Riesgo de morbi-mortalidad en pacientes obesos de 20-40 años de edad que acuden al Centro de Salud Juan Montalvo de la Ciudad de Guayaquil en el período de enero a abril del 2015
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Enfermería
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La obesidad es una enfermedad crónica, compleja y multifactorial, y en la actualidad es un importante y creciente problema de salud pública. Se realizó una investigación cuyo objetivo fue determinar el riesgo de morbi-mortalidad en los pacientes con obesidad en el sector de Juan Montalvo en la ciudad de Guayaquil. Se tuvo una muestra de 40 pacientes con algún grado de obesidad en los cuales mediante un enfoque cuantitativo de tipo descriptivo y de corte transversal pudimos conocer los siguientes resultados: El 65% correspondió al sexo masculino, 35% femenino. La edad de los participantes oscilo así: 19 personas de 32-37 años, 10 que tienen de 38-40 años, 7 de 26-31 años y 4 de 20-25. En cuanto a la práctica de actividad física en un 80% no realizar nunca ejercicios físicos. El 77.50% menciona no realizar actividad física vigorosa por falta de voluntad. En cuanto a la genética el 45% refiere haber tenido en sus ancestros directos hipertensión arterial, el 30% de familiares diabéticos, 10% de cáncer y eventos cerebro vasculares .En la evaluación de glicemia y presión arterial, la glicemia en un 80% se encontraba normal. El 20% si presento hiperglicemia superior a los 115 mg/dl. El 85% tuvo su presión arterial dentro del rango normal. En índice cintura/cadera la muestra estudiada el 100% posee un riesgo cardiovascular muy elevado. El 80% tuvo un IMC que correspondió a obesidad grado 1, seguido de un 15% en obesidad grado dos, y por ultimo un 5% tuvo un grado de obesidad 3. El 20% padece de apnea durante la noche. El 80% declaro que ha sentido paresias y parestesias en los miembros inferiores. El 62.5% dice no haber presentado nunca la angina de pecho, pero el 25% dice que si sienten dolor y opresión en el pecho cuando se encuentran estresados. La muestra tiene un alto riesgo de desarrollar las complicaciones de la obesidad según estos resultados.
Obesity is a chronic, complex and multifactorial disease, and today is a major and growing public health problem. An investigation was conducted whose purpose was to determine the risk of morbidity and mortality in patients with obesity in the sector of Juan Montalvo in the city of Guayaquil. A sample of 40 patients had with some degree of obesity in which a quantitative approach using descriptive and cross-sectional could meet the following results: 65% were male, 35% female. The age of participants ranged as follows: 19 people from 32-37 years, 10 having 38-40 years, 26-31 years 7 and 4 20-25. As for physical activity by 80% never do physical exercises. The 77.50% report no vigorous physical activity for lack of will. As for genetics 45% reported having had their direct ancestors hypertension, 30% of diabetic relatives, 10% of cancer and cerebrovascular events .In the evaluation of glycemia and blood pressure, blood glucose by 80% is was ordinary. 20% if present in excess of 115 mg / dl hyperglycemia, 85% had their blood pressure within the normal range. In index waist / hip the sample 100% cardiovascular risk has a very elevado. El 80% had a BMI corresponded to obesity grade 1, followed by 15% in obesity grade two, and finally 5% had a degree Obesity 3. The 20% suffer from apnea overnight.The 80% declare that felt paresis and paresthesia in the lower limbs. 62.5% say they have never presented angina, but 25% said that if they feel pain and tightness in the chest when they are stressed. The sample has a high risk of developing complications of obesity based on these findings. X
Obesity is a chronic, complex and multifactorial disease, and today is a major and growing public health problem. An investigation was conducted whose purpose was to determine the risk of morbidity and mortality in patients with obesity in the sector of Juan Montalvo in the city of Guayaquil. A sample of 40 patients had with some degree of obesity in which a quantitative approach using descriptive and cross-sectional could meet the following results: 65% were male, 35% female. The age of participants ranged as follows: 19 people from 32-37 years, 10 having 38-40 years, 26-31 years 7 and 4 20-25. As for physical activity by 80% never do physical exercises. The 77.50% report no vigorous physical activity for lack of will. As for genetics 45% reported having had their direct ancestors hypertension, 30% of diabetic relatives, 10% of cancer and cerebrovascular events .In the evaluation of glycemia and blood pressure, blood glucose by 80% is was ordinary. 20% if present in excess of 115 mg / dl hyperglycemia, 85% had their blood pressure within the normal range. In index waist / hip the sample 100% cardiovascular risk has a very elevado. El 80% had a BMI corresponded to obesity grade 1, followed by 15% in obesity grade two, and finally 5% had a degree Obesity 3. The 20% suffer from apnea overnight.The 80% declare that felt paresis and paresthesia in the lower limbs. 62.5% say they have never presented angina, but 25% said that if they feel pain and tightness in the chest when they are stressed. The sample has a high risk of developing complications of obesity based on these findings. X
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Indicadores de morbimortalidad, Obesidad mórbida, Obesidad, Centro de Salud Juan Montalvo, Cantón Guayaquil, Impactos en la salud, Ecuador