Sánchez-García BP, Roy-García IA, Navarro-Susano LG, Villasís-Keever MÁ, Zurita-Cruz JN

Language: Spanish
References: 20
Page: 20-26
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ABSTRACT

Introduction: the overweight and obesity in pediatrics has been increasing in recent decades. Objective: to analyze the adherence to international guidelines for the actions taken in the diagnosis and management of childhood overweight/obesity by the medical staff of in Primary Care Units (UMF) of the Mexican Social Security Institute (IMSS). Material and methods: this was an observational, cross-sectional, and retrospective study. The study was conducted at UMF No. 28 in Mexico City. Records of patients aged 6 to 16 years with overweight or obesity, treated during 2018 and 2019, were identified. Data were collected on whether the correct nutritional status diagnosis was made, the actions taken to identify other comorbidities, and the actions taken to manage overweight/obesity. The statistical analysis was descriptive. The protocol was approved by the UMF's Research and Ethics Committee. Results: 223 patients with overweight (44%) and obesity (56%) were studied. Family physicians made the correct nutritional diagnosis in 68 patients (30.5%). Regarding the screening for comorbidities, blood pressure measurements were taken in 83 (37.2%) patients, but these were not interpreted in any case. Hyperglycemia was investigated in 25.1%, dyslipidemia in 23.3%, and elevated transaminases in 4%. As for management, the recommendation to engage in physical activity was 28.2%, and to reduce the consumption of sugary drinks was 14.3%. Conclusions: in pediatric patients with overweight or obesity seen at the primary care level, actions for the detection of overweight/obesity, its comorbidities, and its management are not routinely performed.

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