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Gaceta Médica Boliviana

versión On-line ISSN 1012-2966

Resumen

PAZ SOLDAN, Ricardo Sevilla; VARGAS FLORES, Vanesa  y  CUETO LOURDES, Zalles. Effect of the strategy “chance for life” in the prevention and treatment children under five years with overweight/obesity. Gac Med Bol [online]. 2016, vol.39, n.2, pp. 66-71. ISSN 1012-2966.

Objective: to evaluate the effect of “CHANCE FOR LIFE” (C strategy: colors of fire, H: Hours (Day Watch), AN: Anthropometry, C: Plate to colors clown, E: Stimulation (exercises) including the environment LIFE in overweight/obese between 6 months and 5 years. Method: 23 patients (12 boys, 11 girls) overweight / obese according to inclusion criteria were included, after taking anthropometric measurements, ultrasound thymus and blood sample to determine glucose and lipid profile, children were monitored at home with the “CHANCE OF LIFE” strategy for 6 months. Method: 23 patients (12 boys, 11 girls) overweight / obese according to inclusion criteria were included, after taking anthropometric measurements, ultrasound thymus and blood sample to determine glucose and lipid profile, children were monitored at home with the “CHANCE OF LIFE” strategy for 6 months. Results: average age: 27.0 ± 18.5 months BMI Z score: 2.6 ± 0.83 at admission, two weeks 2.59 ± 0.88 (ns), fourth week 1.93 ± 0.67 (p≤0.001), 1.27 ± 0.52 12th week (p≤0.001) and week 24 0.87 ± 0.52 (p≤0.001) .The caloric intake: 1803.9 ± 382 Kcal to entry, exit: 1017.3 ± 164,6 kcal/day (p≤0.000). The degree psychomotor development: 76.5 ± 4.8% at the beginning, at the end: 97.6 ± 1.96% (p≤0.001). LDL were: 130.0 ± 9.1 mg / dl at admission, discharge 91.2 ± 5.9 mg/dl (p≤0.000), HDL: 30.9 ± 3.2 mg / dl at admission, discharge: 45.0 ± 5.9mg/dl (p≤0.000), triglycerides 160.4 ± 9.1mg / dl entry, exit: 130.8 ± 10,1mg / dl (p≤0.000) cholesterol: 179.8 ± 5.5 mg / dl entry, exit: 146.9 ± 7.7 and glycemia: 88.2 ± 5.7 mg/dl at admission and discharge: 77.2 ± 6.3 mg/dl. The surface of the thymus: 378 ± 64.9 mm2 entry, exit: 637.7 ± 80.13mm2 (p≤0.001) .The mothers 86.9% (20) were overweight / obese and 13.0% were parents the average age of these mothers: 22,6 ± 3.4 years, the average BMI for mothers came to 27.5 ± 2.5 kg/m2, at the end of follow-up: 25.3 ± 2.3 kg/m2. BMI was significantly correlated at 12 weeks, instruments colors of fire, caloric intake, feeding frequency, clock day use dish clown (p <0.001). LDH increase, triceps skinfold (p <0.001), the measure thymus income LDH (p <0.01). In the mother- child relation ship (a) found correlations of caloric intake from mother to child at 2, 8 and 12 weeks; thymus PCT mother at 12 weeks and calorie intake from mother to child development (p <0.001). Conclusions: LIFE CHANCE strategy was useful for the recovery of children are overweight or obese.

Palabras clave : obesity; overweight; health education; prevention; healthy behaviors.

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