{"id":129305,"date":"2024-08-29T14:44:20","date_gmt":"2024-08-29T19:44:20","guid":{"rendered":"https:\/\/lospoliticosveracruz.com.mx\/?p=129305"},"modified":"2024-08-29T14:44:39","modified_gmt":"2024-08-29T19:44:39","slug":"diabesidad","status":"publish","type":"post","link":"https:\/\/lospoliticosveracruz.com\/?p=129305","title":{"rendered":"DIABESIDAD"},"content":{"rendered":"\n<p><strong>Miguel \u00c1ngel Pedraza Z\u00e1rate<\/strong><\/p>\n\n\n\n<p>En los \u00faltimos a\u00f1os, la Obesidad y la Diabetes mellitus se han convertido en un problema de salud p\u00fablica y en M\u00e9xico son las primeras causas de morbimortalidad, reporte de la Encuesta Nacional de Salud y Nutrici\u00f3n (ENSANUT) en poblaci\u00f3n de 20 a\u00f1os y m\u00e1s, existe una prevalencia de 75,2% de personas con sobrepeso y obesidad; respecto a la Diabetes mellitus la prevalencia se estima en 10,3%.<\/p>\n\n\n\n<p>La estrecha relaci\u00f3n existente entre obesidad y la diabetes mellitus ha propiciado la aparici\u00f3n del t\u00e9rmino \u201cdiabesidad\u201d. Por s\u00ed sola la obesidad es una enfermedad y es com\u00fan un paciente con diabetes mellitus y obesidad.<\/p>\n\n\n\n<p>De inicial instancia la primera enfermedad de aparici\u00f3n es la obesidad y esta conlleva a la diabetes mellitus, afecta la calidad y expectativa de vida de las personas, de manera que es preciso reducir el peso corporal o evitar su incremento, pues se ha demostrado que el tratamiento no farmacol\u00f3gico es el m\u00e1s integral y efectivo para conservar la salud.<\/p>\n\n\n\n<p>El t\u00e9rmino de diabesidad es acu\u00f1ado por Paul Zimmet y otros, en el 2001 para destacar la incuestionable vinculaci\u00f3n entre las 2 epidemias del siglo XXI, cuya convergencia eleva el riesgo cardiovascular; la obesidad, principalmente visceral, es causa de resistencia a la insulina y condiciona un estado de hiperglucemia; paso que antecede a la diabetes mellitus, cuyo riesgo de padecerla, aumenta en proporci\u00f3n directa con la magnitud del sobrepeso corporal y se relaciona significativamente con el incremento central de los dep\u00f3sitos de grasa en el cuerpo.<\/p>\n\n\n\n<p>El binomio diabetes mellitus y adiposidad abdominal agrava el da\u00f1o vascular y pone en peligro la supervivencia. Estas dos entidades cl\u00ednicas, comparten un mismo denominador: el da\u00f1o endotelial. La visi\u00f3n original del endotelio, como una simple barrera pasiva o aislante, ha evolucionado notablemente hasta ser considerado un \u00f3rgano multifuncional, situado estrat\u00e9gicamente para monitorizar est\u00edmulos de origen tanto sist\u00e9mico como local y para modificar su propio estado funcional. Este proceso adaptativo, que transcurre de un modo imperceptible, contribuye a mantener la homeostasis; sin embargo, pueden producirse cambios no adaptativos, provocados por est\u00edmulos fisiopatol\u00f3gicos, que alteran las interacciones normales del endotelio con elementos celulares y macromoleculares de la sangre circulante y la pared vascular.<\/p>\n\n\n\n<p>Entre los factores que trastornan la funci\u00f3n endotelial, sobresalen el h\u00e1bito de fumar, la hipertensi\u00f3n arterial y la dislipoproteinemia; ater\u00f3geno que aparece en los pacientes con diabetes mellitus. Padecer Diabesidad no solo involucra al Sobrepeso, Obesidad y Diabetes Tipo 2, si no otras alteraciones (por ejemplo, del sue\u00f1o) y enfermedades cardiovasculares, renales, hep\u00e1ticas, hormonales, etc. Dichas alteraciones y enfermedades tienen como consecuencia la disminuci\u00f3n en la calidad de vida, p\u00e9rdida de a\u00f1os productivos, aumento de complicaciones e incluso a la muerte y otras alteraciones de tipo social y familiar.<\/p>\n\n\n\n<p>El tratamiento m\u00e1s integral y efectivo de pacientes con diabesidad es el no farmacol\u00f3gico, consistente en cambios conductuales y de estilo de vida, dieta saludable y ejercicios f\u00edsicos, sabiendo que la prevenci\u00f3n constituye la clave para detener esta epidemia, se impone reducir el peso corporal o, cuando menos, evitar su incremento. Por lo que es necesario que el fen\u00f3meno sea abordado de manera conjunta e integral bajo el enfoque de un equipo interdisciplinario.&nbsp;<\/p>\n\n\n\n<p>Contacto directo: 2292909035. Consultorio: 2288151151, 2288156995, 2288148252.<\/p>\n\n\n\n<p>Direcci\u00f3n: Calle. Herrera Tejada 121, Col. Federal, Xalapa Ver.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Miguel \u00c1ngel Pedraza Z\u00e1rate En los \u00faltimos a\u00f1os, la Obesidad y la Diabetes mellitus se han convertido en un problema de salud p\u00fablica y en M\u00e9xico son las primeras causas de morbimortalidad, reporte de la Encuesta Nacional de Salud y Nutrici\u00f3n (ENSANUT) en poblaci\u00f3n de 20 a\u00f1os y m\u00e1s, existe una prevalencia de 75,2% de [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":127608,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[70],"tags":[],"class_list":{"0":"post-129305","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-de-opinion"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>DIABESIDAD - 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