Obesity is a chronic disease. Positioning statement of the Diabetes, Obesity and Nutrition Workgroup of the Spanish Society of Internal Medicine (SEMI) for an approach centred on individuals with obesity.
Por:
Carretero Gómez J, Ena J, Arévalo Lorido JC, Segui J, Carrasco-Sánchez FJ, Gómez-Huelgas R, Pérez Soto MI, Delgado Lista J and Pérez Martínez P
Ahead of Print:
25 jul 2020
Categoría:
Medicine (miscellaneous)
Resumen:
INTRODUCTION: Obesity is a chronic, complex and multifactorial metabolic disease involved in the development of chronic noncommunicable diseases such as type 2 diabetes mellitus, cardiovascular disease and cancer. The care of individuals with obesity is an essential part of the holistic approach provided by internal medicine to patients. MATERIAL AND METHODS: Between September 2019 and January 2020, we distributed an online survey to the members of the Spanish Society of Internal Medicine. We prepared a Strengths, Weaknesses, Opportunities, and Threats analysis using the responses and, using the nominal group technique, developed the recommendations. RESULTS: We obtained 599 responses. The respondents mean age was 44.4±11 years, and 52.1% were women. Some 91.8% of the internists evaluate their patients to rule out the comorbidities associated with obesity, mainly type 2 diabetes mellitus (96.2%), cardiovascular disease (88.9%) and obesity-associated hypoventilation syndrome (73%), among others. Some 79.9% provided indications on lifestyle changes. Some 64.1% and 74.9% of the respondents knew the indications for the drugs and bariatric surgery, respectively. Some 93.8% and 83% of the respondents considered obesity and excess weight a chronic disease, and 88.7% considered it a disease of specific interest to internists, who should take an active and leading role in its treatment (85.3%). CONCLUSIONS: The objective of the present document is to determine the degree of understanding and sensitivity of internists regarding the management of obesity and to develop a consensus of recommendations for the Spanish Society of Internal Medicine based on the scientific evidence and the opinion of its members.
Filiaciones:
Carretero Gómez J:
Servicio de Medicina Interna, Hospital de Zafra, Badajoz, España
:
Servicio de Medicina Interna, Hospital de la Marina Baixa, Alicante, España
Arévalo Lorido JC:
Servicio de Medicina Interna, Hospital de Zafra, Badajoz, España
Segui J:
Servicio de Medicina Interna, Hospital Universitario San Juan de Alicante, Alicante, España
Carrasco-Sánchez FJ:
Servicio de Medicina Interna, Hospital Universitario Juan Ramón Jiménez, Huelva, España
Gómez-Huelgas R:
Servicio de Medicina Interna. Hospital Regional Universitario de Málaga, Málaga. Instituto de Investigación Biomédica de Málaga Institute of Biomedical (IBIMA). CIBER Physiopathology of Obesity and Nutrition - CIBERobn
:
Servicio de Medicina Interna, Hospital Universitario de Vinalopó, Elche, Alicante, España
Delgado Lista J:
Servicio de Medicina Interna, Hospital Universitario Reina Sofía/Universidad de Córdoba/ Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba. CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, España
Pérez Martínez P:
Unidad de Lípidos y Arterioesclerosis, Hospital Universitario Reina Sofía/Universidad de Córdoba/ Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba. CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, España
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