CONCLUSIONS Modest weight losses of 5 to <10% were associated with significant improvements in CVD risk factors at 1 year, but larger weight losses had greater benefits.
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            Perfil familiar, antropométrico y humoral de niños obesos de la ciudad de Salta

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              Obesidad en pediatría: Panorama Actual

              C Mazza (2001)
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                avn
                Anales Venezolanos de Nutrición
                An Venez Nutr
                Fundación Bengoa
                0798-0752
                March 2015
                : 28
                : 1
                : 004-010
                Affiliations
                [1 ] Universidad Central de Venezuela Venezuela
                [2 ] Centro de Atención Nutricional Infantil Antímano Venezuela
                Article
                S0798-07522015000100002
                6fca83b4-bdd4-42ca-bd1c-057747645446

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Venezuela

                Self URI (journal page): http://www.scielo.org.ve/scielo.php?script=sci_serial&pid=0798-0752&lng=en
                Categories
                NUTRITION & DIETETICS

                Nutrition & Dietetics
                Obesidad,adultos,cuidadores,estado nutricional,niño,adolescente,Obesity,adults,caregivers,nutritional status,child,teenager

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