Estadísticas

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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">La obesidad constituye hoy en d&#237;a uno de los grandes problemas de salud p&#250;blica&#44; con altos &#237;ndices de prevalencia en las distintas etapas de la vida<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">1&#44;2</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Los datos publicados sobre prevalencia de la obesidad en la gestaci&#243;n son escasos&#46; Tres estudios &#40;Inglaterra 2007<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">3</span></a>&#44; Australia 2008<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">4</span></a> y EE&#46; UU&#46; 2011<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">5</span></a>&#41; han cifrado el sobrepeso en gestantes en 20&#44; 22 y 18-38&#37;&#44; respectivamente&#46; En Espa&#241;a un estudio realizado en Gran Canaria en 2008 obtuvo un 17&#44;1&#37; de gestantes con sobrepeso y 25&#37; de gestantes con obesidad<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">6</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Se ha realizado un estudio observacional descriptivo de prevalencia en el &#225;mbito de Atenci&#243;n Primaria&#46; El objetivo es determinar la prevalencia del exceso de peso en la gestaci&#243;n en Andaluc&#237;a y valorar si la edad o la provincia de residencia est&#225;n relacionadas con esa situaci&#243;n&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Se ha estudiado a toda la poblaci&#243;n gestante de Andaluc&#237;a atendida en el sistema sanitario p&#250;blico andaluz a lo largo del a&#241;o 2018&#46; Criterios de inclusi&#243;n&#58; primera visita de embarazo registrada entre las semanas 4 y 12 y edad comprendida entre los 13 y 55 a&#241;os&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Se analiz&#243; el &#237;ndice de masa corporal &#40;IMC&#41;&#44; categoriz&#225;ndolo posteriormente en infrapeso &#40;IMC<span class="elsevierStyleMonospace">&#60;</span>18&#44;5 kg&#47;m<span class="elsevierStyleSup">2</span>&#41;&#44; sobrepeso &#40;IMC 18&#44;5 &#8211; 24&#44;9 kg&#47;m<span class="elsevierStyleSup">2</span>&#41;&#44; normopeso &#40;IMC 25 &#8211; 29&#44;9 kg&#47;m<span class="elsevierStyleSup">2</span>&#41; y obesidad &#40;IMC &#8805; 30 kg&#47;m<span class="elsevierStyleSup">2</span>&#41;&#46; Adem&#225;s&#44; se recogieron la edad&#44; las semanas de gestaci&#243;n y la provincia a la que pertenece la gestante&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Se aplicaron los principios &#233;ticos de investigaci&#243;n en seres humanos y se obtuvo aprobaci&#243;n por el Comit&#233; &#201;tico de Investigaci&#243;n Cl&#237;nica&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Se ha obtenido una poblaci&#243;n final de 56&#46;990 gestantes&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">La edad media fue de 32&#44;1 a&#241;os&#44; con una DT de 5&#44;71 y un IC 95&#37; &#40;32&#44;05-32&#44;15&#41;&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">El IMC medio es de 25&#44;56 kg&#47;m<span class="elsevierStyleSup">2</span>&#44; con una DT de 5&#44;25 y un IC 95&#37; &#40;25&#44;51-25&#44;6&#41;&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">La prevalencia del exceso de peso al inicio de la gestaci&#243;n en Andaluc&#237;a se cifra en 45&#37; &#40;IC 95&#37; 44&#44;6-45&#44;4&#41;&#44; 27&#44;6&#37; &#40;IC 95&#37; 27&#44;2-27&#44;9&#41; corresponde a sobrepeso y 17&#44;4&#37; &#40;IC 95&#37; 17&#44;1-17&#44;7&#41; a obesidad&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">El an&#225;lisis efectuado por provincias se muestra en la <a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0060" class="elsevierStylePara elsevierViewall">Se ha encontrado relaci&#243;n estad&#237;sticamente significativa entre el IMC y la edad &#40;p<span class="elsevierStyleMonospace">&#60;</span>0&#44;001&#41; as&#237; como entre el IMC y la provincia de residencia &#40;p<span class="elsevierStyleMonospace">&#60;</span>0&#44;001&#41;&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Los resultados muestran la situaci&#243;n en cuanto al peso al inicio de la gestaci&#243;n &#40;primer trimestre&#41; en las mujeres andaluzas&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Como limitaci&#243;n fundamental del estudio se encuentra que solamente se han estudiado a las pacientes que realizan diagn&#243;stico y seguimiento de su proceso de embarazo en el sistema sanitario p&#250;blico andaluz&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Los datos obtenidos muestran una elevada prevalencia de exceso de peso al inicio del embarazo&#46; Casi la mitad de las gestantes parten de una situaci&#243;n de peso excesivo&#44; con sus consecuentes posibles complicaciones a corto y largo plazo&#46; La cifra de sobrepeso es elevada en comparaci&#243;n a las gestantes de otros pa&#237;ses como Inglaterra<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">3</span></a> y Australia<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">4</span></a>&#46; Solamente EE&#46; UU&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">5</span></a> cifra los datos de sobrepeso por encima de los encontrados en Andaluc&#237;a&#46; Si comparamos con el otro estudio espa&#241;ol las cifras son similares en el c&#243;mputo total &#40;45&#37; exceso de peso en Andaluc&#237;a frente a 42&#44;1&#37; en Gran Canaria&#41;&#44; con la consideraci&#243;n de que aqu&#237; obtenemos resultados ligeramente m&#225;s desfavorables<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">6</span></a>&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">El exceso de peso parece estar relacionado con la edad&#46; Adem&#225;s&#44; se han observado datos algo m&#225;s desfavorables en tres provincias&#58; Huelva&#44; Almer&#237;a y C&#225;diz&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">Se pretende abrir una l&#237;nea de estudio a&#250;n poco abordada&#46; Este estudio constituye la primera parte de un proyecto de investigaci&#243;n que pretende estudiar adem&#225;s la implicaci&#243;n del exceso de peso al inicio de la gestaci&#243;n y la ganancia ponderal durante la misma en la aparici&#243;n de complicaciones cardiovasculares a largo plazo&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Financiaci&#243;n</span><p id="par0100" class="elsevierStylePara elsevierViewall">El presente trabajo ha sido financiado a trav&#233;s de una beca de investigaci&#243;n &#8220;Isabel Fern&#225;ndez&#8221; para ayuda de tesis doctorales por la Sociedad Andaluza de Medicina Familiar y Comunitaria&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicto de intereses</span><p id="par0095" class="elsevierStylePara elsevierViewall">Los autores declaran no tener ning&#250;n conflicto de intereses&#46;</p></span></span>"
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