Abstract:
:The increase in the prevalence of type 2 diabetes and the worldwide expansion of overweight and obesity are intrinsically linked. The percentage of diabetes attributable to weight gain amounts to more than 80% in many countries. This relationship is addressed in a Spanish Consensus Document from SEMI, SED, redGDPS, SEC, SEEDO, SEEN, SEMERGEN and SEMFYC published in 2015 and which gathers best available evidences. Based on the statements of this consensus document, we propose five recommendations for clinical practice to establish a diagnosis of precision and the most appropriate treatment for joint diabetes and obesity. These recommendations have been agreed by the SENDIMAD, SOMAMFYC, SEMG Madrid and RedGDPS Working Groups: 1. For every patient with diabetes and obesity, in addition to the calculation of the body mass index, the percentage of body fat and the approximation to the assessment of body composition should be evaluated throughout the whole process (both at the beginning and follow up). 2. The approximation to the degree and distribution of body fat requires the measurement and recording of the waist circumference of these patients. 3. The integrated assessment of the patient with type 2 diabetes-obesity requires the evaluation of the degree of physical activity and/or characterization of the sedentary condition. 4. The prescription of lifestyle changes should be incorporated into therapeutic education (individualized, flexible, autonomous and sustainable diet and physical activity plan. 5. The pharmacological approach in the treatment of type 2 diabetes-obesity implies the choice of anti-diabetic drugs that facilitate the loss of fat. :El aumento en la prevalencia de diabetes tipo 2 y la expansión a nivel mundial de los estados de sobrepeso y obesidad están intrínsecamente vinculados, de forma que el porcentaje de diabetes atribuible al aumento de peso llega a ser superior al 80% en muchos países. En 2015 se publica un Documento de Consenso español de SEMI, SED, redGDPS, SEC, SEEDO, SEEN, SEMERGEN y SEMFYC que aborda esta doble condición de acuerdo con las mejores evidencias. Desde las afirmaciones de dicho consenso proponemos cinco recomendaciones para la práctica clínica consensuadas por los Grupos de trabajo de SENDIMAD, SOMAMFYC, SEMG Madrid y RedGDPS, con el fin de establecer un diagnóstico de precisión y el tratamiento más adecuado:1. En todo paciente con diabetes y obesidad debe abordarse, tanto al inicio como en el seguimiento, además del cálculo del índice de masa corporal (IMC), el porcentaje de grasa corporal y la valoración de la composición corporal.2. La aproximación al grado y distribución de la grasa corporal requiere incluir la medición y registro del perímetro de cintura de estos pacientes.3. La valoración integral del paciente con diabetes tipo 2-obesidad exige la evaluación del grado de actividad física y/o caracterizar la condición de sedentarismo.4. La prescripción de cambios del estilo de vida debe ser incorporada a la educación terapéutica (plan dietético y de actividad física individualizado, flexible, autónomo y sostenible).5. El abordaje farmacológico en el tratamiento de la diabetes-obesidad implica la elección de fármacos antidiabéticos que faciliten la pérdida de grasa.
journal_name
Nutr Hospjournal_title
Nutricion hospitalariaauthors
De Cos AI,Gutiérrez Medina S,Luca B,Galdón A,Simon Chacín J,De Mingo ML,Trifu D,Artola S,Egocheaga I,Soriano T,Vázquez Cdoi
10.20960/nh.1646subject
Has Abstractpub_date
2018-08-02 00:00:00pages
971-978issue
4eissn
0212-1611issn
1699-5198journal_volume
35pub_type
指南,杂志文章,评审abstract:PURPOSE:the objective was to demonstrate if treatment modality, nutritional status and oropharyngeal flora contribute to the development of mucositis in radiotherapy- treated head and neck cancer. METHODS:single-cohort study of patients with head and neck cancer (H&N) in which radiotherapy was indicated. Nutritional s...
journal_title:Nutricion hospitalaria
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doi:10.3305/nh.2015.32.3.9299
更新日期:2015-09-01 00:00:00
abstract::The refeeding syndrome can be defined as the metabolic alterations developed by the rapid nutrition repletion (oral, enteral as well as parenteral feeding) of severaly malnourished patients. Refeeding syndrome is a potentially fatal clinical condition and it is often underdiagnosed on non-specialized nutrition units. ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2010-11-01 00:00:00
abstract:Introduction:In recent years, the advance in gut microbiota knowledge has shown that is key in the development and health status of humans. There are many factors that influence the gut microbiota and its balance, being our lifestyle one of the key factors. There is an association between feeding and practicing physica...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02805
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abstract:INTRODUCTION:beginning of adolescence comprises important physical modifications, which affects growth and changes in body composition, therefore it is important to consider maturation assessment. OBJECTIVE:to develop a non-invasive method to assess maturity status in Venezuelan adolescents from peak height velocity (...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.5.9566
更新日期:2015-11-01 00:00:00
abstract:INTRODUCTION:breast milk, besides being a source of feeding for children, it can be a vehicle for transmission of some infectious diseases. AIM:to revise the main viral agents which can be acquired for children through breast milk and its possible clinical implication. MATERIAL:literature search was made in different...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析,评审
doi:10.3305/nh.2015.32.1.8794
更新日期:2015-07-01 00:00:00
abstract::Conclusions of the III SENPE-Abbott Debate Forum on several ethical issues of specialized nutritional support in hospitalized patients and outpatients. An insight in the principle of equity is given depending on geographical location, in its indications both as a primary therapy and palliative care, and in informed co...
journal_title:Nutricion hospitalaria
pub_type:
doi:
更新日期:2006-05-01 00:00:00
abstract:INTRODUCTION:in relation to the student population, their class schedules, hours of study, budget shortages, among others, do not allow them to have good eating habits and sedentary ago. Within this context are the sports teams, which must deal with the above. OBJECTIVE:knowing the nutritional status of a group of col...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.6.9877
更新日期:2015-12-01 00:00:00
abstract:INTRODUCTION:The Food Neophobia Scale (FNS), originally developed in English, has been widely used in different studies to assess the individual's willingness to try new foods. However, a process of translation and cultural adaptation is required to enable the use of FNS in other countries. OBJECTIVE:to translate and ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.2.9108
更新日期:2015-08-01 00:00:00
abstract::Over the last few years, a considerable amount of studies have focused on the effect of undernutrition and overnutrition during critical periods of offspring development and their risk of developing metabolic diseases later in life. Additionally, inadequate maternal diets have been involved in the malprogramming of br...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2015.32.6.9716
更新日期:2015-12-01 00:00:00
abstract:Introduction:Objective: to evaluate a healthy food program for teachers and their educational transfer through an action plan for 3rd to 5th primary students, to improve their food habits and culinary skills. Methodology: a four months quasi-experimental prospective study was carried out, with qualitative measurements ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.2190
更新日期:2019-04-10 00:00:00
abstract:OBJECTIVE:To update the system for nutritional screening. The high prevalence of nutritional unstability that causes the Clinical Undernutrition (CU), especially within the hospitals and assisted residencies, makes it necessary to use screening tools for the constant control of undernutrition to combat it during its de...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2014.29.4.7275
更新日期:2014-01-13 00:00:00
abstract:BACKGROUND:Amyotrophic Lateral Sclerosis (ALS) is a degenerative disorder that affects the pyramidal tract, producing progressive motor dysfunctions leading to paralysis. These patients can present with dysphagia, requiring nutritional support with a nasogastric tube or Percutaneous Endoscopic Gastrostomy (PEG). PEG is...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.30.6.7808
更新日期:2014-12-01 00:00:00
abstract:INTRODUCTION:one of the main extradigestive manifestations of celiac disease is the decrease in bone mineral density (BMD). Bone densitometry performed with DXA is the method of choice for BMD assessment. Indications for its use in celiac children are controversial. OBJECTIVE:analyzing BMD and various clinical-analyti...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1510
更新日期:2018-06-04 00:00:00
abstract:INTRODUCTION:There is a huge evidence in adults, that a high level of physical activity and a low level of sedentariness are associated independently with a reduction of cardiometabolic risk factors (CMRF). This association has been poor evaluated in young people and the results are not conclusive. OBJECTIVE:To estima...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1060
更新日期:2017-11-16 00:00:00
abstract:INTRODUCTION:the carcinogenesis may be initiated and promoted by the oxidative DNA damage. The compounds of chrome (Cr [VI]) cause oxidative stress (EOx) and are recognized as carcinogens in humans. In this sense, it is proposed that drinks with a high antioxidative potential, such as red wine, may have protective or m...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.4.9520
更新日期:2015-10-01 00:00:00
abstract::This study aimed to compare the resting energy expenditure (REE) of white and non-white severely obese Brazilian women. REE was examined in 83 severely obese Brazilian women (n = 58 white and 25 non-white) with mean (+/- SD) age 42.99 +/- 11.35 and body mass index 46.88 +/- 6.22 kg/m(2) who were candidates for gastric...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:The origin of most non-communicable diseases (NCDs) is in early life. Consequently obtaining information on risk factors for NCDs is important for preventive purposes. However, there is no information available on the prevalence of obesity, metabolic syndrome (MS) and insulin resistance (IR) in Chilean child...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nutr hosp.v28in06.6770
更新日期:2013-11-01 00:00:00
abstract:INTRODUCTION:Epidemiological studies show that during the last two decades childhood obesity has increased dramatically to become, one of the major public health concerns. Dietary habits, lack of physical activity and the degree of obesity rates and worsen over the years making overweight children overweight adults. A...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.1.7785
更新日期:2015-01-01 00:00:00
abstract:AIMS:The aim of this study was to assess the food habits and nutritional status of free-living, non-institutionalised, elderly people of Torrevieja, a Spanish city located in the Mediterranean coast. METHODS:Anthropometric and dietary survey (two 24 hour recalls) were assessed in 200 (83 men and 117 women) free-living...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.1590/S0212-16112011000500038
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:the prognostic value of maximal inspiratory and expiratory pressures on functional capacity and mortality of hospitalized patients are not well established. AIM:to evaluate the prognostic value of respiratory pressures in hospitalized patients. METHODS:patients admitted to a general hospital in Santiago-Ch...
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pub_type: 杂志文章
doi:10.20960/nh.1478
更新日期:2018-05-17 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.30.1.7471
更新日期:2014-07-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.30.4.7730
更新日期:2014-10-01 00:00:00
abstract::With obesity the amount of pro- and anti-inflammatory adipokines released is increased within the fat tissue. These molecules are implicated in many clinical manifestations of this pathology such as diabetes, arterial hypertension, or cardiovascular disease. At the first stage, the fat tissue of the obese patient beco...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2009-07-01 00:00:00
abstract:UNLABELLED:Introducción y objetivos: las enfermedades cardiovasculares (ECV) son la principal causa de muerte mundial, por ello el objetivo de este estudio es analizar los factores de riesgo de ECV en los trabajadores de la Universidad de Alicante.Material y métodos: estudio transversal descriptivo. Muestra aleatoria (...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.273
更新日期:2016-06-30 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02365
更新日期:2019-03-07 00:00:00
abstract:BACKGROUND:The nutritional care for HIV patients in Chile is a challenge for public health due to the absence of ministerial guidelines to ensure standardized and timely nutritional care that helps to enhance immunity and delay immunological failure from a preventive approach. OBJECTIVE:To design a proposal of protoco...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.2.7888
更新日期:2014-11-18 00:00:00
abstract::We present a clinical case of chronic radiation enteritis, with follow-up over 34 months, the main features of which were as follows: A 60-year-old female patient with adenocarcinoma of the rectum who required a left hemicolectomy (Hartmann), receiving chemotherapy with fluorouracil and external radiation therapy (45 ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2003-07-01 00:00:00
abstract:BACKGROUND:Overweight and eating disorder (ED) are major public health problems in adolescents. AIMS:To assess the association of overweight, body composition and anthropometric characteristics with the probability being at risk of ED. METHODS:A two-phase study was used. 329 girls and 96 boys (aged 12-18 years) from ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2009-07-01 00:00:00
abstract:Introducción:la betatrofina es una novedosa adipoquina que provoca la proliferación de células β pancreáticas e interviene en el metabolismo de los lípidos. Objetivos: el propósito de este estudio es evaluar el papel de la betatrofina en el síndrome metabólico. Método:se llevó a cabo un estudio hospitalario de casos y...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.108
更新日期:2016-03-25 00:00:00
abstract:UNLABELLED:Head and neck cancer patients are frecuently heavy alcohol drinkers. The aim of this study is to determine the impact of alcohol intake on nutritional status and the impact in prognoses. PATIENTS AND METHODS:Fifty patients with oral and pharyngolaryngeal carcinomas were prospective studied in a control-case...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2004-11-01 00:00:00