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Community‐based multidisciplinary weight management program in Mexico: Metabolic profile of patients at baseline
Author(s) -
KauferHorwitz Martha,
Vázquez Verónica,
Reynoso Ricardo,
Zamora Margarita,
Soriano Ruth,
Manjarrez Iliana,
González Lizbeth,
Rocha Ingrid,
Soto Valeria,
GarcíaGarcía Eduardo
Publication year - 2009
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.23.1_supplement.736.6
Subject(s) - medicine , diabetes mellitus , metabolic syndrome , obesity , national cholesterol education program , blood pressure , weight management , population , lipid profile , weight loss , cholesterol , endocrinology , environmental health
Background Multidisciplinary interventions for the management of obesity have become the most accepted model of treatment. Objective To determine the metabolic profile of patients attending a 6 month multidisciplinary weight management program at the National Institute of Medical Sciences and Nutrition in Mexico City. Subjects and methods 1216 obese patients who voluntarily entered a 6 month multidisciplinary weight management program (Feb. 2003 to Sept. 2007) were evaluated. Assessment at baseline included anthropometrical (BMI), clinical (blood pressure), and metabolic (glucose, lipid profile) measurements. Cardiometabolic abnormalities (diabetes mellitus, glucose =100mg/dL, triglycerides (TG) =150 mg/dL, cholesterol =200mg/dL, HDL <40/50mg/dL in males and females, LDL =100mg/dL, HOMA =5.13 and blood pressure (BP) =130/85mmHg) were assessed at baseline, and patients were considered "metabolically normal" with 0‐1 abnormalities. Results Patients were 38.8±11.7 years old with a BMI of 43.8±8.4; 896 (74%) were female; 62.9% of participants had BMI=40. Prevalence of diabetes was 27.6%. Abnormal values in glucose, TG, cholesterol, HDL, LDL, HOMA and BP were 41.3%, 52.7%, 33.2%, 87.5%, 71.1%, 45.9% and 62.3%, respectively. Only 91 patients (7.5%) were "metabolically normal". Conclusions A high prevalence of metabolic abnormalities was found in the obese population attending the program. "Metabolically normal" subjects should be studied further.