Impacto del programa Pasos por la salud en pacientes con sobrepeso y obesidad.

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Bibliographic Details
Title: Impacto del programa Pasos por la salud en pacientes con sobrepeso y obesidad.
Alternate Title: Impact of the Steps for health program in patients with overweight and obesity.
Authors: Flores-Estrada, Javier1, Palomares-Vallejo, Edgar Josué1 edgarjosue.palomares@gmail.com, Rodríguez-Correa, María del Pilar1, Olvera-Cortés, María Esther2
Source: Revista Medica del IMSS. Jan/Feb2026, Vol. 64 Issue 1, p1-6. 6p.
Subjects: OBESITY, PHYSICAL activity, NUTRITION education, CARDIOVASCULAR diseases, HEALTH status indicators, LEARNING strategies, TREATMENT effectiveness
Abstract (English): Background: It has been documented the impact of obesity, specially central obesity on the development of cardiovascular diseases. Educational strategies seek to strengthen non-pharmacological treatment for this disease through interventions. Objective: To evaluate the impact of the Steps for Health (Pasos por la salud) program on patients with overweight and obesity. Material and methods: A longitudinal, prospective, observational study was conducted in patients with overweight and obesity, assigned to Family Medicine Unit No. 75 of Mexican Institute for Social Security (IMSS), from September 2023 to March 2024, with a non-probability convenience sample which included participants of the Steps for Health educational strategy. Pregnant women and patients with psychomotor disabilities were excluded. Somatometric, clinical, and biochemical measurements were taken at the beginning and end of the strategy. Physical activity levels were measured using the International Physical Activity Questionnaire (IPAQ). Results: A positive impact of the intervention was achieved. The mean age was 60 years; women predominated; they were married; they had a primary school education; 20% had a history of diabetes and hypertension. There was increased physical activity (p = 0.02), decreased anthropometric values (p = 0.01), improved blood pressure (p = 0.03), glucose control (p = 0.03), reduced triglycerides (p = 0.007), and increased HDL (p = 0.02). Conclusions: The Steps for Health educational strategy had a positive impact. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: se ha documentado la repercusión de la obesidad, en especial de tipo central para el desarrollo de enfermedades cardiovasculares. Las estrategias educativas buscan fortalecer mediante acciones el tratamiento no farmacológico de esta enfermedad. Objetivo: evaluar el impacto del programa Pasos por la salud en pacientes con sobrepeso y obesidad. Material y métodos: estudio longitudinal, prospectivo, observacional, llevado a cabo en 25 pacientes con sobrepeso y obesidad, adscritos a la Unidad de Medicina Familiar No. 75 del Instituto Mexicano del Seguro Social, de septiembre de 2023 a marzo de 2024, con un muestreo no probabilístico por conveniencia que incluyó participantes de la estrategia educativa Pasos por la salud. Se excluyeron mujeres embarazadas y pacientes con discapacidad psicomotora. Se realizaron mediciones somatométricas, clínicas, bioquímicas al inicio y término de la estrategia. El nivel de actividad física se midió con el Cuestionario internacional de actividad física (IPAQ). Resultados: se obtuvo un impacto positivo de la intervención. La edad promedio fue de 60 años; predominaron mujeres; casadas; escolaridad primaria; antecedente de diabetes e hipertensión en 20%. Hubo aumento en la actividad física (p = 0.02), disminución en valores antropométricos (p = 0.01), mejora en presión arterial (p = 0.03), control de glucosa (p = 0.03), reducción de triglicéridos (p = 0.007) y aumento de HDL (p = 0.02). Conclusiones: la estrategia educativa Pasos por la salud impactó de manera positiva. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
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