García-García E, De la Llata-Romero M, Kaufer-Horwitz M, Tusié-Luna MT, Calzada-León R, Vázquez-Velázquez V, Barquera-Cervera S, Caballero-Romo AJ, Orozco L, Velázquez-Fernández D, Rosas-Peralta M, Barriguete-Meléndez A, Zacarías-Castillo R, Ortega-González C, Sotelo-Morales J

Language: Español
References: 8
Page: 337-346
PDF size: 262.24 Kb.

ABSTRACT

Numerous efforts for the development of basic and clinical re search in obesity are being made by the National Institutes of Health and Federal Reference Hospitals in Mexico. However, greater interaction among researchers and stronger efforts to wards the dissemination of the results are needed. The docu ment outlines the general ideas and proposals of the Academic Group for the Study, Prevention and Treatment of Obesity and Metabolic Syndrome of the Coordinating Committee of the National Institutes of Health and High Specialty Hospitals (CCINSHAE). This is the first step in developing common ob jectives, with the aim of understanding the effect of these enti ties in public health and to establish guidelines to limit and eventually overcome them. We discuss the appropriateness of analyzing obesity and the metabolic syndrome together, and the current management of these entities at the National In stitutes of Health in Mexico. The problems that arise in clini cal practice lead to the need to generate a new model of medical care, including a new health worker and a new pa tient. It is imperative to establish permanent lines of commu nication and education with health personnel and with patients. The group proposes an integrated approach for re search in these areas. Finally, a master plan that links the Na tional Institutes of Health, particularly in the areas of rápidaresearch and programs within the institutions, is required as a first step in seeking answers useful in solving the problem. The second step would be linking the first and second levels of care through concrete actions needed to limit and reduce obe sity and metabolic syndrome in the population

References

1. World Health Organization. Obesity: preventing and mana ging the global epidemic. Report of a WHO Consultation on Obesity. WHO/NUT/NCD/98.1. Geneva, Switzerland: WHO; 1998.

2. Wiltink J, Dippel A, Szczepanski M, Thiede R, Alt C, Beutel ME. Long term weight loss maintenance after inpatient psy chotherapy of severely obese patients based on a randomized study: predictors and maintaining factors of health behavior. J Psychosom Res 2007; 62(6): 691 8.

3. Wadden TA. What characterizes successful weight maintai ners? In: Allison D, Pi Sunyer F (eds.). Obesity Treatment: Es tablishing Goals, Improving Outcomes, and Reviewing the Research Agenda. New York, NY: Plenum Publishing Corp; 1995, p. 103 11.

4. Krummel DA, Semmens E, Boury J, Gordon PM, Larkin KT. Stages of change for weight management in postpartum wo men. J Am Diet Assoc 2004; 104(7): 1102 8.

5. Teixeira PJ, Palmeira AL, Branco TL, Matins SS, Minderico CS, Barata JT, et al. Who will lose weight? A reexamination of predictors of weight loss in women. Int J Behav Nutr Phys Act 2004; 2(1): 12.

6. Teixeira PJ, Going SB, Houtkooper LB, Cussler EC, et al. Exer cise motivation, eating and body image variables as predictors of weight control. Med Sci Sports Exerc 2006; 38: 179 88.

7. Roberts A. What are the characteristics of overweight and obese pa tients who achieve weight loss and what factors are most helpful? A quantitative and qualitative study of patients and interventions in a rural general practice. J Hum Nutr Diet 1999; 12(S1): 20 7.

8. Krummel DA, Semmens E, Boury J, Gordon PM, et al. Stages of change for weight management in postpartum women. J Am Diet Assoc 2004; 104: 1102 08.