Sobrepeso y obesidad: Revisión y puesta al día de la Sociedad Latinoamericana de Gastroenterología, Hepatología y Nutrición Pediátrica (SLAGHNP)

Translated title of the contribution: Overweight and obesity: Review and update

Fernando Sarmiento Quintero*, Adolfo J. Ariza, Fabiola Barboza García, Nelly Canal De Molano, Mayra Castro Benavides, Sylvia Cruchet Muñoz, Laura Delgado Carbajal, María Rita Dewaele Olivera, Adriana Fernández, Solange Heller, Liliana Ladino Meléndez, Sonia Miriam Martínez, Rosa Mayor Oxilia, Milton Mejía Castro, Carlos Montero Brens, Marta Cristina Sanabria, María Consuelo Tarazona Cote, José Fernando Vera Chamorro

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

16 Scopus citations

Abstract

Obesity is an epidemic with important health repercussions in addition to high treatment-related costs. Between 2006 and 2007 the WHO developed new assessment tools, which aren’t being globally used. In fact, there is no unified problem management across the hemisphere. Objectives. To update obesity epidemiology, to promote application of WHO’s standards, to review new findings on physiopathology (i.e., fatty tissue as endocrine organ, intestinal microbiota), to update epidemiological information, and to provide management guidelines that can be integrated in clinical care. Methods. LAPSGHAN called up its members to collaborate in preparing this review article under the direction of an editor/coordinator, who selected the contents and literature with the best evidencetogether with the members. Each member prepared a separate document for each content. The chosen contents were later collated, unified, and edited. Results. This documents highlights the following: 1) Although extreme obesity is increasing in the US, overweight and obesity prevalence has stabilized, while in other countries it is alarmingly increasing; 2) New information regarding role of fatty tissue as endocrine organ and self-regulator of obesity; 3) The promising role of microbiota; and 4) Guidelines for children handling during consultation and follow-up. Conclusions. There is no widespread implementation of standards and guidelines from the World Health Organization (WHO). There is no agreement as to whether z-scores or percentiles should be used, especially regarding children under 2 due to their changing body complexion. The most accepted tool to assess overweight, obesity and severe obesity is the Body Mass Index (BMI). This document provides recommendations on how to approach clinical care with affected children.

Translated title of the contributionOverweight and obesity: Review and update
Original languageSpanish
Pages (from-to)131-159
Number of pages29
JournalActa Gastroenterologica Latinoamericana
Volume46
Issue number2
StatePublished - Jun 2016

Keywords

  • Adolescents
  • Children
  • Obesity
  • Overweight
  • Ámerica

ASJC Scopus subject areas

  • Gastroenterology

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