Original Article
Obesity and overweight. An assessment of the effectiveness of a public health intervention
Obesidad y sobrepeso. Aproximación a la efectividad de una intervención sanitaria
a Unidad de Atención Primaria de Gernika-Lumo, Osakidetza, Servicio Vasco de Salud, Gernika-Lumo, Vizcaya, Spain
b Unidad de Atención Primaria de Bermeo, Osakidetza, Servicio Vasco de Salud, Bermeo, Vizcaya, Spain
c Delegación de Salud, San Sebastián, Guipúzcoa, Spain
d Universidad del País Vasco, Euskal Herriko Unibertsitatea (UPV/EHU), San Sebastián, Guipúzcoa, Spain
e Biodonostia Health Research Institute, San Sebastián, Guipúzcoa, Spain
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The aim of this study was to investigate the effectiveness of the sustained prevention and treatment by Primary Care Paediatrics of overweight from early childhood.</p> <span class="elsevierStyleSectionTitle" id="sect0015">Material and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The BMI of 1669 patients from two Paediatric Teams were compared using four different age intervals between 4 and 14 years during 2007-2009. One of the teams had spent 15 years carrying out a systematic strategy aimed at the prevention and monitoring of overweight.</p> <span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The BMI means in this study were higher than those shown in the 1988 Orbegozo tables, particularly in older ages and in males. The prevalence of overweight was lower in the population with the systematic intervention team, and this was significant at the end of the paediatric age, 14 years (P = .043).</p> <span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The overweight problem is so great that the measures aimed at its prevention are clearly beyond the scope of health professionals. However, interventions by health professionals can be effective in maintaining a healthy weight, if they are carried out on an ongoing basis.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0035">Introducción</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La prevalencia del exceso de peso (obesidad y sobrepeso) se incrementa en los países desarrollados sin que las medidas preventivas se muestren lo suficientemente efectivas. El objetivo de este estudio era investigar la efectividad de la prevención y el tratamiento del exceso de peso desde la primera infancia de forma sostenida desde atención primaria de Pediatría.</p> <span class="elsevierStyleSectionTitle" id="sect0040">Material y métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se compararon los IMC de 1669 pacientes de dos equipos de Pediatría, mediante cortes transversales a 4 intervalos de edad entre los 4 y 14 años, durante el trienio 2007-2009, de la localidad de Gernika-Lumo, donde uno de los cuales lleva 15 años realizando una estrategia sistemática encaminada a la prevención y seguimiento del exceso de peso.</p> <span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Las medias de IMC en este estudio fueron superiores a las de las tablas de Orbegozo de 1988, sobre todo en las edades superiores y en varones. La prevalencia del exceso de peso fue menor en la población del equipo con intervención sistemática, siendo esta significativa al final de la edad de atención pediátrica; 14 años (p = 0,043).</p> <span class="elsevierStyleSectionTitle" id="sect0050">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El problema del exceso de peso es de tal magnitud que las medidas encaminadas a su prevención exceden claramente el ámbito de los profesionales de la salud. Sin embargo, las intervenciones de los profesionales de la salud pueden ser efectivas para mantener un peso saludable siempre que sean realizadas de forma continuada.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Txakartegi Etxebarria X, López Mateo M, Aurrekoetxea J.J. Obesidad y sobrepeso. Aproximación a la efectividad de una intervención sanitaria. An Pediatr (Barc). 2014;80:379-386.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:26 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "[1]" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "WHO. Overweight and obesity. Fact Sheet 311 [website]. Geneva, Switzerland: World Health Organization [updated March 2013) [accessed 2 June 2013]. Available at: <a id="intr0005" class="elsevierStyleInterRef" href="http://www.who.int/mediacentre/factsheets/fs311/en/index.html">http://www.who.int/mediacentre/factsheets/fs311/en/index.html</a>." ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "[2]" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Paidos ‘84. Estudio epidemiológico sobre nutrición y obesidad infantil. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 12 | 15 |
| 2024 October | 52 | 48 | 100 |
| 2024 September | 52 | 40 | 92 |
| 2024 August | 55 | 67 | 122 |
| 2024 July | 35 | 38 | 73 |
| 2024 June | 41 | 41 | 82 |
| 2024 May | 52 | 36 | 88 |
| 2024 April | 43 | 40 | 83 |
| 2024 March | 28 | 29 | 57 |
| 2024 February | 33 | 34 | 67 |
| 2024 January | 24 | 26 | 50 |
| 2023 December | 21 | 20 | 41 |
| 2023 November | 26 | 21 | 47 |
| 2023 October | 40 | 24 | 64 |
| 2023 September | 21 | 22 | 43 |
| 2023 August | 24 | 15 | 39 |
| 2023 July | 31 | 29 | 60 |
| 2023 June | 28 | 38 | 66 |
| 2023 May | 25 | 16 | 41 |
| 2023 April | 26 | 16 | 42 |
| 2023 March | 36 | 27 | 63 |
| 2023 February | 17 | 16 | 33 |
| 2023 January | 20 | 19 | 39 |
| 2022 December | 28 | 23 | 51 |
| 2022 November | 40 | 27 | 67 |
| 2022 October | 34 | 80 | 114 |
| 2022 September | 20 | 34 | 54 |
| 2022 August | 37 | 50 | 87 |
| 2022 July | 24 | 46 | 70 |
| 2022 June | 27 | 31 | 58 |
| 2022 May | 25 | 41 | 66 |
| 2022 April | 29 | 36 | 65 |
| 2022 March | 33 | 50 | 83 |
| 2022 February | 22 | 23 | 45 |
| 2022 January | 22 | 39 | 61 |
| 2021 December | 28 | 39 | 67 |
| 2021 November | 29 | 55 | 84 |
| 2021 October | 28 | 59 | 87 |
| 2021 September | 25 | 52 | 77 |
| 2021 August | 22 | 46 | 68 |
| 2021 July | 20 | 38 | 58 |
| 2021 June | 21 | 33 | 54 |
| 2021 May | 25 | 31 | 56 |
| 2021 April | 52 | 81 | 133 |
| 2021 March | 50 | 43 | 93 |
| 2021 February | 24 | 13 | 37 |
| 2021 January | 21 | 14 | 35 |
| 2020 December | 22 | 15 | 37 |
| 2020 November | 17 | 16 | 33 |
| 2020 October | 20 | 14 | 34 |
| 2020 September | 13 | 16 | 29 |
| 2020 August | 10 | 13 | 23 |
| 2020 July | 13 | 10 | 23 |
| 2020 June | 17 | 11 | 28 |
| 2020 May | 21 | 15 | 36 |
| 2020 April | 26 | 15 | 41 |
| 2020 March | 22 | 29 | 51 |
| 2020 February | 20 | 4 | 24 |
| 2020 January | 23 | 14 | 37 |
| 2019 December | 34 | 14 | 48 |
| 2019 November | 23 | 6 | 29 |
| 2019 October | 21 | 9 | 30 |
| 2019 September | 19 | 11 | 30 |
| 2019 August | 40 | 13 | 53 |
| 2019 July | 32 | 24 | 56 |
| 2019 June | 30 | 24 | 54 |
| 2019 May | 38 | 22 | 60 |
| 2019 April | 63 | 35 | 98 |
| 2019 March | 34 | 16 | 50 |
| 2019 February | 29 | 14 | 43 |
| 2019 January | 37 | 24 | 61 |
| 2018 December | 39 | 36 | 75 |
| 2018 November | 55 | 36 | 91 |
| 2018 October | 40 | 14 | 54 |
| 2018 September | 26 | 20 | 46 |
| 2018 August | 2 | 0 | 2 |
| 2018 June | 2 | 0 | 2 |
| 2018 May | 2 | 0 | 2 |
| 2018 April | 13 | 0 | 13 |
| 2018 March | 9 | 0 | 9 |
| 2018 February | 7 | 0 | 7 |
| 2018 January | 7 | 0 | 7 |
| 2017 December | 8 | 0 | 8 |
| 2017 November | 9 | 0 | 9 |
| 2017 October | 9 | 0 | 9 |
| 2017 September | 9 | 0 | 9 |
| 2017 August | 6 | 0 | 6 |
| 2017 July | 18 | 0 | 18 |
| 2017 June | 17 | 14 | 31 |
| 2017 May | 22 | 6 | 28 |
| 2017 April | 10 | 1 | 11 |
| 2017 March | 5 | 3 | 8 |
| 2017 February | 16 | 5 | 21 |
| 2017 January | 9 | 2 | 11 |
| 2016 December | 21 | 4 | 25 |
| 2016 November | 34 | 4 | 38 |
| 2016 October | 29 | 7 | 36 |
| 2016 September | 16 | 3 | 19 |
| 2016 August | 16 | 5 | 21 |
| 2016 July | 15 | 3 | 18 |
| 2016 March | 2 | 0 | 2 |
| 2016 January | 1 | 0 | 1 |
| 2015 December | 2 | 0 | 2 |
| 2015 November | 1 | 9 | 10 |
| 2015 October | 3 | 9 | 12 |
| 2015 September | 1 | 0 | 1 |
| 2015 June | 1 | 0 | 1 |
| 2015 May | 1 | 0 | 1 |
| 2015 April | 1 | 0 | 1 |
| 2015 March | 1 | 0 | 1 |
| 2015 January | 1 | 0 | 1 |
| 2014 December | 4 | 0 | 4 |
| 2014 November | 4 | 0 | 4 |
| 2014 October | 1 | 0 | 1 |
| 2014 September | 2 | 0 | 2 |
| 2014 August | 3 | 0 | 3 |
| 2014 July | 3 | 0 | 3 |
| 2014 June | 14 | 1 | 15 |
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