Evaluación de un programa ministerial para manejo del síndrome metabólico en adultos con sobrepeso y obesidad

Background: The Chilean Ministry of Health developed a healthy lifestyles intervention directed to adults with overweight and cardiovascular risk factors, called "Program on Healthy Eating and Physical Activity" (PASAF). Aim: To evaluate the impact of PASAF on nutritional status and metabo...

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Autores principales:	Henríquez,Sandra, Barrera,Gladys, Hirsch,Sandra, de la Maza,María P, Jara,Natalia, Leiva,Laura, Bunot,Daniel
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2014
Materias:	Life style Metabolic Syndrome X Obesity
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000700001
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spelling	oai:scielo:S0034-988720140007000012014-12-10Evaluación de un programa ministerial para manejo del síndrome metabólico en adultos con sobrepeso y obesidadHenríquez,SandraBarrera,GladysHirsch,Sandrade la Maza,María PJara,NataliaLeiva,LauraBunot,Daniel Life style Metabolic Syndrome X Obesity Background: The Chilean Ministry of Health developed a healthy lifestyles intervention directed to adults with overweight and cardiovascular risk factors, called "Program on Healthy Eating and Physical Activity" (PASAF). Aim: To evaluate the impact of PASAF on nutritional status and metabolic parameters. Patients and Methods: We analyzed databases from three primary care centers belonging to a municipality of Metropolitan Santiago. We selected adults enrolled in the PASAF during three years (2007-2009). The program lasted four months and included an assessment of anthropometric and metabolic parameters at baseline and at the end, eight workshops with a nutritionist, seven with a psychologist and 32 sessions of physical activity. Result: We evaluated 526 subjects aged ≥ 18 years (93% females), of whom 85.6% attended the last appointment for assessment. Analyzing available data, attendance to workshops was < 50% of the scheduled sessions. Weight, body mass index and waist circumference decreased significantly (median: -1.4 kg, -0.6 kg/m² and -3 cm, respectively). The median weight loss was 1.8% of initial weight and 17.1% of participants experienced a decrease ≥ 5% of their initial weight. There were significant improvements in lipid levels and blood pressure among participants with lower initial excess weight. A reduction in fasting blood glucose was observed only among subjects who lost ≥ 5% of their initial weight. Conclusions: The PASAF modestly reduced nutritional parameters. Correction of metabolic parameters was especially effective in less obese subjects. The attendance to workshops was low.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.7 20142014-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000700001es10.4067/S0034-98872014000700001
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Life style Metabolic Syndrome X Obesity
spellingShingle	Life style Metabolic Syndrome X Obesity Henríquez,Sandra Barrera,Gladys Hirsch,Sandra de la Maza,María P Jara,Natalia Leiva,Laura Bunot,Daniel Evaluación de un programa ministerial para manejo del síndrome metabólico en adultos con sobrepeso y obesidad
description	Background: The Chilean Ministry of Health developed a healthy lifestyles intervention directed to adults with overweight and cardiovascular risk factors, called "Program on Healthy Eating and Physical Activity" (PASAF). Aim: To evaluate the impact of PASAF on nutritional status and metabolic parameters. Patients and Methods: We analyzed databases from three primary care centers belonging to a municipality of Metropolitan Santiago. We selected adults enrolled in the PASAF during three years (2007-2009). The program lasted four months and included an assessment of anthropometric and metabolic parameters at baseline and at the end, eight workshops with a nutritionist, seven with a psychologist and 32 sessions of physical activity. Result: We evaluated 526 subjects aged ≥ 18 years (93% females), of whom 85.6% attended the last appointment for assessment. Analyzing available data, attendance to workshops was < 50% of the scheduled sessions. Weight, body mass index and waist circumference decreased significantly (median: -1.4 kg, -0.6 kg/m² and -3 cm, respectively). The median weight loss was 1.8% of initial weight and 17.1% of participants experienced a decrease ≥ 5% of their initial weight. There were significant improvements in lipid levels and blood pressure among participants with lower initial excess weight. A reduction in fasting blood glucose was observed only among subjects who lost ≥ 5% of their initial weight. Conclusions: The PASAF modestly reduced nutritional parameters. Correction of metabolic parameters was especially effective in less obese subjects. The attendance to workshops was low.
author	Henríquez,Sandra Barrera,Gladys Hirsch,Sandra de la Maza,María P Jara,Natalia Leiva,Laura Bunot,Daniel
author_facet	Henríquez,Sandra Barrera,Gladys Hirsch,Sandra de la Maza,María P Jara,Natalia Leiva,Laura Bunot,Daniel
author_sort	Henríquez,Sandra
title	Evaluación de un programa ministerial para manejo del síndrome metabólico en adultos con sobrepeso y obesidad
title_short	Evaluación de un programa ministerial para manejo del síndrome metabólico en adultos con sobrepeso y obesidad
title_full	Evaluación de un programa ministerial para manejo del síndrome metabólico en adultos con sobrepeso y obesidad
title_fullStr	Evaluación de un programa ministerial para manejo del síndrome metabólico en adultos con sobrepeso y obesidad
title_full_unstemmed	Evaluación de un programa ministerial para manejo del síndrome metabólico en adultos con sobrepeso y obesidad
title_sort	evaluación de un programa ministerial para manejo del síndrome metabólico en adultos con sobrepeso y obesidad
publisher	Sociedad Médica de Santiago
publishDate	2014
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000700001
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Evaluación de un programa ministerial para manejo del síndrome metabólico en adultos con sobrepeso y obesidad

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