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      Evidence-based nutritional recommendations for the prevention and treatment of overweight and obesity in adults (FESNAD-SEEDO consensus document): Methodology and executive summary (I/III) Translated title: Recomendaciones nutricionales basadas en la evidencia para la prevención y el tratamiento del sobrepeso y la obesidad en adultos (consenso FESNAD-SEEDO): Metodología y resumen ejecutivo (I/III)

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          Abstract

          The present study is a consensus document of two Spanish scientific associations, FESNAD (Spanish Federation of Societies of Nutrition, Food and Dietetics Associations) and SEEDO (Spanish Association for the Study of Obesity), about the role of the diet in the prevention and treatment of overweight and obesity in adults. In this part of the document the methodology and the classification of levels of evidence are described. In order to reach the strongest evidence possible, a systematic review of 543 medical studies dealing with these issues published in the last 15 years (from January 1st 1996 to January 31st 2011) has been conducted. In the executive summary, along with the obtained evidences, a set of degree-classified recommendations are established. These recommendations could constitute a useful tool to design food guides addressed to the nutritional counseling for obesity and overweight treatment.

          Translated abstract

          En el presente trabajo se describe la metodología y los grados de evidencia utilizados en la elaboración del documento de consenso de la Federación Española de Sociedades de Nutrición, Alimentación y Dietética (FESNAD) y la Sociedad Española para el Estudio de la Obesidad (SEEDO) sobre el papel de la dieta en la prevención y el tratamiento de la obesidad y el sobrepeso. Para obtener la mayor evidencia posible se ha efectuado una revisión sistemática de los datos de la literatura médica desde el 1 de enero de 1996 al 31 de enero de 2011 (15 años). En el resumen ejecutivo, junto a las evidencias alcanzadas, se establecen unas recomendaciones clasificadas según grados que pueden servir de guía y orientación en el diseño de pautas alimentarias dirigidas a la prevención o al tratamiento de la obesidad o el sobrepeso.

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          Most cited references31

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          Obesity prevalence from a European perspective: a systematic review

          Background Obesity has been recognised as an important contributing factor in the development of various diseases, but comparative data on this condition are limited. We therefore aimed to identify and discuss current epidemiological data on the prevalence of obesity in European countries. Methods We identified relevant published studies by means of a MEDLINE search (1990–2008) supplemented by information obtained from regulatory agencies. We only included surveys that used direct measures of weight and height and were representative of each country's overall population. Results In Europe, the prevalence of obesity (body mass index ≥ 30 kg/m2) in men ranged from 4.0% to 28.3% and in women from 6.2% to 36.5%. We observed considerable geographic variation, with prevalence rates in Central, Eastern, and Southern Europe being higher than those in Western and Northern Europe. Conclusion In Europe, obesity has reached epidemic proportions. The data presented in our review emphasise the need for effective therapeutic and preventive strategies.
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            Obesity: Prevention and Managing the Global Epidemic. Report of a WHO Consultation

            WHO, WHO WHO (2000)
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              Distribution and determinants of sedentary lifestyles in the European Union.

              Many studies have shown the health burden of a sedentary lifestyle. The main goal of this study was to determine the prevalence of sedentary lifestyles in the 15 Member States of the European Union (EU) and to identify the main correlates of a sedentary lifestyle. Nationally representative samples (n approximately 1000 subjects in each country; >15 years) completed a questionnaire concerning attitudes to physical activity, body weight, and health; in total 15 239 subjects. Sedentary people were defined in two ways: (1) those expending less than 10% of their leisure time expenditure in activities involving >/=4 metabolic equivalents (MET). (2) Those who did not practice any leisure-time physical activity and who also were above the median in the number of hours spent sitting down during leisure time. Logistic regression models were fitted to analyse the association between sedentary lifestyles and gender, age, body mass index (BMI), educational level, weight change in the last 6 months, and marital and smoking status. Percentages of sedentary lifestyles across European countries ranged between 43.3% (Sweden) and 87.8% (Portugal) according to the first definition. According to both definitions, a lower prevalence of sedentary lifestyle was found in Northern countries (especially Scandinavian countries) as compared with Mediterranean countries, whereas the prevalence was higher among older, obese, less educated, widowed/divorced individuals, and current smokers. Similar relative differences between countries and socio-demographic groups were found independently of the method used to define a sedentary lifestyle. Prevalence of sedentary lifestyle in the EU is high, especially among inhabitants of some Mediterranean countries, obese subjects, less-educated people, and current smokers. This high prevalence involves important public health burdens and preventive strategies are urgently needed.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                nh
                Nutrición Hospitalaria
                Nutr. Hosp.
                Grupo Arán (Madrid, Madrid, Spain )
                0212-1611
                1699-5198
                June 2012
                : 27
                : 3
                : 789-799
                Affiliations
                [03] orgnameGrupo de Revisión, Estudio y Posicionamiento de la Asociación Española de Dietistas-Nutricionistas (AEDN)
                [01] Madrid orgnameHospital Virgen de la Torre orgdiv1Servicio de Endocrinología y Nutrición España
                [04] Madrid orgnameHospital General Universitario Gregorio Marañón orgdiv1Unidad de Nutrición Clínica y Dietética
                [05] orgnameGeneralitat Valenciana orgdiv1Conselleria de Sanitat orgdiv2Dirección General de Investigación y Salud Pública
                [07] orgnameLa Fundación de la Sociedad Española para el Estudio de la Obesidad (Fundación SEEDO)
                [10] orgnameFederación Española de Sociedades de Nutrición,Alimentación y dietética (FESNAD)
                [09] Madrid orgnameInstituto Carlos III orgdiv1CIBER Obesidad y Nutrición
                [08] orgnameUniversitat Rovira i Virgili orgdiv1Institut d'Investigació Sanitaria Pere Virgili (IISPV) orgdiv2Unidad de Nutrición Humana
                [02] orgnameSociedad Española para el Estudio de la Obesidad (SEEDO)
                [06] orgnameSociedad Española de Neurociencia (SENC)
                Article
                S0212-16112012000300016
                10.3305/nh.2012.27.3.5678
                23114945
                e69b9e99-16da-4a1d-9f85-bd6de76f0824

                This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 International License.

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                Figures: 0, Tables: 0, Equations: 0, References: 20, Pages: 11
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                SciELO Spain


                Obesity,Overweight,Prevention,Treatment,Diet,Obesidad,Sobrepeso,Prevención,Tratamiento,Dieta

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